Pediatric Dental Care and Symptoms Quiz

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Questions and Answers

Is replantation subject to the complete dislocation of tooth 5.1 in a 3-year-old child?

  • Subject if tooth vitality is diagnosed
  • Not subject to (correct)
  • Subject if the algorithm is followed
  • Subject only in certain cases

What factor is considered regarding a child's age in the treatment choice for complete dislocation of teeth 71 and 81?

  • Has if the root system is at the apex formation stage
  • Has during the eruption of all milk teeth
  • Only has during certain stages of eruption
  • Does not have an impact (correct)

What is the etiological factor in the development of acute mumps in children?

  • Hemolytic streptococcus
  • Protozoa
  • Virus (correct)
  • Bacteria

Murson's symptom in children with acute mumps is characterized by what?

<p>Always present (C)</p> Signup and view all the answers

What does Hatchcock's symptom in childhood indicate?

<p>Pain reaction with pressure on the corners of the lower jaw (B)</p> Signup and view all the answers

Which condition is characterized by Hatchcock's symptom in childhood?

<p>Mumps (B)</p> Signup and view all the answers

What is the maximum recommended period for primary surgical treatment of a wound in childhood after traumatic lesions of the maxillofacial area?

<p>Up to 36 hours (C)</p> Signup and view all the answers

Which symptom indicates a pain reaction with pressure on the excretory duct in childhood salivary gland diseases?

<p>Hyperemia around the excretory duct (D)</p> Signup and view all the answers

What is the purpose of using straight forceps to remove incisors of the upper jaw in a temporary bite?

<p>To ensure maximum grip and control during extraction (D)</p> Signup and view all the answers

Which condition in children is indicated by the presence of the 'Dupuytren' symptom?

<p>Odontogenic radicular cyst (A)</p> Signup and view all the answers

At what age can a child begin receiving a 4% solution of articaine as a local anesthetic?

<p>5 years old (B)</p> Signup and view all the answers

What is the primary etiological factor in the development of acute epidemic parotitis in children?

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

In acute mumps, when is Murson's symptom typically observed?

<p>Always present (D)</p> Signup and view all the answers

What does Murson's symptom indicate in diseases of the salivary glands in childhood?

<p>Hyperemia around the mouth of the excretory duct (C)</p> Signup and view all the answers

Which symptom is associated with viral sialoadenitis of the parotid salivary gland in childhood?

<p>Pain reaction with pressure on the corners of the lower jaw (B)</p> Signup and view all the answers

In childhood, mumps is characterized by which important symptom?

<p>Murson's symptom (A)</p> Signup and view all the answers

Which method is most informative for diagnosing jaw fractures in childhood?

<p>CBCT study (B)</p> Signup and view all the answers

After how many weeks should splints fixing jaw fragments in children be removed at the earliest?

<p>4 weeks (A)</p> Signup and view all the answers

What is the term for the primary surgical treatment of soft tissue wounds in children?

<p>up to 36 hours (A)</p> Signup and view all the answers

How long does the dispensary observation of a child with a condylar process fracture continue?

<p>Before revealing radiographic signs of complete consolidation (D)</p> Signup and view all the answers

What is the X-ray sign of an incomplete dislocation of a tooth in childhood?

<p>Uneven expansion of the periodontal gap at the lateral root surface (D)</p> Signup and view all the answers

What signifies impacted dislocation of a tooth in childhood on an X-ray?

<p>Absence of a periodontal gap over the entire root surface (A)</p> Signup and view all the answers

The predominance of dislocation over fracture of teeth in children can be attributed to which factor?

<p>Age-related features of the periodontal structure (D)</p> Signup and view all the answers

What are the predisposing factors for dislocation of temporary incisors in the upper jaw?

<p>Prognathic bite (C)</p> Signup and view all the answers

At what age is plastic surgery for a shortened frenulum of the upper lip typically performed?

<p>After eruption of the permanent incisors of the upper jaw (A)</p> Signup and view all the answers

What age is plastic surgery of the tongue's shortened frenulum performed?

<p>5-6 years (D)</p> Signup and view all the answers

Which disease of the salivary glands is associated with Murson's symptom in childhood?

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

What type of tooth trauma is most often observed with dislocation of the 5.1 tooth?

<p>Driven in dislocation (A)</p> Signup and view all the answers

Is it possible to injure the rudiment of a permanent tooth while removing a temporary tooth?

