Treating Children in Primary Care Flashcards

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1
Q

roles of GDP for children?

A
  • management of dental caries
  • emergency dental care
  • monitoring developing dentition
  • molar incisor hypomineralisation
  • orthodontic care
  • child protection
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2
Q

how does a gdp manage caries in a child?

A
  • prevention
  • plaque management
  • minimally invasive
  • conventional restorative options
  • extraction
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3
Q

how can a gdp provide emergency dental care for children?

A
  • management of dental trauma
  • acute dental problems
  • emergency dental care
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4
Q

how can gdp monitor developing dentition?

A
  • important age milestones
  • sequence of eruption
  • developing malocclusion (IOTN)
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5
Q

how can gdp monitor molar incisor hypomineralisation?

A
  • symptoms needing management (sensitivity, crumbing back teeth, aesthetic concerns)

Management:
- seal
- restore
- PMC
- XLA and timing of XLA

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6
Q

role of gdp in kids for orthodontic care?

A

simple ortho tx
- removable appliances
- fixed appliances

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7
Q

child protection role of GDP?

A

follow local child protection procedures

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8
Q

factors involved in caries development?

A
  • personal factors (poverty, brushing habits)
  • oral environmental factors (saliva flow)
  • other (time, tooth, bacteria, diet)
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9
Q

what are the 3 pillars for prevention?

A
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10
Q

what factors to consider for caries risk assessment?

A
  1. clinical evidence of previous disease
  2. dietary habits
  3. oral hygiene habits
  4. exposure to fluoride
  5. social history/socioeconomic status
  6. Salivary flow
  7. medical history
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11
Q

what needs to be taken into account for behaviour modification?

A
  • attendance patterns
  • tooth brushing habits
  • home fluoride
  • drinking/dietary habits
  • acclimatisation
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12
Q

whats involved in tooth protection piller for prevention?

A
  • Fluoride varnish application 22600ppmF
  • fissure sealants
  • 2800ppmF toothpaste
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13
Q

Advantages & disadvantages of SDF?

A
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14
Q

what age should you start taking BWs for monitoring primary molars if possible?

A

~4 years old, use paeds size films/sensors

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15
Q

what is ART in caries management?

A

minimally invasive method to tx caries

ART = atraumatic restorative treatment

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16
Q

when should you refer a child to PDS (Public dental service)?

A
  • anxiety/phobia
  • GA XLA
  • Special needs
  • sedation
  • vulnerable group
17
Q

when should you refer a child to orthodontic services?

A
  • developing malocclusion
  • dental anomalies
18
Q

when should you refer a child to HDS? (hospital dental service)?

A
  • management of severe caries
  • medical conditions
  • trauma
  • dental defects
  • multidisciplinary care
19
Q

indications for conscious sedation in children?

A
  • child is anxious but co-operative
  • tx is simple
  • tx not likely to damage childs attitude towards future dental tx

Example: ortho XLA in anxious but willing child

20
Q

contra-indications for conscious sedation in children?

A
  • severe dental anxiety where child unwilling to cooperate
  • tx too complex/extensive for child
  • child too young
  • unable to breath through their nose
21
Q

Indications & considerations for GA?

A
  • fully anaesthetised before tx can occur
  • cooperation
  • level of anxiety
  • degree of surgical tx needed
  • complexity of operation
  • medical status