Test 1 Flashcards
By what age should a baby have seen a dentist and why?
No later than 12 months old to establish a dental home
T/F: Parents should assist with the knee to knee exam.
True
How much fluoride toothpaste should be used for children?
Under 3 - rice sized
3-6 - pea sized
How often should children be given a fluoride varnish?
Moderate risk - every 6 months
High risk - every 3 months
How often should a high risk child be brought back for recall appointments?
Every 3 months
What is the definition of early childhood caries?
One or more decayed, missing, or filled tooth surfaces in a primary tooth under the age of 6
*smooth surface caries in child under 3 is severe ECC
T/F: Topical anesthetics, such as orajel are a good treatment for teething.
False
T/F: Thumb sucking is normal childhood behavior.
True
Most stop by 2-3 years
What is Riga-Fede disease?
Ulcer on ventral surface of tongue from a sharp incisal edge
The majority of children have what occlusal relationship? What angles classification will these children typically grow into?
Flush terminal plane
Class I
What film is a good alternative to anterior PAs in kids?
Occlusal radiographs
T/F: New patients in primary dentition should have bitewings and a panoramic X-ray taken.
False
Individualized only if signs of disease
What is the recommended radiographs for recall patients in primary or transitional dentition with an increased caries risk? No increased caries risk?
Bitewings at 6-12 month intervals if interproximals cannot be seen
12-24 months if risk is normal
What are some ways to prevent oral trauma in adolescents?
Mouth guards, seat belts, education
T/F: Teens are more susceptible to sensitivity from bleaching than adults.
True
When is the ideal time to treat a pregnant woman?
2nd trimester
Which age of children are at most risk for abuse?
Youngest children most vulnerable
70% of deaths from abuse are under 4 y.o.
What are some areas of bruising that may indicate abuse?
Ears, neck, upper arms/legs, abdomen, genitalia
T/F: Soft tissue areas are the least likely areas to be bruised by an accident.
True
How can you differentiate a child bite from an adult bite?
Child bites are often distinct in both arches and have an intercuspid distance of less than 30 mm
What is the most frequent type of burn abuse?
Liquid scalding
What is the first thing to look for when a dental trauma patient comes in?
Need for medical referral - loss of consciousness, nausea, concussion symptoms
T/F: A mature apex is more open, and therefore has a greater chance of vessel rupture with trauma leading to a necrotic tooth.
False
Immature apex (more open) - less chance of necrotic tooth with trauma
Mature apex (more closed) - higher chance of necrotic tooth with trauma
T/F: Every traumatized tooth needs an X-ray?
True
When will you most likely see pulpal necrosis in a traumatized tooth?
2 weeks
When will you most likely see replacement resorption (ankylosis) in a traumatized tooth?
6 weeks
T/F: Pulp canal obliteration (yellow tint) typically leads to pulpal necrosis.
False
What are the two major goals of emergency management of dental trauma?
1a. Cover fractured teeth temporarily
1b. Reposition luxated teeth and stabilize
2. Establish follow up plan
