Test 1 Flashcards

1
Q

By what age should a baby have seen a dentist and why?

A

No later than 12 months old to establish a dental home

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2
Q

T/F: Parents should assist with the knee to knee exam.

A

True

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3
Q

How much fluoride toothpaste should be used for children?

A

Under 3 - rice sized

3-6 - pea sized

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4
Q

How often should children be given a fluoride varnish?

A

Moderate risk - every 6 months

High risk - every 3 months

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5
Q

How often should a high risk child be brought back for recall appointments?

A

Every 3 months

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6
Q

What is the definition of early childhood caries?

A

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

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7
Q

T/F: Topical anesthetics, such as orajel are a good treatment for teething.

A

False

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8
Q

T/F: Thumb sucking is normal childhood behavior.

A

True

Most stop by 2-3 years

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9
Q

What is Riga-Fede disease?

A

Ulcer on ventral surface of tongue from a sharp incisal edge

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10
Q

The majority of children have what occlusal relationship? What angles classification will these children typically grow into?

A

Flush terminal plane

Class I

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11
Q

What film is a good alternative to anterior PAs in kids?

A

Occlusal radiographs

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12
Q

T/F: New patients in primary dentition should have bitewings and a panoramic X-ray taken.

A

False

Individualized only if signs of disease

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13
Q

What is the recommended radiographs for recall patients in primary or transitional dentition with an increased caries risk? No increased caries risk?

A

Bitewings at 6-12 month intervals if interproximals cannot be seen

12-24 months if risk is normal

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14
Q

What are some ways to prevent oral trauma in adolescents?

A

Mouth guards, seat belts, education

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15
Q

T/F: Teens are more susceptible to sensitivity from bleaching than adults.

A

True

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16
Q

When is the ideal time to treat a pregnant woman?

A

2nd trimester

17
Q

Which age of children are at most risk for abuse?

A

Youngest children most vulnerable

70% of deaths from abuse are under 4 y.o.

18
Q

What are some areas of bruising that may indicate abuse?

A

Ears, neck, upper arms/legs, abdomen, genitalia

19
Q

T/F: Soft tissue areas are the least likely areas to be bruised by an accident.

A

True

20
Q

How can you differentiate a child bite from an adult bite?

A

Child bites are often distinct in both arches and have an intercuspid distance of less than 30 mm

21
Q

What is the most frequent type of burn abuse?

A

Liquid scalding

22
Q

What is the first thing to look for when a dental trauma patient comes in?

A

Need for medical referral - loss of consciousness, nausea, concussion symptoms

23
Q

T/F: A mature apex is more open, and therefore has a greater chance of vessel rupture with trauma leading to a necrotic tooth.

A

False

Immature apex (more open) - less chance of necrotic tooth with trauma

Mature apex (more closed) - higher chance of necrotic tooth with trauma

24
Q

T/F: Every traumatized tooth needs an X-ray?

A

True

25
Q

When will you most likely see pulpal necrosis in a traumatized tooth?

A

2 weeks

26
Q

When will you most likely see replacement resorption (ankylosis) in a traumatized tooth?

A

6 weeks

27
Q

T/F: Pulp canal obliteration (yellow tint) typically leads to pulpal necrosis.

A

False

28
Q

What are the two major goals of emergency management of dental trauma?

A

1a. Cover fractured teeth temporarily
1b. Reposition luxated teeth and stabilize
2. Establish follow up plan