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Flashcards in Pediatricos Deck (83):
1

increase in skill and complexity of function:

Level of organization and Qualitative content:

Development

Maturity

2

Distal ends radius and ulna - carpals - metacarpals - phalanges

Skeletal Age

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

3

3 Factors to determine Dental Age:

Teeth erupted

Primary Root Resorption

Permanent Root Development

4

Avg birth weight:

5 months:

1 year:

2 years:

7,5 lbs

double birth weight

triple birth weight

quadrupled birth weight

5

Scammon's Curve, top to bottom:

Lymphoid

Neural

Mx

Mn

General

Genital

6

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

10 years

so kiddos have big tonsils

*smaller @ 2 and 12, obviously

7

Pre-natal Developmental Milestones: 3 - 6 weeks:

6th week:

7th - 8th week:

14th week:

14 - 32nd week:

Birth:

face

deciduous tooth buds

palate fuses

deciduous calcification

revlexes

Permanent teeth begin calcification

8

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

This displaces:

Up and Back

Down/Forward

9

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

First 2 yrs of life

10

Neural growth is 95% of adult size when?

7-8 y/o

11

Cranial vault growth has soft _______

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

Fontanelles

Appositional

12

When do Fontanelles close?

2+ years

13

Premature fusion of fontanelles:

Cranial Synostosis

*assymmetry

14

Cranial Base grows by _____

Endochondral Ossification

15

Mn growth is ______

Displaces (translates)

Up/Back

Down/Forward

16

Mn Growth is _______ on the posterior ______

Minimally where?

appositional, Ramus

chin

17

What area of the Cranium remains active up until childhood?

Spheno-Occipital Base

18

3 Kinds of Inclusion Cysts:

Epstein's Pearls

Bohn's Nodules

Dental lamina Cyst

19

Remnants of epithelial tissue trapped along midpalatal raphe

Epstein's Pearls

20

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

*they are remnants of mucous gland tissue

Bohn's nodule

21

Crest of alveolar ridge

*remnants of Dental lamina

Dental-Lamina Cyst

22

(epstein) Pearls are found on the ______

Bohn's are found _______

Dental lamina cyst ______

palate

junction

alveolar crest

23

Epstein peal is remnants of what?

Bohn's nodule, remnants of...

dental lamina

epithelial tissue

mucous gland tissue

dental lamina

24

6 wks in Utero:

14-19 wks in Utero:

1st year of life:

2nd year of life:

3rd yr of life:

primary teeth begin to form

calcification begins

enamel of all primary teeth complete

all primary teeth erupted

roots of primary teeth complete

25

_____ teeth are present at birth

_____ teeth erupt within 30 days of birth

Natal

Neonatal

26

Eruption Pattern, Primary teeth:

Timescale:

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

Eruption pattern, Permanent Mx:

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

Eruption pattern, Permanent Mn:

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

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?

True

6 months

3 years

3 years

remaining primary molars

30

Mx Eruption Sequence: (Palmer)In

Mn:

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

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

31

Leeway space Mx:

Mn

1.5mm/quadrant

2.5mm/quadrant

*remember, primary dentition larger than permanent

32

Initiation/Calcification of Primary Teeth:

(#'s are IN UTERO in WEEKS)

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

33

The only permanent tooth that displays calcification at birth?

1st Molars

34

9 months, what teeth?

12 months?

18 months?

24 months?

A, B

A, B, D

A, B, C, D

A, B, C, D, E

35

Eruption sequence (primary/Palmer)

Calcification sequence (primary/Palmer)

A, B, D, C, E

A, D, B, C, E

36

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

True

37

Distal occlusion that will result in Class I occlusion:

Flush or Mesial Step

*Mesial Step is Ideal

38

Distal occlusion will result in Class III occlusion:

Result in Class II occlusion:

Exaggerated Mesial Step

Distal Step

*distal step manDIble = class II

39

Class I Canine:

Class II Canine

Class III

Mn C between Mx LI/C

...distal to LI/C midline

mesial to LI/C midline

40

Primary molar occlusion described as...

Primary Canines described as...

steps

class I, etc

41

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

True

42

4 Basic Fixed appliances:

Band/Crown and Loop

Distal Shoe

Transpalatal (Nance)

Lower Lingual Holding Arch (LLHA)

43

Band/Crown and Loop used in what situation?

example?

single tooth loss

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

44

Distal Shoe is used in what situation?

example?

Single tooth loss

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

45

2 options for single teeth:

2 options for multiple teeth/bilateral loss:

Band/Crown and Loop, Distal Shoe

Nance (Transpalatal), LLHA

46

Nance is used where?

LLHA?

Mx

Mn

47

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

If permanent dentition is in occlusion

AND a mesial proximal contact

*basically, only if Primary 1M missing

48

Moyers Analysis uses what level of Probability?

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

75%

49

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

negative

*Med situation contraindicates distal shoe

50

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)

11 mm

10.5 mm

51

Tanaka-Johnson, what incisors are predictive?

Mn

52

Mn incisors/2 + 11 =

Mn incisors/2 + 10.5 =

Mx quadrant 3,4,5

Mn quadrant 3,4,5

53

2 strategies to interact w/ kiddos:

Tell Show Do

Ask Tell Ask

54

Voice control, positive reinforcement, memory reconstruction

General behavior concepts

55

Simple Protective Stabilization

Active immobilization:

hands over pts hands/arms

holding hands, legs, shoulders, knee to kne

*think - seat belts

56

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

pre-________, disables or Emergency

Rist of injury to ___, staff, dentist, parent

Needs...

Limited...

time

cooperative

pt

Specific Consent

Care

57

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

True

58

92% mothers believe should've been present

90% understood restraints keep child from harm

True

59

Mouth props are Protective Stabilization

False

*used w/ all procedures

60

Caries is multifactorial

True

61

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

71 months

3

True

62

Pattern to Severe ECC (list 6 in descending order)

Mx Incisors

Mx 1M

Mn 1M

Mx C/2M

Mn C/2M

Mn incisors seldom

63

Strep Mutans primary source transmission

Maternal (24-100%)

64

Dental Home established no later than ____

12 months

65

Goal of Fluoride toxicity is to minimize absorption with what?

Calcium products

*remember, 1 tube might kill 60 pounder

66

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

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

Cause of Methemoglobinemia:

Benzocaine

68

CAR

PRR

Conservative Adhesive Restoration

Preventive Resin Restoration

69

CAR type 1

type 2

type 3

enamel (sealant)

dentin (flowable)

dentin (packable/sealant)

70

CAR only need what?

Pits and grooves

71

What restoration is seldom used in children?

Why?

Do what instead?

Class IV

limited strength, encroaches on pulp

SCC

72

Indications for SCC: (composite/strip crown)

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

73

Strip crowns are exclusively for what?

Incisors/Canines

74

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

SCC ___x successful as Amalgams

4

2x

75

Rule of 4 SSC:

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

Any Child more than 4 IP posterior lesions

76

ITR =

Interim Therapeutic Restoration

77

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

ITR

78

3 indications for ITR

minimal lesions

young children

caries control

79

4 indications Anterior SSC

inadequate tooth structure

occlusal probs

Primary canines/occlusion

esthetics vs durability

80

Class II

Proximals

*no marginal ridge break through

81

T/F
No MOD on Primary molars

True

*not enough structure

82

Class III incisal edges involved

False

83

Never use Class IV restorations, instead Crown

True

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