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32 Cards in this Set

  • Front
  • Back

Eruption Cyst

Benign condition, should resolve as tooth erupts



Usually gone in a couple of weeks

Prolonged Thumbsucking

Leads to severe open bite in front



Early Elementary (6-7 yrs old)

Eruption of permanent teeth



Start losing anterior incisors



Posterior 1st permanent molars come in

Indications for Sealants

-newly erupted teeth with pits and fissures



-children whose lifestyle, behavior patterns, physical or emotional development, or lack of fluoride exposure put them at high risk for caries



-children whose teeth have deep pits and fissures



-people who want them as preventive measure

Premature Tooth Loss

-increases risk of crowding



-increases risk of speech development issues



-may affect nutritional intake/choices

Lingual Evaluation

-Note lack of lingual papillae, pallor, dryness, color, asymmetry, uncoordination



-Lateral borders



Melanin pigmentation

RED FLAGS

- fuzzy teeth (accumulation of plaque biofilm)



-white spot or overt lesions (incipent or active decay)



-excessive crowding (high risk for variety of issues)



-Tobacco user

Parafunctional habits

-tooth grinding



-may c/o headaches


-masticatory muscle tenderness/fatigue


-If severe, reduced tooth anatomy

Eating Disorders

-Tooth erosion


(inside surfaces of upper front teeth)



-Soft tissue trauma to pharyngeal area



-Callous on knuckle

Dental Caries

-Initial lesion is "white spot"


-Progression eventually results in classic cavity

Root Caries

-increased risk with biofilm accumulation



-increased risk with recession



-increased risk with decreased salivary flow

Caries Risk Factors

-carbohydrate access (frequency/form)


-fluoride availability


-biofilm control


-family history


-tooth morphology


-tooth alignment

Fluorosis

-Excessive fluoride intake during tooth development

When does primary tooth eruption occur?

Between 6 and 33 months

Primary teeth are shed between....

6 and 12 years

How often should fluoride varnish be applied?

Every 3-6 months in at risk populations

3 layers of the teeth

- enamel


-dentin


- pulp

Non-Dental sources for Oral pain

-myofascial inflammation


-migraine headaches


-maxillary sinusitis


-neuralgias

Reversible pulpitis

-Pulpal inflammation


-Pain with hot, cold or sweet stimuli


-Periapical abscess or cellulitis could erupt



TX: filling


Irreversible Pulpitis

-Pulpal inflammation


-spontaneous, poorly localized pain


-periapical abscess or cellulitis could erupt



TX: extraction, RCT

Abscess

-localized bacterial infection


-localized pain and swelling


-could become cellulitis



TX: I&D and RCT or extraction

Cellulitis

-diffuse, soft tissue bacterial infection


-pain, erythema and swelling


-Regional spread



TX: Antibiotics and RCT or extraction

Pericorontitis

-inflammed gum over partially erupted tooth



-pain, erythema and swelling



-cellulitis



TX: Irrigation, antibiotics if cellulitis is present

Peridontal Disease

-caused by microorganisms within subgingival dental plaque



-must be careful tx pts with pericarditits



-

odontogenesis

tooth development

Signs of Periodontal Disease

-red, sore, swollen, receding or bleeding gums


-loose or sensitive teeth


-presence or history of oral abscesses


-halitosis


-missing teeth


-accumulation of food or plaque around teeth and gums


-may be tender

Risk factors for Periodontal Disease

-tobacco use


-hormone alterations


-stress/poor nutrition


-genetic contribution


-psycho-social stress


-systemic disease (diabetes, CVD)

pyogenic granuloma

pregnancy tumor in mouth


benign


resolves when pregnancy resolves

Medications and Gingival Hyperplasia

3 major classes


- Calcium channel blockers


- Anticonvulsants


- Immunosuppressives

Xerostomia Etilology

-Sjorgren's Syndrome


-Radiation therapy


-Salivary gland dysfunction

Xerostomia Symptoms

-multiple decay, especially at root surfaces


-Halitosis


-glossitis


-burning tongue


-angular cheilosis (cracking at angle of mouth)


-dysgeusia (taste dysfunction)

Meds and Xerostomic Effect

- ANtihistamines


-ANtidepressants


-Antipsychotics


-Sedatives


-Tranquilizers


-Narcotic analgesics