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DMD > Pediatric Dentistry > Flashcards

Pediatric Dentistry Flashcards

1
Q

Ideal stage for 1st dental appointment

A

infancy
- parents dependent
- related to tongue tie, breastfeeding
- 0-1yr

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2
Q

Brief attention span
Autism becomes obvious, ADHD, mental retardation.

A

1-3
Toddler stage

Consistency of rules: Control over decision; Choices are both acceptable.

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3
Q

the belief that inanimate objects are capable of actions and have lifelike qualities.

A

Animism
- 2-4 yrs old
- demonstrate tell-show-do
- demonstrate to a doll
- learn living from non-living things

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4
Q

Bonding w/ sibling becomes stronger, child passion runs high, separation anxiety

A

Pre-school stage
- 3-6yrs old

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5
Q

eruption of 1st mandibular molar

A

6yrs old

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6
Q

age where lower primary central incisor starts to exfoliate

A

5 yrs old

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7
Q

Eruption of lower permanent mandibular central incisor

Labially or Lingually?

A

Lingually

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8
Q

Mixed dentition stage, sense of purpose/independence > Goals.
Peer influence
Teacher is the 1st significant authority outside home

A

School age
- 6-12 yrs old
- Ugly duckling space, flaring of central incisor and diastema.

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9
Q

sign of puberty in males

A

Testicular Enlargement

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10
Q

sign of puberty in females

A

Thelarche / Breast buds
- 9yrs old

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11
Q

Female 1st menstration is called?

A

Menarche

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12
Q

stage is where mostly, communication w/ parents is low abstract reasoning and scientific analysis

A

Adolescence
- 12-19yrs old

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13
Q

Highest form of play

A

Cooperative play
(Boards!)

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14
Q

Abnormal brain development from early infancy. Repetitive behavior, social deficit, language impairment triad.

A

Autism

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15
Q

ADHD meaning

A

Attention-Deficit Hypersensitivity Disorder

  • most common neurobehavioral disorder
  • Behavioral Therapy
  • core symptom: Inattention - Hyperactivity - Impulsivity
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16
Q

Delayed achievement of developmental milestones

A

Mental Retardation

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17
Q

IQ 60

A

Mild Classification

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18
Q

parents assist the child in aid of brushing until the age of?

A

9 yrs old

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19
Q

most common perinatal disorder.

A

Cerebral Palsy
- posture and movement non-progressive disorder

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20
Q

most common type of cerebral palsy

A

Spastic
- tightness, rigid or stiff muscles, contractures and lack of control
- hypertonia

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21
Q

damaged portion of brain in cerebral palsy

A

Motor cortex

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22
Q

Ataxic - tremors or uncoordinated voluntary movement, affected what part of brain?

A

Cerebellum

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23
Q

Hypotonia type of cerebral palsy

A

Dyskinetic

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24
Q

Cognitive theory by

A

Jean Piaget

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25
Q

Psychosexual theory by

A

Sigmund Freud

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26
Q

Psychosocial Theory

A

Erick Erickson

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27
Q

Knee to knee position

A

<2yrs old
- lacks cooperative ability

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28
Q

Tell show do technique

A

2 y/o
- most common technique used.

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29
Q

a child who misbehaves on 1st dental appointment

A
  • Innocent victim of circumstances
  • Dentist as symbol of displeasure
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30
Q

loss of internal control

A

Temper tantrum (uncontrolled)

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31
Q

solution for temper tantrum

A

IGNORE

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32
Q

complaining without tears

A

Whining

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33
Q

most ideal frankl behavior “Good rapport”

A

Frankl 4
- completely cooperative

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34
Q

Completely uncooperative frankl behaviour

A

Frankl 1
- Definitely negative

35
Q

Appropriately timed feedback

A

Positive Reinforcement

36
Q

Use of age-appropriate words

A

Tell-show-do

  • children orientation of the procedures
  • Bedrock strategy which all of pedo dental behavior managements rests
37
Q

The tooth statue

A

Model of tooth structure that is made of plaster

38
Q

Negative Stimulus Incorporation

A

Conditioning Aversive

39
Q

highest form of aversive conditioning

A

Initiate Voice control

40
Q

to establish a good rapport you must:

A

eye to eye contact (sit)

41
Q

how to check for the effectivity of IAN block

A

Lateral Incisor gingiva tip of explorer

42
Q

most ideal topical anesthesia

A

Benzocaine
- dries the mucosa easily

43
Q

Can retain lipophilic medications for longer time

A

Obese

44
Q

Classification of drug acceptable to be administered at home before the procedure

