SDCEP Guidelines Study Flashcards

1
Q

If a child is at increased risk of developing caries, when should follow up radiographs be taken?

A

6-12 months

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2
Q

If a child is NOT at increased risk of developing caries, when should follow up radiographs be taken?

A

2 years

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3
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 10/10 indicate?

A

perfectly clean tooth

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4
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 8/10 indicate?

A

plaque line around the cervical margin

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5
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 6/10 indicate?

A

cervical third of the crown covered with plaque

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6
Q

When assessing toothbrushing in paediatric patients a plaque index is used, what would a score of 4/10 indicate?

A

middle third of tooth covered with plaque

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7
Q

When assessing toothbrushing in paediatric patients a plaque index is used, how is the mouth divided up?

A

Into sextants, the worst score in each sextant is recorded

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8
Q

What factors can increase a childs caries risk?

A
  • clinical evidence of previous disease
  • poor dietary habits
  • low socioeconomic status
  • use of fluoride
  • plaque control
  • saliva
  • medical history
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9
Q

What tool is used to assess dental anxiety in children?

A

The Modified Child Dental Anxiety Scale

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10
Q

What behavioural management technique is frequently used in paediatric dentistry to introduce a child to a new situation?

A

tell, show, do

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11
Q

How much toothpaste should be places on a toothbrush for a child under 3 years old?

A

Smear

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12
Q

How much toothpaste should be places on a toothbrush for a child 3 years and over?

A

pea sized amount

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13
Q

What fluoride content toothpaste should be used for a child under 3 years old at an increased risk of caries?

A

a smear of 1350-1500ppmF

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14
Q

What fluoride content toothpaste should be used for a child under 3 years old at a standard risk of caries?

A

smear of 1000-1500ppmF

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15
Q

What fluoride content toothpaste should be used for a child over 3 years old at an increased risk of caries?

A

pea sized amount of 1350-1500ppmF

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16
Q

What fluoride content toothpaste should be used for a child over 3 years old at a standard risk of caries?

A

pea sized amount of 1000-1500ppmF

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17
Q

What fluoride content toothpaste should be used for a child 10+ years old at an increased risk of caries?

A

2800ppmF toothpaste

18
Q

How often is fluoride varnish applied to standard risk paediatric patients?

A

twice a year

19
Q

What % fluoride varnish is used in paediatrics?

20
Q

At what age are children allowed to receive topical fluoride application?

A

2 years old

21
Q

What is the maximum number of times fluoride varnish can be applied to child patients teeth?

A

4 times a year

22
Q

How often is fluoride varnish applied to increased risk paediatric patients? What else is suggested for these patients that are 7+years old?

A

4 times a year
- use of an alcohol free sodium fluoride mouthwash at a different time from tooth brushing

23
Q

What are the contraindications for Duraphat applications in paediatric patients?

A
  • severe asthma
  • severe allergy
  • sticking plaster allergy
24
Q

What is found in Duraphat that can cause contraindications in some children?

25
How much fluoride (in ppm) is in Duraphat fluoride varnish?
22600ppmF
26
How much Duraphat varnish is applied to nursery & primary 1 children (2-5y/o)?
0.25ml
27
How much Duraphat varnish is applied to primary 2 & above children (5-7y/o)?
0.4ml
28
How is fluoride varnish applied to children’s teeth?
- isolate & dry teeth a quadrant at a time - apply fluoride varnish using a brush - advise that soft foods & drinks can be consumed 30 MINS AFTER the application - child should wait AT LEAST 4 hours before brushing teeth or chewing hard food
29
For children aged 6-11 months with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
Oral Suspension 125mg for 5 days - 3 times daily
30
For children aged 1-4 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
250mg Amoxicillin 3 times daily for 5 days - capsules or oral suspension
31
For children aged 5-11 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
500mg Amoxicillin 3 times daily for 5 days
32
For children aged 12-17 years with a dental abscess, what antibiotics should be prescribed? (NO PENICILLIN ALLERGY)
500mg Amoxicillin 3 times daily for 5 days
33
What antibiotic options are available for children with dental abscesses?
No penicillin allergy: - Amoxicillin - Phenoxymethylpenicillin Penicillin allergy : - Metronidazole
34
For children aged 1-2 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
50mg of Metronidazole 3 times daily for 5 days
35
For children aged 3-6 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
100mg Metronidazole 2 times daily for 5 days
36
For children aged 7-9 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
100mg Metronidazole 3 times daily for 5 days
37
For children aged 10-17 years with a dental abscess, what antibiotics should be prescribed? (PENICILLIN ALLERGY)
200mg Metronidazole 3 times daily for 5 days
38
If children do not respond to first line amoxicillin or metronidazole treatment, or in cases of severe infection, what can be used?
Clarithromycin
39
For how many days should antibiotics be prescribed for necrotising ulcerative gingivitis and periodontitis?
3 day regime
40
What factors are known to be associated with development of caries?
- clinical evidence of previous disease - dietary habits (frequency of sugary food) - social history/socioeconomic status - fluoride use - plaque control - saliva - medical history