Ped Dental

Question 1

first dental exam

Answer 1

baby teeth begin to erupt

by the age of 1

Question 2

how many primary teeth, when they start, and by what age

Answer 2

20 by age 3. start at 3m

spacing is normal

Question 3

what about enamel in primary teeth

Answer 3

*enamel is THIN and decay can advance quickly

Question 4

time range for primary teeth

Answer 4

eruption can occur as early as 4 M or as late as 15 M

teeth can erupt out of normal sequence

Question 5

when do permanent molars erupt and time frame

Answer 5

1st permanent molar eruption around 6 y until about 12y

starts with lower incisors

Question 6

What is caries and presentation

Answer 6

decalcification
white spots wont wipe off
early decay
reversible with plaque removal and fluoride
refer to dental home

Question 7

moderate caries progression

Answer 7

brown or black spots
smooth and or chewing surfaces
dental referral ASAP

Question 8

severe caries

Answer 8

advanced or severe caries-teeth in risk of fracture
affects chewing and self-esteem
often requires treatment in OR with general anesthesia
referral to dental home ASAP
places child at risk for infection

Question 9

Early childhood caries ECC

Answer 9

transmissible (younger than 5)
severe decay and destruction
prior term baby bottle 15 m
dependent upon refined carbohydrates

Question 10

breast feeding and caris

Answer 10

breast milk is NOT cariogenic unless combined with carbohydrates
once teeth are present do oral hygiene following feedings breast or bottle

Question 11

sippy cups

Answer 11

introduce as soon as child can sit up unsupported and eliminate bottle by 1 y
milk or water between meals

Question 12

feeding guidlines

Answer 12

health foods vegetables and fruits
do not pretaste etc due to bacteria transmission
avoid sticky foods
discourage grazing carbs

Question 13

side effects of teething and tips to treat

Answer 13

swollen tender gums (acetominophen)
NOT diarrhea rashes or fever

chew on something cold
rub gums
acetominophen

Question 14

non nutrative sucking

Answer 14

normal
discontinue by 2-4
prolonged can cause problems with teeth and jaw

Question 15

fluoride toothbrushing recommendations

Answer 15

<1 y clean with soft toothbrush
1-2 parent with small smear 2x day
2-6 pea-sized 2x with supervision
>6 brush with flouride 2x day

Question 16

when does threat of fluorosis disappear

Answer 16

after age 8 when permanent teeth have developed

Question 17

associated anomalies with cleft palate/lip

Answer 17

30% clubfoot
10% congenital heart disease
10% mental retardation

Question 18

goals of treatment of cleft palate/lip

Answer 18

produce a face that does not attract attention
create a vocal apparatus that permits intelligent speech
dentition that allows optimal function and esthetics

Question 19

nasoalveolar molding NAM

Answer 19

worn 24 hours a day
unilateral clefts about 3 m and bilateral clefts up to 6 m
precursor to surgery
will aide with feeding