Pediatricos

Question 1

increase in skill and complexity of function:

Level of organization and Qualitative content:

Answer 1

Development

Maturity

Question 2

Distal ends radius and ulna - carpals - metacarpals - phalanges

Answer 2

Skeletal Age

*assess 8 carpals in order of appearance from capitate to pisiform

Question 3

3 Factors to determine Dental Age:

Answer 3

Teeth erupted

Primary Root Resorption

Permanent Root Development

Question 4

Avg birth weight:

5 months:

1 year:

2 years:

Answer 4

7,5 lbs

double birth weight

triple birth weight

quadrupled birth weight

Question 5

Scammon’s Curve, top to bottom:

Answer 5

Lymphoid

Neural

Mx

Mn

General

Genital

Question 6

On Scammon’s Curve, Lymphoid reaches 200% at what age?

Answer 6

10 years

so kiddos have big tonsils

*smaller @ 2 and 12, obviously

Question 7

Pre-natal Developmental Milestones: 3 - 6 weeks:

6th week:

7th - 8th week:

14th week:

14 - 32nd week:

Birth:

Answer 7

face

deciduous tooth buds

palate fuses

deciduous calcification

revlexes

Permanent teeth begin calcification

Question 8

Mx is part of the Head/Brain/Cranium and grows in what direction?

This displaces:

Answer 8

Up and Back

Down/Forward

Question 9

Scammon’s, the majority of neurologic growth happens when?

Answer 9

First 2 yrs of life

Question 10

Neural growth is 95% of adult size when?

Answer 10

7-8 y/o

Question 11

Cranial vault growth has soft _______

This allows passage through the birth canal, expansion through ______ growth across them

Answer 11

Fontanelles

Appositional

Question 12

When do Fontanelles close?

Answer 12

2+ years

Question 13

Premature fusion of fontanelles:

Answer 13

Cranial Synostosis

*assymmetry

Question 14

Cranial Base grows by _____

Answer 14

Endochondral Ossification

Question 15

Mn growth is ______

Displaces (translates)

Answer 15

Up/Back

Down/Forward

Question 16

Mn Growth is _______ on the posterior ______

Minimally where?

Answer 16

appositional, Ramus

chin

Question 17

What area of the Cranium remains active up until childhood?

Answer 17

Spheno-Occipital Base

Question 18

3 Kinds of Inclusion Cysts:

Answer 18

Epstein’s Pearls

Bohn’s Nodules

Dental lamina Cyst

Question 19

Remnants of epithelial tissue trapped along midpalatal raphe

Answer 19

Epstein’s Pearls

Question 20

Buccal/Lingual aspects of dental ridges/Junction hard/soft palate

*they are remnants of mucous gland tissue

Answer 20

Bohn’s nodule

Question 21

Crest of alveolar ridge

*remnants of Dental lamina

Answer 21

Dental-Lamina Cyst

Question 22

(epstein) Pearls are found on the ______

Bohn’s are found _______

Dental lamina cyst ______

Answer 22

palate

junction

alveolar crest

Question 23

Epstein peal is remnants of what?

Bohn’s nodule, remnants of…

dental lamina

Answer 23

epithelial tissue

mucous gland tissue

dental lamina

Question 24

6 wks in Utero:

14-19 wks in Utero:

1st year of life:

2nd year of life:

3rd yr of life:

Answer 24

primary teeth begin to form

calcification begins

enamel of all primary teeth complete

all primary teeth erupted

roots of primary teeth complete

Question 25

_____ teeth are present at birth _____ teeth erupt within 30 days of birth

Answer 25

Natal Neonatal

Question 26

Eruption Pattern, Primary teeth: Timescale:

Answer 26

CI, LI, 1M, C, 2M (A, B, D, C, E) 6m, 9m, 11-18m, 16-20m, 20-30m *for incisors, Mn slightly ahead of Mx

Question 27

Eruption pattern, Permanent Mx:

Answer 27

``` CI 7-8 LI 8-9 C 11-12 1P 10-11 2P 10-12 1M 5.5-7 2M 12-14 3M 17-30 ```

Question 28

Eruption pattern, Permanent Mn:

Answer 28

``` CI 6-7 LI 7-8 C 9-11 1P 10-12 2P 11-13 1M 5.5-7 2M 12-13 3M 17-30 ```

Question 29

Primary to Permanent teeth: Girls before boys: Eruption follows exfoliation by ____ Enamel of permanent tooth complete _______ yrs prior to eruption Root formation complete ______ after eruption (permanent) Eruptive force fo 1st permanent Molar closes what spaces?

