guidelines (viva stuff) Flashcards by Richard Wu

what are the guidelines for children’s caries risk recall?

NICE 2004

High: 3 months
Moderate: 6 months
Low: 12 months

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what are the guidelines for risk assessment?

SDCEP: oral health assessment and review 2011

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what are the guidelines for fluoride toothpaste concentrations and amounts for children (depending on their ages)?

Delivering better oral health 2021

low risk:
3: 1000ppm smear
3-6: 1000ppm pea size
7+: 1350-1500ppm ribbon

high risk:
0-6: 1300-1500ppm pea
7+: 1300-1500ppm ribbon
10+: 2800ppm
16+: 5000ppm

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what are the guidelines for fluoride varnish?

Delivering better oral health 2021
concentration: 22,600ppm
up to 4 times a year in high risk children

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what are the guidelines for grading radiographs?

CGDENT 2020 guidance notes for dental practitioners on safe use of X-ray equipment
Acceptable or Not acceptable

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what are the guidelines for when radiographs should be taken?
* caries
* ortho
* fractures
* bone levels
* immpacted canines

FGDP 2018: selection criteria for dental radiography
caries: high risk = 6m BWs
ortho: developing dentition = OPT
mandibular fractures: OPT
bone levels:
BPE 3 = BW + IOPA
BPE 4 = OPT or IOPAs
impacted canines: in selected cases =CBCT

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what are the guidelines for radiograph use in orthodontics?

British Orthodontic Society 2015
* OPT for unerupted teeth
* IOPA for position of unerupted teeth
* upper standard occlusal for parallax
* lat ceph for baseline and monitor skeletal discrepancies

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what are the guidelines for bacterial infection abx?
* consider if penicillin allergy or warfarin use

**SDCEP 2021 drug prescribing for dentistry **

1st line: phenoxymethylpenicillin 250mg tablets
* 500mg QDS for 5 days

2nd line: clindamycin
* 150mg QDS
* penicillin allergy: metronidazole 400mg TDS
* warfarin use: clindamycin 150mg QDS

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what are the guidelines for ANUG & pericoronitis abx?

**SDCEP 2021 drug prescribing for dentistry **
metronidazole 400mg TDS

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what are the guidelines for maxillary sinusitis tx & abx?

**SDCEP 2021 drug prescribing for dentistry **
if self limiting, up to 2.5 weeks:
steam inhalation
abx: pen v 500mg QDS or doxycycline 200mg first day then 100mg every other day

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what are the guidelines for treatment of primary herpetic gingivostomatitis?

**SDCEP 2021 drug prescribing for dentistry **
fluids, analgesia, CHX 0.2% MW
hydrogen peroxide 6% MW
severe infection or immunocompromised: aciclovir 200mg 5x a day

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what are the guidelines for treatment of dry socket?

SDCEP 2013 Acute dental problems
analgesia, avoid smoking, OH
irrigate with NaOH (NO CHX)
pack w alveogyl and ABx if systemic

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what are the guidelines for treatmnet of pericoronitis?

SDCEP 2013 Acute dental problems
CHX 0.2% MW
analgesia and OH
ultrasonic scaling under LA
irrigate with CHX
XLA if repeated episode or opposing tooth if traumatising it

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what are the guidelines for treatment of sinusitis?

SDCEP 2013 Acute dental problems
usually will go away in 2.5 weeks
abx if bacterial infection spotted
can consider oral corticosteroids at GP

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what are the guidelines for oncology patients?

Royal collage of surgeons 2028 Oral management of oncology patients
* teeth with questionable prognosis should be removed no less than 10 days before cancer therapy
* orthodontic treamtnet should be discontinued
* increased OH, diet and fluoride
* risk of ORN (avoid XLA)

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what are the guidelines for caries diagnosis?

ICCMS 2014

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what is the guidance of management of carious lesions?

Innes 2016
shallow-moderate = hand instrumentation + seal with adhesive material
risk of pulp exposure = selective caries removal (ADJ cleared to hard dentine whilst pulpally left soft or leathery dentine)
deep in permanent teeth = stepwise (remove to soft dentine, restore temp, 6-12m clear to firm and restore
shallow cavity = fissure seal
primary teeth mod/deep = hall crown

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what are the guidelines for management of deep caries and exposed pulp?

European society of endodontology (ESE) 2019
guidance on in/direct pulp capping, stepwise and selective caries removal, pulpotomies

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what are the guidelines on restorability of teeth?

Dawood & Patel 2017: BDJ Dental Practicality Index

what are the guidelines for Endodontic diagnosis?

American Association of Endodontists AAE 2013

what are the guidelines for vital pulp therapy?

British Endodontic Society 2022

what are the guidelines for hypochlorite accident?

BES 2022
immediately irrigate canal with saline or water
dress tooth with nonsetting CaOH
cold compress on first day then hot compress following days

what are the guidelines for necessity for retreament of RCT?

