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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.

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  


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Created by: bwyche