Past Paper Q's Flashcards
(36 cards)
How do you address an issue of previous non-attendance?
Ensure up to date contact details
Record everything in notes
Contact mum by phone or any other guardians
Discuss with mother the necessity of child to come
Inform mum of possibility of child protection getting involved if non-compliance
Set next appointment
What brushing advice would you give a 5 year old patient?
2x daily - morning and night for 2 minutes
Pea sized amount of toothpaste
Modified bass technique- 45 degree angle from gingival margin downwards
Fluoride: 1450ppm
List 4 things that help determine the prognosis of a traumatised tooth.
Type of fracture
Complicated or not (involves the pulp or not)
Maturity of tooth: apex open or closed
Vitality of pulp
Mobility
What complications would you discuss with parents after a trauma has occurred?
Discolouration
Pain
Sinus
Infection
Damage to adjacent teeth
Inform them of the prognosis
Inform them of the treatment options
Patient’s parents complained that the patient has yellow/brown/white stains on her teeth.
List 8 questions you would ask the patient’s mum?
During pregnancy
–natural birth or not
Prenatal
–severe illness of mum during pregnancy
–anaemia
–gestational diabetes
Perinatal
–birth trauma
–preterm birth
Postnatal
–prolonged breastfeeding
–fever and medications
Childhood infection
–measles
–rubella
–chicken pox
List 5 questions that you would ask to rule out fluorosis.
Do they use fluoridated toothpaste, any excessive use?
Do they take fluoride supplements?
What is their oral hygiene regime?
Do they use a siblings higher strength toothpaste?
List 5 possible treatment options for impacted upper first molars.
Leave and monitor
Surgical extraction
Coronectomy
Antibiotics and analgesia
XLA E
Ortho separator
Removing distal edge of the E
What features of the permanent dentition allow for the replacement of primary teeth without crowding?
Growth of maxilla
Proclination of permanent teeth
Extension of dental arch (presence of space between primary teeth-primate space)
How long do you splint for an extrusion injury?
2 weeks
What materials would you use for a splint?
Flexible stainless steel wire
Acid etch 37% phosphoric acid
Composite resin
Water
What is leeway space and how does this reduce crowding?
Extra mesio-distal space occupied by the primary molars, which are wider than the premolars which will replace them
What is the clinical management of dentinogenesis imperfecta and osteogenesis imperfecta?
Prevention
Composite veneers
Overdenture
RPD
SSC
What are the radiographic signs of dentinogenesis imperfecta and osteogenesis imperfecta?
Occult abscess
Bulbous crowns
Short and thin roots
Erupt with large pulp chamber but obliterated soon after
What are the clinical signs of dentinogenesis imperfecta?
Loss of enamel
Discolouration
Both dentitions affected
Amber appearance of affected teeth
What are the clinical signs of osteogenesis imperfecta?
Blue sclera
Lots of bone fractures
Following root fracture, what types of healing are there?
Calcified tissue union across fracture line
Connective tissue healing
Calcified + connective tissue
What is regarded as non-healing?
Granulation tissue
Name 4 vehicles of fluoride delivery.
Toothpaste
Varnish
Mouthwash
Supplements
Water
Milk
Salt
What is the only splint used for primary teeth?
Flexible 4 weeks for alveolar bone fracture
What is the difference between a flexible and a rigid splint?
Flexible 1 tooth either side of trauma
Had 2 teeth either side
What 3 questions should dentist ask if child had ingested toothpaste?
How old is the child?
What concentration of fluoride is in the toothpaste?
How much toothpaste they swallowed?
How much the child weighs?
How is a child with herpes simplex managed?
Supportive management
Reassurance
Rest
Fluid
Analgesics (antipyretic) appropriate for age
Refer if concerned about ability to eat/drink
OHI including CHX
Advise mother on infectious nature re: pt’s eyes and other people
What timeframes in a child’s life are implicated in MIH?
Pre, Neo and Post natal
What are the topical effects of fluoride?
Decrease acid production by plaque
Promote remineralisation
Bactericidal
Remineralise enamel as fluroxyapatite
