Flashcards
Pediatrics X (100 Flascards)

Cards in this deck (100)
- 1what is the only way for the operator to know whether a lesion is actively progressing, arresting or regressing?serial bitewing radiographs

- 2if a patient has a high caries risk, what is the radiographic recall schedule?every 6 months

- 3if a patient has a moderate caries risk, what is the radiographic recall schedule?once a year

- 4if a patient has a low caries risk, what is the radiographic recall schedule?once every 2 years

- 5when should caries risk be assessed?every recall exam

- 6smooth surface caries are found on which surfaces?interproximal, buccal, lingual

- 7true/ false: use an explorer to detect smooth surface caries.false; use of an explorer is contraindicated in diagnosis of smooth surface caries

- 8why has the use of an explorer been criticized as an aid for caries diagnosis (2 reasons)?1. it may transmit cariogenic bacteria from an infected tooth site to a non-infected site
2. it may damage fragile demineralized areas and impede remineralization or cause surface cavitation of a previously intact carious surface
- 9how can you diagnose pit and fissures?-air dry the tooth
-use good illumination
-remove debris from pits and fissures
-carefully probe the occlusal surface with a sharp explorer to see if it catches or resists removal after insertion into pit/ fissure with moderate-firm pressure
- 10*what is the definition of early childhood caries*?presence of 1 or more decayed lesions (cavitated or non-cavitated), missing (due to caries) or filled tooth surface in any primary tooth in a *child 71 months of age or younger*

- 11*what is severe early childhood caries*?any sign of smooth surface caries in a child younger than 3 years;
from age 3-5, 1 or more cavitated, missing or filled smooth surface in primary maxillary anterior teeth
a decayed, missing or filled score of > or = 4 (age 3), > or = 5 (age 4), > or = 6 (age 5)
- 12which teeth are most affected by early childhood caries? why?maxillary incisors
liquid pools around the maxillary incisors which causes rapidly progressive, severe destruction of tooth surface
- 13the severity of early childhood caries is associated with what?poor feeding habits

- 14caries in infants and toddlers have greater possibility of what?subsequent caries in primary and permanent dentition

- 15infants with early childhood caries grow at a _________ pace than caries free infants.slower

- 16why might infants/ toddlers with ECC be severely underweight or suffer from malnutrition?because of associated pain and disinclination to eat

- 17ECC is associated with what in permanent teeth?hypoplasia (malformation)

- 18CDC says that dental caries is what?most prevalent infectious disease in US children

- 19is dental caries preventable?100%

- 20dental caries is ___x more common than asthma, ___x more common than hay fever and _____x times more common than chronic bronchitis.5
7
14
- 21what % of children have tooth decay by kindergarten?>40%

- 22what is the chronological order of eruption of primary mandibular/ maxillary teeth?central incisors > lateral incisors > canines > first molars > second molars

- 23primary mandibular centrals erupt when? maxillary?mandibular: 5-8 months
maxillary: 6-10 months
- 24primary mandibular lateral incisors erupt when? maxillary?mandibular: 7-10 months
maxillary: 8-12 months
- 25primary mandibular canines erupt when? maxillary?mandibular: 11-18 months
maxillary: 11-18 months
- 26primary mandibular first molars erupt when? maxillary?mandibular: 16-20 months
maxillary: 16-20 months
- 27primary mandibular second molars erupt when? maxillary?mandibular: 20-30 months
maxillary: 20-30 months
- 28children without nursing caries are weaned by what age?12 months

- 29children with nursing caries do what?continue nursing from 18-54 months

- 30children without nursing caries were found to nurse for how long per day? those with nursing caries?without: 2.2 hours per day
with: 8.3 hours per day
- 31is human breast milk alone cariogenic?no

- 32what protective features does breast milk contain?calcium and phosphate

- 33the milk protein casein does what for enamel?decreases enamel solubility in acid

- 34is infant formula cariogenic?yes

- 35true/ false: you should avoid unrestricted nocturnal breast feeding.true

- 36children should be encouraged to drink from a cup by what age?first birthday

- 37what is anticipatory guidance?a proactive, developmentally based counseling that focuses on the needs of the patient at a particular stage in life to provide a foundation for preventative oral health education and dental care

