SDCEP guidance

Question 1

How many times/year do we give tbing advice to a child?- 5 points

Answer 1

• once a year
• brush v well twice daily, including at night
• use the age appropriate amount of tp containing 1000-1500ppm f
• SPIT DONT RINSE
• supervise child until they can brush their teeth effectively.

Question 2

What sort of dietary advice do we give to a child to reduce caries risk? 7

Answer 2

• this is done once a year
• limit consumption of foods and drinks containing sugar
• drink only water or milk between meals
• snack on healthier foods like fresh fruit, carrot, peppers, breadsticks, oatcakes
• do NOT place sugary drinks, fruit juices in feeding bottles or pacifiers
• do not eat or drink after brushing before bed time at night
• be aware of HIDDEN SUGARS in food and acid content of drinks

Question 3

How many times a year do we place sodium fluoride varnish on a child

Answer 3

twice a year to children aged 2 years and over - STANDARD PREVENTION!!!

Question 4

For a high caries risk child (enhanced prevention) what TP dosage would we recommend

Answer 4

• 1350-1500ppm ppm F for children up to 10 years
• 2800ppm F for children aged 10-16 years for A LIMITED PERIOD - regular review is required.

Question 5

Again, for a high caries risk child (enhanced prevention), how many times a year should we place sodium fluoride varnish?

Answer 5

4 times per year onto children 2 years and over. Some applications may be provided through childsmile.

Question 6

What is the first priority when planning care/treatment planning for a child?

Answer 6

• KEEP THE PERMANENT MOLARS FREE FROM CARIES
• this is because these are more likely to experience decay than other permanent teeth in a childs dentition

Question 7

What is the second priority in a tx plan/planning care for a child?

Answer 7

to reduce the risk of any caries in the primary dentition resulting in pain or infection BEFORE THE TOOTH EXFOLIATES

Question 8

When should we consider placing glass ionomer sealant?

Answer 8

When the child is pre cooperative
When resin sealant is indicated but there are concerns for moisture control
on a PARTIALLY erupted tooth

Question 9

When is the Hall technique suitable in a child? And what is the AIM?

Answer 9

suitable for a primary tooth with an advanced lesion in an occlusal or proximal surface

aim is to completely seal a carious lesion so that the environment of the plaque biofilm is altered sufficiently to slow or even arrest the lesion

Question 10

When is selective caries removal suitable?

Answer 10

Suitable for:
- a primary tooth with an advanced occlusal or proximal lesion
- a primary anterior tooth with an advanced lesion
- a permanent tooth with a moderate occlusal or proximal lesion
- a permanent ant tooth with an advanced lesion

Question 11

what is the AIM of a pulpotomy?

Answer 11

enable a vital primary molar with pulpal disease to be retained free from pain and infection until exfolation

Question 12

What is the reason for BALANCING extractions in the primary dentition?

Answer 12

A balancing extraction is the extraction of a contralateral tooth, in order to minimise centre-line shift and maintain symmetry of the developing occlusion

Question 13

When is LA recommended for cavity prep in a primary/permanent tooth?

Answer 13

any cavity prep that involves cutting SOUND dentine