Pedo: Infant Oral Health And Flouride

Front 1

What is the AAPD's definition of a dental home?

Back 1

ongoing relationship btw dentist and patient, inclusive of oral health care delivered in a comprehensive, continuously accessable, coordinated, and family-centered way. Dental home established no later than 12 months of age.

Front 2

According to the AAP, what is the new "best practices" standard?

Back 2

first oral exam by 6 months, dental home by 1 year of age

Front 3

According to the AAPD, ECC is defined as:

Back 3

biofilm-mediated acid demin of enamel or dentin. EEC is indicated by presence of 1 or more decayed, missing, or filled tooth surfaces in a child 71 months of age or younger.

Front 4

What is indicative of severe early childhood caries (S-ECC)?

Back 4

Any sign of smooth surface caries in children under three. 1 or more cavitated, missing, or filled tooth in primary maxillary teeth in children age 3-5. Decayed, missing, or filled score >4 (age3), >5 (age4), >6 (age5).

Front 5

Which organism is the primary etiology of ECC?

Back 5

mutans streptococci

Front 6

What is the % correlation of cariogenic organisms between mothers and infants?

Back 6

71.%

Front 7

Which area of the mouth has the thinnest enamel, where demineralization is present the longest?

Back 7

cervical of incisors

Front 8

Which area of the mouth is more plaque/substrate retentive, and may have thinner enamel at the bottom?

Back 8

deep pits/fissures

Front 9

Which area of the mouth demineralizes later, because relatively thicker enamel is not usually in contact at a young age?

Back 9

proximal surfaces

Front 10

what are the decay patterns of baby bottle caries and nursing caries?

Back 10

lower incisors spared, max incisors affected first, followed by max and mand molars

Front 11

decay patterns of rampant caries?

Back 11

starts with cervical caries throughout mouth, lower incisors affected, all primary teeth affected

Front 12

___% or more of children in US affected by caries. ___ times more common than asthma. ___ times more common than hay fever.

Back 12

5. 5. 7.

Front 13

___% of children have caries by kindergarten. ___% by elementary school.

Back 13

40. 50.

Front 14

Approximately ___% of Californians have flouridated drinking water

Back 14

30

Front 15

Normal milestones in tooth development: first tooth in ___ months. complete dentition in ___ years.

Back 15

6. 2.

Front 16

Normal milestones in tooth development: first perm tooth in approximately ___ years. First permanent molars erupt without loss of primary tooth at ___ years.

Back 16

6.6.

Front 17

Caries experience of children can be reduced by ___ % or more with optimal flouride use.

Back 17

40-50

Front 18

What is flouride's mechanism of action topically (4)?

Back 18

buffers bacterial acids, disrupts bacterial enzymes, stops demin, promotes remin

Front 19

What is flouride's mechanism of action systemically (2)?

Back 19

improves enamel crystal structure, reduces acid solubility of enamel

Front 20

What is a good rule of thumb for determining whether a water filter removes flouride?

Back 20

if you can see the filter, flouride is probably not removed. if you can't see the filter, flouride is probably removed

Front 21

When prescribing systemic flouride to a patient, what should always be considered (2)?

Back 21

patient's current flouride exposure (drinking water), patient's use of multi-vitamins.

Front 22

current supplementation regimen (1994)

Back 22

*see chart on bottom of pg. 14.

Front 23

What are the two most common prescription supplements for pediatric patients, and what is the mgF/drop for each?

Back 23

NaF solution (0.125mg F/drop), NaF tablets (1mg F/tablet)

Front 24

Permanent intrinsic white-to-brown discolorization of enamel, causing the teeth to be highly resistant to caries but unsightly, describe the symptoms of which condition?

Back 24

flourosis