History & Examination of the Child & Adolescent Patient Flashcards Preview

BDS 2: Adult Restorative > History & Examination of the Child & Adolescent Patient > Flashcards

Flashcards in History & Examination of the Child & Adolescent Patient Deck (19)
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1

Name some common complaints presenting in a child patient (6)

- Shark teeth
- Eruption cyst/pain
- Gingival operculum
- Supernumeries/mesiodens
- Anterior open-bite due to digit/dummy sucking
- Dental caries

2

Give some features of reversible pulpits;

Duration?
Type of Pain?
Stimuli? (2)
Do analgesics help?

- Short duration pain

- Sharp pain

- Sweet/hot/cold stimuli
- Removing stimulus can remove pain

- Analgesics help

3

Give some features of irreversible pulpits;

Duration?
Type of Pain?
Stimuli?
Effect on sleep?
Do analgesics help?

- Longer duration pain

- Dull throbbing ache

- Spontaneous pain

- Can wake child from sleep

- Analgesics may not help

4

What are some things to consider when assessing risk of disease? (8)

- Past disease experience
- Current dental status
- Family history
- Diet considerations
- Oral hygiene
- Concomitant medical conditions
- Future expectations of disease activity
- Social factors

5

What are some social factors that may affect risk of disease? (3)

- Recent migration
- Language barriers
- Ethnic and cultural diversities

6

What do the following abbreviations mean?

CO?
HPC?
MH?
PDH?
G&SH?

- Complaints of

- History of present complaint

- Medical history

- Previous dental history

- General & Social history

7

When documenting CO what is it important that you write it in?

Use patients/parents own words

8

What should be asked and recorded when taking HPC? (5)

- Presentation
- Frequency
- Duration
- Severity
- Precipitating and alleviating factors

9

What information needs to be taken when taking a pregnancy history of the Childs mother? (6)

- Length of confinement
- Birth-weight
- Apgar scores
- Antenatal/perenatal problems
- Prematurity
- Neonatal intensive care

10

What information needs to be taken when taking a family and social history? (6)

- Who do they live with?
- Family history of serious illness
- Family pedigree tree
- Schooling, help in class
- Speech and language problems
- Pets, hobbies and other interests

11

Which aspects of the PDH are important in child patient? (5)

- Previous treatment
- Eruption times/dental development
- Preventive treatment received
- Previous methods of pain control
- Para-functional habits

12

When can you perform a BPE on a child? (2)

- From age 7 upwards
- When marker teeth are present (permanent rentals/1st molars)

13

What are the BPE scores for children?

0 = Healthy
1 = Bleeding
2 = Calculus

14

What are the soft tissues you inspect during a intra oral examination of a child?

- Lips and labial mucosa
- Buccal mucosa
- Palatal hard/soft mucosae
- FOM, lower lingual area
- Oropharynx and tonsils
- Oral hygiene and periodontal status

15

What are the aspects you inspect during an extra oral examination of a child? (7)

- Size, general appearance, interaction with parents, gait
- Facial symmetry
- Lips competent
- Eyes
- Skin
- TMJ
- Cervical, submandibular and occipital lymph nodes

16

When carrying out an extra oral examination of a child what aspects of the eyes should you look out for? (3)

- Sclera
- Pupils
- Globe conjunctiva

17

When carrying out an extra oral examination of a child what aspects of the skin should you look out for? (2)

- Colour
- Appearance

18

When carrying out an extra oral examination of a child what aspects of the TMJ should you look out for? (4)

- Deviation
- Clicking
- Trismus
- Gape

19

When carrying out an extra oral examination of a child what aspects of the lymph nodes should you look out for? (2)

- Enlargement
- Tenderness