overview Flashcards
(19 cards)
7 factors for caries risk assessment
- Clinical evidence
- Diet
- Plaque control
- Social history
- Medical history
- Fluoride use
- Salvia
8 factors for caries treatment plan
- Fissure sealant
- Topical fluoride
- Fluoride toothpaste
- OHI
- Diet
- Radiographs
- Sugar free medicine
- Other fluoride -> mouthwash
5 Rs for treatment planning
Recognition of the disease and contributary factors
Re-orientation of contributary lifestyle factors e.g. diet advice
Remineralisation of all lesions using toothpaste and fluoride varnish
Repair where no other treatment option is available
Review
- Base on caries risk assessment
- Family status
- Staging of treatment
how often should all pt be given fluoride varnish?
2 x yearly
what is the fluoride content of fluoride varnish?
5% 22600ppmf sodium fluoride varnish
how often should high risk pt be given fluoride varnish?
3-4 x yearly
what fluoride content toothpaste should all pt use?
1000-1500ppmf toothpaste
what fluoride content toothpaste should high risk pt use?
2800ppmF if >10 toothpaste
5000ppmF if >16 toothpaste
how much is a fluoride overdose?
5mg/kg
what is given to treat fluoride overdose?
calcium containing solution
how often should bitewings be taken in all pts?
every 2 years
how often should bitewings be taken for high risk pt?
every 6-12 months
why is fluoride used in dentistry? 3
Inhibits bacterial metabolism/enzyme action and demineralisation and more resistant to erosion
in what scenarios can a fissure sealant be used
non-cavitated or enamel only lesion within D1 radiographically.
advantages of GI fissure sealants 3
Useful where moisture control is a problem
Releases fluoride
Easy to apply - painless
disadvantages of GI 2
Lower wear resistance and retention rates
Poor aesthetics
advantages of resin fissure sealants 3
Prevents caries - easier to clean
Painless
Aesthetic
disadvantages of resin fissure sealants
Better wear resistance but still wears over time
Need adequate moisture control
what is childhood dental neglect?
Failure to meet child’s basic oral health needs - failure to provide oral care, delay seeking treatment or not completing treatment
