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.
code this RC
RC 1
code this RC
RC2
RC this
3
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.