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

Can local enamel hypoplasia occur as a result of rudiment injury?

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

For a 2-year-old child, are teeth 7.1 and 8.1 subject to replantation after complete dislocation?

<p>Not subject to replantation (D)</p> Signup and view all the answers

What is a predisposing factor for dislocation of incisors in children?

<p>Deep prognathic bite (B)</p> Signup and view all the answers

What is a characteristic sign of chronic interstitial sialoadenitis in childhood?

<p>Unilateral lesion with smooth surface and temporary enlargement (C)</p> Signup and view all the answers

Which option describes the characteristic presentation of acute epidemic parotitis in childhood?

<p>Symmetrical enlargement of both glands (A)</p> Signup and view all the answers

What consistency is associated with chronic parenchymal sialoadenitis during remission?

<p>Bumpy and elastic (C)</p> Signup and view all the answers

At what age group is chronic parenchymal sialadenitis most frequently observed in children?

<p>3-8 years (A)</p> Signup and view all the answers

What type of injury is characterized by a dislocation in childhood?

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

Among children with permanent occlusion, what type of trauma is most prevalent?

<p>Fracture (B)</p> Signup and view all the answers

In what occlusion type do fractures of teeth primarily predominate in children?

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

What distinguishes chronic parenchymal sialoadenitis from other conditions?

<p>Bumpy and elastic gland consistency (B)</p> Signup and view all the answers

What is the recommended treatment for a 10-year-old child with complete dislocation of the 1.1 tooth due to injury?

<p>Replantation with preliminary endodontic treatment (A)</p> Signup and view all the answers

In the case of impacted dislocation of the 1.1 tooth with a formed root, what is the recommended approach?

<p>Reposition, fixation, dynamic observation, according to indications - endodontic treatment (C)</p> Signup and view all the answers

What is the recommended action for a 5-year-old child with a root fracture of the 5.1 tooth?

<p>Delete the tooth (A)</p> Signup and view all the answers

What type of injury is most typical for children aged 4-5 years?

<p>Tooth dislocation (A)</p> Signup and view all the answers

According to the 'green branch' type, which area is the most common location for fractures of the lower jaw?

<p>Condylar process (D)</p> Signup and view all the answers

What characterizes a fracture of the jaw bones in childhood according to the 'green branch' type?

<p>Fracture of bone tissue and periosteum only from one edge (C)</p> Signup and view all the answers

A subperiosteal fracture in childhood is characterized by which of the following?

<p>Bone fracture without damage to the periosteum (A)</p> Signup and view all the answers

What is the decisive sign of a complete fracture of the lower jaw in childhood?

<p>Pain reaction with a symptom of load (D)</p> Signup and view all the answers

Flashcards

When is frenulum surgery in the upper lip performed?

Plastic surgery of the shortened frenulum of the upper lip is recommended after the permanent incisors of the upper jaw have erupted.

When is frenulum surgery in the tongue performed?

Plastic surgery is typically done after the permanent canines erupt.

What salivary gland disease causes Murson's symptom?

Mumps is a viral infection that causes swelling of the salivary glands, and is characterized by Murson's symptom.

What childhood disease exhibits Murson's and Hatchcock's symptoms?

Mumps, a viral infection, is characterized by Murson's and Hatchcock's symptoms.

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Why is an adult tooth likely driven in when the baby tooth is dislodged?

When an adult tooth is dislodged, it is likely that the baby tooth was also affected, leading to the permanent tooth's root being driven in.

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Is it possible to injure an adult tooth during baby tooth removal?

Injury to the developing adult tooth is possible during removal of a baby tooth.

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What can injure a developing adult tooth?

Injury to the developing adult tooth can lead to localized enamel hypoplasia.

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Can a completely dislodged tooth be replanted in a 2-year-old?

Replanting a completely dislodged adult tooth in a 2-year-old child is not recommended.

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Can a completely dislodged tooth be replanted in a 6-year-old?

Replanting a completely dislodged adult tooth in a 6-year-old child is recommended.

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What predisposes children to incisor dislocation?

A deep overbite can increase the risk of incisor dislocation in children.

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Replantation of dislocated tooth 5.1 in a 3-year-old

Replantation of completely dislocated tooth 5.1 in a 3-year-old is generally not recommended due to the immature root development and high risk of complications.

