Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PEDO > PEDO Competency > Flashcards

PEDO Competency Flashcards

1
Q

are generally associated with

recent bruising

A

red/purple/blue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Class III Fractures Emergency Treatment Primary teeth

options

A

•  Partial pulpotomy in immature incisor
–  Ram D, Holan G. Partial pulpotomy in a
traumatized primary incisor with pulp exposure. Pediatr Dent 16:44-48, 1994
dentition. Dent Traumatol 18:287-298, 2002 deflections of succeeding permanent incisors
•  Pulpotomy when no resorption has begun
–  Flores M. Traumatic injuries in the primary •  Pulpectomy with resorbable paste – 20%
–  Coll et al. 1996, Flaitz et al. 1989 •  Extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Injuries to Developing Teeth are greatest at what age

A

1-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Intrusion Emergency Treatment Permanent teeth Closed apex, up to 3 mm

A

spontaneous

eruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

contraindications to LLHA

A

–  Permanent incisors unerupted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Class III Fractures Emergency Treatment Primary teeth

often depends on what

A

pt’s behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q 
•  An injury to
the tooth-
supporting
structures
with abnormal
loosening, but
without
displacement
of the tooth
A

Subluxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intrusion Emergency Treatment Permanent teeth

•  Open apex, up to 7 mm:

A

spontaneous

eruption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

–  loss of primary second molar before eruption
of permanent first molar
what space maintainer

A

distal shoe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

are generally associated

with older healing bruising

A

Yellow/brown and green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lateral Luxation Emergency Treatment Permanent teeth

A
  •   Reposition with digital pressure
  •   Flexible splint for 4 weeks
  •   Rx chlorhexidine mouth rinse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Extrusion Emergency Treatment Permanent teeth

A
  •   Reposition with digital pressure
  •   Flexible splint for 2 weeks
  •   Rx chlorhexidine mouth rinse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Intrusion Emergency Treatment Permanent teeth Closed apex, 3-7 mm

A

orthodontic or surgical

repositioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Home Care

for splinted teeth

A 
•  NO BITING
on splinted
teeth!
 •  Soft diet
 •  Good oral
hygiene
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Premature loss in the primary dentition

generally leads to what

A

delays eruption of the successor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lateral Luxation Emergency Treatment Primary teeth

Retrusion

A

–  if no occlusal interference, then allow
spontaneous repositioning
–  with occlusal interference, must be
repositioned (but do not splint) or extracted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Craniofacial, head, face, neck injuries in

more than in childabuse

A

more than half

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

goal of the cvek partial pulpopotmy is to what

A

maintain tooth vitality. take a PA to see if the root is still growing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Intrusion Emergency Treatment Primary teeth

A

•  If tooth was displaced labially (toward or
through labial bone plate), then allow
spontaneous re-eruption
•  If tooth displaced into developing tooth
bud, then extract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Avulsion
 Follow-Up Permanent Teeth

A 
Pulpectomy:
remove pulp and
fill with CaOH
within 7-14 days
 •  Complete gutta
percha fill in 2-12
months
–  No need to
complete endo if it
becomes
ankylosed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Nance & TPA

are indicated when

A

–  Bilateral tooth loss in maxilla

–  edentulous span more than one tooth in maxilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

•  A complete
displacement
of the tooth out
of its socket

A

Avulsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

contraindications for space maintenance for using band and loop

A

Edentulous space is more than one tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q 
•  A displacement of
the tooth in a
direction other
than axially
•  This is
accompanied by
comminution or
fracture of the
alveolar socket
A

Lateral Luxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Class III Fractures Emergency Treatment Permanent teeth

Mature tooth with closed apex

A

–  Pulpectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what is different about the IAN block in a child

A 
 The mandibular
foramen is
situated slightly
lower and more
posterior in a
child.
 Lower than the
level of the
occlusal plane.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Subluxation Follow-Up

A
  •   Follow-up in 2 weeks

*   Radiograph in 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Class II Fractures Emergency Treatment Primary teeth

A

•  Do nothing?
•  Composite/GI “Band-Aid”
–  then monitor for symptoms
•  Restore with composite/GI?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Emergency Treatment Primary teeth

Severe

A

–  Extract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

name the diagnosis

–  capable of healing and therapy

A

Reversible pulpitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

are the most common type of injury

in abused and non-abused children

A

Bruises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Youngest children most vulnerable

•  70% that die from abuse are under

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Extrusion Follow-Up Permanent teeth

A

•  Pulpectomy: remove pulp and fill with
CaOH within 7-14 days •  Complete gutta percha fill in 2 months if no
inflammatory resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

three pulpotomy medicaments

A
  •   Formocresol
  •   Ferric Sulfate
  •   Mineral Trioxide Aggregate (MTA)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

is someone required by law to report if they suspect or know that child abuse if occurring.

