Treating Children in Primary Care

Question 1

roles of GDP for children?

Answer 1

• management of dental caries
• emergency dental care
• monitoring developing dentition
• molar incisor hypomineralisation
• orthodontic care
• child protection

Question 2

how does a gdp manage caries in a child?

Answer 2

• prevention
• plaque management
• minimally invasive
• conventional restorative options
• extraction

Question 3

how can a gdp provide emergency dental care for children?

Answer 3

• management of dental trauma
• acute dental problems
• emergency dental care

Question 4

how can gdp monitor developing dentition?

Answer 4

• important age milestones
• sequence of eruption
• developing malocclusion (IOTN)

Question 5

how can gdp monitor molar incisor hypomineralisation?

Answer 5

• symptoms needing management (sensitivity, crumbing back teeth, aesthetic concerns)

Management:
- seal
- restore
- PMC
- XLA and timing of XLA

Question 6

role of gdp in kids for orthodontic care?

Answer 6

simple ortho tx
- removable appliances
- fixed appliances

Question 7

child protection role of GDP?

Answer 7

follow local child protection procedures

Question 8

factors involved in caries development?

Answer 8

• personal factors (poverty, brushing habits)
• oral environmental factors (saliva flow)
• other (time, tooth, bacteria, diet)

Question 9

what are the 3 pillars for prevention?

Answer 9

Question 10

what factors to consider for caries risk assessment?

Answer 10

1. clinical evidence of previous disease
2. dietary habits
3. oral hygiene habits
4. exposure to fluoride
5. social history/socioeconomic status
6. Salivary flow
7. medical history

Question 11

what needs to be taken into account for behaviour modification?

Answer 11

• attendance patterns
• tooth brushing habits
• home fluoride
• drinking/dietary habits
• acclimatisation

Question 12

whats involved in tooth protection piller for prevention?

Answer 12

• Fluoride varnish application 22600ppmF
• fissure sealants
• 2800ppmF toothpaste

Question 13

Advantages & disadvantages of SDF?

Answer 13

Question 14

what age should you start taking BWs for monitoring primary molars if possible?

Answer 14

~4 years old, use paeds size films/sensors

Question 15

what is ART in caries management?

Answer 15

minimally invasive method to tx caries

ART = atraumatic restorative treatment

Question 16

when should you refer a child to PDS (Public dental service)?

Answer 16

• anxiety/phobia
• GA XLA
• Special needs
• sedation
• vulnerable group

Question 17

when should you refer a child to orthodontic services?

Answer 17

• developing malocclusion
• dental anomalies

Question 18

when should you refer a child to HDS? (hospital dental service)?

Answer 18

• management of severe caries
• medical conditions
• trauma
• dental defects
• multidisciplinary care

Question 19

indications for conscious sedation in children?

Answer 19

• child is anxious but co-operative
• tx is simple
• tx not likely to damage childs attitude towards future dental tx

Example: ortho XLA in anxious but willing child

Question 20

contra-indications for conscious sedation in children?

Answer 20

• severe dental anxiety where child unwilling to cooperate
• tx too complex/extensive for child
• child too young
• unable to breath through their nose

Question 21

Indications & considerations for GA?

Answer 21

• fully anaesthetised before tx can occur
• cooperation
• level of anxiety
• degree of surgical tx needed
• complexity of operation
• medical status