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Flashcards in Pediatricos Deck (83)
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1
Q

increase in skill and complexity of function:

Level of organization and Qualitative content:

A

Development

Maturity

2
Q

Distal ends radius and ulna - carpals - metacarpals - phalanges

A

Skeletal Age

*assess 8 carpals in order of appearance from capitate to pisiform

3
Q

3 Factors to determine Dental Age:

A

Teeth erupted

Primary Root Resorption

Permanent Root Development

4
Q

Avg birth weight:

5 months:

1 year:

2 years:

A

7,5 lbs

double birth weight

triple birth weight

quadrupled birth weight

5
Q

Scammon’s Curve, top to bottom:

A

Lymphoid

Neural

Mx

Mn

General

Genital

6
Q

On Scammon’s Curve, Lymphoid reaches 200% at what age?

A

10 years

so kiddos have big tonsils

*smaller @ 2 and 12, obviously

7
Q

Pre-natal Developmental Milestones: 3 - 6 weeks:

6th week:

7th - 8th week:

14th week:

14 - 32nd week:

Birth:

A

face

deciduous tooth buds

palate fuses

deciduous calcification

revlexes

Permanent teeth begin calcification

8
Q

Mx is part of the Head/Brain/Cranium and grows in what direction?

This displaces:

A

Up and Back

Down/Forward

9
Q

Scammon’s, the majority of neurologic growth happens when?

A

First 2 yrs of life

10
Q

Neural growth is 95% of adult size when?

A

7-8 y/o

11
Q

Cranial vault growth has soft _______

This allows passage through the birth canal, expansion through ______ growth across them

A

Fontanelles

Appositional

12
Q

When do Fontanelles close?

A

2+ years

13
Q

Premature fusion of fontanelles:

A

Cranial Synostosis

*assymmetry

14
Q

Cranial Base grows by _____

A

Endochondral Ossification

15
Q

Mn growth is ______

Displaces (translates)

A

Up/Back

Down/Forward

16
Q

Mn Growth is _______ on the posterior ______

Minimally where?

A

appositional, Ramus

chin

17
Q

What area of the Cranium remains active up until childhood?

A

Spheno-Occipital Base

18
Q

3 Kinds of Inclusion Cysts:

A

Epstein’s Pearls

Bohn’s Nodules

Dental lamina Cyst

19
Q

Remnants of epithelial tissue trapped along midpalatal raphe

A

Epstein’s Pearls

20
Q

Buccal/Lingual aspects of dental ridges/Junction hard/soft palate

*they are remnants of mucous gland tissue

A

Bohn’s nodule

21
Q

Crest of alveolar ridge

*remnants of Dental lamina

A

Dental-Lamina Cyst

22
Q

(epstein) Pearls are found on the ______

Bohn’s are found _______

Dental lamina cyst ______

A

palate

junction

alveolar crest

23
Q

Epstein peal is remnants of what?

Bohn’s nodule, remnants of…

dental lamina

A

epithelial tissue

mucous gland tissue

dental lamina

24
Q

6 wks in Utero:

14-19 wks in Utero:

1st year of life:

2nd year of life:

3rd yr of life:

A

primary teeth begin to form

calcification begins

enamel of all primary teeth complete

all primary teeth erupted

roots of primary teeth complete

25
Q

_____ teeth are present at birth

_____ teeth erupt within 30 days of birth

A

Natal

Neonatal

26
Q

Eruption Pattern, Primary teeth:

Timescale:

A

CI, LI, 1M, C, 2M (A, B, D, C, E)

6m, 9m, 11-18m, 16-20m, 20-30m

*for incisors, Mn slightly ahead of Mx

27
Q

Eruption pattern, Permanent Mx:

A
CI     7-8
LI     8-9
C     11-12
1P     10-11
2P     10-12
1M     5.5-7
2M     12-14
3M     17-30
28
Q

Eruption pattern, Permanent Mn:

A
CI     6-7
LI     7-8
C      9-11
1P     10-12
2P     11-13
1M     5.5-7
2M     12-13
3M      17-30
29
Q

Primary to Permanent teeth: Girls before boys:

Eruption follows exfoliation by ____

Enamel of permanent tooth complete _______ yrs prior to eruption

Root formation complete ______ after eruption (permanent)

Eruptive force fo 1st permanent Molar closes what spaces?

A

True

6 months

3 years

3 years

remaining primary molars

30
Q

Mx Eruption Sequence: (Palmer)In

Mn:

A

6-1-2-4-5-3-7-8

6-1-2-3-4-5-7-8

31
Q

Leeway space Mx:

Mn

A
  1. 5mm/quadrant
  2. 5mm/quadrant
    * remember, primary dentition larger than permanent
32
Q

Initiation/Calcification of Primary Teeth:

#’s are IN UTERO in WEEKS

A
CI     6     14
LI     6     16
C     7     17
1M     6     15
2M     8     19
33
Q

The only permanent tooth that displays calcification at birth?

A

1st Molars

34
Q

9 months, what teeth?

12 months?

18 months?

24 months?

A

A, B

A, B, D

A, B, C, D

A, B, C, D, E

35
Q

Eruption sequence (primary/Palmer)

Calcification sequence (primary/Palmer)

A

A, B, D, C, E

A, D, B, C, E

36
Q

With the exception of the 3rd Molar, all permanent teeth have hard tissue formation by 3 y/o

A

True

37
Q

Distal occlusion that will result in Class I occlusion:

A

Flush or Mesial Step

*Mesial Step is Ideal

38
Q

Distal occlusion will result in Class III occlusion:

Result in Class II occlusion:

A

Exaggerated Mesial Step

Distal Step

*distal step manDIble = class II

39
Q

Class I Canine:

Class II Canine

Class III

A

Mn C between Mx LI/C

…distal to LI/C midline

mesial to LI/C midline

40
Q

Primary molar occlusion described as…

Primary Canines described as…

A

steps

class I, etc

41
Q

If the Canine is lost, sometimes will remove the contralateral to maintain symmetry

A

True

42
Q

4 Basic Fixed appliances:

A

Band/Crown and Loop

Distal Shoe

Transpalatal (Nance)

Lower Lingual Holding Arch (LLHA)

43
Q

Band/Crown and Loop used in what situation?

example?