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Age and complete dislocation of teeth 71, 81 in children

The age of the child plays a crucial role in choosing the treatment for completely dislocated teeth 71, 81. This is because younger children have developing root systems, which affects the success rate of replantation.

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Replantation of dislocated teeth 71, 81 in a 3-year-old

Replantation of completely dislocated teeth 71, 81 in a 3-year-old is generally not recommended due to the immature root development and high risk of complications.

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Cause of acute mumps in children

Mumps, a disease that affects the salivary glands, is caused by a virus.

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Murson's symptom in mumps

Murson's symptom is a characteristic sign of acute mumps, indicating pain when pressure is applied to the region around the openings of the salivary ducts.

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Murson's symptom

Murson's symptom is characterized by pain when pressure is applied to the opening of the salivary glands.

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Hatchcock's symptom

Hatchcock's symptom is characterized by pain when pressure is applied to the corners of the lower jaw.

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Disease characterized by Hatchcock's symptom

Acute bacterial sialadenitis is an inflammation of the salivary glands caused by bacteria. This condition is characterized by Hatchcock's symptom.

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Why use straight forceps for temporary teeth?

The straight forceps are used to remove temporary teeth (baby teeth) in the upper jaw that are loose or ready to fall out. This allows for the eruption of the permanent teeth.

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What maxillofacial disease is associated with Dupuytren's contracture?

Dupuytren's contracture is characterized by a thickening and tightening of tissue in the palm of the hand, resulting in a bent finger. This symptom is not associated with any maxillofacial disease in children.

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Which local anesthetic is safe for children over 5?

Articaine is a local anesthetic that is generally safe for children over 5 years old. However, the dosage and administration should always be guided by a qualified healthcare professional.

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What causes acute epidemic parotitis?

Acute epidemic parotitis, commonly known as mumps, is a viral infection that affects the salivary glands, particularly the parotid glands.

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What is Murson's symptom?

Murson's symptom is characterized by hyperemia (redness) around the excretory duct of the salivary gland.

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What is Hatchcock's symptom?

Hatchcock's symptom is defined as pain when pressure is applied to the corner of the lower jaw.

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What disease shows both Murson's and Hatchcock's symptoms?

Mumps is a viral infection of the salivary glands, particularly the parotid glands, and is characterized by the symptoms of both Murson and Hatchcock.

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What are the symptoms of Mumps?

Mumps is characterized by both Murson's and Hatchcock's symptoms. Murson's is characterized by a red area surrounding the salivary gland's duct. Hatchcock's refers to pain localized to the corner of the lower jaw.

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What are the clinical features of primary chronic sialoadenitis?

Primary chronic sialoadenitis is characterized by a symmetrical lesion, a bumpy surface, a cyclic course, and its classification as a primary chronic lesion.

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How does chronic interstitial sialoadenitis present in children?

Chronic interstitial sialoadenitis of the salivary glands in childhood is characterized by a single-sided lesion, a smooth surface, temporary enlargement of the gland, and no systemic signs of intoxication.

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What are the key features of mumps in children?

Acute epidemic parotitis, also known as mumps, in children is characterized by symmetrical swelling of both parotid glands.

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How does chronic parenchymal sialoadenitis feel in remission?

Chronic parenchymal sialoadenitis in remission is characterized by a gland that feels firm and bumpy, like a small knot.

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When is chronic parenchymal sialoadenitis most common in children?

Cases of chronic parenchymal sialoadenitis are most common in children between the ages of 3 and 8.

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What type of tooth trauma is most prevalent in children with permanent teeth?

In children with permanent teeth, fractures are the most frequent type of dental trauma.

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What type of tooth trauma is most common in children with baby teeth?

Dislocations are the most common type of tooth trauma in children with temporary teeth.

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What type of tooth trauma is most common in children with permanent occlusion?

Fractures are the most common type of tooth trauma in children with permanent teeth.

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Treatment for a completely dislocated 1.1 tooth in a 10-year-old

Replantation with preliminary endodontic treatment is recommended for a completely dislocated 1.1 tooth in a 10-year-old child.

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Treatment for an impacted dislocated 1.1 tooth

Impacted dislocation of the 1.1 tooth with a formed root requires repositioning, fixation, dynamic observation, and possible endodontic treatment.

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Treatment for root fracture in a 5.1 tooth in a 5-year-old

Due to the incomplete root development, a root fracture in the 5.1 tooth of a 5-year-old child usually necessitates extraction.

