Quiz notes Flashcards
Name 3 factors that may cause dental anxiety in children
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
dental anxiety
reaction to unknown danger
dental fear
reaction to known danger
dental phobia
extreme case of fear
name 3 non pharmacological based methods of behavioural management
- 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)
blunting coping method
avoidance
what is more effective reassurance or reinforcement
reinforcement
reassurance is not effective in reducing anxiety
what term used when describing the co-operatibility of children is now considered outdated
unco-operative
now pre cooperative or potentially co operative
in what circumstances could SDF not be used
allergy to silver, any heavy metal , or any other component of SDF
painful gums, ulcers or sores present in the mouth
how often is SDF liquid usually re applied
every 6 months
risks of SDF
- 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
what are the 2 circumstances SDF is currently licensed for in the UK
desensitisation of non carious tooth lesions
molar incisor hypomineralisation
what is the most effective concentration of SDF
38%
what 3 things make up SDF
silver
fluoride
ammonium ions (stabilising agent)
give 3 indications for use of SDF
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
give 3 contraindications for SDF use
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
how is SDF success monitored
monitored by monitoring the tooth and assessing for arrest of lesion or progression
what is requested on a prescription sheet for Duraphat 2’800 ppm toothpaste
Sodium fluoride 0.619% toothpaste
when should a parent start using a toothbrush on their child and what is the minimum recommended strength of toothpaste
as soon as first tooth erupts
1000ppm
at what age should bitewings start being taken to aid caries diagnosis
4 years and up
toothpaste recommendations for children
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
give 3 examples for standard caries prevention that should be done for all children
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+
what is contained within duraphat that might bring on an asthma attack or risk an allergic reaction
colophony
ask if severe asthma or allergy to elastoplast
name 3 things that should be considered when deciding a treatment option for a carious primary molar
time till exfoliation
risk of pain or infection
number of teeth affected