European society of endodontology 2006
unfavourable outcome 1 year post treatment
* persistant apical periodontitis
* new radiolucency increasing in size
* signs of root resorption

what are the guidelines for necessity for periradicular surgery?

RCS 2020
previous tx carried out but symptomatic or progressing apical periodontitis associated with optimally root filled tooth
iatrogenic or developmental abnormalities
require biopsy of periradicular tissue
perforation or root fracture

what are the guidelines for periodontal diagnosis?

**BSP 2018** distribution, periodontitis, stage, grade, stability, risk factors or **SDCEP 2024** for non/biofilm induced gingivitis, necrotising periodontal diseases

what classifications are used for toothwear?

**Smith & Knight's Classification** 0 no wear 1 loss of enamel surface characteristics 2 loss of enamel just exposing dentine 3 loss of enamel exposed dentine more than 1/3 the surface 4 complete enamel loss, pulp exposure **BEWE** 0 no wear 1 initial loss of surface tecture 2 hard tissue loss involving less than 50% of surface area 3 hard tissue loss involving more

what classifications are used in prosthodontics?

**kennedy classification** **atwood classification**

what are the guidelines for prevention in children?

**Delivering better oral health 2021** from ages 0-6

what are the guidelines for oral cancer referral?

**NICE 2015** refer if: * unexplained ulceration over 3 week * unexplained lump in neck * limp on lip or oral cavity * red or red&white patch

what are the guidelines for antibiotic prophylaxis? which patients are high risk?

**SDCEP 2018** NOT recommended routinely high risk: prosthetic valves, previous IE, congenital heart disease contact cardiologist

what are the guidelines for management of patients taking anticoagulants or antiplatelets?

**SDCEP 2022** Warfarin * INR>4 = delay or refer if urgent (72h prior) DOACs * low bleeding risk = continue w local measures * high bleeding risk = miss or delay morning dose * continue 4 hours after haemostasis has been achieved antiplatelets * continue w local measures

what are the guidelines for patients on bisphosphonates?

**SDCEP 2024** high risk: previous MRONJ, IV bisphosphonates, oral bisphosphonates for >5 years if low risk continue w simple extractions try to avoid extractions in high risk and refer

what are the guidelines for extraction of poor prognosis 6s?

**RCS 2023** best 8-10yrs

what are the guidelines for management of ectopic canines?

**RCS 2022**

what are the guidelines for infective endocarditis? which are high risk procedures?

**SDCEP 2018** * placing matrix bands or clamps * anything subgingival * XLA * Endo * incision and drainage * flap raising

what are the guidelines for infective endocarditis? what antibiotics do you prescribe?

**SDCEP 2018** Amoxicillin 3g 1 hour before procedure OR clindamycin 600mg 1 hour before procedure

what are the guidelines for smoking cessation?

**Delivering Better Oral Health 2021 (oral cancer prevention)** Ask, Advise, Act, Arrange

what are the guidelines for wisdom tooth extraction?

**NICE 2000** when to remove: * unrestorable caries * untreatable periapical pathology * abscess * any resorption * fractured * cyst * two or more episodes of pericoronitis

What are the guidelines for MRONJ prevention? Which patients are high risk? What drugs are associated with MRONJ?

**SDCEP 2017** high risk patients: oral or IV bisphosphonates for over 5 years, previous history of MRONJ. Carry out extraction and review after 8 weeks - if still bone visible, refer to oral surgery/specialist drugs: bisphosphonates, denosumab, bevacizumab, sunitinib, aflibercept

what are the guidelines for denture construction procedure?

**BSSPD 2005** british society of prosthodontic dentistry

what are the guidelines for management of perforations in endodontic treatment?

**Saed et al 2016** complete RCT if possible otherwise protect w Cavit (easy to remove) place **MTA** if coronal or middle third perforation obturate with **warm vertical condensation** for apical third

Which guideline is followed for oral medicine referrals?

**NHS England - Clinical Standard for Oral Medicine 2023**

what are the guidelines for steroid cover?

**addison's disease organisation UK** XLA * 100mg hydrocortisone IM before LA * double dose for 24h after then normal RCT * double oral dose hydrocortisone 1 hour before * double dose for 24h after Minor procedures * extra dose 1h before procedure * extra dose after only if hypoadrenal symptoms

what are the guidelines for caries prevention in adults?

**DBOH 2021** OH, diet advice, fluoride prescriptions, MW high/moderate risk: 2800/5000ppm fluoride toothpaste until risk has reduced

what are the guidelines for radiographic recalls?

**FGDP 2018 Selection criteria** low : BW every 2 years mod : BW every 1 year high : BW every 6 months

what are possible differential diagnoses for a white lesion?

* lichen planus * leukoplakia * pemphigus vulgaris * pseudomembranous candidosis * white sponge naevus * frictional keratosis