Caries prevention and management in children

Question 1

brushing advice for standard risk child?

Answer 1

• brush twice daily for 2 minutes
• use fluoridated tooth paste 1000ppm-1500ppm
• Spit do not rinse
• supervise until they can brush
• give advice every year

Question 2

What advice would you give a patient asking about when to start brushing ?

Answer 2

Start as soon as the the first tooth erupts

Question 3

What is the toothbrushing advice for a high risk child?

Answer 3

• toothbrushing twice a day for 2 minutes
• 1350-1500ppm under 10
• 2800ppm over the age of 10

Question 4

What is the protocol of fissure sealants in standard risk?

Answer 4

place on permanent molars as soon as they erupt

Question 5

What is fissure sealant protocol for for high risk patient?

Answer 5

Place fissure sealants on:
- palatal pits of upper lateral permanent incisors
- on D’s and E’s
- first and second molars

Question 6

What is the concentration of fluoride in fluoride varnish?

Answer 6

• sodium fluoride 5%, 22,600ppm duraphat
• 0.25ml up to 5 years
  0.4ml to 7 years

Question 7

What is the minimum age for placing fissure sealants?

Answer 7

2 and above

Question 8

How often to place fissure sealant for low risk?

Answer 8

twice a year

Question 9

how often to place FV for high risk?

Answer 9

4 times a year
- recommend fluoride mouthwash over the age of 7

Question 10

How to manage tooth with pain or infection in primary dentition? (reversible pulpitis)

Answer 10

• selective caries removal if occlusal lesion
• restore temporarily if diagnosis is uncertain and review after 3-7 days, if symptoms go then hall technique
• if not resolved do pulpotomy or extract

Question 11

How to manage a child who got irreversible pulpitis?

Answer 11

• in first visit remove gross debris from cavity and. apply corticosteroid antibiotic paste and place GI
• give analgesics
• carry out pulpotomy at another date or extract
• if cooperative in first appointment extract or carry out pulpotomy

Question 12

What is the signs of dental abscess and periradicular periodontitis in children?

Answer 12

• localised constant pain keeps child at night
• mobility
• tender to percussion
• pathology on radiograph
• sinus, abscess or swelling on tooth

Question 13

How to manage dental abscess in children?

Answer 13

• Extract
• or consider pulpectomy