Treating Children in Primary Care Flashcards
roles of GDP for children?
- management of dental caries
- emergency dental care
- monitoring developing dentition
- molar incisor hypomineralisation
- orthodontic care
- child protection
how does a gdp manage caries in a child?
- prevention
- plaque management
- minimally invasive
- conventional restorative options
- extraction
how can a gdp provide emergency dental care for children?
- management of dental trauma
- acute dental problems
- emergency dental care
how can gdp monitor developing dentition?
- important age milestones
- sequence of eruption
- developing malocclusion (IOTN)
how can gdp monitor molar incisor hypomineralisation?
- symptoms needing management (sensitivity, crumbing back teeth, aesthetic concerns)
Management:
- seal
- restore
- PMC
- XLA and timing of XLA
role of gdp in kids for orthodontic care?
simple ortho tx
- removable appliances
- fixed appliances
child protection role of GDP?
follow local child protection procedures
factors involved in caries development?
- personal factors (poverty, brushing habits)
- oral environmental factors (saliva flow)
- other (time, tooth, bacteria, diet)
what are the 3 pillars for prevention?
what factors to consider for caries risk assessment?
- clinical evidence of previous disease
- dietary habits
- oral hygiene habits
- exposure to fluoride
- social history/socioeconomic status
- Salivary flow
- medical history
what needs to be taken into account for behaviour modification?
- attendance patterns
- tooth brushing habits
- home fluoride
- drinking/dietary habits
- acclimatisation
whats involved in tooth protection piller for prevention?
- Fluoride varnish application 22600ppmF
- fissure sealants
- 2800ppmF toothpaste
Advantages & disadvantages of SDF?
what age should you start taking BWs for monitoring primary molars if possible?
~4 years old, use paeds size films/sensors
what is ART in caries management?
minimally invasive method to tx caries
ART = atraumatic restorative treatment
when should you refer a child to PDS (Public dental service)?
- anxiety/phobia
- GA XLA
- Special needs
- sedation
- vulnerable group
when should you refer a child to orthodontic services?
- developing malocclusion
- dental anomalies
when should you refer a child to HDS? (hospital dental service)?
- management of severe caries
- medical conditions
- trauma
- dental defects
- multidisciplinary care
indications for conscious sedation in children?
- 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
contra-indications for conscious sedation in children?
- severe dental anxiety where child unwilling to cooperate
- tx too complex/extensive for child
- child too young
- unable to breath through their nose
Indications & considerations for GA?
- fully anaesthetised before tx can occur
- cooperation
- level of anxiety
- degree of surgical tx needed
- complexity of operation
- medical status
