SDCEP Guidelines Study Flashcards
If a child is at increased risk of developing caries, when should follow up radiographs be taken?
6-12 months
If a child is NOT at increased risk of developing caries, when should follow up radiographs be taken?
2 years
When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 10/10 indicate?
perfectly clean tooth
When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 8/10 indicate?
plaque line around the cervical margin
When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 6/10 indicate?
cervical third of the crown covered with plaque
When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 4/10 indicate?
middle third of tooth covered with plaque
When assessing toothbrushing in paediatric patients a plaque index is used, how is the mouth divided up?
Into sextants, the worst score in each sextant is recorded
What factors can increase a childs caries risk?
- clinical evidence of previous disease
- poor dietary habits
- low socioeconomic status
- use of fluoride
- plaque control
- saliva
- medical history
What tool is used to assess dental anxiety in children?
The Modified Child Dental Anxiety Scale
What behavioural management technique is frequently used in paediatric dentistry to introduce a child to a new situation?
tell, show, do
How much toothpaste should be places on a toothbrush for a child under 3 years old?
Smear
How much toothpaste should be places on a toothbrush for a child 3 years and over?
pea sized amount
What fluoride content toothpaste should be used for a child under 3 years old at an increased risk of caries?
a smear of 1350-1500ppmF
What fluoride content toothpaste should be used for a child under 3 years old at a standard risk of caries?
smear of 1000-1500ppmF
What fluoride content toothpaste should be used for a child over 3 years old at an increased risk of caries?
pea sized amount of 1350-1500ppmF
What fluoride content toothpaste should be used for a child over 3 years old at a standard risk of caries?
pea sized amount of 1000-1500ppmF
What fluoride content toothpaste should be used for a child 10+ years old at an increased risk of caries?
2800ppmF toothpaste
How often is fluoride varnish applied to standard risk paediatric patients?
twice a year
What % fluoride varnish is used in paediatrics?
5%
At what age are children allowed to receive topical fluoride application?
2 years old
What is the maximum number of times fluoride varnish can be applied to child patients teeth?
4 times a year
How often is fluoride varnish applied to increased risk paediatric patients? What else is suggested for these patients that are 7+years old?
4 times a year
- use of an alcohol free sodium fluoride mouthwash at a different time from tooth brushing
What are the contraindications for Duraphat applications in paediatric patients?
- severe asthma
- severe allergy
- sticking plaster allergy
What is found in Duraphat that can cause contraindications in some children?
Colophony
How much fluoride (in ppm) is in Duraphat fluoride varnish?
22600ppmF
How much Duraphat varnish is applied to nursery & primary 1 children (2-5y/o)?
0.25ml
How much Duraphat varnish is applied to primary 2 & above children (5-7y/o)?
0.4ml
How is fluoride varnish applied to children’s teeth?
- isolate & dry teeth a quadrant at a time
- apply fluoride varnish using a brush
- advise that soft foods & drinks can be consumed 30 MINS AFTER the application
- child should wait AT LEAST 4 hours before brushing teeth or chewing hard food
For children aged 6-11 months with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
Oral Suspension 125mg for 5 days
- 3 times daily
For children aged 1-4 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
250mg Amoxicillin 3 times daily for 5 days
- capsules or oral suspension
For children aged 5-11 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
500mg Amoxicillin 3 times daily for 5 days
For children aged 12-17 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
500mg Amoxicillin 3 times daily for 5 days
What antibiotic options are available for children with dental abscesses?
No penicillin allergy:
- Amoxicillin
- Phenoxymethylpenicillin
Penicillin allergy :
- Metronidazole
For children aged 1-2 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
50mg of Metronidazole 3 times daily for 5 days
For children aged 3-6 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
100mg Metronidazole 2 times daily for 5 days
For children aged 7-9 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
100mg Metronidazole 3 times daily for 5 days
For children aged 10-17 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
200mg Metronidazole 3 times daily for 5 days
If children do not respond to first line amoxicillin or metronidazole treatment, or in cases of severe infection, what can be used?
Clarithromycin
For how many days should antibiotics be prescribed for necrotising ulcerative gingivitis and periodontitis?
3 day regime
What factors are known to be associated with development of caries?
- clinical evidence of previous disease
- dietary habits (frequency of sugary food)
- social history/socioeconomic status
- fluoride use
- plaque control
- saliva
- medical history
