08 Infant Oral Health Flashcards Preview

D2: 622 Pediatric Dentistry > 08 Infant Oral Health > Flashcards

Flashcards in 08 Infant Oral Health Deck (32):
1

What are early childhood caries

Caries in any primary tooth under age of 6

2

What is true about early childhood caries

Distinctive pattern
Many teeth affected
Caries progresses rapidly

3

What is severe early childhood caries

3-5 years old
1 or more cavitated , missing, or filled smooth surfaces in primary maxillary teeth

Or

Decayed, missing, filled score of >=4 (3), >=5 (4 yrs), >=6 (5 yrs)

4

4 Component of Dental Caries:

1. ______
2. Cariogenic ______
3. _______ source
4. Exposure ______

1. Host
2. microflora
3. Carbohydrate
4. time

5

Prevention of Early Childhood Caries

1. Oral Health _____
2. ______ guidance
3. Oral Health _____
4. Risk _______
5. Dental ______

1. Education
2. Anticipatory
3. Literacy
4. Assessment
5. Home

6

Why is oral health education important

Oral diseases are preventable

Dental caries is most common chronic childhood disease

7

Motivational Interviewing

1. Patient centered _______
2. ______ parents to practice prevention
3. Ask questions encouraging individuals to talk about their ______ prior to offering advice
4. Has shown promise in prevention ________ with parents of kids at ____ ____ for caries

1. Interaction
2. Motivate
3. Goals
4. Behaviors, high risk

8

What does anticipatory guidance do

provides a framework for prevention that goes beyond caries to address all aspects of a kid's oral health according to dental milestones

9

Suggestions for Communication with Families

1. Communicate at _____ level
2. Avoid _____ terms
3. Listen to parent and _____
4. Limit new concepts to _____ per visit
5. Use ________, pictures, and demos
6. Ask parents to repeat in their ____ ____

1. basic
2. Jargon
3. patient
4. 3
5. illustrations
6. own words

10

Risk Factors for ECC

Frequent fermentable carbs

Putting baby to bed with bottle

Plaque

11

Sources of Fluoride

Toothpaste
Varnish
Water fluoridation

12

Why is fluoride important

Inhibits bacterial metabolism

Inhibits demineralization

Enhances remineralization

13

How does socioeconomic states effect risk for ECC

Kids from low SES experience caries most often

14

Risk factors for Enamel defects

Low birth weight

15

What are hypoplastic teeth

outer enamel structure has not formed correctly

16

Why do kids with special health care needs have a higher risk for tooth decay

Frequent feeding
Oral aversions
Motor skill delays

17

Effects of liquid medication

Can decrease saliva
Higher caries risk, especially in primary upper front teeth

18

What bacteria can put a child at risk

Strep mutans

19

What is dental home

relationship between dentist and patient encompassing all aspects of dentistry delivered in a coordinate, family centric way

20

Screening techniqe for little kids

knee to knee
lift the lip

21

knee to knee works up to what age

3

22

Why baby teeth matter

Function
Esthetics
Maintain space for permanent dentition

23

Symptoms of Teething

Fussy, irritable, sleepless

sore tender gums

24

Is there evidence that teething is associated with fever or diarrhea?

no

25

What must you do before attributing symptoms to teething?

rule out other possible causes so that a serious illness is not missed

26

What might a patient with a non-nutritive sucking habit present with

open bite

27

Intervention for sucking habits is not needed until when

Central incisors erupt

28

How much fluoride such a patient under 2 get (high risk)

Smear amount of fluorinated tooth paste

29

How much fluoride should a 2-5 year old get

pea sized amount of tooth paste

30

When should you consider systemic administration of fluoride

when kids drink fluoride deficient water

31

What is the mechanism of action for systemic fluoride

Improves enamel crystalinity and reduces acid solubility

32

What can one varnish treatment a year do

cut cavity rate in half