Week 9 Mani- Revision Flashcards
What are topics of paediatrics?
Trauma
Pulp therapy
Eruption sequence/pattern/disturbances in eruption
Self correcting anomalies
How to manage fracture of tooth close to pulp?
Indirect pulp capping and restore with CR.
When is full coverage crown not advised until?
Pt needs to be at least 18 years of age
When is pulpotomy vs direct pulp cap advised with trauma?
Direct pulp cap: exposure <2mm
Pulpotomy: exposure 2-5mm
Why shouldn’t you jump straight into RCT in immature tooth?
Open apex- may need to do apexification
What is common flexible splint?
Wire and composite
When is prognosis questionable for avulsion in permanent tooth?
Beyond 60 minutes- would still reimplant
Best sleuth for tooth?
Milk
When can you do pulp cap vs not pulp cap in primary tooth?
- Direct pulp capping not indicated for carious exposure in primary tooth (would instead do pulpotomy if reversible pulpitis. Would do pulpectomy for irreversible pulpitis)
- Can do direct pulp cap for pin point exposure in primary teeth due to trauma
Difference in aim of pulpotomy vs pulpectomy?
- Pulpotomy: maintain vitality of tooth
- Pulpectomy: maintain tooth (not vitality)
Conditions associated with delayed and accelerated eruption?
- Delayed: hypothyroidism, hypopituitarism, cyst, thick mucosa, developmental disturbance (e.g. dilaceration), ankylosis of primary tooth
- Accelerated: hyperpituitarism, hyperthyroidism
Down’s syndrome general and oral features
- Oral: macroglossia, micrognathia, microdontia, hypodontia, delayed tooth eruption, supernumeraries, mx hypoplasia
- General: Frontal bossing, low set ears, palpebral fissures, underdevelopment of mid ⅓ of face, class III (underdeveloped mx), short neck
- Cardiac conditions
What to say if unsure about AB prophylaxis?
AB prophylaxis may be considered with physician’s consultation
What to know about diseases/syndromes (what to discuss in exam)?
Direct consequences of diseases
Consequences of medications
Should you reimplant avulsed permanent tooth in immunocompromised pt?
No
What do instead of tell-show-do for blind pt?
Tell-feel
Prevention of caries?
- MI dentistry (preservation of tooth, selective caries removal, repair vs replacement)
- Remineralisation- F varnish, high F toothpaste, CPP ACP tooth mousse, sugar free chewing gum to stimulate saliva flow
Dental complications in pregnant women?
- Dental tx in 2nd trimester
- Bleeding gums
- Pregnancy granuloma
- Periodontal disease → low birth weight, pre term (endotoxins cross placenta)
- Erosion form morning sickness
Ortho prevention
- Space maintainers
- Know ages of eruption
- Be aware of habits- thumb sucking
Oral cancer prevention?
- Early identification (red flags: non healing ulcer (>2 weeks), trismus, tooth mobility without obvious reason, palpable/enlarged lymph nodes with no obvious source, numbness, unexplained pain in mouth, change of voice)
- History- smoking, alcohol
- Screening
- Refer
Why repair rather than replace resto?
- Preserve tooth structure
- Less time
- Less expensive
Most common self correcting anomaly pts will see you for?
Ugly duckling