- 38prevention of ECC Is part of __________ oral health care and ________ oral health care.perinatal
infant
- 39what is the aim of perinatal oral health care?to suppress maternal reservoirs of strep mutans to prevent or delay strep mutans colonization of infant

- 40perinatal is defined as the period whenaround the time of birth; beginning with the completion of the 20-28th week of gestation and ending 1-4 weeks after birth

- 41-establishing a dental home -dietary counseling -reducing the frequency of simple carbohydrate intake -oral hygiene (brushing and flossing) -applying topical chlorhexidine and/ or fluoride -removing active caries -chewing xylitol-containing chewing gum -avoid indirectly passing saliva to child these are all parts of ________ oral health.perinatal

- 42brushing and flossing daily helps to reduce what?bacterial plaque (strep mutans) levels

- 43pregnant women who experience frequent vomiting should wait how long before brushing to minimize dental erosion?an hour

- 44to help with fluoride, an alcohol-free, OTC mouth rinse containing ____% sodium fluoride should be used to reduce plaque levels/ help with enamel remineralization.0.05%

- 45what is the best time to treat pregnant patients to remove active caries?second trimester

- 46educating mothers on what can help prevent early colonization of strep mutans in their infants?educate them on avoiding saliva-sharing behaviors (sharing utensils, cups, etc.)

- 47mothers use of xylitol gum can do what?prevent dental caries in their children by prohibiting transmission of strep mutans

- 48benefits of xylitol gum (3)?-reduces plaque formation and bacteria adherence (i.e. is antimicrobial)
-inhibits enamel demineralization (reduces acid production)
-has direct inhibitory effects on strep mutans
- 49for xylitol gum to be useful, you need how much?4-10 grams per day divided into 3-7 consumption periods

- 50use of xylitol gum by mothers 2-3 x per day starting 3 months after delivery and until child was 2 years old did what?reduced the strep mutans levels in children up to 6 years of age

- 511. oral health risk assessment 2. establishment of a dental home 3. teething 4. oral hygiene instruction 5. diet counseling 6. fluoride status 7. dental and oral development 8. non-nutritive sucking habits 9. injury prevention these are all parts of anticipatory guidance for _________ oral health care.infant

- 52every infant should receive an oral health risk assessment from his/ her primary health care provider or qualified health care professional by what age?6 months

- 53children should establish a dental home by what age?no later than 12 months

- 54primary care physician or health care providers should refer an infant for their first dental check up, based on caries risk assessment as early as _________ of age and no later than ________.6 months
12 months
- 55-cold-like symptoms, drooling, diarrhea, low-grade fever -increased chewing, sucking behavior -disrupting of eating/ sleeping patterns -painful gingiva -irritability -loose stools these are all symptoms of what in an infant?teething

- 56how can you give an infant symptomatic relief when they are teething?sucking on cold-teething rings or wash-cloths

- 57should topical anesthetics, including OTC teething gels, be used to relieve discomfort in teething infants?no; due to potential toxicity of these products in infants

- 58when should parents start cleansing the infant's teeth? why?as soon as they erupt (using soft toothbrush)
to reduce strep mutans level
- 59infants should have their teeth cleaned when?after feeding

- 60how often should infants have their teeth brushed?2x a day with fluoridated toothpaste

- 61how much toothpaste is recommended for children less than 3 years of age?a 'smear'

- 62how much toothpaste is recommended for children aged 3-6?'pea size'

- 63why should a 'smear' of toothpaste be used for children <3 years old and a 'pea size' used for children aged 3-6?to decrease risk of fluorosis

- 64when should flossing be initiated in infants?when there is contact between adjacent teeth

- 65after brushing their teeth, encourage infants to do what?spit out toothpaste

- 66best way to brush young children's teeth?lay child on the floor or bed with their head on a pillow placed between your legs

- 67high risk dietary modification should be established by what age?12 months

- 68american academy of pediatrics recommends that infants exclusively consume breast milk or infant formula until what age?4-6 months

