Prevention of dental caries

Question 1

4 main elements for prevention?

Answer 1

TB with fl tp

Diet advise

Fissure sealants

Topical fluoride

Question 2

tp for under the age of 3?

Answer 2

Smear 100ppm tp

Question 3

tp for over the age of 3?

Answer 3

1450-1500 ppm pea sized amount

Question 4

what age can children not brush their own teeth effectively?

Answer 4

Under 7

Poor coordination and lack of dexterity

Parent brush

Question 5

rule of thumb for a child brushging their own teeth unsupervised?

Answer 5

If they can tie their on shoe laces

Question 6

tooth brushing for over 7s?

Answer 6

Parent supervise

Question 7

brushing technique?

Answer 7

Brush each sextant or surfaces separately

Small head brush and small brush

2 mins

Create a routine

Question 8

What brushing is recommended for 6 and 7s?

Answer 8

Lateral brushing

Operculum can cause food trapping and has not been exposed to fluoride

Question 9

Enhanced prevention for tooth brushing?

Answer 9

Hands on advise

2 mins

Disclose
- in the surgery
- at home

Tooth brushing charts

Free tb and tp

Floss

Question 10

third party support for enhanced prevention in (tooth brushing)?

Answer 10

School nurse

Child smile

Health visitors

Question 11

When would an under 3 be recommended 1450-1500 ppm TP?

Answer 11

If high caries risk or sugar in diet high

Risk of sluorossi s outweighed by th risk of caries

Smear amount

Question 12

floss before or after brushing?

Answer 12

After brushing between molars DE6

Question 13

When to recommend flossing?

Answer 13

If it is high caries risk

Question 14

dietary advise given how often?

Answer 14

Once a year

Question 16

when to restrict sugar intake to?

Answer 16

Meal times

Question 17

when to recommend sweets to be eaten?

Answer 17

Once a week or once a day after a meal

Question 18

name food that have hidden sugars?

Answer 18

Yoghurt
Breakfast cereal
Maize based crisps
Prescription medicine

Question 19

what is a high sugar level?

Answer 19

15g per 100g

Question 20

enhanced prevention in relation to diet diary?

Answer 20

Diet diary at first visit

Question 21

what days should you fill out in a diet diary?

Answer 21

3 day diet diary

Including 1 weekend day

Question 22

How often to give fluoride varnish?

Answer 22

2 times annually

If no being seen by child smile

Question 23

what age can you apply fluoride varnish?

Answer 23

Over 2 yo

Question 24

fluoride concentration in fluoride varnish?

Answer 24

226000 ppm fluoride

Question 25

Why check MH before applying fluoride varnish?

Answer 25

Colophony

Question 26

colophony reactions?

Question 27

How to apply duraphat?

Answer 27

Dry teeth Apply with bendable brush To interproximal areas/ stagnation points Avoid food and drinks for 30 mins Avoid brushing for 2 hours

Question 28

what does childsmile recommend after the application of duraphat?

Answer 28

No basing until next morning

Question 29

enhanced prevention with regards to topical fluoride?

Answer 29

Fluoride varnish 2 x annually Consider alcohol free mw in ages 7+ Separate time form brushing

Question 30

when is it a good time for a child to use fluoride mw?

Answer 30

After snack from school

Question 31

when is it important for pt to use fluoride mw?

Answer 31

If chid has fixed or removable appliances

Question 32

when should you apply fs?

Answer 32

Deep or sticky fissures High cares risk - on tooth that is fully erupted or within 6 months of that happening Enamel defects

Question 33

If molar taking awhile to erupt and can’t get suitable moisture control what is an interim sure for FS?

Answer 33

GIC

Question 34

How log to GIC fs be Reviewed?

Answer 34

Tend to dissolve and should be reviewed every 3-6 months

Question 35

How to manage suspicious fissures?

Answer 35

Dry, clean under good light If unsure about condralateral fissures, ok to cut an investigative cavity in th fissure that looks the worst and note the stent of the cares. Can be a guide to the other cavity