Tutorials 2 Flashcards
name 4 dental anomalies that are more common in patients who have experienced cleft lip or palate
hypodontia (affects 40% cleft kids)
supernumeraries (tends to be distal to cleft area)
shape and size anomalies (micro or macro dontia)
developmental defects of enamel (hypomineralisation or hypoplasia)
give 3 reasons why cleft lip and palate patients may see more caries
increased mouth breathing
bottle feeding more than breast feeding
difficult OH if crowding or supernumeraries
reduced saliva flow
name 4 members of a cleft MDT
paediatric dentist
cleft surgeon
anaesthetist
paediatrician
orthodontist
psychologist
ENT specialist
speech and language therapist
at what age do cleft patients undergo surgical treatment
lip repair 3-6 months
palate repair 6-12 months
bonegrafting 8-10 years if required
done under GA
why should aspirin not be given to under 16s
rare risk of reyes syndrome
serious liver and brain damage
what type of haemophilia doesnt respond to DDAVP (desmopressin)
haemophilia B
minimum coagulation factor level required for an invasive procedure
50%
why might bleeding increase in a nervous haemophiliac patient
increased blood pressure due to anxiety
what is autism spectrum disorder
lifelong neurodevelopmental disorder characterise by its impact on social communication and interaction
what are 3 main difficulties experienced by people with ASD
difficulty with communication and language
difficulties forming relationships with other people
resistance to small changes in familiar surroundings
why can dentistry prove challenging for patients with ASD
sensory overload - new environment, new people, disrupted routine, missed school
auditory - suction, hand pieces, waiting room
visual - bright lights, surgery clutter
tactile - cold, drying teeth, ultrasonic, invasion of personal space
olfactory - ZOE has strong smell
who is part of a MDT for ASD children , name 3
paediatrician, dietician, psychiatrist, social worker, speech and language therapist
name 3 potential dental features of ASD
NCTSL - erosion, attrition , general chipping
Trauma/ self injurious behaviours
xerostomia - drug induced
why are ASD patients more prone to NCTSL
parafunctional habits
Children with ASD often have very restrictive diets - erosion
what may be done prior to an appointment with an ASD child to aid relaxation?
‘hello’ appointment
minimal wait time (first in am or straight after lunch)
bring own toothbrush/ sunglasses
comforters - ear defenders, weighted blanket
