Safeguarding and paediatric dentistry

Question 1

What act in Scotland covers safeguarding?

Answer 1

The children’s (Scotland) Act 1995

Question 2

What to do if you suspect abuse?

Answer 2

• document concerns fully
• refer to social services Or police And make parent aware of this unless it would endanger child

Any suspicion or doubts you must refer

Question 3

What are the main suspicious injuries?

Answer 3

• injuries to triangle of safety
• finger print/slap marks
• abrasions/lacerations
• burns and bites
• bilateral eye injuries
• facial fractures
• tear to labial frenum in children under 1
• penetrating injuries to FOM

Question 4

What is added to GIC to make RMGIC and why?

Answer 4

Monomer HEMA or bis-GMA added you GIC to improve poor physical properties
- increased wear resistance, physical strength. Working time and has better longevity

Question 5

What are the 2 components of conventional glass ionomer cements?

Answer 5

Fluoro-aluminium silicate glass mixed with poly acrylic acid

Question 6

What are the indications for PMCs?

Answer 6

Extensive caries more than 1 surface
Following pulpotomy or pulpectomy
Local or general dental developmental problems
Tooth surface loss
Infra occluded primary molars to maintain space

Question 7

What are the contraindications for PMCs?

Answer 7

Irreversible pulpit is
Nickel allergy
Tooth close to exfoliation 
Poor cooperation 
Lack of tooth surface available

Question 8

What is the process of vital deciduous pulp therapy?

Answer 8

Give LA, access cavity and remove contents of pulp chamber
Irrigate and identify root canal system (maxilla 3; mandible 2)
If bleeding arrest with ferric sulphate
Place ZOE cement in pulp chamber After CaOH or MTA on pulp floor
Then PMC

Question 9

What is the process of non vital deciduous pulp therapy/.

Answer 9

Cut access cavity and remove chamber of pulp
Irrigate and if possible irrigate canals with LA
Dry chamber and place CaOH in coronal section or pain mix ZOE
Back fill with ZOE and place PMC

If remains symptomatic at 3 months - XLA

Question 10

What is the most appropriate management options for an asymptomatic lower 1st deciduous molar with a clinically cavitated inter proximal lesion in an anxious but cooperative 6yr old?

Answer 10

Restoration with PMC without caries removal

= hall technique

Question 11

What is the most common malignancy in children?

Answer 11

Acute lymphoblastic leukaemia