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What is the single greatest contributor to behavior change? 2nd greatest?

Patient's own self-change efforts. The relationship between parent and care provider.


What is health promotion?

Any process enabling individuals or communities to increase control over the determinants of their health. Multiple determinants of health.


What are the social determinants of health?

Knowledge, health belifs and attitudes. Patterns of behavior and psychosocial factors.


Salutogenic Model

Focus on health and well being, not the disease. In oral health, it focuses on factors associated with children and caregivers who ave avoided oral disease rather than on the more more common pathogenic approach, which describes factors associated with dental caries. "This is what you can do/are doing that's right. Rather than, this is what you are doing that's wrong.


Locus of Control

A belief about outcomes of our actions being contingent on what we do (internal LOC) or events outside our personal control (external LOC). Where we put the blame. Most are in between the two extremes. Inner LOC patients are much better.


What is the central concept of MI?

Identify, examine and resolve ambivalence about changing behavior.


What is ambivalence?

Feeling two ways (love-hate) about behavior change.


What are the 3 essential elements of MI?

Specific form of conversation about change.
Collaborative, person-centered, honors autonomy.
Evocative, brings forth the person's own motivation and commitment.


What are the 4 fundamental processes of MI?

Engaging: the relational foundation.
Focusing: Strategic centering.
Evoking: recognizing, eliciting, responding to change.
Planning: bridge to change.


What is OARS?

Core communication strategies.

Open-ended questions.
Reflection (most common response)


If importance is low, how do you talk to the parent?

Do not give advice. Ask the person about their values, goals. Ask what they want their life to be like.


If confidence is low, how do you talk to the parent?

Provide info, advice. Ask about what will help to change. Ask about past success, challenges/strategies used. Ask about strengths, abilities.


What's the most effective way to control caries in pit and fissure?

Restorations. Fluoride is less effective.


What's the most effective way to control caries on smooth surface?

Fluoride, oral hygiene and dietary modification.


What's the earliest clinical sign of dental caries?

White spot.


What are the 4 classical zones of a white spot lesion?

1. Surface Zone: High concentration of mineral.
2. Body of lesion. Principal area of demineralization.
3. Dark zone:
4. Translucent Zone: Furthest away.


What constitutes as ECC?

A child less than 6 years or 71 months with 1 or more decayed, missing (from caries) or filled tooth surface in any primary tooth.


What constitutes as severe ECC?

Child less than 3 with any sign of smooth surface caries.

Or chlide 3-5 yr with 1 or more cavitated, missing, or filled smooth surfaces in MX anterior teeth or DMFS score, greater than 4 at age 3, 5 at age 4 and 6 at age 5.


Why are primary teeth at greater risk for caries?

Thinner enamel and dentin. Larger pulp, closer to surface, reached more rapidly. Flat broad contacts that are harder to clean.


Summary of Hopewood House

Children lived there and had limited oral hygiene and dental care, but had a lacto-vegetarian diet without refined foods. Extremely low caries prevalence.


Summary of Vipeholm Study

Swedish government used long term controlled conditions and extreme carbohydrate consumption to induce caries. Increased caries in consumption between meals and highest caries in retentive or sticky candies. But also found that it varies. Some people just don't get caries.


How much juice intake does the AAP recommend per day?

4-6 oz.


What is in the preop evaluation for exodontia?

Med and dental history. Physical exam. Imaging. Diagnosis.


What are some med history contraindications?

Systemic disorders (blood, heart, leukemia, bisphosphate therapy, etc)


What are some med history considerations?

Systemic disorders (premature birth, genetic disorders and syndromes, pulmonary problems such as asthma and cystic fibrosis, growth and development, obesity, endocrinology disorders, etc), local factors (radiation, cancer, teeth and tumor association, abscess, infection, chemo, etc)


Where is the Cow Horn is contraindicated?

MN Molars.


What forceps do you use for MN molars?

151 (S-K)


Why would you maybe need to section primary MN 2nd molars.

The diverging mesial and distal roots on the primary 2nd molars. Prevents damage to developing tooth bud.


What forceps do you use on anterior teeth?

1, 150 (S-K) or 151 (S-K)


What type of forces do you use on anterior teeth?

Rotational force on conical roots.