Week 2: Anticipatory Guidance

Question 1

the ongoing relationship between dentist and patient, inclusive of all aspects of oral healthcare delivered in a comprehensive, continuously accessible, coordinated, and family-centered way

Answer 1

dental home

Question 2

goal of age 1 dental visit

Answer 2

• establish relationship/trust
• interview caregivers to better understand family
• conduct risk assessment
• close loop communication w/ referring doctor

Question 3

type of positioning for age 1 dental visit

Answer 3

knee-to-knee exam

Question 4

process of providing practical and developmentally appropriate information about children’s health to prepare parents for significant physical/emotional/psychological milestones

Answer 4

anticipatory guidance

Question 5

severe early childhood caries: under 3 y.o.

Answer 5

any sign of smooth-surface caries

Question 6

severe early childhood caries: 3-5 y.o.

Answer 6

one or more cavitated, missing (d/t caries), or filled smooth surfaces in primary Mx anteriors or decayed/missing/filled score of greater than or equal to 4 (age 3), 5 (age 4), or 6 (age 5)

Question 7

“how to make a cavity” as described in this powerpoint

Answer 7

susceptible tooth + cavity causing bacteria + fermentable carbs

Question 8

snacks that won’t cause cavities (chart)

Answer 8

crunchy veggies, cheese, nuts, nut butters, all meats, all fats, water, eggs

Question 9

snacks that usually won’t cause cavities

Answer 9

fresh fruit, whole milk, whole grain bread, popcorn, dark chocolate, yogurt, ice cream, oatmeal

Question 10

snacks that cause cavities easily

Answer 10

candies, soda, juice, chocolate milk, cookies, dried fruit, crackers/pretzels, oranges/bananas

Question 11

size of toothpaste in child less than 3 years

Answer 11

rice-sized

Question 12

size of toothpaste in child 3 years or older

Answer 12

pea-sized

Question 13

until when should parents help with teeth-brushing?

Answer 13

until children can tie their own shoes (around 7-8)

Question 14

true/false, orajel is safe to use on teething children

Answer 14

false, it is not

Question 15

why is orajel not safe to use on children?

Answer 15

benzocaine products in orajel can be harmful in large amounts

Question 16

goal for non-nutritive sucking (pacifier, thumb, etc.)

Answer 16

cessation by age 3

Question 17

factors that increase risk of caries

Answer 17

• preterm birth
• cyanotic heart disease
• asthma
• autism
• childhood cancer survivor

Question 18

factors that decrease risk of caries

Answer 18

• cystic fibrosis

- end stage renal disease