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Duke PA Pediatric Oral Health

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
How many primary (deciduous) teeth   20  
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How many permanent teeth   32  
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Process by which teeth emerge into oral cavity   Eruption  
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First teeth to erupt   Mandibular central incisors  
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Teeth that are next to erupt after mandibular central incisors   Maxillary central incisors  
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First degree dentition are fully erupted by age __   30 months  
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__ is not associated with teething   Fever  
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Signs of teething   Crying and drooling  
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Process of loss of primary teeth with eruption of permanent teeth   Exfoliation  
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When does exfoliation usually begin   Age 6  
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What are some possible causes of delayed eruption/exfoliation (>6 months)   Genetics, hypothyroidism, hypopituitarism, rickets  
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What is the most common chronic disease of childhood   Dental caries  
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__% of US children 2-11 years have caries in primary teeth   50  
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Microbe most commonly associated with dental caries   S. mutans  
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White spot lesion of tooth   Initial carious lesion  
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What factors are protective against early childhood caries   Good salivary flow, good oral hygiene, balanced diet, adequate fluoride  
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Children with caries in primary teeth are __ times more likely to develop caries in their permanent teeth   3  
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What is the primary strategy for prevention of caries   Improving maternal dental health  
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Parents should supervise teeth cleaning up to age __   6  
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To avoid dental caries limit fruit juices to __oz/day   4  
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Fluoride supplements should not be used in children <__ of age   6 months  
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Parents should supervise use of fluoridated toothpaste in children <__ of age   6 years  
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No fluoride rinses in children <__ of age   6 years  
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ADA advises mixing infant formula with __ water   Non-fluoridated  
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What is recommended if your child’s fluoride exposure is unknown   Buy fluoridated water and omit supplements  
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When should the initial visit to the dentist take place to establish the dental home   12-18 months  
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When should children stop sucking their thumbs   Age 6  
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According to the AAP children should stop using pacifiers at age __, and according to the AAPD by age __   1, 3  
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Gingivitis usually occurs secondary to __   Plaque formation  
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Loss of dental attachment/destruction of bone   Periodontitis  
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What is the treatment for periodontitis   Surgical and non-surgical debridement, antibiotic therapy  
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Antibiotics used for odontogenic infections   Pen VK 25-50mg/kg/d (erythromycin for pen allergy), clindamycin  
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Classic signs of infection/inflammation once infection has spread to pulp of tooth   Pain, facial swelling, parulis (gumboil)  
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What do you give for pediatric dental infection SBE prophylaxis   Amoxicillin 50mg/kg  
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Intrusion injuries of __ teeth is most severe   Primary maxillary front teeth  
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Intrusions < __ have good prognosis   3mm  
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Severe luxations usually require __   Extraction  
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Mild dental injuries usually result in color change, monitor for __   6 weeks  
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A primary tooth that has been avulsed is usually   Not re-implanted  
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Immediate treatment for avulsed permanent teeth   Handle tooth by crown only, attempt to re-implant and hold with gentle pressure.  
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What do you do if unable to reimplant an avulsed permanent tooth   Do not allow to dry, place in protective solution (Hank’s salt solution, milk, saline), take child to dentist or ED  
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Luxations are intrusive and require __   Surgical or orthodontic repositioning  
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For dental traumas update __, and give antibiotic prophylaxis   Tetanus  
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Children with moderate to severe bleeding disorders may need __ for oral surgeries   Hospitalization  
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What may you need to give children with bleeding disorders needing dental surgery   Antifibrinolytics  
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