Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

BDS5 OSCE > Paeds > Flashcards

Paeds Flashcards

1
Q

What is Primary Herpetic Gingivostomatitis?
What virus?

A

It is an acute infectious disease
Caused by herpes simplex 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is Primary Herpetic Gingivostomatitis transmitted?

A

Droplet formation with 7 day incubation period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the symptoms of Primary Herpetic Gingivostomatitis?

A

Fluid filled vesicles- rupture to painful ragged ulcers on the gingivae, tongue, lips, mucosa
Severe oedematous marginal gingivitis
Fever
Headache
Malaise
Painful- leads to child not eating/drinking, therefore dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the treatment of Primary Herpetic Gingivostomatitis?

A

Bed rest
Soft diet/hydration
Paracetamol
Antimicrobial gel or M/W
Aciclovir for immunocompromised children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the recurrent disease of Primary Herpetic Gingivostomatitis?
% affected?

A

Herpes labialis (cold sores)
50-75%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where does Primary Herpetic Gingivostomatitis lay dormant?

A

Epithelial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the different classifications of hard tissue paediatric traumas?

A

Enamel
Enamel-Dentine
Enamel-Dentine-Pulp Fracture
Crown-Root fracture
Root fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the soft tissue classifications of paediatric traumas?

A

Concussion
Subluxation
Lateral Luxation
Intrusion
Extrusion
Avulsion
Alveolar fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a concussion injury?

A

Tooth tender to touch but has not been displaced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a subluxation injury?

A

Tooth tender to touch, increased mobility but has not been displaced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a lateral luxation injury?

A

Tooth has been displaced usually in a palatal/lingual or labial direction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is an intrusion injury?

A

Tooth is displaced in an upwards direction into the alveolar bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is an extrusion injury?

A

Partial displacement of the tooth out of its socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is an avulsion injury?

A

The tooth is completely out of the socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do you check in a tooth that has suffered trauma?

A

Mobility
Colour
TTP
Sinus
Percussion note
Radiograph
Sensibility testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What to advise to parents for homecare after an injury?

A

Analgesia for pain
Soft diet for 10-14 days
Brush teeth with soft toothbrush after every meal
Topical chlorhexidine m/w applied topically twice daily for 1 week using cotton bud

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the treatment for a lateral luxation injury?

A

Minimal/no occlusal interference- allow to reposition spontaneously
Severe displacement- XLA or reposition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the treatment for an intrusion injury?

A

Allow to spontaneously reposition, irrespective of direction
Can take up to 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the treatment for an extrusion injury?

A

Not interfering with the occlusion- allow to spontaneously reposition
Excessive mobility or extruded >3mm- XLA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the consequences of dental trauma to the primary tooth?

A

Discolouration
Discolouration and infection
Delayed exfoliation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the consequences of dental trauma of primary teeth to the permanent tooth?

A

Enamel defects
Abnormal crown/root morphology
Delayed eruption
Ectopic tooth position
Complete failure of tooth to form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 3 treatment options for enamel-dentine-pulp fractures of permanent teeth that are vital? And when would you perform each?

A

Pulp cap- less than 1mm of exposure and within 24hrs
Partial pulpotomy - more than 1mm exposure or 24+hrs since trauma
Full coronal pulpotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is involved in a pulp cap?

A

Covering the exposed pulpal tissue with either CaOH, biodentine, MTA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is involved in a partial pulpotomy?

A

LA and dental dam
Remove 2mm of pulp
Place saline soaked cotton wool pellet over exposure until haemostasis achieved. If cannot be achieved then progress to a full coronal pulpotomy
Apply CaOH over
Restore