A

mandated reporter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Considerations in the
Mixed Dentition
•  Regarding loss of primary first molars

A

Regarding loss of primary first molars:
–  Space loss is negligible if the permanent first
molars are erupted and in occlusion and primary second molars remain
–  Space maintenance is unnecessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Concussion
 Emergency Treatment Primary teeth

A
  •   No emergency treatment
  •   Discuss potential sequelae with parents
  •   Monitor for symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Intrusion Emergency Treatment Permanent teeth Open apex, more than 7 mm

A

orthodontic or

surgical repositioning

39
Q

Extrusion Emergency Treatment Primary teeth •  Minor (<3mm)

A

–  Reposition (but don’t splint)

–  Spontaneous alignment

40
Q

Indirect Pulp Cap (IPC)

•  Selection Criteria

A

–  Restorable tooth
–  Near pulp exposure
radiographically
–  VITAL Pulp:

41
Q

Class I Fractures Emergency Treatment Primary teeth

A

•  Do nothing? •  Smooth rough edges •  Restore with composite?

42
Q 
An injury to the
tooth-supporting
structures without
abnormal
loosening or
displacement of
the tooth but with
marked reaction to
percussion.
A

concussion

43
Q

–  Bilateral tooth loss after eruption of permanent

incisors in mandible what space maintener to use

A

LLHA

44
Q

Class II Fractures Emergency Treatment Permanent teeth

A 
•  Do nothing?
 •  Bond fragment if available
 •  Composite/GI “Band-Aid”
–  then monitor for symptoms 
•  Restore with composite/GI
45
Q

–  Bilateral loss of a primary molar before the eruption of
the permanent incisors
what space maintenance to use

A

Band and Loop

46
Q

Lateral Luxation Emergency Treatment Primary teeth

Protrusion

A

–  Extract (contact with developing tooth bud)

47
Q

A displacement of
the tooth into the
alveolar bone

A

Intrusive Luxation

48
Q

Considerations in the
Mixed Dentition
•  If it’s getting close to normal exfoliation, then
premature loss

A

If it’s getting close to normal exfoliation, then
premature loss accelerates eruption of
successor

49
Q

Long acting, most toxic

anethestheic

A

Bupivicaine

50
Q

Sequelae of Dental Trauma What parents should watch for

A

•  Watch for it to start hurting
–  Waking up at night
–  Stops eating and drinking •  Color change •  Swelling
–  Facial swelling
–  “Pimple” of pus on the gums above the tooth •  Tooth getting loose

51
Q

–  Most space loss occurs within

A

6 months

52
Q

Common Appliances

used in space maintenance

A

Band and Loop •  Lingual Arch
–  Lower lingual holding arch (LLHA) in
mandibular –  Nance or transpalatal arch (TPA) in maxillary

53
Q

areas tend to be bruised from abusive

mechanisms

A

soft tissue

54
Q

max dose with epinephrine of articaine

A

7.0mg/kg

55
Q

Transport Media

for avulsed tooth

A 
•  Hank’s Balanced Salt
Solution (HBSS)
• MILK
•  Saline •  Saliva (buccal vestibule) •  Water, if none above
available
56
Q

what space maintenance device to use Unilateral loss of primary first molar before eruption of
permanent first molar or primary second molar

A

Band and Loop

57
Q

Avulsion
 Emergency Treatment Primary Teeth

A

NEVER

re-implant primary teeth!

58
Q

procedure for avulsion of immature permannet teeth

A 
Revascularization
 (these are not the specifics)
•  Stimulate bleeding
through apex
 •  Place MTA on top
of clot 
•  Allows continued
root development
and root wall
thickening
59
Q

Avulsion
 Emergency Treatment Permanent Teeth

A

•  Reimplant as soon as possible. Every minute
counts!
•  Flexible splint for 2 weeks
•  Medications

60
Q

Concussion
 Emergency Treatment Permanent teeth

A
  •   No emergency treatment
  •   Discuss potential sequelae with parents
  •   Monitor for symptoms
61
Q

Medications for Avulsion
 Emergency Treatment Permanent Teeth

A

–  Systemic antibiotics –  Chlorhexidine mouth rinse
–  Ibuprofen: pain + inhibits bone resorption
–  Tetanus?

