Clinical Cases in Pediatric Dentistry Chapter 3 Quiz

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Questions and Answers

What is the focus of Case 3 in the text?

  • Cervical pulpotomy in cariously exposed primary molars (correct)
  • Root canal treatment in a primary molar
  • Partial pulpotomy in traumatized primary incisors
  • Pulpotomy with MTA in an immature permanent molar

In which case is root end closure performed with Ca(OH)2?

  • Case 4
  • Case 2
  • Case 9
  • Case 7 (correct)

What is the procedure discussed in Case 5 of the text?

  • Partial pulpotomy in a cariously exposed young permanent molar (correct)
  • Revascularization of necrotic immature permanent tooth with apical periodontitis
  • Partial pulpotomy in traumatized primary incisors
  • Indirect pulp treatment

Which case focuses on pulp revascularization of a necrotic immature permanent tooth?

<p>Case 9 (C)</p> Signup and view all the answers

What is one of the questions recommended to ask when obtaining a history regarding pain?

<p>Describe the pain. Does it linger or subside after stimulus is removed? (C)</p> Signup and view all the answers

At what age was the dental home established for the patient?

<p>16 months (A)</p> Signup and view all the answers

What is the frequency of recommended fluoride varnish applications for the patient?

<p>Every three months (B)</p> Signup and view all the answers

What is one aspect of the patient's dental hygiene mentioned in the text?

<p>Unsupervised brushing once daily (A)</p> Signup and view all the answers

What is the most common complication of a failing IPT?

<p>Pulp necrosis (D)</p> Signup and view all the answers

Why is using a stainless steel crown over an IPT suggested for children with high caries risk?

<p>To prevent bacteria contamination (C)</p> Signup and view all the answers

What factor in the present case can contribute to a poor prognosis?

<p>Patient's lack of compliance with appointments (C)</p> Signup and view all the answers

When is an IPT contraindicated for primary molars?

<p>In cases with high caries risk (A)</p> Signup and view all the answers

What is the purpose of performing Indirect Pulp Treatment (IPT) in pediatric dentistry?

<p>To prevent pulp exposure and additional trauma to the tooth. (C)</p> Signup and view all the answers

What is the function of the biocompatible material used in Indirect Pulp Treatment (IPT)?

<p>To promote remineralization of the demineralized dentin. (C)</p> Signup and view all the answers

Why is it essential to remove carious tissue completely from the dentino-enamel junction (DEJ) during Indirect Pulp Treatment (IPT)?

<p>To achieve optimal interfacial seal between tooth and restorative material. (A)</p> Signup and view all the answers

What is one of the dilemmas that clinicians face when performing Indirect Pulp Treatment (IPT)?

<p>Deciding how much caries to leave on the pulpal or axial floor. (D)</p> Signup and view all the answers

Flashcards

Cervical Pulpotomy Focus

Cervical pulpotomy is performed to treat cariously exposed primary molars, aiming to preserve the tooth until natural exfoliation.

Root End Closure

Root end closure with Calcium Hydroxide [Ca(OH)2] is done to encourage apexification in immature permanent teeth with open apices.

Partial Pulpotomy

Partial pulpotomy is used in cariously exposed young permanent molars to preserve pulp vitality and promote continued root development.

Pulp Revascularization

Pulp revascularization aims to regenerate pulp tissue in a necrotic immature permanent tooth, restoring vitality and function.

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Pain History Questions

When obtaining a pain history, ask the patient to describe the pain and whether it lingers or subsides after the stimulus is removed to diagnose.

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Dental Home Age

The dental home was established for the patient at 16 months old, enabling preventive care and early intervention.

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Fluoride Varnish Frequency

The patient is recommended to receive fluoride varnish applications every three months to prevent caries progression.

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Dental Hygiene Habit

The patient's dental hygiene includes unsupervised brushing once daily, indicating a need for improved oral hygiene practices.

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IPT Complication

Pulp necrosis is the most frequent complication, leading to infection and the need for more extensive treatment.

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SSC over IPT

Stainless steel crowns, are suggested for children with high caries risk to protect the tooth from bacterial contamination and ensure treatment success.

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Poor Prognosis Factor

Patient's lack of compliance with appointments can hinder treatment progress and compromise the long-term success.

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IPT Contraindication

IPT is contraindicated for primary molars when there is a high risk of caries due to the high chance of failure.

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IPT Purpose

Prevent pulp exposure, stimulate the remineralization of affected dentin and avoid further trauma during cavity excavation.

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Biocompatible Material Function

The biocompatible material promotes reparative dentin formation, helping to remineralize demineralized dentin.

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DEJ Caries Removal

Complete removal of carious tissue from the DEJ is necessary to achieve a tight seal and prevent bacterial leakage.

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IPT Dilemma

Clinicians must consider the amount of caries left on the pulpal or axial floor in order to maximize remineralization without risking pulp exposure.

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