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FINALS - Paediatrics > SDCEP Guidelines Study > Flashcards

SDCEP Guidelines Study Flashcards

1
Q

If a child is at increased risk of developing caries, when should follow up radiographs be taken?

A

6-12 months

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2
Q

If a child is NOT at increased risk of developing caries, when should follow up radiographs be taken?

A

2 years

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3
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 10/10 indicate?

A

perfectly clean tooth

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4
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 8/10 indicate?

A

plaque line around the cervical margin

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5
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 6/10 indicate?

A

cervical third of the crown covered with plaque

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6
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 4/10 indicate?

A

middle third of tooth covered with plaque

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7
Q

When assessing toothbrushing in paediatric patients a plaque index is used, how is the mouth divided up?

A

Into sextants, the worst score in each sextant is recorded

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8
Q

What factors can increase a childs caries risk?

A
  • clinical evidence of previous disease
  • poor dietary habits
  • low socioeconomic status
  • use of fluoride
  • plaque control
  • saliva
  • medical history
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9
Q

What tool is used to assess dental anxiety in children?

A

The Modified Child Dental Anxiety Scale

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10
Q

What behavioural management technique is frequently used in paediatric dentistry to introduce a child to a new situation?

A

tell, show, do

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11
Q

How much toothpaste should be places on a toothbrush for a child under 3 years old?

A

Smear

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12
Q

How much toothpaste should be places on a toothbrush for a child 3 years and over?

A

pea sized amount

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13
Q

What fluoride content toothpaste should be used for a child under 3 years old at an increased risk of caries?

A

a smear of 1350-1500ppmF

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14
Q

What fluoride content toothpaste should be used for a child under 3 years old at a standard risk of caries?

A

smear of 1000-1500ppmF

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15
Q

What fluoride content toothpaste should be used for a child over 3 years old at an increased risk of caries?

A

pea sized amount of 1350-1500ppmF

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16
Q

What fluoride content toothpaste should be used for a child over 3 years old at a standard risk of caries?

A

pea sized amount of 1000-1500ppmF

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17
Q

What fluoride content toothpaste should be used for a child 10+ years old at an increased risk of caries?

A

2800ppmF toothpaste

18
Q

How often is fluoride varnish applied to standard risk paediatric patients?

A

twice a year

19
Q

What % fluoride varnish is used in paediatrics?

A

5%

20
Q

At what age are children allowed to receive topical fluoride application?

A

2 years old

21
Q

What is the maximum number of times fluoride varnish can be applied to child patients teeth?

A

4 times a year

22
Q

How often is fluoride varnish applied to increased risk paediatric patients? What else is suggested for these patients that are 7+years old?

A

4 times a year
- use of an alcohol free sodium fluoride mouthwash at a different time from tooth brushing

23
Q

What are the contraindications for Duraphat applications in paediatric patients?

A
  • severe asthma
  • severe allergy
  • sticking plaster allergy
24
Q

What is found in Duraphat that can cause contraindications in some children?

A

Colophony

25
Q

How much fluoride (in ppm) is in Duraphat fluoride varnish?

A

22600ppmF

26
Q

How much Duraphat varnish is applied to nursery & primary 1 children (2-5y/o)?

A

0.25ml

27
Q

How much Duraphat varnish is applied to primary 2 & above children (5-7y/o)?

A

0.4ml

28
Q

How is fluoride varnish applied to children’s teeth?

A
  • 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
29
Q

For children aged 6-11 months with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)

A

Oral Suspension 125mg for 5 days
- 3 times daily

30
Q

For children aged 1-4 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)

A

250mg Amoxicillin 3 times daily for 5 days
- capsules or oral suspension

31
Q

For children aged 5-11 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)

A

500mg Amoxicillin 3 times daily for 5 days

32
Q

For children aged 12-17 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)

A

500mg Amoxicillin 3 times daily for 5 days

33
Q

What antibiotic options are available for children with dental abscesses?

A

No penicillin allergy:
- Amoxicillin
- Phenoxymethylpenicillin

Penicillin allergy :
- Metronidazole

34
Q

For children aged 1-2 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)

A

50mg of Metronidazole 3 times daily for 5 days

35
Q

For children aged 3-6 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)

A

100mg Metronidazole 2 times daily for 5 days

36
Q

For children aged 7-9 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)

A

100mg Metronidazole 3 times daily for 5 days

37
Q

For children aged 10-17 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)

A

200mg Metronidazole 3 times daily for 5 days

38
Q

If children do not respond to first line amoxicillin or metronidazole treatment, or in cases of severe infection, what can be used?

A

Clarithromycin

39
Q

For how many days should antibiotics be prescribed for necrotising ulcerative gingivitis and periodontitis?

A

3 day regime

40
Q

What factors are known to be associated with development of caries?

A
  • clinical evidence of previous disease
  • dietary habits (frequency of sugary food)
  • social history/socioeconomic status
  • fluoride use
  • plaque control
  • saliva
  • medical history

FINALS - Paediatrics (17 decks)

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