Week 9 Mani- Revision

Question 1

What are topics of paediatrics?

Answer 1

Trauma
Pulp therapy
Eruption sequence/pattern/disturbances in eruption
Self correcting anomalies

Question 2

How to manage fracture of tooth close to pulp?

Answer 2

Indirect pulp capping and restore with CR.

Question 3

When is full coverage crown not advised until?

Answer 3

Pt needs to be at least 18 years of age

Question 4

When is pulpotomy vs direct pulp cap advised with trauma?

Answer 4

Direct pulp cap: exposure <2mm
Pulpotomy: exposure 2-5mm

Question 5

Why shouldn’t you jump straight into RCT in immature tooth?

Answer 5

Open apex- may need to do apexification

Question 6

What is common flexible splint?

Answer 6

Wire and composite

Question 7

When is prognosis questionable for avulsion in permanent tooth?

Answer 7

Beyond 60 minutes- would still reimplant

Question 8

Best sleuth for tooth?

Answer 8

Milk

Question 9

When can you do pulp cap vs not pulp cap in primary tooth?

Answer 9

• Direct pulp capping not indicated for carious exposure in primary tooth (would instead do pulpotomy if reversible pulpitis. Would do pulpectomy for irreversible pulpitis)
• Can do direct pulp cap for pin point exposure in primary teeth due to trauma

Question 10

Difference in aim of pulpotomy vs pulpectomy?

Answer 10

• Pulpotomy: maintain vitality of tooth
• Pulpectomy: maintain tooth (not vitality)

Question 11

Conditions associated with delayed and accelerated eruption?

Answer 11

• Delayed: hypothyroidism, hypopituitarism, cyst, thick mucosa, developmental disturbance (e.g. dilaceration), ankylosis of primary tooth
• Accelerated: hyperpituitarism, hyperthyroidism

Question 12

Down’s syndrome general and oral features

Answer 12

• Oral: macroglossia, micrognathia, microdontia, hypodontia, delayed tooth eruption, supernumeraries, mx hypoplasia
• General: Frontal bossing, low set ears, palpebral fissures, underdevelopment of mid ⅓ of face, class III (underdeveloped mx), short neck
• Cardiac conditions

Question 13

What to say if unsure about AB prophylaxis?

Answer 13

AB prophylaxis may be considered with physician’s consultation

Question 14

What to know about diseases/syndromes (what to discuss in exam)?

Answer 14

Direct consequences of diseases

Consequences of medications

Question 15

Should you reimplant avulsed permanent tooth in immunocompromised pt?

Answer 15

No

Question 16

What do instead of tell-show-do for blind pt?

Answer 16

Tell-feel

Question 17

Prevention of caries?

Answer 17

• MI dentistry (preservation of tooth, selective caries removal, repair vs replacement)
• Remineralisation- F varnish, high F toothpaste, CPP ACP tooth mousse, sugar free chewing gum to stimulate saliva flow

Question 18

Dental complications in pregnant women?

Answer 18

• Dental tx in 2nd trimester
• Bleeding gums
• Pregnancy granuloma
• Periodontal disease → low birth weight, pre term (endotoxins cross placenta)
• Erosion form morning sickness

Question 19

Ortho prevention

Answer 19

• Space maintainers
• Know ages of eruption
• Be aware of habits- thumb sucking

Question 20

Oral cancer prevention?

Answer 20

• Early identification (red flags: non healing ulcer (>2 weeks), trismus, tooth mobility without obvious reason, palpable/enlarged lymph nodes with no obvious source, numbness, unexplained pain in mouth, change of voice)
• History- smoking, alcohol
• Screening
• Refer

Question 21

Why repair rather than replace resto?

Answer 21

• Preserve tooth structure
• Less time
• Less expensive

Question 22

Most common self correcting anomaly pts will see you for?

Answer 22

Ugly duckling