A

Minor Tranquilizers
(boards)

45
Q

Most commonly used oral sedation drug in dentistry

A

Midazolam
- in the form of syrup of tablets

46
Q

Chloral hydrate responsible for CNS effect

A

Trichloroethanol

47
Q

most common inhalational sedation

A

Nitrous Oxide

48
Q

Most common complaint of Nitrous oxide

A

Nausea

49
Q

dose calculations
weight (pounds) x adult dose = Infant dose

A

Clark’s rule

50
Q

Age (year) x adult dose = child dose

A

Young’s rule / cowlings rules

51
Q

surface are x adult dose = child dose

A

Body surface

52
Q

Inhibits prostaglandin synthesis by interfering with cyclooxygenase enzyme

A

Analgesics

53
Q

Analgesics for tooth ache

A

Celecoxib
(boards)

Paracetamol - Mild Pain
Ibuprofen - Mild to moderate pain (X px with kidney disease)
Diclofenac - Moderate Pain
Naproxen Sodium Escalan.

54
Q

antibiotic for Acute infection, acute abscess

A

Amoxicillin

  • allergy in amoxicillin: Clindamycin (Chronic Infection), Metronidazole, Co-amoxiclav.
55
Q

most common caries susceptibility

A

occlusal surfaces of 2nd primary molars.

56
Q

white spot lesion is reversible by

A

Fluoride application

57
Q

how to check for incipient lesion?

A

Prolonged air water syringe
- ICDAS; 2

58
Q

discoloration of lesion extended to dentin

A

Yellow-Brown discoloration
- ICDAS; 3
- pain elicited by cold
- not reversible by fluoride application

59
Q

discoloration caused by high intake of iron

A

Iron staining

60
Q

treatment of nursing bottle caries

A
  1. Topical Fluoride Application
  2. Monthly interval of caries activity test
  3. After every 3 months of recall
61
Q

the completion of the primary dentition is

A

3yrs old

62
Q

Caries preventive method, caries risk basis.

A

Pit and fissure sealant
- 3-4y/o; all primary molars are preferred
- 6-7y/o; 1st permanent molars are preferred
- 11-13 y/o; all 2nd and 1st permanent molars and premolars are preferred.

63
Q

Restorative treatment Depth: 1.5mm from the occlusal surface or 0.5mm from dentin

Class?

A

Class 1

64
Q

treatment for very small incipient lesion @interproximal?

A

Fluoride treatment, 3 months recall, bitewing xray.

65
Q

Class 3 amalgam restoration is located at the proximal box on ____ of canine, Converge of labial and lingual walls.

A

Distal

66
Q

finishing line of stainless steel crown?

A

Feather edge

67
Q

zirconia crowns for kids is only used after

A

Pulp therapy

68
Q

Pulpal treatment is contraindicated on patient with

A

blood disorders, cancer, kidney failures.

TX: extraction

69
Q

INDIRECT PULP CAPPING IS CONTRAINDICATED ON

A

PRIMARY TOOTH
( CALCIUM HYDROXIDE - XXX )
it will cause internal resorption

70
Q

Entire roof of the pulp chamber is removed

A

Pulpotomy

71
Q

Pulpotomy in pedo is called?

A

Formocresol Pulpotomy

72
Q

treatment for pulp exposure w/ inflammation or infection is confined to coronal pulp

A

Pulpotomy

73
Q

Most popular agent

A

“Buckley’s” / Formocresol

74
Q

complete removal of all remaining pulp tissue

A

Pulpectomy

75
Q

what is the best space maintainer

A

Pulpectomize Molar

76
Q

Barrier creation at an open apex in a NON-VITAL, immature, permanent tooth CAOH PASTE

A

Apexification
- Factor, most important: Thorough debridement of root canal

77
Q

Barrier creation at an open apex in VITAL, immature, permanent tooth CAOH Paste

A

Apexogenesis
- Development and completion of root apex

78
Q

Simple crown fracture with little or no dentin affected

A

Class 1

79
Q

Extensive crown fracture with considerable loss of dentin, but with the pulp not affected

A

Class 2 Ellis

80
Q

Teeth lost as a result of trauma

A

Class 5 ellis

81
Q

Best prognosis for crown fracture

A

Incisal

82
Q

Poor prognosis for crown fracture

A

Cervical

83
Q
A

DMD (24 decks)

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