Duke PA Pediatric Oral Health
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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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