Shared Flashcard Set

Details

Preventative Oral Health
Pediatrics
41
Medical
Kindergarten
10/17/2011

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Cards

Term
What is the most common chronic disease in childhood/
Definition
dental caries
Term
dental decay is five times more common than what?
Definition
asthma
Term
dental decay is seven times more common than what?
Definition
hay fever
Term
what is the only way to eradicate tooth decay?
Definition
prevention
Term
what % of children have had an annual visit with their PCP?
Definition
89%
Term
what % of children have had their dental visits?
Definition
1.5%
Term
AAPD recommends that each child should have what by one year?
Definition
established dental home
Term
what % of children age 3-4 have not received the recommended dental visits?
Definition
75%
Term
What is the impact of dental caries?
Definition
impacts quality of life
leads to poor nutrition and effect the speech
leads to depression, poor selfesteem and financial insecurity
Term
What are the consequences of dental caries?
Definition
Pain, infection, ER visits, hospitalization
Term
untreated caries can lead to local and systemic complications such as....
Definition
facial cellulitis
malocclusion from lost teeth
poor self esteem
Term
Dental caries is caused by what?
Definition
bacteria
eating too much sugar
sharing toothbrushes
Term
early stages of caries present as ______
Definition
white spots
Term
frank cavities appear as _______
Definition
brown spots
Term
brown areas progress to larger and deeper ________
Definition
carious lesions
Term
What teeth are affected first?
Definition
upper front teeth
Term
what teeth are affect second?
Definition
primary molars
Term
what teeth are affect when the disease becomes severe?
Definition
lower front teeth
Term
When is the onset of ECC
Definition
12-18 months
Term
When is the onset of ECC
Definition
12-18 months
Term
What is the etiology triad of dental caries?
Definition
Oral BACTERIA breaks down dietary SUGARS into acids which eat away the TOOTH
Term
What bacteria is vertically transmitted from the primary caregiver htat causes caries?
Definition
Mutans streptococci
Term
caregivers with high bacteria levels usually have:
Definition
high levels of decay
poor oral hygiene
high frequency of sugar intake
Term
oral bacteria produces acids for _____ minutes after sugar ingestion
Definition
20-40 minutes
Term
_______ sugar is ingested is more important that _______ sugar is eaten.
Definition
How often; how much
Term
if sugar intake is frequent, ________ predominates
Definition
demineralization
Term
What puts a child at risk?
Definition
family members with poor oral hygiene
poor oral hygiene
diet high in sugar
improper bottle feeding
breast feeding in the night
pacifiers dipped in sugar
chronic illnesses
caregivers with stressful characteristics
Term
What is the role of the pediatrician?
Definition
bright futures and AAP guidelines
Oral health risk assessment
anticipatory guidance
Term
AAP recommendations for an oral health risk assessment
Definition
assess caregiver's oral health
assess oral health of child
recognize signs and symptoms of caries
assess child's exposure to fluoride
provide anticipatory guidance
make referral to a dental home
Term
What children are at a high risk for caries?
Definition
special health care needs
low socioeconomic and ethno-cultural groups
suboptimal exposure to topical or systemic fluoride
poor dietary and feeding habits
caregivers or siblings with carries
visible caries, white spots, plaque or decay
Term
children with asthma and allergies are on medications that ________ increasing risk of caries.
Definition
medications that dry salivary secretions
Term
children who are ____ or _____ have a much higher rate of enamel defects.
Definition
preterm or low birth weight
Term
childre with ______ are at risk for systemic infection from untreated oral disease.
Definition
congenital heart disease
Term
What should the physical oral health assessment consist of ?
Definition
check for advance caries
maternal screening
child assessment
positioning child for oral exam
primary teeth eruption
check for normal teeth
check for brown and white spots
Term
What should anticipatory guidance consist of?
Definition
minimize risk for infection
xylitol gum for mothers
look at dietary habits
toothpaste
flossing
Term
fluoride reduces caries by what %?
Definition
30%
Term
fluoride varnish leads to __% reduction in number of cavities.
Definition
75%
Term
What type of fluoride has a greater effect?
Definition
topical
Term
Systemic reduces enamel solubility by what?
Definition
incorporation into its structure
Term
Topical fluoride:
Definition
inhibits demineralization
promotes remineralization
produces antibacterial activity
Term
What are the indications for fluoride varnish?
Definition
moderate and high risk children without caries
children with white spots
children with caries
generally applied twice per year beginning when teeth erupt
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