Flashcards
Assessing the child pt
Cards in this deck (14)
- 1what are the 4 Elements of the assessment of dental caries in childrenParent/Carer Motivation and Responsibility
Patient History
Clinical Examination
Caries Risk Assessment - 2how can we gain rapport with the patient?- Ask patient about interests.their day when picking them up from waiting room
- make sure the parent knows that dental care is an ongoing responsibility
- parents should take children to dentist by 1
- involve the child - 3what are Factors that can contribute to difficulty in establishing healthy behaviours- education/family/social issues
- complex child care arrangements
- lack of knowledge in the prevention of dental disease
- families with health problems/disabilities - 4what do we need to ask the patient about when they come in for an appointment?- Reason for attendance
- Medical history
- social history
- dental history - 5what clinical examinations will you need to do?Extra oral e.g speech, weight
Intra oral
occlusion
plaque and bleeding score - 6T/F: Probing is an acceptable method of assessing caries activity in exposed dentineTrue
- 7what age can we start taking radiographs for caries diagnosis?4yrs - if previous BW are not available
- 8what is the time length of taking radiographs for children who are high caries risk?every 6-12mths
- 9what is the time length of taking radiographs for other children with primary / permanent dentition?primary: 12-18mths
permanent: 2 years - 10What do we ask when taking a pain history from a child? (7)- where is the pain?
what does the tooth feel like?
how long has the tooth been painful?
does anything make it better or worse?
kept awake?
spontaneous or precipitated?
relieved with analgesics or antibiotics? - 11what are the Indicators of established dental sepsis? (4)- inter-radicular radiolucency = perm dentition presents with sepsis at apex while in primary it is the furcation
• tenderness to percussion in a non-exfoliating tooth
• alveolar tenderness, sinus, pus or swelling
• non-physiological mobility - 12How do we Assess the Risk of Pain or Sepsis Developing Before Exfoliation? (9)extent of the lesion
• site of the lesion
• activity of the lesion
• time to exfoliation
• number of other lesions present in the dentition
• anticipated cooperation of the child now and in the future
• anticipated cooperation of the parent/carer
• the range of clinical procedures the clinician is able or willing
to provide
• medical status of child - 13what are the three main evidence-based indicators of a child being at increased risk of developing caries within the next three years?- Previous caries experience
• Resident in an area of deprivation
- Healthcare worker's opinion - from referral - 14—
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- undergrad Paediatric dentistry Flashcards on Assessing the child pt, created by a d on 16/04/2021.
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