Pedo (doc micks) Flashcards
When does crowns of primary teeth begins to calcify?
3.5-6mos. utero
4-6mos. utero
14-24 wks utero
2nd trimester
‼️📌Remember
Enamel of primary central incisor is completed at what age?
1 1/2 - 2 1/2 months of age
15month old child except Canine & 2nd molar
6 y/o molar
1st molar
12 y/o molar
2nd molar
Crown permanent incisor
Apical & Lingual
Inclination : Labial Inclination
What do you where in primary tooth
Overretained deciduous tooth
📌📌‼️‼️
It takes___ years for most crowns to complete its formatiom , except for 1st molar____ & cuspid ____
4-5 yrs
3yrs
6yrs
‼️📌Crowns of permanent central incisors are completely calcified at what age?
4-5 yrs
From start of calcification to root completion it would take ____ yrs
except canines ___ yrs
10 yrs
13yrs
Permanent teeth erupt when approximately ____ of its root is completed
2/3
Apex fully developed _____ years after eruption
2-3yrs
Max.
61245378
Mand.
61234578
present at time of birth
mandibular incisor region
hypocalcified
Nata teeth
present within the first 30 days after birth
hypocalcified
Neonatal Teeth
Tetracycline staining can affect a child’s teeth until what age?
<8 y/o
5 y/o taking tetracycline side effects can be:
Canine
PM
2nd molars
Tx of Natal teeth
Extraction to prevent aspiration
Natal teeth of mobile
Extraction to prevent aspiration to the Righ lung
Natal teeth not mobile
No tx
‼️📌📌📌Nolla’s Stage of Tooth Development‼️‼️
Stage 0- Absence of crypt Stage 1- Presence of crypt Stage 2- Initial calcification Stage 3- 1/3 of crown completed Stage 4 - 2/3 of crown completed Stage 5- crown almost completed Stage 6- crown completed, root formation begins Stage 7- 1/3 of root completed Stage 8- 2/3 of root completed Stage 9 - root almost completed ; open apex Stage 10- root completed ; closed apex
Characteristics of Primary Mand. 1st molar (D)
Doesn't resemble any other teeth Pot belly appearcance No central fossa BIG MB cervical ridge rounded & short distal surface Flat & long mesial surface
early extractiom of primary
Delayed eruption
drifting
Malocclusion
REMEMBER‼️📌📌
only ant. teeth that have a greater width than height
Primary Maxillary Central Incisors
All anterior teeth
4 lobes
All PM
4 lobes
expcept mand. 2nd PM - 5 lobes
First molars
5 lobes
Max. 1st molar - 4 lobes & 5 lobes
2nd molars
4 lobes
Most common lesion primary molar
Permanent
Bifurcation lesion
Reason: Because many accessory canal pulpal floor
Apical lesion (Periapical)
separation anxiety
mother is cenrer of his world
2 yrs old
big talker
Brief attention span
exhibit tantrums
4 yrs old
loves to learn new thing
likes to dramatize things
“susceptible to praises”
8 yrs old
increase interest in appearance
peer group oriented
12 yrs old
📌‼️‼️BE
What id the general characteristics 12 y/o
Reject Parental Authority
‼️📌📌First dental visit
As soon as first tooth eruptd or within 6mos. of first tooth eruption
no later than first bday
First tooth beush
First tooth erupts
when 2 teeth touchong
First flossing
‼️📌📌BE
Infant oral care cleaning the gauze bedtime
0-6mos.
minimal apprehension
Cooperative
deficient in comprehension & or communication skills
Lacking cooperative ability
Special needs
Autism
Cerebral Palsy
ADHD
Down syndrome
inclined plane / tongue blade
Ant. Cross bite
capable of behavimg but disruptive in dental setting
3-5 y/o
6-8 y/o
Potentially cooperative
temper tantrums
3-6 y/o
Uncontrolled
overprotective parents
I donl’t want to attitude
Defiant
shielding or hesitating behavior
3-5 y/o preschool
Timid
white knuckler
7 y/o
Tense cooperative
absence of tears
Whinning
spoiled brat
Incorrigible
least ideal
Fearful
‼️📌BE
What should the dentisf do when communicating mute child?
A. Maintain a natural communication
‼️📌 Frankl Behavioral Rating Scale
Fearful
shows extreme negativism
Definitely negative
Frankl I
negative
shows negative attitude but NOT PRONOUNCED
Frankl II
Positive
Likes & accepts thr tx but CAUTIOUS
Frankl III
Definitely positive
Laughing & enjoying the situation
Frankl IV
uses voice to control child , FIRM
establish authority
Voice Control
verbal praises & toys
Positve Reinforcement
diverts px education short attention span
Distraction
posture
body language
patting the shoulder
Non- verbal communication
gradual exposure to new stimuli or experience
Desensitization
learning by observation
Modeling
Aversive Technique or
HOM
Used for px who can understand but is DEFIANT
Not for handicapped & very young children
Aversive Technique / HOM
uses physical restraining equipments
should not be presented as punishments
Protective Stabilization
Protective Stabilization
Parent
Assistant
head lock
Passive restraint
Papoose
Pedi wrap
Determines a child behavior
- Age
- Mothers’ Anxiety
- Past medical history
‼️📌📌‼️
Drugs don’t use for premedicating 8 y/o severe apprehension
Naloxone (narcan)
Most common drug oral sedation
Chloral Hydrate
Advantages of Sedation of Chloral hydrate
Ease of Administration
Disadvantages of Chloral Hydrate
Slow onset of action
Child may spit
Nausea & vomiting
Respiratory depression- excessive dose
most common inhalation
Nitrous Oxide Oxygen Inhalation
mild odourless & reversible inhalation drug
Produces ONLY ANALGESIA & minimal conscious sedation
Nitrous Oxide Oxygen
Most common adverse effect of Nitrous Oxide
Nausea
Adminstering concentration of N2O
70% N202
30% O2
Maintaining concentration
30% N202
70% O2
Properties of NO
Anxiolytic
Analgesic
Amnesic
oversedste ma reverse ant effect
Flumazenil (IM)
Proper response to N2O2?
Feeling of floating & giddiness tingling of digits
Combined volume of gases delivered?
3-5 L (min dental decks
4-6 L
What to do during termination of N2O2?
100% 02 inhaled not <3-5mins prevent Diffusion Hypoxia
no peer involvement
Solitary
observing others play
On looking
play activity along side
Parallel play
with interaction
Associative play
highest form of play
Cooperative
📌‼️‼️‼️REMEMBER
1st bacteria to colonize the mouth after birth?
Strep. Salivarius
Bacteria associated with PLAQUE?
Strep. Sanguis
pH of Saliva
6.2- 7.6
Critical enamel ph
5.5-5.7
Initial sign of dental caries
White spots & Incipient caries / white spot lesions
tooth mineral is affected firtmwhen there is sctivd csries?
CRbonate
Incipient proximal decalcification
Proximal lesin primary molar
Below the contact / Gingival to the contact area
Radiograph : Children: Bitewing
Proximal Caries
used for prevention & control of caries
Most effective way is systemic
Fluoride Therapy
systemic
Fluoridation
topical, cavity varnish , toothpaste
Fluoridization
📌‼️‼️‼️REMEMBEr
Fluoride can inhibit what enzymes
Phosphatase
Enulase
Where is the site of excretion of fluoride
Kidney
Optimal Fluoride Concentration for public water
0.7-1.2 ppm
What determines the fluiride content in a community water
Climate/ Temp.