Treating Children in Primary Care Flashcards

1
Q

what are the roles of the GDP

A

capitation
childsmile
emergency dental care
management of caries
monitoring developing dentition
MIH
sometimes ortho
child protection

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2
Q

what is involved in providing prevention

A

caries risk
behaviour modification
tooth protection

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3
Q

what is included in behaviour modification

A

attendance patterns
tooth brushing
use of home fluoride
diet
acclimatisation

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4
Q

what does SDF do

A

occlude dentinal tubules
antibacterial (silver)
induce remineralisation

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5
Q

what are the advantages to SDF

A

safe
quick and easy
non-invasive
evidence based

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6
Q

what are the disadvantages to SDF

A

stain caries black
metallic taste

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7
Q

when do bitewings start getting taken

A

4yrs

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8
Q

what intervals should bitewings be taken at

A

6months - 2 years

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9
Q

what are the caries management options

A

non-invasive - biofilm control
micro-invasive - sealing
minimal invasive - ART
conventional restoration
mixed - Hall technique

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10
Q

what is the best conventional restorative option for a child

A

preformed metal crown

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11
Q

what are the variables of caries intervention

A

caries risk
age and cooperation
length of time until exfoliation
choice of material
minimally invasive options first
payment system

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12
Q

why would you refer to PDS

A

anxiety and phobia
GA
sedation
special needs and vulnerable groups

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13
Q

why do you refer to ortho

A

developing malocclusion
dental anomalies

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14
Q

why do you refer to hospital dental service

A

management of severe caries
medical conditions
trauma
dental defects
MDT care

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15
Q

what are the indications for IHS

A

child anxious but cooperative
treatment straight forward
treatment wont damage future attitude

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16
Q

what are the contraindications for IHS

A

severe dental anxiety and uncooperative
treatment extensive or too complex for maturity
child too young to understand IHS
child cant breathe through nose

17
Q

what are the indications for GA

A

child needs fully anaesthetised before dental treatment can be attempted

18
Q

what are the considerations for GA referral

A

cooperation
degree of anxiety
degree of surgical trauma
medical status