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Pediatric Dentistry - ABPD > Study Cards 1 > Flashcards

Study Cards 1 Flashcards

1
Q

Acute facial swelling of dental origin- what guidelines?

A

Antibiotics and ext/treatment

Antibiotics for a few days and then treating

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2
Q

Antibiotic therapy and pulpitis/apical perio/draining sinus tract/localized intraoral swelling?

A

No ab typically needed so long as no systemic signs of infection

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3
Q

At what ANC level should you consider antibiotic prophylaxis?

A

1000

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4
Q

Congenital epulis of the newborn- where is it found? What sex predilection?

A

Typically a protuberant mass from the gingival mucosa- anterior maxillary ridge.
Female predilection 8:1 to 10:1.
Surgical excision, usually no problems after that.

Gigantic diving board like protuberance from the maxilla with a bunch of little girls jumping off of it

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5
Q

Difference in classification between Localized aggressive periodontitis and Generalized aggressive periodontitis?

A

LA- interproximal attachment loss on at least two permanent first molars and incisors, loss on no more than 2 other non-incisor non-molar teeth

GA- generalized including 3 teeth that are not incisors or first molars

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6
Q

First evidence of the TMJ in a developing human?

A

8 weeks in utero

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7
Q

Flouridated toothpaste in times of severe mucositis?

A

Can cause burning and stinging, patients should be counseled to brush with water alone.

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8
Q

How common are epstein’s pearls and where are they found?

A

Median palatal raphe area, about 75-80% of infants

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9
Q

How long after HCT before you can provide elective dental care?

A

9-12 months (or until hematologically stable)

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10
Q

How often do mesiodens erupt? Which kinds erupt more easily?

A

25% of the time. Conical shaped mesiodens typically erupt compared to those that are tubercular in shape.

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11
Q

How often should a patient be seen for recalls during cancer treatment?

A

6 months or more often if there is a risk of xerostomia, caries, trismus or GVHD

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12
Q

If extracting a tooth because you couldn’t do endo on a cancer patient, are there any post op guidelines?

A

Penicillin or clindamycin for 1 week.

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13
Q

Intraoperative complications for third molars occur what percent of the time?
When should the decision be made to remove or retain 3rd molars?

A

Less than 1%

Before the middle of the 3rd decade

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14
Q

Loose primary teeth in a patient undergoing radiation or chemotherapy?

A

Allow to exfoliate naturally and counsel patients against playing with them to avoid a bacteremia.

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15
Q

Partially erupted molars and chemotherapy/radiation therapy?

A

Remove tissue if you beleive it may cause pericoronitis, evaluate by periodontist if patient has received bisphosphonates.

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16
Q

What are the platelet levels that concern a dentist?

A

Above 75k- no problem, but be prepared to treat extended bleeding
40k-75k- Consider platelet transfusions pre and 24 hours post op. May need local measures as well.
Less than 40k- Defer care, in emergency situations discuss with physician before proceeding.

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17
Q

What are the posible etiologic factors with TMD?

A

Trauma, Occlusal factors, Parafunctional habits, Posture, Ortho tx, changes in Free way dimension

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18
Q

What can happen during chemotherapy with patients who are using vinblastine or vincristine (plant alkaloids)?

A

Deep constant pain affecting the mandibular molars in the absence of pathology- usually transient.

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19
Q

What can radiation to the muscles of mastication cause?

A

Trismus- important to do stretching exercises.

20
Q

What diseases is adult periodontitis found more often in?

A

Down, Papillon-Lefevrne, cyclic neutropenia, agranulocytosis, Leukocyte adherence deficiency

21
Q

What injuries are recommended to be covered with antibiotics?

A

Intraoral laceration been contaminated by extrinsic bacteria, open fractures, joint injury

22
Q

What is Riga Fede disease?

A

Natal or neonatal teeth rubbing the ventral surface of the tongue leading to an ulceration.

23
Q

What is an important consideration in extracting natal or neonatal teeth?

