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Pedo Fluoride and Sealants Flashcards

1
Q

What is the most common chronic disease of childhood?

A

Caries

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2
Q

What percentage of children are affected by caries?

A

58%

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3
Q

What ist he most prevalent unmet dental need in US Children?

A

Dental care

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4
Q

What is the disparity among children for caries?

A

25% suffer 80% of all tooth decay

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5
Q

Dental disease disproportionately affects children younger than what age and from what backgrounds?

A

Younger than 6, lower socioeconomics

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6
Q

What is the new model for primary prevention?

A

Examine early, access risk, give age appropriate instruction

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7
Q

What are 3 things fluoride does ?

A
  1. Inhibits demineralization
  2. Promotes remineralization
  3. Form fluorohydroxyapatite
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8
Q

What are 4 methods of administration for fluoride therapy?

A
  1. Systemic fluoride
  2. Professionally applied
  3. Home and school rinses
  4. Dentrifices
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9
Q

When should one start giving a child fluoride?

A

At first tooth eruption

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10
Q

If the patient’s water source has less than 0.3 ppm fluoride in water, how many milligrams does the patient need at 0-6mo, 6mo-3yrs, 3yrs-6yrs, 6yrs-16 yrs?

A

0months to 6 months = 0mg
6months to 3 years = 0.25mg
3 years to 6 years = 0.5mg
6 years to 16 years = 1.00mg

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11
Q

If the patient’s water source has between 0.3-0.6ppm fluoridel in water, how many milligrams does the patient need: 0-6mo, 6mo-3yrs, 3yrs-6yrs, 6yrs-16 yrs?

A

0months to 6 months = 0mg
6months to 3 years = 0mg
3 years to 6 years = 0.25mg
6 years to 16 years = 0.50mg

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12
Q

If the patient’s water source has more than 0.6ppm Fl in water, are any more milligrams needed for any age group?

A

No

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13
Q

Professional Fl application based on what?

A

Caries risk assessment

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14
Q

Do you have to do prophylaxis prior to fluoride application?

A

No

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15
Q

What must be done if rubber cup prophylaxis is performed?

A

Fluoride application

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16
Q

Acidulated Phosphate Fluoride thixotropic gel should be in tray for how long and in what age child?

A

4 min, +4-5 yrs

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17
Q

Over-the-counter fluoride rinse has what percentage of fluoride ions?

A

0.05%NaF = 0.022%F ion

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18
Q

MI paste contains what?

A

Casein (milk protein)

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19
Q

Stannous fluoride can do what to teeth?

A

Stain

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20
Q

What is the recommended toothpaste for children less than 2 years of age?

A

Smear

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21
Q

What is the recommended amount of toothpaste for children 2-5 yrs?

22
Q

Why supervise children brushing when younger?

A

To prevent excess ingestion of fluoride

23
Q

What is the most important characteristic of fluoride varnish?

A

Gradual fluoride release

24
Q

Is contamination of fluoride varnish a problem?

25
Can you eat and drink after fluoride varnish application?
You can eat and drink soft foods immediately
26
What is the most important clinical feature of fluoride varnish?
Ingestion is minimal and exposure occurs over many hours
27
How is fluoride varnish applied?
Apply a thin layer to dry teeth
28
What are 3 instructions for fluoride varnish?
1. Eat soft non-abrasive diet for rest of day 2. Do not floss or brush until following morning 3. Resume regular diet and routing oral hygiene next day
29
How often apply fluoride varnish?
Every 6 months or more often for high risk
30
The success of fluoride varnish is directly related to what?
Continuity of placement
31
Fluoride is classified as what by FDA?
A medical device
32
What presents minimal risk and is subject to the lowest level of regulation?
A medical device
33
Fluoride varnish is approved as what?
Cavity liner and desensitizing agent
34
Once something is approved as a device that means it can be used how?
Off label
35
What is a lethal dose of fluoride?
15-64 mg/Kg
36
What is a probable toxic dose of fluoride?
5-8 mg/Kg
37
How do you treat a fluoride overdose?
Drink milk (bind the Fl) and refer to emergency dept
38
What is a clear or opaque filling material applied to pits and fissures of teeth?
Sealants
39
What is the most at-risk tooth surface?
Pits and fissures
40
What is the material in dental sealants?
BIS-GMA, bisphenol A, and glycidyl methacrylate
41
What percent of caries are found on the occlusal surface? What percent of the tooth is the occlusal surface?
Occlusal surface is 50% of caries and only 12.5% of tooth surface
42
What teeth are most susceptible to occlusal decay?
Permanent molars
43
When is the highest rate of sealant loss?
1st year following placement
44
Where are sealants lost quicker, mandible or maxilla?
Mandible
45
What are some factors affecting sealant retention?
1. Position of teeth in mouth 2. Skill of operator 3. Age of patientt 4. Eruption level or soft tissue proximity to pits and fissures
46
What is critical to sealant retention?
Isolation
47
The acid etch for the sealant consists of what percentage of phosphoric acid and for how long is it applied?
30-50% Phosphoric acid for 60 sec
48
What is the cure time for sealants?
20 seconds
49
Can you touch up sealants at recalls?
Yes
50
What is the critical pH for dissolution of enamel?
5.5
51
Remineralization of incipient subsurface lesion my occur as long as what?
The surface layer enamel remains
52
What demographic is usually susceptible to rampant caries?
Young teenagers

xD2 Pedo (5 decks)

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