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25 Cards in this Set

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What is the AAPD's definition of a dental home?
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.
According to the AAP, what is the new "best practices" standard?
first oral exam by 6 months, dental home by 1 year of age
According to the AAPD, ECC is defined as:
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.
What is indicative of severe early childhood caries (S-ECC)?
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).
Which organism is the primary etiology of ECC?
mutans streptococci
What is the % correlation of cariogenic organisms between mothers and infants?
71.%
Which area of the mouth has the thinnest enamel, where demineralization is present the longest?
cervical of incisors
Which area of the mouth is more plaque/substrate retentive, and may have thinner enamel at the bottom?
deep pits/fissures
Which area of the mouth demineralizes later, because relatively thicker enamel is not usually in contact at a young age?
proximal surfaces
what are the decay patterns of baby bottle caries and nursing caries?
lower incisors spared, max incisors affected first, followed by max and mand molars
decay patterns of rampant caries?
starts with cervical caries throughout mouth, lower incisors affected, all primary teeth affected
___% or more of children in US affected by caries. ___ times more common than asthma. ___ times more common than hay fever.
5. 5. 7.
___% of children have caries by kindergarten. ___% by elementary school.
40. 50.
Approximately ___% of Californians have flouridated drinking water
30
Normal milestones in tooth development: first tooth in ___ months. complete dentition in ___ years.
6. 2.
Normal milestones in tooth development: first perm tooth in approximately ___ years. First permanent molars erupt without loss of primary tooth at ___ years.
6.6.
Caries experience of children can be reduced by ___ % or more with optimal flouride use.
40-50
What is flouride's mechanism of action topically (4)?
buffers bacterial acids, disrupts bacterial enzymes, stops demin, promotes remin
What is flouride's mechanism of action systemically (2)?
improves enamel crystal structure, reduces acid solubility of enamel
What is a good rule of thumb for determining whether a water filter removes flouride?
if you can see the filter, flouride is probably not removed. if you can't see the filter, flouride is probably removed
When prescribing systemic flouride to a patient, what should always be considered (2)?
patient's current flouride exposure (drinking water), patient's use of multi-vitamins.
current supplementation regimen (1994)
*see chart on bottom of pg. 14.
What are the two most common prescription supplements for pediatric patients, and what is the mgF/drop for each?
NaF solution (0.125mg F/drop), NaF tablets (1mg F/tablet)
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?
flourosis