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is involved in a full coronal pulpotomy?
Begins with partial pulpotomy Assess for haemostasis after application of saline soaked cotton wool If hyperaemic or necrotic - proceed to remove all of the coronal pulp Place calcium hydroxide in pulp chamber Restore
26
What is the aim of a pulpotomy?
To keep the pulp tissue vital within the canal to allow normal root growth (apexogensis) both in the length of the root and the thickness of the dentine Follow up 6-8 weeks, 6 months and 12 months
27
What is the procedure for trauma occurring to immature permanent teeth that are non-vital?
Placing an apical stop such as MTA or biodentine at the apex
28
What is included in a caries risk assessment?
Fluoride Saliva Plaque control Clinical evidence Medical history Social history Diet
29
What is included in a prevention plan for higher risk caries patients?
OHI Diet advice Fluoride toothpaste FV FS Radiographs Sugar free meds
30
What are the indications for using SDF?
Non-restorable dentine lesions MIH-reduces sensitivity Pre-cooperative Delay sedation/GA Asymptomatic cavitated lesions in primary teeth
31
What are the contraindications of SDF?
Allergy to silver or other heavy metals Painful gums or mouth ulceration present Lesions that involve the pulp PA pathology
32
What are the disadvantages of SDF?
Permanent discolouration Temporarily stains the soft tissues for 1-3 weeks Discolours composite Permanent discolouration of clothes if any spillages
33
What are the effects of SDF?
Blockage of dentine tubules- arrests lesions and desensitises Bacterial death Inhibition of collagen degradation
34
How many times a year is fluoride varnish applied?
Low risk- 2x a year High risk- 4x a year
35
How does FV work?
Works via sustained contact- resin hardens allowing F to be in contact with tooth
36
What is FV used for?
Preventative treatment used for high risk caries Treating hypersensitivity
37
What are the contraindications for applying FV?
Allergies- colophony (elastoplast) Ulcerative gingivitis Severe asthma (hospitalised in last 6 months)
38
What is the aftercare advice after applying FV?
Avoid eating or drinking for at least an hour Eat soft food all day Avoid brushing that night only- brush as normal from next morning
39
What is the advice for an avulsion injury?
ONLY FOR PERMANENT TEETH Hold tooth by the crown not the roots Rinse under water for 10 seconds Replace in socket - get child to bite onto tissue If not replaced into the socket- store in milk, saliva or saline Seek immediate dental advice
40
In teeth with a closed apex, what would you do for an avulsion injury?
Clean area Verify tooth is in correct position Splint teeth for 2 weeks Suture any gingival lacerations Initiate RCT within 2 weeks
41
What is the follow up for an avulsion injury for a tooth with a closed apex?
2 weeks 4 weeks 3 months 6 months and 1 year Annually for at least 5 years
42
What is the treatment for teeth with an open apex that have been avulsed?
Only intervene if revascularisation has not occurred (signs of necrosis and infection) then apexification, pulpotomy, RCT
43
What are the outcomes of avulsion injuries?
Pulpal- regeneration (open apices), uncontrolled infection, necrosis Perio- regeneration, PDL/cementum healing, ankylosis, infection Root resorption Discolouration Mobility
44
What is the follow up for an avulsion injury of a tooth with an open apex?
2 weeks 1 month 2months 3months 6 months and 1 year Annually for 5 years
45
What is the prognosis of avulsion injuries in teeth with open and closed apices?
Open apex 30% pulp survival over 5 years 0% closed apex
46
What does the prognosis of traumatised teeth depend on?
Stage of root development Type of injury If PDL is damaged Infection Time between injury and treatment
47
What different types of healing follow root fractures?
Calcified tissue healing Connective tissue healing Calcified and connective Osseous healing Non-healing granulation tissue
48
What is the treatment for fluorosis?
Microabrasion Composite veneer Spot bonding composite
49
What are the signs and symptoms of F overdose?
Nausea Vomiting Abdominal pain Excess salivation Altered taste Tremors Convulsions Shallow respirations Nervous system shock
50
What are the indications for a SSC?
>2surface lesions Pulpotomy Developmental defects High caries rate Impaired OH Space maintainer Excess tooth surface loss
51
Explain the steps in the Hall crown technique?
No LA or tooth prep Ortho spacer placed for 3-5 days Size crown Aim for subgingival fit Seal with GIC Get patient to bite down on crown for 2-3 minutes Remove excess and floss contacts POI- reassure about tight fit, will get used to feeling, occlusion tends to settle in a few weeks
52
What are the indications for planned removal of 6's?
Bifurcation of the 7's forming radiographically 8's present Class I occlusion Reduced overbite moderate lower crowding Mild to moderate upper crowding
53
What are the effects of primary tooth trauma on primary teeth?
Discolouration Infection Delayed exfoliation
54
What are the effects of primary tooth trauma on permanent teeth?
Enamel defects Delayed eruption Dilaceration Duplication Ectopic teeth Arrested development
55
What are the behaviour management techniques for dealing with paediatric patients?
Tell show do Acclimatisation Role modelling Desensitisation Distraction Relaxation Hypnosis Positive reinforcement
56
What are the risks involved with GA?
Death 1 in 100,000 Brain damage Headache Pain Nausea/vomiting Sore throat Drowsiness Bleeding nose
57
What are the stages for managing abuse as a dental professional?
Preventative dental team management -Raise concerns with parents, offer support Preventative multi-agency management -Liaise with other professionals -Write letter to health visitor Child protection referral- in writing and by phone
58
What are the causes of staining?
Fluorosis MIH Amelogenesis imperfecta Dentinogenesis imperfecta Tetracyline Trauma
59
How is microabrasion carried out?
Clean teeth with pumice and water Vaseline on soft tissues Place rubber dam Place sodium bicarbonate guard on gingivae Remove enamel with HCL/pumice slurry with slow speed rubber cup- max 10 x 5 second applications) Apply FV Polish Tell patient to avoid anything highly coloured for 24 hours
60
What are the steps involved in ICON placement?
Rinse and clean teeth Apply icon-etch-rub in Apply icon-dry Do second etch and repeat with icon-dry White lesions masked and accesible- apply icon-infiltrate Remove excess and light cure Do second infiltration Polish

BDS5 OSCE (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions