Prevention of dental caries Flashcards
4 main elements for prevention?
TB with fl tp
Diet advise
Fissure sealants
Topical fluoride
tp for under the age of 3?
Smear 100ppm tp
tp for over the age of 3?
1450-1500 ppm pea sized amount
what age can children not brush their own teeth effectively?
Under 7
Poor coordination and lack of dexterity
Parent brush
rule of thumb for a child brushging their own teeth unsupervised?
If they can tie their on shoe laces
tooth brushing for over 7s?
Parent supervise
brushing technique?
Brush each sextant or surfaces separately
Small head brush and small brush
2 mins
Create a routine
What brushing is recommended for 6 and 7s?
Lateral brushing
Operculum can cause food trapping and has not been exposed to fluoride
Enhanced prevention for tooth brushing?
Hands on advise
2 mins
Disclose
- in the surgery
- at home
Tooth brushing charts
Free tb and tp
Floss
third party support for enhanced prevention in (tooth brushing)?
School nurse
Child smile
Health visitors
When would an under 3 be recommended 1450-1500 ppm TP?
If high caries risk or sugar in diet high
Risk of sluorossi s outweighed by th risk of caries
Smear amount
floss before or after brushing?
After brushing between molars DE6
When to recommend flossing?
If it is high caries risk
dietary advise given how often?
Once a year
when to restrict sugar intake to?
Meal times
when to recommend sweets to be eaten?
Once a week or once a day after a meal
name food that have hidden sugars?
Yoghurt
Breakfast cereal
Maize based crisps
Prescription medicine
what is a high sugar level?
15g per 100g
enhanced prevention in relation to diet diary?
Diet diary at first visit
what days should you fill out in a diet diary?
3 day diet diary
Including 1 weekend day
How often to give fluoride varnish?
2 times annually
If no being seen by child smile
what age can you apply fluoride varnish?
Over 2 yo
fluoride concentration in fluoride varnish?
226000 ppm fluoride
Why check MH before applying fluoride varnish?
Colophony
colophony reactions?
How to apply duraphat?
Dry teeth
Apply with bendable brush
To interproximal areas/ stagnation points
Avoid food and drinks for 30 mins
Avoid brushing for 2 hours
what does childsmile recommend after the application of duraphat?
No basing until next morning
enhanced prevention with regards to topical fluoride?
Fluoride varnish 2 x annually
Consider alcohol free mw in ages 7+
Separate time form brushing
when is it a good time for a child to use fluoride mw?
After snack from school
when is it important for pt to use fluoride mw?
If chid has fixed or removable appliances
when should you apply fs?
Deep or sticky fissures
High cares risk
- on tooth that is fully erupted or within 6 months of that happening
Enamel defects
If molar taking awhile to erupt and can’t get suitable moisture control what is an interim sure for FS?
GIC
How log to GIC fs be Reviewed?
Tend to dissolve and should be reviewed every 3-6 months
How to manage suspicious fissures?
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