A

Bleeding. Child should be at least 10 days old before exts, otherwise speak with physician about hemostasis.

24
Q

What is the AHA recommendation for non-valvular devices (ie, indwelling catheters and central lines)?

A

Only need prophylaxis at the time of placement.

25
Q

What is the deal with antibiotics and oral contraceptives?

A

Need to use additional form of birth control during treatment and for 1 week after.

26
Q

What is the deal with fractured primary root tips? Should you remove them?

A

If it can be easily removed it should be, but if it is small, located deep in the socket, in close proximity to the successor, or unable to be retreived after several attempts it should be left alone.

27
Q

What is the deal with pulp treatment in patients that will be undergoing radiation or chemotherapy?

A

No studies that address safety, but many clinicians will do exts. Existing pulp therapies that are stable can be left alone.

28
Q

What is the incidence of clicking in the joint?

A

2.7% in primary dentition,
10.1 in late mixed
16% in the permanent dentition

29
Q

What is the incidence of natal teeth and neonatal teeth?

A

1:1000 to 1:30,000

30
Q

What is the most frequently documented source of sepsis in the immunosuppressed cancer patient?

A

The mouth

31
Q

What is the recommendation in terms of ortho with patients receiving radiotherapy, chemotherapy, or HCT?

A

Should remove appliances if poor OH, or treatment has a risk of moderate to severe mucositis

32
Q

What is the recommendation with endodontics in children undergoing cancer therapy?

A

Symptomatic non-vital teeth should be RCT at least 1 week prior to chemo (to evaluate success). If not possible, then need to ext

33
Q

What kind of occlusion has an association with ankyloglossia?

A

Class III

34
Q

What medical conditions can mimic TMD?

A

Trigeminal neuralgia, CNS problems, odontogenic pain, otologic pain, sinus pain, developmental abnormalities, neoplasias, parotid diseases, myofascial pain, Eagle’s syndrome, cervical muscle dysfunction.

35
Q

What percent of children have symptoms of TMD?

A

About 30%

36
Q

What percent of supernumerary teeth are found in the maxilla? Where is there a strong predilection?

A

Maxilla- 90%, strong predilection for the anterior region.

37
Q

What should be used to minimize the effects on the developing dentition when oral surgery must be performed on a child?

A

Advanced imaging- Cone beam, etc.

38
Q

What tends to happen to blood counts following chemotherapy? What does this mean in terms of timing?

A

Begin falling 5-7 days after chemo and will stay low for 14-21 days. Need to try to get everything done before treatment begins, if not then temporize until stable.

39
Q

When are natal teeth vs neonatal teeth?

A

Natal are present at birth

Neonatal are those that erupt in the first 30 days of life.

40
Q

When can ortho resume after cancer therapy?

A

2 years after so long as the patient is not on immunosuppressive drugs

41
Q

When is the extraction of an unerupted primary or permanent mesiodens recommended?

A

During the mixed dentition when the adjacent incisors have at least 2/3 root formation- less risk but still enough eruptive potential

42
Q

When is treatment suggested for a maxillary frenum?

In terms of timing, when should a frenum be removed?

A

When it causes the papilla to blanch or causes a diastema to remain after the eruption of the permanent canines.

43
Q

When should you consider removing a lower lingual frenum?

A

Inhibited tongue movement, deglutition problems,

44
Q

When will bohn’s nodules, epstein’s pearls, and dental lamina cysts dissapear?

A

Within the first 3 months of life- no tx.

45
Q

Where are Bohn’s nodules found and what are they?

A

Buccal and lingual aspects of the ridge away from the midline- (mucous gland) salivary gland epithelium remnants.

46
Q

Where are Dental lamina cysts found?

A

Crests of the ridges, especially in the region of the first primary molars.

47
Q

Where are neonatal and natal teeth typically found?

A

Lower anterior, though posterior teeth are possible and are associated with pfieffer syndrome and histiocytosis X

Pediatric Dentistry - ABPD (4 decks)

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