Treating Children In Primary Care

Question 1

Role of GDP for children

Answer 1

Management of dental caries
Emergency dental care
Monitoring dental developments
MIH
Ortho care
Child protection

Question 2

What’s included in a caries risk assessment as part of prevention?

Answer 2

Clinical evidence of previous disease
Dietary habits
OH habits
Fluoride exposure
SH- ses
Saliva
MH

Question 3

3 keys of prevention for children

Answer 3

Caries risk assessment
Behaviour modification
Tooth protection

Question 4

Ways to protect teeth

Answer 4

Application of 5% 22600ppm sodium fluoride varnish
FS
Prescription of 2800ppm sf paste
SDF 44800ppm silver diamine fluoride

Question 5

SDF mode of action

Answer 5

Occludes dentinal tubules
Antibacterial
Encourages remineralisation

Question 6

SDF advantages vs disadvantages

Answer 6

Safe
Simple/quick/non-invasive
Evidence based

Black- aesthetics
Metallic taste/temporary tattoo
Relatively expensive

Question 7

Dental features of autism

Answer 7

Caries
NCTSL
Trauma/self injury
Xerostomia

Question 8

How to make patient with autism more comfortable in dental environment

Answer 8

Acclimatisation- 3 monthly visits, tell,show,do
Turn off radio
Keep surfaces clutter free
Use toothbrush and plastic mirror- take both home

Question 9

Techniques used for teaching brushing to autistic patients

Answer 9

Tell show do, involve parents
Hand them toothbrush
Story board/visuals
Dr Barmans toothbrush
Non flavoured/non foaming toothpaste