Prevention PAEDS

Question 1

What is the distribution of caries in scotland?

Answer 1

25% of Scottish children have 75% of the disease
* Strongly related to poverty

Question 2

Which teeth do nursing caries mostly affect?

Answer 2

• Upper anterior and molar teeth

Question 3

What is the typical cause of nursing caries?

Answer 3

• Inappropriate use of feeding cups and bottles

Question 4

4 Diet adice you would give to a mother of young child?

Answer 4

• 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

Question 5

What is the only 2 safe drinks to have between mealtimes?

Answer 5

Sugar and milk

Question 6

Why is cheese a good snack?

Answer 6

• High energy
• Non cariogenic
• Protect against caries

Question 7

4 examples of safe snacks other than cheese, milk and water?

Answer 7

• Fruit
• Crackers
• Bread sticks
• Crisps

Question 8

4 ways you can get fluoride?

Answer 8

• Supplments - mouthrinse
• Toothpaste
• Water
• Varnishes

Question 9

What is optimum level of fluoridated water?

Answer 9

1 ppm F

Question 10

When should toothbrushing start in children by parents and when does a child can brush their own teeth?

Answer 10

• as soon as first primary teeth erupt
• Over the age of 8 as before that they lack dexterity

Question 11

Sandarf risk F toothpaste for a 3 year old?

Answer 11

1000

Question 12

4-16 FLUORIDE STRENGTH TB FOR STANDAR RISKS?

Answer 12

1000-1500

Question 13

High risk fluouride toothpaste for under 10 years?

Answer 13

1500

Question 14

High risk F toothpaste for over 10 years?

Answer 14

2800

Question 15

High risk toothpaste for over 16?

Answer 15

5000

Question 16

Amount of paste fluoride for under 3 ?

Answer 16

smear (0.1ml)

Question 17

Amount of fluoride paste for over 3?

Answer 17

0.25ml , pea-sized

Question 18

According to cochrane studies , compare the effectiveness of using manual to electric toothbrush?

Answer 18

• toothbrushing is more effective in when using a powered brush with a small round, oscillating head compared to manual brushing

Question 19

A mother calls with her child ingested F , what would the risk of toxicity depend on?

Answer 19

Weight of child and amount of toothpaste swallowed

Question 20

What is the amount of toothpaste to receive a probable toxic dose?

Answer 20

• 5mg/kg

Question 21

How much F in mg is in a 1000ppm 90g tube ?

Answer 21

90mg F
5-15mg/kg

Question 22

Child injested less than 5mg/kg toothpaste , what is your management?

Answer 22

• Give calcium orally (milk) and observe

Question 23

Child injested 5-15mg toothpaste , what is your management?

Answer 23

• give calcium orally and admit to hospital

Question 24

Child injested more than 15mg toothpaste , what is your management?

Answer 24

admit to hospital immediately for cardiac monitoring and life support , and give IV calcium gluconate

Question 25

3 forms of calcium that can be given orally?

Answer 25

• Calcium gluconate
• Calcium lactate
• Milk

Question 26

At what age is fluoride mouthrinse indicated?

Answer 26

over the age of 6

Question 27

What radiograph is taken for high risk caries children and how often?

Answer 27

Bitewings every 6 months

Question 28

What radiograph is taken for low risk caries children and how often?

Answer 28

12-18 months Bitewings