Quiz notes Flashcards

1
Q

Name 3 factors that may cause dental anxiety in children

A

previous medical history - negative medical experiences may increase anxiety about dental visits
previous dental visits - unhappy or negative experiences may make them anxious about returning
parental anxiety - parents dental anxiety passed onto child

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2
Q

dental anxiety

A

reaction to unknown danger

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3
Q

dental fear

A

reaction to known danger

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4
Q

dental phobia

A

extreme case of fear

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5
Q

name 3 non pharmacological based methods of behavioural management

A
  • hypnosis
  • preparatory info - welcome letter detailing what will happen and how to prepare
  • Tell, show, do (use age appropriate language)
  • stop signal - gives pt some control
  • non verbal communication (reinforcement better than reassurance e.g pat on shoulder, asking how doing)
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6
Q

blunting coping method

A

avoidance

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7
Q

what is more effective reassurance or reinforcement

A

reinforcement
reassurance is not effective in reducing anxiety

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8
Q

what term used when describing the co-operatibility of children is now considered outdated

A

unco-operative
now pre cooperative or potentially co operative

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9
Q

in what circumstances could SDF not be used

A

allergy to silver, any heavy metal , or any other component of SDF
painful gums, ulcers or sores present in the mouth

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10
Q

how often is SDF liquid usually re applied

A

every 6 months

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11
Q

risks of SDF

A
  • turns decay black (more a consequence than a risk)
  • might not stop or slow down decay and more invasive tx may be required
  • discolouration of composite fillings
  • stains clothes
  • temporary staining of skin, cheeks, lips and gums for 1-3 weeks
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12
Q

what are the 2 circumstances SDF is currently licensed for in the UK

A

desensitisation of non carious tooth lesions
molar incisor hypomineralisation

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13
Q

what is the most effective concentration of SDF

A

38%

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14
Q

what 3 things make up SDF

A

silver
fluoride
ammonium ions (stabilising agent)

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15
Q

give 3 indications for use of SDF

A

asymptomatic cavitated carious dentine lesions in primary teeth
non restorable dentine lesions
root surface carious lesions (primary and permanent teeth)
molar incisor hypomineralisation - to reduce sensitivity
pre - cooperative children
adults or children who’s medical conditions prevents them getting invasive tx or going under GA or sedation

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16
Q

give 3 contraindications for SDF use

A

clinical signs or symptoms of irreversible pulpitis or a dental abscess
radiographical signs of pulpal involvement
patient unwilling or unable to brush their teeth
patients with mucositis
patients with stomatitis
patients with allergy to silver or fluoride

17
Q

how is SDF success monitored

A

monitored by monitoring the tooth and assessing for arrest of lesion or progression

18
Q

what is requested on a prescription sheet for Duraphat 2’800 ppm toothpaste

A

Sodium fluoride 0.619% toothpaste

19
Q

when should a parent start using a toothbrush on their child and what is the minimum recommended strength of toothpaste

A

as soon as first tooth erupts
1000ppm

20
Q

at what age should bitewings start being taken to aid caries diagnosis

A

4 years and up

21
Q

toothpaste recommendations for children

A

under 3 use a smear, over 3 use a pea sized amount
standard caries risk - 1000 - 1500 ppm
increased caries risk <10 - 1350-1500ppm
increased caries risk >10 2800 ppm

22
Q

give 3 examples for standard caries prevention that should be done for all children

A

tooth brushing demonstration annually
toothbrushing advice annually
dietary advice annually
sealants in all pits and fissures of permanent molars ASAP after eruption
Apply sodium fluoride varnish 5% twice a year in all children age 2+

23
Q

what is contained within duraphat that might bring on an asthma attack or risk an allergic reaction

A

colophony

ask if severe asthma or allergy to elastoplast

24
Q

name 3 things that should be considered when deciding a treatment option for a carious primary molar

A

time till exfoliation
risk of pain or infection
number of teeth affected