textbook paeds Flashcards
first tooth to erupt and when?
first central incisor at 6 months
all primary incisors have erupted by when?
9 months
when do the first primary molars erupt?
12-14 months
primary canines erupt when?
16-18 months
second primary molars erupt when?
24-30 months
how does hypoplastic or hypominerlaised enamel occur?
defect in enamel matrix/ disturbance to ameloblasts during formation
how are ulcers in PHG treated?
chlorhexidine mouthwash
benzydamine hydrochloride difflam spray
potentially aciclovir gel - best used in early stages of herpetic infection
what moutwashes are used in tx of Reccurent apthous ulcerations?
- benzydamine hydrochloride - difflam oral rinse and spray
- chlorhexidine gluconate
what lozenges are used in tx of recurrent apthous ulcerations?
hydrocortisone lozenges - corlan pellets
types of behaviour management?
acclimatisation tell show do enhancing control modelling reinforcement desensitisation structured time
what is the most common way children are sedated to accomplish dental treatment? what is used?
inhalation sedation
nitrous oxide
advantages of inhalation sedation?
onset is fast and wear off is fast
what are the disadvantages of sedation?
use of nasal mask which children may not like
limited access - particularly upper centraks
expensive equipment
pollution of area
indications for nitrous oxide use?
- mild/mod dental anxiety
- pronounced gag reflex
- learning disability
- ineffective LA
contra indications for nitrous oxide?
extremely pre co operative pt nasal obstruction COPD pregnancy psychiatric disorders