Answer 29

True 6 months 3 years 3 years remaining primary molars

Question 30

Mx Eruption Sequence: (Palmer)In Mn:

Answer 30

6-1-2-4-5-3-7-8 6-1-2-3-4-5-7-8

Question 31

Leeway space Mx: Mn

Answer 31

1. 5mm/quadrant 2. 5mm/quadrant * remember, primary dentition larger than permanent

Question 32

Initiation/Calcification of Primary Teeth: | #'s are IN UTERO in WEEKS

Answer 32

``` CI 6 14 LI 6 16 C 7 17 1M 6 15 2M 8 19 ```

Question 33

The only permanent tooth that displays calcification at birth?

Answer 33

1st Molars

Question 34

9 months, what teeth? 12 months? 18 months? 24 months?

Answer 34

A, B A, B, D A, B, C, D A, B, C, D, E

Question 35

Eruption sequence (primary/Palmer) Calcification sequence (primary/Palmer)

Answer 35

A, B, D, C, E A, D, B, C, E

Question 36

With the exception of the 3rd Molar, all permanent teeth have hard tissue formation by 3 y/o

Answer 36

True

Question 37

Distal occlusion that will result in Class I occlusion:

Answer 37

Flush or Mesial Step *Mesial Step is Ideal

Question 38

Distal occlusion will result in Class III occlusion: Result in Class II occlusion:

Answer 38

Exaggerated Mesial Step Distal Step *distal step manDIble = class II

Question 39

Class I Canine: Class II Canine Class III

Answer 39

Mn C between Mx LI/C ...distal to LI/C midline mesial to LI/C midline

Question 40

Primary molar occlusion described as... Primary Canines described as...

Answer 40

steps class I, etc

Question 41

If the Canine is lost, sometimes will remove the contralateral to maintain symmetry

Answer 41

True

Question 42

4 Basic Fixed appliances:

Answer 42

Band/Crown and Loop Distal Shoe Transpalatal (Nance) Lower Lingual Holding Arch (LLHA)

Question 43

Band/Crown and Loop used in what situation? example?

Answer 43

single tooth loss 1st primary Molar loss, before eruption of first permanent Molar

Question 44

Distal Shoe is used in what situation? example?

Answer 44

Single tooth loss 2nd primary Molar loss, before eruption 1st permanent Molar

Question 45

2 options for single teeth: 2 options for multiple teeth/bilateral loss:

Answer 45

Band/Crown and Loop, Distal Shoe Nance (Transpalatal), LLHA

Question 46

Nance is used where? LLHA?

Answer 46

Mx Mn

Question 47

When do you NOT use Nance/LLHA and Do Nothing?

Answer 47

If permanent dentition is in occlusion AND a mesial proximal contact *basically, only if Primary 1M missing

Question 48

Moyers Analysis uses what level of Probability? *Mn incisors estimating size of rest of dentition w/ 95% accuracy

Answer 48

75%

Question 49

4 y/o w/ Hx Leukemia, wants distal shoe:

Answer 49

negative *Med situation contraindicates distal shoe

Question 50

Tanaka-Johnson, add 2 Mn incisors and add ______ for each quadrant in the Mx (this estimates Palmer 3,4,5) add 2 Mn incisors and add ______ for each quadrant in the Mn (estimates Palmer 3,4,5)

Answer 50

11 mm 10.5 mm

Question 51

Tanaka-Johnson, what incisors are predictive?

Answer 51

Mn

Question 52

Mn incisors/2 + 11 = Mn incisors/2 + 10.5 =

Answer 52

Mx quadrant 3,4,5 Mn quadrant 3,4,5

Question 53

2 strategies to interact w/ kiddos:

Answer 53

Tell Show Do Ask Tell Ask

Question 54

Voice control, positive reinforcement, memory reconstruction

Answer 54

General behavior concepts

Question 55

Simple Protective Stabilization Active immobilization:

Answer 55

hands over pts hands/arms holding hands, legs, shoulders, knee to kne *think - seat belts

