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pedo quiz > pedo > Flashcards

pedo Flashcards

1
Q

American Academy of Pediatric Dentistry recommends that infants be seen every

A

6 mos. or after the eruption of the first primary tooth and no later than age 1.

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2
Q

Family Configurations – is

A

is brushing being done while parent is gone

  • Number of people in the household and relationship to the child
  • Number of family members who work outside the home and their time with the child at home
  • Other caregivers , times periods and location
  • Socioeconomic status and educational level of parents or guardians
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3
Q

Dental History of the Parents and Children

A
  • Frequency of visits for the parents and children
  • Dental caries and periodontal disease experience of parents and children
  • Tooth eruption patterns of parents and children
  • Parents OH habits
  • Teething problems exhibited by child
  • Deep pits and fissures in primary molars
  • No spacing
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4
Q

feeding pattern

birth to one year

A 
•	Infant (birth – 1 year)
Breast / bottle fed
Formula used / fluoride content in water used to prepare formula
Frequency and method of feeding
Problems with feeding
Problems with sleeping
Pacifier, thumb, or finger in mouth
Other liquids beside milk or formula
Age other children in family were weaned
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5
Q

Toddler ( 1 – 3 years ) and Preschool Child ( 3 – 5 years )

A

Number of snacks per day and time period
Types of snacks
Amount of juice or other sweetened drinks consumed/day
Availability of snacks without supervision
Problems with eating, including likes and dislikes

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6
Q

Fluoride Exposure

A
  • History of exposure to fluoride
  • Fluoride level of current water supply
  • Well water ( it can be tested for levels )
  • Nonfluoridated bottled water
  • Type of toothpaste, amount and frequency
  • Parental control of fluoride toothpaste
  • Fluoride supplementation
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7
Q

brush teeth with water until age

A

2

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8
Q

lift lip to brush

A

anterior teeth

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9
Q

Personal Oral Care Habits

A
  • Parents/caregivers – wipe the inside of infants mouth with wet guaze daily (even bf the teeth erupt)
  • Frequency and time of day
  • Positioning of child for access to oral cavity
  • Lift lip to brush anterior teeth
  • Child’s behavior during OH care
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10
Q

Barriers to Dental Care

A
  • Lack of belief in prevention
  • Language
  • Cost
  • Fear
  • No dental home
  • Dentist does not see children under 3 years
  • Dentist’s hours do not fit into parents schedule
  • Dentist does not accept dental insurance
  • Transportation
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11
Q

Familial Factors

A
  • Low socioeconomic status
  • Mother and siblings with caries experience
  • Limited or no oral hygiene provided by parents
  • Use of nonfluoridated toothpaste
  • No dentist of record for family
  • Infrequent or irregular dental visits
  • No belief in prevention
  • Fear of dentistry
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12
Q

Health Consideration

A

• Early childhood caries

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13
Q

Dietary Consideration

A
  • Insufficient fluoride in water supply
  • Bottles in bed
  • Sweetened liquids (soda/juice) in a “sippy” cup
  • Frequent snacking
  • Diet high in fermentable and retentive carbohydrates
  • Prolonged breast/bottle
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14
Q

Do not use these terms anymore:

A
  • Nursing caries
  • Baby bottle caries
  • Rampant caries
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15
Q

• High levels of Streptococcus mutans cultured from

A

saliva and dental biofilm

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16
Q

• Transfer of Streptococcus mutans from

A

parent or caregivers mouth to child

17
Q

in large numbers in the dental biofilm

A

lactobacilli

18
Q

predisposing factors

A
  • Placing child in bed w/ bottle
  • Bottle contains sweetened milk or other sucrose-sweetened fluids
  • Prolonged at will, breast or bottle feedings as a sleep or behavioral control
  • Ineffective or no daily biofilm removal from teeth
19
Q

what are the first feet to be affected?

A

• Maxillary anterior teeth and primary molars

20
Q

the nipples cover the

A

mand anterior teeth so they are rarely effected

21
Q

lesions develop in all but the

A

mand anteriors

22
Q

which are protected

A

man incsiors and canines

23
Q

demineralization on

A

cervical 1/3 of max anteirors and proximal surfaces

24
Q

reminerilization can occur with use of

A

fluride paste and topical applicaion

25
Q

at later stage lesions appear

A

dark brown

26
Q

daily dental biofilm removal

A
  • Infant may cry and fuss during OH care
  • One parent can cradle infants head while other one wipes the oral cavity
  • Visibility can be improved by placing child on bed, floor, lap, etc.
  • Making it a pleasant experience helps…try singing, talking, smiling during the oral cleaning
27
Q

Wiping Prior Tooth Eruption

A
  • Need to remove biofilm daily by wiping gums, inside cheeks, lips, and tongue w/ clean wet cloth or guaze
  • Should be done daily (throughout the day)
  • Bath time is a great time to remove it
28
Q

Brusing

A
  • Newly erupted teeth brushed daily w/ child-sized toothbrush, with water only
  • Recommend good quality soft toothbrush
  • Emphasize brushing breakfast, morning, and night
  • Replace brush every 3 months
29
Q

Diet and Health

A
  • Teach relationship bt frequent and large amounts sweetened beverage intake and caries and obesity
  • Provide healthy snacks bt meals
  • Limit intake of retentive carbohydrates
30
Q

Regular Dental Visits

A

• Frequency of regular dental visits is same for children as adults (every 6mos), if no oral disease
• Scheduling – best time to schedule early morning or after naps (when child is not tired he is more apt to cooperate)
• Purpose is to develop a rapport
Initiate positive preventive measures
Discover and change any parental practices that might be determined to childs oral health

31
Q

Purpose of Oral Prophylaxis

A
  • Provide positive experience
  • Remove biofilm, stain, calculus, and do exam
  • Educate parents – child in preventive measures
32
Q

3 child management

A

show
tell
do

33
Q

Child Management

A

• Establish rapport (by smiling and talking to child)
• Show, Tell, and Do – Always explain everything you use bf doing so
Use fun names – like: tooth feeler, slurpy straw, elevator chair
Keep explanations brief and do procedure quick
Let them watch you w/hand mirror (eliminates fear of unknown)

34
Q

sucking fingers thumbs other object

A

nonnutrivitve suckin

35
Q

acryonym that refers to the phrase caries managementby risk assesment

A

cambra

36
Q

eating or drinking at will throughout the day

A

grazing

37
Q

child younger than one year of age

A

infant

38
Q

provide info to parents

A

anticipatory guidance

pedo quiz (1 decks)

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