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
Should permanent avulsed teeth be reimplanted in immunocompromised pts
No
Prevention of caries
Prevention of oral cancer
Orthodontic prevention
Prevention gingival/ perio
Prevention in pregnant women
lots of questions on preventive dentistry
Prevention of caries principles / MID
Think in terms of minimally invasive dentistry wherever possible
- remineralisation (Prevention for extension)
- preservation of tooth structure
- REPAIR OVER REPLACEMENT → (ex. amalg chip → repair)
- bc better preservation of structure, time, money
ICDS class of caries
Tx of enamel lesions (5)
Varnish
Sealants
Neutrafluor
Saliva stimulate (gum)
CPP ACP
Role of GP with oral cancer
Early identification - (ORAL CANCER acronym)
Obtain history (smoke, alc)
Referral
Ulcer that hasnt healed in more than 2 weeks
Unexplained pain in mouth (constant but teeth look fine)
Role of GP with oral cancer
Early identification - (ORAL CANCER acronym)
Obtain history (smoke, alc)
Referral
Ulcer that hasnt healed in more than 2 weeks
Unexplained pain in mouth (constant but teeth look fine)
What to know for orthodontic prevention for exam
Space maintenance (lingual arch, band and loop)
know eruption chart so you can interpret problems
Prevention in pregnant women
exam details
Pregnancy / pyogenic granuloma
Bleeding gums
perio → premature babies
Treatment best in 2nd semester
What are the different spaces in primary teeth
- May show a space and try to confuse you → may not require tx77
