Revision - Mani Flashcards
Majority of paeds q’s will be from 2nd sem
no numbers, classifications, percentages
Medically compromised pts
Physically compromised pts
Trauma - particularly children /primary teeth
Pulp therapy
Eruption sequence and pattern
Discrepancies in tooth eruption
Self-correcting anomalies
Tx of enamel fracture / infraction - no damage to PDL
Class 1 frac
Dircect comp resto
Class 2 frac tx - enamel and dentine
if frac is close to pulp → indrect pulp cap then
Fraction reattachment (if possible)
if not poss:
GIC, comp
Do not prescribe crowns for patients less than 17
write something else instead
Pulp exposure tx
Direct pulp cap
- exposure is 2mm or less, no bacteria present
Pulpotomy
- If more 2 mm (2-5) exposure or if immature tooth (open apex)
Pulpectomy
Should you do RCT / pulpectomy on immature tooth?
No - give time to stabilise before placing MTA
If it has been dead for a while, discolouration, can extirpate
prognosis of avulsed tooth reimplantation
great if under 20 min
good if under 60 min
questionable if >60 min
best solution to carry avulsed tooth in
Cold milk
Is direct pulp capping suitable in primary tooth
In carious tooth with exposure → NO (pulpectomy instead)
In carious tooth but not exposed (close tho) → pulpectomy
if pin point exposure (ex. trauma) → Can do pulp cap
Goals of pulpotomy vs pulpectomy
Pulpotomy → maintain vitality
Pulpectomy → maintain tooth in mouth
At least 2 questions related to eruption
Couple conditions responsible for delayed and accelerated eruption each
Delayed
- Hypothyroidism
- Hypopituitarism
- Developmental disturbances (ex. dilaceration)
- Ankylosis of primary tooth
- Thick gingiva/mucosa
- Thick bone
- Cysts
know one common syndrome / medical condition inside and out - DOWNS
General manifestations
- frontal bossing
- low set ears
- eye features (palpebral fissures)
- underdeveloped middle 3rd of face (mx and nose)
- Class 3
- short neck
- atlanto-axial instability
- congenital heart disorders (tetraology of Fallot)
Oral manifestations
- micrognathia
- macroglossia
- microdontia
- hypodontia
- supernumaries
management of medical conditions or syndromes - 2 things to remember
Direct consequences of the disease / condition
Consequences of the medications they may be taking
Pulp therapy always contraindicated in immunocompromised children
Extract the primary teeth instead