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Most common dental injury in 4-5 year olds

Tooth dislocation is the most common type of dental injury in children aged 4-5 years.

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Most common location for lower jaw fracture in children

The condylar process of the lower jaw is the most common site for fractures following the 'green branch' pattern.

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What is a 'green branch' fracture?

A fracture of the jaw bones in childhood according to the 'green branch' type involves a fracture of the bone tissue and periosteum only on one side.

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What is a subperiosteal fracture?

A subperiosteal fracture in a child's jaw involves a bone fracture without damage to the periosteum.

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Key sign of a complete lower jaw fracture in a child

The decisive sign of a complete fracture of the lower jaw in childhood is pain when the jaw is loaded.

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Best for diagnosing jaw fractures in children?

Cone beam computed tomography (CBCT) provides a 3D image of the jawbone, making it the most reliable method for diagnosing jaw fractures in children.

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How long to keep splints on in kids?

Splints for fixing jaw fragments in children are typically removed after 5 weeks. This allows for proper bone healing and minimizes the risk of complications.

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Time limit for facial wound surgery in kids?

Surgical treatment of soft tissue wounds on the face in children should ideally be performed within 36 hours of the injury. This minimizes the risk of infection and promotes faster healing.

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How long is a child with a condylar fracture monitored?

Dispensary observation of a child with a condylar process fracture continues until radiographic signs show complete consolidation of the fragments. This ensures proper healing and prevents potential complications.

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X-ray sign of incomplete tooth dislocation?

An uneven widening of the periodontal gap around the lateral surface of the tooth root indicates an incomplete dislocation of the tooth in children. This signifies the tooth is partially displaced from its socket.

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X-ray sign of impacted tooth dislocation?

The absence of a periodontal gap over the entire surface of the root indicates an impacted dislocation of a tooth in children. The tooth is completely displaced from its socket.

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Why are dislocations common in certain teeth in children?

Children's periodontal tissues are more flexible, making dislocations more common than fractures in teeth like 5.2, 5.1, 6.1, 6.2. The roots are also developing, contributing to their vulnerability.

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What predisposes children to upper incisor dislocation?

A prognathic bite, where the lower jaw protrudes, increases the risk of upper incisor dislocations in children. This is because the teeth are more prone to trauma and displacement.

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Study Notes

Maxillofacial Surgery - Children's Module

  • Chronic Recurrent Parenchymal Sialadenitis:

    • Non-contagious
    • Symmetrical damage to both salivary glands is typical
    • Lesion of both salivary glands is mandatory
    • Symptoms are characterized by periods of exacerbation and remission
  • Acute Epidemic Sialoadenitis:

    • Symmetrical damage to both salivary glands is typical
    • Specific to submandibular and sublingual glands
    • Indicated by Dupuytren symptom
    • Symptoms are not typical
    • Symptoms are typical for parotid glands
  • Other Maxillofacial Diseases in Children:

    • Chronic granulating periodontitis
    • Odontogenic radicular cyst
    • Chronic medium caries
    • Acute purulent periostitis
    • Chronic medium caries
  • Orchitis:

    • A complication following acute specific sialadenitis
    • Commonly present in boys.
    • Associated with acute epidemic parotitis.
  • Mumps:

    • Characterized by Purulent fusion of the glands' parenchyma
    • Particularly in newborns.
    • Symptoms are typical.
    • Is a common cause of sialoadenitis.
  • Surgical Indications:

    • Most often used in treatment of sialadenitis.
    • Indicated in acute epidemic cases.
    • In acute and chronic cases.
    • Primarily useful for chronic recurrent cases.
  • Dental Trauma in Children:

    • Injury of the rudiment of the permanent teeth present with trauma of tooth 5.1, usually in dislocation.
    • The possibility of injury depends on the particular circumstances relating to dislocation and age.
    • Common in mixed and permanent dentition.
    • Trauma of the rudiment of the permanent tooth during removal
  • Other key points:

    • Murson's and Hatchcock's symptoms
    • Isolated purulent secretion from the parotid salivary gland
    • Dental injury and the age of the child
    • Possible treatment options
    • Age-related considerations for treatment
  • Drug Treatments:

    • Heparin Mayaz
    • Methyluracil ointment
    • Solcoseryl
    • Troxevasin
    • Levomekol
    • Ointment Vishnevsky
    • "Dolobene"
    • Vinylin balm

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