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