W2 Management of adolescence + children

Question 1

What is the overall importance of deciduous teeth?

Answer 1

OH attitude, overall health, bacteria load, permanent teeth, spacing.

Question 2

What is the extremely important for deciduous teeth?

Answer 2

Mastication, development of muscles of mastication. Formation of bones/jaws (primate/ leeway spaces) - between 1st and 2nd molar Speech development, self esteem.

Question 3

What is this condition?

Answer 3

Early childhood caries (ECC). Rampant caries.

Question 4

What is ECC?

Answer 4

Early childhood caries. It is a transmissible and infectious disease with long-term growth and development implication. Colonisation of SM = caries.

Question 5

Why does ECC affect maxillary teeth first?

Answer 5

Less salivia during sleep and point of contact on the maxillary palate. Mandibular jaw saliva ducts and tongue helps cleaning capacity. The molars are less affected due to later eruption into oral cavity.

Question 6

What are the consequences of ECC over a lifetime?

Answer 6

Higher risk of permanent dentition caries. Pain and discomfort, poorer nutrition. Low body weight, and treatments under GA is risky + waiting time

Question 7

When should your child have their first visit?

Answer 7

within 6 months of eruption of the first tooth, no later than 12 months.

Question 8

How should you remove plaque from a child’s teeth?

Answer 8

Wipe the childs gums with a gauze pad, or damp washcloth to remove plaque,

Question 9

When should you wean your childs off their booth?

Answer 9

Around their first birthday. Offer liquids from a cup.

Question 10

When should you brush your childs teeth?

Answer 10

As soon as the first tooth appears (6-9months)

Question 11

Which children are most at risk?

Answer 11

Special HC needs. Mothers with high caries rate, low SES.

Question 12

In this case study what is the proposed tx?

Answer 12

Obtain dental history.

Are their any habits?

Is there anything in their mouth for a prolonged period of time?

Diet, habits. Bws, abcesses? Mobility? OHI instructions

Question 15

What are (4) risks associated with adolesents?

Answer 15

• Higher caries rate.
• Increased risk of traumatic injury
• Poorer diet
• Increasd aesthetic desire/awareness

Question 16

What may cause ginigval diseases in adolesent patients?

Answer 16

Pre-pubertal increased sex horomes are a suspected factor. It is transient.

• Puberty associated gingivitis

Question 17

What may cause exacerbation of gingival hyperplasia/diseases?

Answer 17

Hyperplastic gingivae.

Is associated with

• Orthodontics
• Anti-acne meds
• Anti-convulsant meds

Question 18

What is another consideration for an adolecent ?

Answer 18

Third molars can present acute and chronic problems for the adolescent.

Periocoronitis.

The OHTs role is the refer to a dentist or oral surgen for removal

Question 19

What is an ectopic eruption?

Answer 19

Abnormal eruption pattern of the adolescents teeth can contribute to root resorption, gingival defects, space loss and aesthetic concerns.

OHT must obtain good radiogrpahs and often will need to refer to orthodontist to manage

Question 20

What are some behavoural concerns of adolescents?

Answer 20

Oral manifestations of venereal diseases, the effects of oral contraceptives, antibiotics, perimyolysis (enamel erosion), intra oral piercings.

Question 21

What a physiological factors reagarding adolesents?

Answer 21

1. Change in dietry habits
2. Use of tobacco, alcohol and drugs
3. Motivation for good hygiene
4. Traumtic injury
5. Adolescent responsible for ones self
6. Lack of knowledge