Prevention PAEDS Flashcards
What is the distribution of caries in scotland?
25% of Scottish children have 75% of the disease
* Strongly related to poverty
Which teeth do nursing caries mostly affect?
- Upper anterior and molar teeth
What is the typical cause of nursing caries?
- Inappropriate use of feeding cups and bottles
4 Diet adice you would give to a mother of young child?
- Use of feeding cup instead of a bottle from 6 months onwards
- Do not put free-sugar containing drinks in a feeder bottle
- Children should not be put to bed with a feeder bottle or cup
- Soya mild should be avoided unless indicated medically
- Avoid sugar containing drinks and keep to mealtimes and dilute with water + use a straw
What is the only 2 safe drinks to have between mealtimes?
Water and milk
Why is cheese a good snack?
- High energy
- Non cariogenic
- Protect against caries
4 examples of safe snacks other than cheese, milk and water?
- Fruit
- Crackers
- Bread sticks
- Crisps
4 ways you can get fluoride?
- Supplments - mouthrinse
- Toothpaste
- Water
- Varnishes
What is optimum level of fluoridated water?
1 ppm F
When should toothbrushing start in children by parents and when does a child can brush their own teeth?
- as soon as first primary teeth erupt
- Over the age of 8 as before that they lack dexterity
Sandarf risk F toothpaste for a 3 year old?
1000
4-16 FLUORIDE STRENGTH TB FOR STANDAR RISKS?
1000-1500
High risk fluouride toothpaste for under 10 years?
1500
High risk F toothpaste for over 10 years?
2800
High risk toothpaste for over 16?
5000
Amount of paste fluoride for under 3 ?
smear (0.1ml)
Amount of fluoride paste for over 3?
0.25ml , pea-sized
According to cochrane studies , compare the effectiveness of using manual to electric toothbrush?
- toothbrushing is more effective in when using a powered brush with a small round, oscillating head compared to manual brushing
A mother calls with her child ingested F , what would the risk of toxicity depend on?
Weight of child and amount of toothpaste swallowed
What is the amount of toothpaste to receive a probable toxic dose?
- 5mg/kg
How much F in mg is in a 1000ppm 90g tube ?
90mg F
5-15mg/kg
Child injested less than 5mg/kg toothpaste , what is your management?
- Give calcium orally (milk) and observe
Child injested 5-15mg toothpaste , what is your management?
- give calcium orally and admit to hospital
Child injested more than 15mg toothpaste , what is your management?
admit to hospital immediately for cardiac monitoring and life support , and give IV calcium gluconate
3 forms of calcium that can be given orally?
- Calcium gluconate
- Calcium lactate
- Milk
At what age is fluoride mouthrinse indicated?
over the age of 6
What radiograph is taken for high risk caries children and how often?
Bitewings every 6 months
What radiograph is taken for low risk caries children and how often?
12-18 months Bitewings
