Pediatric Dentistry Board Review: Oral Prophylaxis and Fluoride Therapy

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended dose of prophylactic medicine for a patient weighing 40 kg or an adult, 30 minutes to 1 hour prior to a procedure?

20 mg/kg

150-450 mg

250 mg/5ml

50 mg/kg (correct)

What is the recommended treatment for an avulsed tooth that has not re-erupted within 8 weeks?

Reposition surgically or orthodontically

Extract the tooth

Reposition arthodontically or surgically (correct)

Ankylose the tooth

What is the term for the displacement of a tooth out of its socket in an axial direction?

Subluxation

Intrusion

Luxation

Extrusion (correct)

What is the recommended treatment for an alveolar fracture of 3-7 mm?

Reposition surgically or orthodontically Signup and view all the answers

What is the primary benefit of replanting a tooth after avulsion?

Psychological value and serving as a space maintainer Signup and view all the answers

What is the recommended dose of medicine for a patient weighing 40 kg or an adult, every 8 hours, for therapeutic purposes?

250 mg Signup and view all the answers

What is the recommended treatment for an avulsed tooth that has re-erupted after 2-3 weeks of stabilization?

Root Canal Therapy (RCT) Signup and view all the answers

What is the recommended method of picking up an avulsed tooth?

By the crown Signup and view all the answers

What is the primary purpose of seeking immediate dental treatment after avulsion?

To replant the tooth and prevent further damage Signup and view all the answers

What is a suitable storage medium for an avulsed tooth if replantation is not possible?

Milk or Hanks' Balanced Salt Solution Signup and view all the answers

What should be prioritized if the patient is unconscious or was unconscious for a period of time after avulsion?

Emergency medical evaluation for a concussion Signup and view all the answers

What is the recommended duration for washing an avulsed tooth under cold running water?

10 seconds Signup and view all the answers

What is the recommended treatment for a primary tooth with severe mobility that interferes with occlusion?

Extract the tooth Signup and view all the answers

What is the primary concern when managing an avulsed permanent tooth?

Replanting the tooth as soon as possible Signup and view all the answers

How should an intruded permanent tooth be managed?

Apply digital pressure to reposition the tooth Signup and view all the answers

What is the recommended treatment for an avulsed primary tooth?

Do not replant the tooth Signup and view all the answers

What is the primary goal of splinting a replanted permanent tooth?

To stabilize the tooth Signup and view all the answers

What is the indication for a root canal treatment in a permanent tooth following a dental injury?

Necrosis of the pulp Signup and view all the answers

Study Notes

Replantation of Avulsed Teeth

Replantation is possible in many cases, especially when done soon after the accident.
Advantages of replanting a permanent tooth include:
Serving as a space maintainer and guiding adjacent teeth into their proper position in the arch.
Providing psychological value.

Care for an Avulsed Tooth

Keep the patient calm.
Find the tooth and pick it up by the crown, avoiding touching the root.
If the tooth is dirty, wash it briefly (10 seconds) under cold running water and reposition it.
Try to encourage the patient to replant the tooth and bite on a handkerchief to hold it in position.
If repositioning is not possible, place the tooth in a suitable storage medium such as milk, Hank's Balanced Salt Solution (HBSS), saliva, or saline.
Seek immediate dental treatment unless the patient was unconscious or has a concussion.

Space Maintainers

Observe and extract primary teeth if:
There is severe mobility (>3mm) that interferes with occlusion.
The patient has difficulty feeding.
Reposition and stabilize permanent teeth with a flexible splint for 2-4 weeks if:
There is extrusion of >3mm.
The tooth becomes necrotic, then perform RCT or apexification followed by RCT.

Treatment of Displaced Teeth

For buccally positioned teeth, apply digital pressure to reposition displaced bone plates.
For intruded teeth, use gentle pushing to reposition the tooth into the socket.
For avulsed primary teeth, do not replant.
For avulsed permanent teeth, replant and stabilize with a flexible splint.

Fluoride Therapy

Fluoride therapy is used to prevent tooth caries and cervical tooth structure decalcification and/or gingival lesions.
Dosages for children and adults vary depending on the procedure.

Oral Prophylaxis

Oral prophylaxis is used to prevent oral infections and caries.
Dosages for children and adults vary depending on the procedure.

Tooth Eruption

If a tooth does not erupt within 8 weeks, reposition it arthodontically or surgically to prevent ankylosis.
If the tooth is displaced 3-7mm, reposition it surgically or orthodontically.
If the tooth is displaced >7mm, reposition and stabilize it with a flexible splint for 48 weeks.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on oral prophylaxis and fluoride therapy in pediatric dentistry, including caries prevention, cervical tooth structure, and space maintainers. Review key concepts and terminology for dental board exams. This quiz covers topics related to decalcification, gingival lesions, and more.