ped dentistry intro and prevention Flashcards
pediatric dentistry
age-defined specialty that provides oral health care for infants and children through adolescence including those with special health care
dental home
establishment of a dental home begins no later than 12 mo of age and includes referral to dental specialists when appropriate
first dental exam
time of eruption of first tooth, no later than 1 yr
anticipatory guidance
prepare parents for oral hygiene and dietary habits, injury prevention, oral habits, stage of development, substance abuse, speech and lang development
why do a caries risk assesment
to identify and minimize causative factors and optimize protective factors
t/f. if a pt is high risk in one topic in CAMBRA, then they are high risk
true
t/f. timing of radiographs should be based on chronological age, not development
false. based on development, not chronological
radiographs for pt with primary dentition
selected ant PA/occlusals ad BWs if prox sites cant be seen/probed
pts w/o evidence of disease and w open prox contacts may not need BWs
radiographs for pt with transitional dentition
ant PS/occlusals and post BW with PANO
wait until eruption of max CI to allow optimal eval of the max perm canine eruption angulation
knee-to-knee postion
preferred approach to infant examination where the parent and provider face each other
nnatal teeth
present at birth (5% are supernumerary)
neonatal teeth
erupt during the first month of life
Tx for infant oral pathology
natal teeth left alone unless they cause difficulty for the infant or mother
extract if highly mobile to prevent aspiration
AAPD def of childhood caries
the presence of more than 1 decayed, missing, or filled tooth surface in any primary tooth in a child 6 yrs or younger
what is affected in Baby Bottle syndrome
1st - max ant
2nd - primary molars
mand anteriors are affected when the disease becomes severe
how to avoid early childhood caries
avoid putting a child to sleep with a bottle
avoid juice by bottle
encourage drinking from a cup around 1st bday
t/f. an adult needs to brush and floss a child’s teeth for them at least once a day until 6 yo.
FALSE 8 yo
how long does a child need to brush for?
until all surfaces have been adequately brushed
best type of tooth brush
time and technique, not brand
electric toothbrushes provide 15% reduction in gingivitis and plaque over manual brushes
what should be in the kids tooth paste?
fluoride, low abrasiveness, ADA seal of acceptance
why should kids use a grain of rice-sized amount of tooth paste
under 6, they usually swallow at least 60% of tooth paste
avoid fluorosis
t/f self-administered plaque control programs w/o periodic professional reinforcement are inconsistent in providing long term inhibition of gingivitis
true.
how often should fluoride be administered for kids with moderate risk?
every 6 mo
how often should kids receive fluoride who are high risk
every 3-6 mo
when are fluoride supplements recommended?
is the water fluoride content is less than 0.6 ppm
what are the two ADA recommended way to decrease caries with fluoride
4 minute gel tray and fluoride varnish
Xylitol daily dosage to prevent caries
4.3 - 10 g/day
t/f refer to an ortho if crossbite may cause abnormal wear of perm dentition
true
what is the point of a sealant
reduce the risk of pit and fissure caries in susceptible teeth and are cost-effective when maintained
what teeth benefit the most form sealants
perm first molars and perm premolars
how do you provide max protection against decay
sealants with topical and systemic fluoride
