Study cards 2 Flashcards
Active surviellance (prevention therapies and close monitoring) is based on three concepts, they are:
- Treatment of disease may only be needed if there is disease progression
- Caries progression has diminished over recent decades
- Majority of proximal lesions, even in dentin, are not cavitated
Adolescent patient is recognized as having distinct needs due to 10 factors:
Potentiall high caries rate Increased risk for traumatic injury Tendency for poor nutritional habits Increased esthetic desire and awareness Complexity of combined ortho and restorative care Dental phobia Potential use of tobacco, alchohol, and other drugs Pregnancy Eating disorders unique social and psychological needs
Adolescents are broadly defined as
Individuals from 10-18 years old
Category A drugs?
Have been studied in humans and have evidence supporting safe use
Category B drugs
Show no evidence of risk to humans
Category C drugs
May be used with caution in pregnancy (examples include aspirin and aspirin containing products)
Category D and X drugs
Not intended for use during pregnancy
Define special health care needs
Any physical, developmental, mental, sensory, behavioral, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. The condition may be developmental or acquired and may couse limitations in performing daily self-maintenance activities or substantial limitations in a major life activity.
Define the perinatal period
Completion of the 20-28th week of gestation and ending 1-4 weeks after birth
How much toothpaste should be used?
For children considered moderate to high risk- 2 and under receive a smear
For all children ages 2-5, a pea sized amount should be used
If a parent is unaware of a pregnancy in their child, the pregnant adolescent may be entitled
To confidentiality regarding health issues such as the pregnancy- depends on the state law
Infants and children exposed to second hand smoke have higher rates of
Lower respiratory illness, middle ear infections, asthma, caries in the primary denititon
Is there enough evidence at present to have a quantitative caries risk assessment?
No
Prenatal fluoride supplements to benefit the fetus
Are not recommended by the AAPD
What 3 things is periodontal disease correlated with in pregnant mothers?
Preterm delivery, low birth weight, preeclampsia
What are the causes of injuries to permanent teeth in order of decreasing prevalance (4)?
Falls, traffic accidents, violence, sports
Falling into traffic, its violent, lets go play sports
What drugs should be avoided in the pregnant patient?
Aspirin and aspirin containing products, erythromycin, tetracycline.
What is considered an important ecological niche in harboring bacteria in predentate infants?
The furrows of the tongue
What is considered to the be indicator group of bacterial organisms responsible for dental caries?
MS- strep mutans
What is discouraged during during teething due to potential toxicity?
Topical anesthetics, including OTC teething gels
What is positive youth development?
An approach that goes beyond traditional prevention, intervention, and treatment of risky behaviors and suggests that a strong interpersonal relationship between the adolescent and the pediatric dentist can be influential in improving adolescent oral health and the transition to adult care.
What is the primary goal of perinatal oral health?
Lower the number of cariogenic bacteria in the mother’s mouth to delay transmission to infant
When is the safest time to provide dental treatment to a pregnant woman?
Second trimester- 14th to the 20th week.
While the overall rate is declining, caries rate is highest
During adolescence.
Women who smoke in pregnancy have increased risk of
Ectopic pregnancy, spontaneous abortion, preterm delivery
