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DU PA Peds Oral Hlth

Duke PA Pediatric Oral Health

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