Question 56

Protective Sabilization Papoose Board: safe ____ limited, non-punish pre-________, disables or Emergency Rist of injury to ___, staff, dentist, parent Needs... Limited...

Answer 56

time cooperative pt Specific Consent Care

Question 57

Never use Protective Stabilization w/ cooperative, med contraindications, psych/physical contraindiction, Hx psychological trauma due to immobilization, non-emergent Tx, practitioner's conveniece

Answer 57

True

Question 58

92% mothers believe should've been present 90% understood restraints keep child from harm

Answer 58

True

Question 59

Mouth props are Protective Stabilization

Answer 59

False *used w/ all procedures

Question 60

Caries is multifactorial

Answer 60

True

Question 61

ECC is _____ or younger, 1 or more decayed/missing/filled Severe ECC is any smooth surface lesion younger than _____ 3-5, one or more caivitated, missing, filled score of greater than 4 at age 3, 5 at age 4, 6 at age 5

Answer 61

71 months 3 True

Question 62

Pattern to Severe ECC (list 6 in descending order)

Answer 62

Mx Incisors Mx 1M Mn 1M Mx C/2M Mn C/2M Mn incisors seldom

Question 63

Strep Mutans primary source transmission

Answer 63

Maternal (24-100%)

Question 64

Dental Home established no later than ____

Answer 64

12 months

Question 65

Goal of Fluoride toxicity is to minimize absorption with what?

Answer 65

Calcium products *remember, 1 tube might kill 60 pounder

Question 66

The 6's (four of them): No Fluoride Supplement if:

Answer 66

Less than 6 months more than 0.6 ppm more than 16 years Dosage changes at 6 mo's / half of 6years (3) / 6 years

Question 67

Cause of Methemoglobinemia:

Answer 67

Benzocaine

Question 68

CAR PRR

Answer 68

Conservative Adhesive Restoration Preventive Resin Restoration

Question 69

CAR type 1 type 2 type 3

Answer 69

enamel (sealant) dentin (flowable) dentin (packable/sealant)

Question 70

CAR only need what?

Answer 70

Pits and grooves

Question 71

What restoration is seldom used in children? Why? Do what instead?

Answer 71

Class IV limited strength, encroaches on pulp SCC

Question 72

Indications for SCC: (composite/strip crown)

Answer 72

Decay, IP lesions, pulp therapy, fracture, incisal edge involvement

Question 73

Strip crowns are exclusively for what?

Answer 73

Incisors/Canines

Question 74

SCC (comp crowns) vs. Class II Amalgams: SCC for children less than... SCC ___x successful as Amalgams

Answer 74

4 2x

Question 75

Rule of 4 SSC:

Answer 75

IP Caries or Posterior Lesion, Less than 4 y/o Any Child more than 4 IP posterior lesions

Question 76

ITR =

Answer 76

Interim Therapeutic Restoration

Question 77

When circumstances do not permit traditional cavity prep and/or placement traditional restorations OR when caries control necessary prior to placement of definitive restorations

Answer 77

ITR

Question 78

3 indications for ITR

Answer 78

minimal lesions young children caries control

Question 79

4 indications Anterior SSC

Answer 79

inadequate tooth structure occlusal probs Primary canines/occlusion esthetics vs durability

Question 80

Class II

Answer 80

Proximals *no marginal ridge break through

Question 81

T/F | No MOD on Primary molars

Answer 81

True *not enough structure

Question 82

Class III incisal edges involved

Answer 82

False

Question 83

Never use Class IV restorations, instead Crown

Answer 83

True