Question 54

Question 1

tx plan for child caries

Answer 1

o Caries
 Discuss findings of decay on childs teeth and that this is caused by a build up of plaque bacteria on the childs teeth which feed on sugars, producing acid which breaks down the surfaces of teeth
 If allowed to progress, decay can spread and cause pain and infection
 Management can include prevention and monitor, fissure sealant, removal of caries and placement of a filling, placement of a stainless steel crown, or even extraction of teeth
 Which of these options is chosen will depend on how well your child will be able to cooperate. Options include under LA, sedation or GA
 Enhance prevention – TB, diet, Fluoride

Question 2

tx plan for mucocele

Answer 2

o Mucocele
 Swelling in the mucosa filled with saliva, caused by obstruction of a minor salivary gland
 Commonly found in lower lip or junction of hard/soft palate
 Swelling usually doesn’t produce any symptoms and doesn’t require treatment, whould go down by itself
 However if it remains fixed in size it may need to be removed

Question 3

tx plan for PA pathology

Answer 3

 Usually means that there is infection at the tip of the root of a tooth, which can lead to an abscess
 Teeth showing this usually need to be RCT or XLA

Question 4

tx plan for hypodontia

Answer 4

 Congenital absence of one or more teeth
 Usually L5, U2, U5
 Causes – genetic, syndromic (cleft lip and palate), trauma
 Presents – delayed or asymmetrical eruption, retained or infra-occluded deciduous teeth, absent deciduous tooth
 Associated problems – microdontia, malformation of teeth, spacing, drifting, poor aesthetics, functional problems
 Referral to orthodontist to decide how best to plan:
* Missing upper 2:
o Accept
o Restorative alone
o Orthodontics alone
o Combined restorative and ortho
 Open space – resin bonded bridge, implant, denture
 Close space – simple space closure with composite corners, space closure plus (camouflage)

Question 5

deal with mother’s complaint about other dentist

Answer 5

o I can’t comment as I wasn’t involved in any of the treatment, however I can understand your frustrations
o If mum wants to complain – state that every practice will have its own standard complaints procedure
o Explain that child is in good care at this practice and we can provide the treatment we have talked about as long as you are happy to do so