SDCEP - prevention

Question 1

what method does evidence suggest is effective at evoking a behavioural change

Answer 1

brief motivational interviewing

Question 2

how much toothpaste for under 3s

Answer 2

smear

Question 3

how much toothpaste for over 3s

Answer 3

pea size

Question 4

what concentration of toothpaste for children

Answer 4

standard prevention - 1000-1500ppm
enhanced - 1350-1500ppm
over 10s enhanced - consider 2800ppm

Question 5

when should teeth start being brushed

Answer 5

as soon as eruption of first primary tooth begins

Question 6

toothbrushing standard prevention advice

Answer 6

brush thoroughly twice daily, including last thing at night
use toothpaste containing 1000-1500ppm fluoride
spit dont rinse
supervise young children until they can brush effectively
demonstrate brushing annually

Question 7

toothbrushing enhanced prevention advice

Answer 7

provide standard prevention at each recall visit
hands on brushing instruction at every recall visit
prescribe 2800ppm for 10-16

Question 8

standard prevention dietary advice

Answer 8

give diet advice annually
- only water or milk between meals
- limit foods and drinks containing sugar
- dont place sugary drinks in feeding bottles
- do not eat or drink anything but water after brushing at night
- be aware of acid content of drinks

Question 9

enhanced prevention dietary advice

Answer 9

standard prevention dietary advice at each recall visit
food and drink diary if appropriate

Question 10

fissure sealant standard prevention

Answer 10

• place sealants in all pits and fissures of permanent molars as soon as possible after eruption
• check existing sealants for wear and integrity at every recall
• resin based sealants are first choice, if child unco-operative use GI fissure sealant

Question 11

fissure sealant enhanced prevention

Answer 11

standard prevention plus
- fissure seal pits on laterals and Ds and Es if appropriate

Question 12

topical fluoride standard prevention

Answer 12

apply sodium fluoride varnish (5%) twice yearly to children age 2 and over

Question 13

topical fluoride enhanced prevention

Answer 13

sodium fluoride varnish (5%) 4 times a year to children age 2 and over
- be aware 2 of these applications may be provided by childsmile

Question 14

resin fissure sealant application technique

Answer 14

• clean tooth to ensure free form debris
• isolate tooth (cotton wool rolls, dry guard, aspiration)
• etch the tooth for 30s with 37% phosphoric acid
• apply resin sealant (bis-GMA)
• light cure
• check integrity

Question 15

glass ionomer fissure sealant application

Answer 15

• wipe tooth dry if possible with cotton wool roll
• firmly apply GI onto tooth using fingertip and keep finger in place for 2 minutes
• cover GI with petroleum jelly to prevent moisture contamination

Question 16

fluoride varnish application process

Answer 16

isolate and thoroughly dry teeth one quadrant at a time
use a microbrush to apply varnish

Question 17

post fluoride varnish patient instructions

Answer 17

no eating or drinking for 30 mins
no brushing teeth for 4 hours

Question 18

concentration and volumes of fluoride varnish

Answer 18

22,600ppm fluoride
0.25ml for primary
0.4ml for mixed
0.75 for permanent