Week 4 Flashcards
What are three key clinical signs to look for when trying to detect hypomineralization during a dental exam?
Color: Look for white, cream, yellow, or brown spots on the teeth.
Demarcation: Check for spots with sharp borders.
Porosity: Use a tactile exam with an explorer to feel for rough, pitted surfaces.
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RC 1
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What should be used to seal pits and fissures in the future?
Clinpro
What are the typical locations for hypomineralization?
Molars/Incisors (MIH), or any tooth.
Describe the color of hypomineralization spots.
White, cream, yellow, brown spots.
How would you describe the borders of hypomineralization spots?
Sharp borders of spots.
What is the texture of a hypomineralized surface?
Rough, pitted surface.
What does PEB stand for in the context of hypomineralization?
PEB: Post-eruptive breakdown. Enamel loss after eruption.
What symptoms might a patient with hypomineralization experience?
Pain to hot, cold, sweet.
What does hypomineralization look like on an X-ray?
Darker areas on X-ray.
What is the decay risk for patients with hypomineralization?
Increased decay risk.
Which cement is better for cementing stainless steel crowns (SSCs) on primary teeth, GCem or FUJI PLUS?
FUJI PLUS.
Rationale for FUJI PLUS being better for cementing stainless steel crowns on primary teeth:
Moisture tolerance: FUJI PLUS is more moisture tolerant than G-CEM, making it better suited for the challenging environment of a child’s mouth.
Fluoride release: The sustained fluoride release from FUJI PLUS helps to prevent secondary caries, which is a significant concern in primary teeth.
While G-CEM has high bond strength and excellent esthetics, its lower moisture sensitivity compared to FUJI PLUS make it less suitable for cementing stainless steel crowns on primary teeth compared to FUJI PLUS.
Why is FUJI PLUS better for cementing SSCs on primary teeth?
Moisture tolerant, sustained fluoride release to prevent secondary caries, ease of use with hand-mix version, and cost-effective.
How long should a child stick to a liquid diet after SSC placement?
First 3 hours
For the first 24 hours after SSC placement, should the child chew on the same side or the opposite side of their mouth from the new crown?
Opposite side
How long might gums be red, swollen, or bleed after SSC placement?
Up to 7-10 days
For the first 3 days after SSC placement, how should the crown be cleaned?
Gently clean the crown’s surface twice daily with a moistened washcloth or gauze pad with a small amount of toothpaste.
When can normal brushing resume after SSC placement?
After 72 hours
What types of food should be strictly avoided after SSC placement?
Sticky foods and candies
What should you do if a crown comes off?
Save it and contact the dental office as soon as possible to schedule an appointment for re-cementation.
What are the three types of dental anesthesia?
Local Anesthesia (LA), General Anesthesia (GA), and Regional Anesthesia (RA)
Describe what Local Anesthesia (LA) does.
Numbs one spot.
Describe what General Anesthesia (GA) does.
Puts child to sleep.
Describe what Regional Anesthesia (RA) does.
Numbs a whole side.
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Give examples of when General Anesthesia (GA) is used.
Extensive dental work in one visit, severe dental anxiety/phobia, children with special needs who cannot cooperate.
Give examples of when Regional Anesthesia (RA) is used.
Multiple extractions in one area, procedures requiring extensive regional anesthesia.
What are the key points of Local Anesthesia (LA)?
Child awake, rapid onset, minimal systemic effects, most common for routine procedures.
What are the key points of General Anesthesia (GA)?
Requires pre-op evaluation, longer recovery, potential systemic risks, reserved for complex cases.
What are the key points of Regional Anesthesia (RA)?
Prolonged anesthesia, requires anatomical knowledge, less common in routine pediatric dentistry compared to LA and GA, useful in specific clinical scenarios.
What are the arguments for waiting to place a contralateral primary molar SSC?
Assessing Occlusal Stability & Minimizing Cumulative Occlusal Disruptions
What are the arguments against waiting to place a contralateral primary molar SSC?
High Caries Risk, Child’s Behavior and Cooperation, Clinical Assessment, Space Maintenance
What should be considered when deciding whether to wait to place a contralateral primary molar SSC?
Thoroughly evaluate the occlusion and the condition of the contralateral tooth. Consider the child’s caries risk, behavior, and overall oral health.
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Revise all anatomy
Where should you position the bite tab on the film for a PA?
Higher on the film so that when pt bites down the tab will cover roots. Use spongey tab.
What should you recommend to a patient with high caries risk and incipient lesions?
Neutrafluor
What should you remember to indicate even if the patient has just 4 teeth and 2x PSR codes of 3?
PERIOCHART
How should you slice out an old loose composite resin (CR) filling?
Slice out old loose CR in middle and pop it out.
What should you be careful about when etching?
REMEMBER to selective etch and Careful with etching next time and not drying out like crazy. Dentine tubules need moisture still.
How should you dry after applying bond?
Use light airing technique for a while, don’t blow air like crazy. Dentinal tubules will collapse.
How should you place composite?
Roll it into giant sausage next time and pop it in
How do you fix a square contour after polishing?
Mandrill it
How do you remove excess bond in contact?
Floss and use a scaler to get it off.
What should you review photos of to improve Mach or Caries identification?
Review photos and also check clinically.
What ICDAS code is a fracture?
Nothing. Fractures are not caries and so does not have an iCDAS code. It is either categorised as simple or complex. Remember to check possible causes for fracture. Like does that tooth have a denture clasp on it?
What can a denture clasp cause?
Fracture
How can you reduce the false shadow that appears on radiographs?
By covering up the restoration or enamel with a dark object or even something as simple as your hand
Is it safe for a patient to have amalgam fillings in their mouth?
Yes, for the vast majority of patients, amalgam fillings are safe.
What is a potential consequence of having amalgam fillings over time?
While some studies suggest potential links to chronic health conditions, there is no conclusive evidence that amalgam fillings cause systemic diseases or adverse health effects.
Does mercury from amalgam fillings get to the brain?
Amalgam fillings do release low levels of mercury vapor, which can be inhaled and absorbed by the body. However, the amount that reaches the brain is minimal and not considered harmful for most individuals.
What happens to mercury levels if you leave amalgam fillings vs. remove them?
Individuals with amalgam fillings generally have slightly higher mercury levels in their urine and hair compared to those without fillings. Removing amalgam fillings can result in a temporary increase in mercury exposure during the removal process.
Should you leave amalgam fillings as is or replace them?
If your amalgam fillings are in good condition and you do not have any allergies or sensitivities to mercury, it is generally recommended to leave them in place. Removing intact fillings can lead to unnecessary loss of healthy tooth structure and a temporary increase in mercury exposure. However, if you have concerns or specific health conditions, consult with your dentist to determine the best course of action.
