BDS4 Paediatrics PPs Flashcards
What teeth should be probed in a BPE on a 13 year old?
16
11
26
36
31
46
What is the normal depth from ECJ to alveolar bone crest in teenagers?
0.4-1.9mm
What medical conditions would cause a 13 year old to have BPE scores of 3/
Epilepsy = phenytoin
Immunosuppression = cyclosporin
Diabetes
A child patient attends with a fractured 11.
List 3 questions you would ask in regards to traumatised tooth?
- How long ago it occurred?
- Is the tooth fragment accounted for?
- How did it happen?
A child patient attends with a fractured 11.
List 4 things that determine the prognosis of the traumatised tooth when discussing with parents.
- Stage of root development
- Pulpal exposure [size & time]
- Additional damage to PDL/alveolar support
- Presence of infection
A child patient attends with a fractured 11. They cannot account for the lost fragment.
Where might you suspect the fragment of this tooth to be & how would you manage this? (3)
Swallowed fragment = A&E referral for scan
Inhaled fragment = A&E referral for chest x-ray
Embedded in soft tissue = radiograph to confirm & refer to OS for management
Parents complain that their child has white/yellow/brown stains on teeth.
List 8 questions you would ask the patients mum:
Prenatal = illness during pregnancy (gestational diabetes, anaemia)? issues in third trimester (pre-eclampsia)?
Perinatal = birth trauma or anoxia? hypokalaemia? pre-term birth? forceps?
Post natal = how long did child breastfeed? illness in early childhood?
Socioeconomic status?
Childhood infections? (measule, rubella, chickenpox)
Parents complain that their child has white/yellow/brown stains on teeth.
Teeth affected are all FPMs and incisors. What condition is this likely to be & is it inherited?
MIH
- not inherited
Parents complain that their child has white/yellow/brown stains on teeth.
List 5 questions you would ask to rule out fluorisis:
- What toothpaste concentration is used?
- Does pt live in fluorodated water zone?
- Any fluoride supplement use?
- Ask about OH regimine
- Does child have access to high strength toothpaste indirectly
At what age should you begin palpating for canines in the buccal sulcus?
Age 9
An 8 year old child attends with hypodontia.
Name 2 syndromes associated with hypodontia:
- Down’s Syndrome
- Ectodermal Dysplasia
An 8 year old child attends with hypodontia.
How may hypodontia present to a GDP?
- Asymmetric eruption
- Delayed eruption
- Missing primary teeth
- Delayed exfoliation of primary tooth
- Pt has cleft lip/palate
How can cleft lip & palate be classified?
LAHSHAL classification
- lip
- alveolus
- hard palate
- soft palate
An 8 year old child attends with hypodontia.
Of all the people with missing teeth, how many have missing primary teeth & how many have missing permanent teeth?
Primary hypodontia = <1%
Permanent hypodontia = approx. 6%
What 4 medical conditions are Down Syndrome children predisposed to?
- Cardiac defects
- Leukaemia
- Epilepsy
- Alzheimers
What are 4 general extra-oral features of down syndrome children?
- Small nose & flat nasal bridge
- Eyes that slant upwards and outwards
- Flat back of head
- Small mouth
What are 6 general intra-oral features of down syndrome children?
- Macroglossia
- Class III occlusion
- Hypodontia
- AOB
- Microdontia
- Hypoplasia
- Periodontal disease predisposition
A 7 y/o high caries risk patient attends.
What are the things assessed when determining caries risk?
- Fluoride use
- Toothbrushing
- Medical history
- Diet
- Previous evidence of caries
- Social history/SIMD
- Saliva quality
A child presents to your practise complaining of how their upper teeth look & you suspect fluorosis.
Where can fluoride be found in food?
- Tea
- Beer
- Bony fish
- Cucumber/pickles
- Spinach
- Potatoes
- White rice
The mother of a young child phones your practise stating that her son had ingested fluoride toothpaste and she is worried.
What 3 questions should you ask?
- How old is the child?
- What concentration is the toothpaste?
- How much toothpaste swallowed?
The mother of a young child phones your practise stating that her son had ingested fluoride toothpaste and she is worried.
If he has ingested a possible toxic dose, what is your advice?
<5mg/kg = give calcium orally (milk) and observe for a few hours
5-15mg/kg = give calcium orally (milk) and admit to hospital
> 15mg/kg = refer to hospital immediately for cardiac monitoring & support
Why would you not use ferric sulphate in an anterior tooth?
Stains tooth!
3 year old child attends with blisters on his gums.
What is the likely diagnosis?
Primary herpetic gingivostomatitis
3 year old child attends with blisters on his gums. You suspect primary herpetic gingivostomatitis.
What other signs and symptoms may be present?
- painful mouth so lack of food/fluid intake
- halitosis
- fever
- malaise
- cervical lymphadenopathy
