ped dentistry intro and prevention

Question 1

pediatric dentistry

Answer 1

age-defined specialty that provides oral health care for infants and children through adolescence including those with special health care

Question 2

dental home

Answer 2

establishment of a dental home begins no later than 12 mo of age and includes referral to dental specialists when appropriate

Question 3

first dental exam

Answer 3

time of eruption of first tooth, no later than 1 yr

Question 4

anticipatory guidance

Answer 4

prepare parents for oral hygiene and dietary habits, injury prevention, oral habits, stage of development, substance abuse, speech and lang development

Question 5

why do a caries risk assesment

Answer 5

to identify and minimize causative factors and optimize protective factors

Question 6

t/f. if a pt is high risk in one topic in CAMBRA, then they are high risk

Answer 6

true

Question 7

t/f. timing of radiographs should be based on chronological age, not development

Answer 7

false. based on development, not chronological

Question 8

radiographs for pt with primary dentition

Answer 8

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

Question 9

radiographs for pt with transitional dentition

Answer 9

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

Question 10

knee-to-knee postion

Answer 10

preferred approach to infant examination where the parent and provider face each other

Question 11

nnatal teeth

Answer 11

present at birth (5% are supernumerary)

Question 12

neonatal teeth

Answer 12

erupt during the first month of life

Question 13

Tx for infant oral pathology

Answer 13

natal teeth left alone unless they cause difficulty for the infant or mother
extract if highly mobile to prevent aspiration

Question 14

AAPD def of childhood caries

Answer 14

the presence of more than 1 decayed, missing, or filled tooth surface in any primary tooth in a child 6 yrs or younger

Question 15

what is affected in Baby Bottle syndrome

Answer 15

1st - max ant
2nd - primary molars
mand anteriors are affected when the disease becomes severe

Question 16

how to avoid early childhood caries

Answer 16

avoid putting a child to sleep with a bottle
avoid juice by bottle
encourage drinking from a cup around 1st bday

Question 17

t/f. an adult needs to brush and floss a child’s teeth for them at least once a day until 6 yo.

Answer 17

FALSE 8 yo

Question 18

how long does a child need to brush for?

Answer 18

until all surfaces have been adequately brushed

Question 19

best type of tooth brush

Answer 19

time and technique, not brand

electric toothbrushes provide 15% reduction in gingivitis and plaque over manual brushes

Question 20

what should be in the kids tooth paste?

Answer 20

fluoride, low abrasiveness, ADA seal of acceptance

Question 21

why should kids use a grain of rice-sized amount of tooth paste

Answer 21

under 6, they usually swallow at least 60% of tooth paste

avoid fluorosis

Question 22

t/f self-administered plaque control programs w/o periodic professional reinforcement are inconsistent in providing long term inhibition of gingivitis

Answer 22

true.

Question 23

how often should fluoride be administered for kids with moderate risk?

Answer 23

every 6 mo

Question 24

how often should kids receive fluoride who are high risk

Answer 24

every 3-6 mo

Question 25

when are fluoride supplements recommended?

Answer 25

is the water fluoride content is less than 0.6 ppm

Question 26

what are the two ADA recommended way to decrease caries with fluoride

Answer 26

4 minute gel tray and fluoride varnish

Question 27

Xylitol daily dosage to prevent caries

Answer 27

4.3 - 10 g/day

Question 28

t/f refer to an ortho if crossbite may cause abnormal wear of perm dentition

Answer 28

true

Question 29

what is the point of a sealant

Answer 29

reduce the risk of pit and fissure caries in susceptible teeth and are cost-effective when maintained

Question 30

what teeth benefit the most form sealants

Answer 30

perm first molars and perm premolars

Question 31

how do you provide max protection against decay

Answer 31

sealants with topical and systemic fluoride