A

single tooth loss

1st primary Molar loss, before eruption of first permanent Molar

44
Q

Distal Shoe is used in what situation?

example?

A

Single tooth loss

2nd primary Molar loss, before eruption 1st permanent Molar

45
Q

2 options for single teeth:

2 options for multiple teeth/bilateral loss:

A

Band/Crown and Loop, Distal Shoe

Nance (Transpalatal), LLHA

46
Q

Nance is used where?

LLHA?

A

Mx

Mn

47
Q

When do you NOT use Nance/LLHA and Do Nothing?

A

If permanent dentition is in occlusion

AND a mesial proximal contact

*basically, only if Primary 1M missing

48
Q

Moyers Analysis uses what level of Probability?

*Mn incisors estimating size of rest of dentition w/ 95% accuracy

A

75%

49
Q

4 y/o w/ Hx Leukemia, wants distal shoe:

A

negative

*Med situation contraindicates distal shoe

50
Q

Tanaka-Johnson, add 2 Mn incisors and add ______ for each quadrant in the Mx (this estimates Palmer 3,4,5)

add 2 Mn incisors and add ______ for each quadrant in the Mn (estimates Palmer 3,4,5)

A

11 mm

10.5 mm

51
Q

Tanaka-Johnson, what incisors are predictive?

A

Mn

52
Q

Mn incisors/2 + 11 =

Mn incisors/2 + 10.5 =

A

Mx quadrant 3,4,5

Mn quadrant 3,4,5

53
Q

2 strategies to interact w/ kiddos:

A

Tell Show Do

Ask Tell Ask

54
Q

Voice control, positive reinforcement, memory reconstruction

A

General behavior concepts

55
Q

Simple Protective Stabilization

Active immobilization:

A

hands over pts hands/arms

holding hands, legs, shoulders, knee to kne

*think - seat belts

56
Q

Protective Sabilization Papoose Board: safe ____ limited, non-punish

pre-________, disables or Emergency

Rist of injury to ___, staff, dentist, parent

Needs…

Limited…

A

time

cooperative

pt

Specific Consent

Care

57
Q

Never use Protective Stabilization w/ cooperative, med contraindications, psych/physical contraindiction, Hx psychological trauma due to immobilization, non-emergent Tx, practitioner’s conveniece

A

True

58
Q

92% mothers believe should’ve been present

90% understood restraints keep child from harm

A

True

59
Q

Mouth props are Protective Stabilization

A

False

*used w/ all procedures

60
Q

Caries is multifactorial

A

True

61
Q

ECC is _____ or younger, 1 or more decayed/missing/filled

Severe ECC is any smooth surface lesion younger than _____

3-5, one or more caivitated, missing, filled score of greater than 4 at age 3, 5 at age 4, 6 at age 5

A

71 months

3

True

62
Q

Pattern to Severe ECC (list 6 in descending order)

A

Mx Incisors

Mx 1M

Mn 1M

Mx C/2M

Mn C/2M

Mn incisors seldom

63
Q

Strep Mutans primary source transmission

A

Maternal (24-100%)

64
Q

Dental Home established no later than ____

A

12 months

65
Q

Goal of Fluoride toxicity is to minimize absorption with what?

A

Calcium products

*remember, 1 tube might kill 60 pounder

66
Q

The 6’s (four of them): No Fluoride Supplement if:

A

Less than 6 months

more than 0.6 ppm

more than 16 years

Dosage changes at 6 mo’s / half of 6years (3) / 6 years

67
Q

Cause of Methemoglobinemia:

A

Benzocaine

68
Q

CAR

PRR

A

Conservative Adhesive Restoration

Preventive Resin Restoration

69
Q

CAR type 1

type 2

type 3

A

enamel (sealant)

dentin (flowable)

dentin (packable/sealant)

70
Q

CAR only need what?

A

Pits and grooves

71
Q

What restoration is seldom used in children?

Why?

Do what instead?

A

Class IV

limited strength, encroaches on pulp

SCC

72
Q

Indications for SCC: (composite/strip crown)

A

Decay, IP lesions, pulp therapy, fracture, incisal edge involvement

73
Q

Strip crowns are exclusively for what?

A

Incisors/Canines

74
Q

SCC (comp crowns) vs. Class II Amalgams: SCC for children less than…

SCC ___x successful as Amalgams

A

4

2x

75
Q

Rule of 4 SSC:

A

IP Caries or Posterior Lesion, Less than 4 y/o

Any Child more than 4 IP posterior lesions

76
Q

ITR =

A

Interim Therapeutic Restoration

77
Q

When circumstances do not permit traditional cavity prep and/or placement traditional restorations OR when caries control necessary prior to placement of definitive restorations

A

ITR

78
Q

3 indications for ITR

A

minimal lesions

young children

caries control

79
Q

4 indications Anterior SSC

A

inadequate tooth structure

occlusal probs

Primary canines/occlusion

esthetics vs durability

80
Q

Class II

A

Proximals

*no marginal ridge break through

81
Q

T/F

No MOD on Primary molars

A

True

*not enough structure

82
Q

Class III incisal edges involved

A

False

83
Q

Never use Class IV restorations, instead Crown

A

True

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