- 69when are complimentary foods introduced to an infant?when they are developmentally ready, which is usually between 4-6 months

- 70when are table foods generally introduced into an infant's diet?9-12 months

- 71baby's should not get juice until what age?6 months

- 72drinks between meals for children should be limited to what?water and plain milk

- 73children should be limited to how much juice? consumed when?no more than 4-6 oz per day
only in cups during a meal
- 74if the infant falls asleep while feeding, the teeth should be what?cleaned before placing the child in bed

- 75begin teaching your baby to drink from a cup at what age?6 months (trade bottle for cup by 1 year of age)

- 76what are ways to get systemic fluoride?water fluoridation, fluoride supplement, dietary source

- 77how can a child get topical fluoride?brushing 2x a day with fluoridated toothpaste and professionally-applied fluoride

- 78infant formula has _____ ppm of fluoride.0.3

- 79fluoride supplements should be considered for which children?for children who are drinking fluoride-deficient (<0.6 ppm) water

- 80how can we prevent fluorosis?determine all the systemic fluoride intake before prescribing supplements

- 81what are sources of dietary fluoride?drinking water from home/ day care/ school;
beverages such as soda, juice, infant formula (0.1-0.3 ppm);
prepared foods
- 82how much fluoride should a child get between birth-6 months?none

- 83children aged 6 months-3 years should have how much fluoride supplementation if what?0.25 mg supplementation if their fluoride intake is <0.3 ppm

- 84children aged 3-6 years should have how much fluoride supplementation if what?0.5 mg if intake is <0.3 ppm
0.25 mg if intake is 0.3-0.6 ppm
- 85children aged 6-16 years should have how much fluoride supplementation if what?1.00 mg if intake is <0.3 ppm
0.5 mg if intake is 0.3-0.6 ppm
- 86should anyone, aged birth-16 years old, have fluoride supplementation if their intake is >0.6 ppm?no; no supplementation

- 87what is the best topical fluoride for compliance?toothpaste

- 88what should be done to maximize the beneficial effect of fluoride in the toothpaste?rinsing after brushing should be kept to a minimum

- 89thumb sucking is normal for infants and many stop by what age?2

- 90should action against thumb-sucking be initiated during the first 2 years?no

- 91prolonged thumb sucking can create what?crooked teeth or bite problems

- 92early caries risk assessment in infants allows for what?identification of parent-infant groups who are at risk for ECC and would benefit from early preventative intervention
i.e. with the ability to detect caries in its earliest stages (white spot lesions)
- 93what are things that put a child in the high risk category for caries?-mother/ primary caregiver has active caries
-child has >3 between meal sugar-containing snacks or drinks per day
-child is put to bed with a bottle containing natural or added sugar
-child has >1 decayed/ missing/ filled surfaces
-child has active white spot lesion or enamel defects
-child has elevated strep mutans levels
- 94what are things that put a child in the moderate risk category for caries?-child has special health care needs
-child is a recent immigrant
-child has plaque on teeth
- 95what are things that put a child in the low risk category for caries (protective)?-child receives optimally-fluoridated water or fluoride supplement
-child has teeth brushed daily with fluoridated toothpaste
-child receives topical fluoride from health professional
-child has dental home/ regular dental care
- 96what are things that put a child in the low risk category for caries (protective)?-child receives optimally-fluoridated water or fluoride supplement
-child has teeth brushed daily with fluoridated toothpaste
-child receives topical fluoride from health professional
-child has dental home/ regular dental care
- 97how many high/ moderate risk factors do you need to be in that particular category?1 in each category to fall under that category

- 98what is the recall schedule for low, moderate and high risk patients?low: every 6-12 months
moderate: every 6 months
high: every 3 months
- 99who needs professional fluoride topical treatment? how often?those at moderate + high risk;
moderate risk: every 6 months
high risk: every 3 months
- 100for kids who are at moderate or high risk with a parent engaged, what should they consume?fluoride supplements

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- Praxis Flashcards: Pediatrics Flashcards on Pediatrics X (100 Flascards), created by ACAPUN INSTITUTE on 24/08/2021.
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