62
Q

Lateral Luxation Follow-Up Permanent teeth

A

•  Pulpectomy: remove pulp and fill with
CaOH within 7-14 days •  Complete gutta percha fill in 2-4 months if
no inflammatory resorption

63
Q

1kg = how many pounds

A

2

64
Q

Avulsion
 Follow-Up Immature Permanent Teeth

have the best prognosis when

A

Best prognosis if
replanted within 20
minutes

65
Q

Indications for VITAL Pulp Therapy

A

Intermittent, short duration pain

—  Thermal or chemical stimulation

66
Q

Don’t use in pedo:
methemoglobinemia
anethesia

A

Prilocaine

67
Q

Avulsion
 Follow-Up Immature Permanent Teeth

A 
•  Replant and splint
as with mature teeth
 •  Recall every 3-4
weeks
 •  If signs of necrosis,
extirpate pulp and
do revascularization
procedure
68
Q

Subluxation Emergency Treatment Primary teeth

A
  •   No emergency treatment
  •   Monitor for symptoms
  •   Tooth may tighten
69
Q

Class I Fractures Emergency Treatment Permanent teeth

A

•  Do nothing? •  Smooth rough edges •  Restore with composite?

70
Q 
Sharp
demarcation
between injured
and healthy skin •  Implies that the
affected area has
A

  Implies that the
affected area has
been immersed in
a hot liquid

71
Q

Pulpotomy

•  Selection Criteria

A 
–  Restorable tooth
with carious pulp exposure
–  VITAL Pulp:
•  NO spontaneous
pain 
•  NO clinical signs 
•  NO radiographic
signs
72
Q

Intrusion Emergency Treatment Permanent teeth Closed apex, more than 7 mm

A

surgical

repositioning

73
Q 
A partial
displacement
of the tooth
out of its
socket
A

Extrusive Luxation

74
Q

Class III Fractures Emergency Treatment Permanent teeth
•  Young tooth with open apex or closed
apex

A

–  Direct pulp cap

–  Partial pulpotomy (Cvek technique)

75
Q

max dose with epinephrine of lidocaine

A

4.4mg/kg

76
Q

Intrusion Follow-Up Permanent teeth

•  Pulpectomy

A

remove pulp and fill with
CaOH within 7-14 days
Complete gutta percha fill in 2 months if no
inflammatory resorption

77
Q

–  Edentulous span more than one tooth in mandible

what space maintainer to use

A

LLHA

78
Q

are
among the most common seen in abused
children

A

Abusive injuries to the head and neck region are
among the most common seen in abused
children

79
Q

how long to splint teeth

A

•  Maintain splint up to 2
weeks, longer if tooth
demonstrates
excessive mobility

80
Q

Management at Site of Injury

for avulsed tooth

A 
•  Replant
immediately, if
possible
•  If contaminated,
rinse with saline •  When cannot be
replanted, place
tooth in best
transport medium
available
81
Q 
This injury is
accompanied by
comminution or
fracture of the
alveolar socket
A

Intrusive Luxation

82
Q

Subluxation Emergency Treatment Permanent teeth

A
  •   No emergency treatment
  •   Monitor for symptoms
  •   Tooth may tighten
83
Q

Pulpectomy

•  Selection Criteria:

A 
–  Restorable Tooth
 –  Irreversible pulpitis or necrotic pulp 
–  Spontaneous pain
 –  Clinical signs 
–  Radiographic signs
84
Q

One dental anesthetic cartridge = _mL

A

1.7 ml*

85
Q

Establishment of a

dental home begins no later

A

12 months

86
Q

what type of exam is used for kids

A

knee-to-knee

87
Q

how much tooth paste for children under three

A

smear or rice-sized

88
Q

how much toothpaste for children 3-6

A

pea sized

89
Q

how often to apply fluoride varnish to moderate risk children

A

every 6 months

90
Q

how often to apply fluoride varnish to high risk children

A

every three months

91
Q

Any smooth surface caries in a child under

3 is

A

severe-ECC

92
Q

Kids need help brushing until

A

they can tie their

shoes

93
Q

potential problems of sucking thumb

A

•  anterior open bite •  reduced arch width •  altered skeletal growth

PEDO (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions