2019 Paper Flashcards
(88 cards)
What are predisposing factors of dry socket?
- Previous dry socket
- Smoking
- Disturbance of Blood clot - e.g. mouth rinsing
- Mandibular extraction
- Excessive trauma during extraction
- Oral contraceptive Pill
What are the symptoms of dry socket?
- Sensitive exposed bone
- Pain disrupting sleep
- Throbbing pain radiating to the ear
- Dull achy pain
- Halitosis
How do you manage dry socket?
-Support and reassure patient
-Debridement to remove blood clot to encourage new clotting
- Irrigate with warm saline
- Systemic analgesia
What type of injection(s) is used for 48 extraction?
- Right IDB with lingual block
- Long buccal infiltration
Explain how to anaesthetise all the sites required for extraction of 48?
- Dental pulp - Right IDB
- Buccal gingiva - Right Long buccal infiltration
- Lingual gingival - Lingual nerve block of right IDB
Explain how to anaesthetise lower premolars and canine for extraction?
- Mental nerve block
- Buccal infiltration
- Lingual infiltration
Could do IDB for premolars but risk not fully anaesthetised
Explain how to anaesthetise lower canine and incisors for extraction?
- Buccal infiltration
- Lingual infiltration
What are 3 clinical features for sensory deficits for nerves?
- Anaesthesia- numbness
- Paraesthesia - tingling
- Dysesthesia - unpleasant sensation/pain
What are the short term effects of child neglect?
- Reduced self esteem
- Malnutrition
- Affects physical health
- Affects emotional health
- Affects cognitive development
- Affects social development
What are the long term effects of child neglect?
As adults they are at higher risk of:
- Incarceration
- Suicide
- Depression
- Domestic abuse (victim or abuser)
- Diabetes
- Heart Disease
What is the management for child neglect?
- Preventative dental team management (e.g. raise concern with parent, offer support, set targets, monitor progress)
- preventative multi agency management (e.g. lease with GMP, social worker, health visitor)
- Child protection referral
What is the treatment for enamel dentine fracture in children?
- cover exposed dentine with glass ionomer or composite
- may restore lost tooth tissue immediately or at future visit
- take radiograph to determine no further damage
- follow up 6-8 weeks and 1 year
What are the categories of a trauma stamp?
- Sinus
- Mobility
- Colour
- TTP
- Percussion note
- Radiograph
- ECL
- EPT
Science Makes Christy Take Panic-attacks Regularly Every Evening
What is seen radiographically for a non vital tooth?
- Ankylosis
- Internal root resorption
- External root resorption
- Periodical radiolucency
Why are only specific teeth affected by nursing bottle caries?
- The tongue protects the lower incisors!!
- Sequence of eruption (maxillary incisors erupt first)
- Child can hold the milk at the back of their mouth
- Palatal surface of upper incisors due to position of teet
What are the causes of nursing bottle caries?
- Giving a child a bottle during the night
- Child holds the contents in mouth and swirls it around teeth
- No brushing of teeth
- Prolonged breast feeding
What are the causes of nursing bottle caries?
- Giving a child a bottle during the night
- Child holds the contents in mouth and swirls it around teeth
- No brushing of teeth
- Prolonged breast feeding
What is the fluoride regime for child with nursing bottle caries?
- Fluoride varnish application
- Increase concentration of fluoride in toothpaste depending on the childs age
- fissure seal all permanent pre molars and molar when suitably erupted (age dependant)
What is the toothbrushing instruction for parent with children?
- Tell them the recommended amount of toothpaste on the brush dependant on age
- tell them size, shape and bristle specification of toothbrush
- brush for 2 minutes, twice daily supervised
- Spit toothpaste out and don’t rinse the mouth afterwards
- Brush teeth in small circular motions on all tooth surfaces
Define competent lips
Upper and lower lip meet at rest and maintain anterior oral seal
Define incompetent lips
Upper and lower teeth do not meet at rest and anterior oral seal is not maintained
What are the issues of incompetent lips
face might not develop properly
Increased risk of trauma
Bullying
Longer face
Impeded speech
Mouth breathing that leads to dry mouth
What other feature of the lips is common when there is incompetent lips
Lip trap - this causes proclaimed upper incisors
What are the signs of digit sucking habit?
- Anterior open bite
- Proclination of upper anterior teeth
- Retroclination of lower anterior teeth
- Unilateral posterior cross bite
- Narrow upper arch
- Reduced over bite