Pediatric Dentistry Fundamentals

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Questions and Answers

Which group of professionals is required by law to report suspected child abuse or neglect?

  • Healthcare professionals and Social Workers (correct)
  • Counselors and Therapists
  • Teachers and Coaches
  • Family members and Friends

Match the following terms with their definitions:

Avulsed Tooth = A tooth that has been completely dislodged Surgical Curette = A tool used for scraping tissue Splinting = Stabilizing a tooth after injury Endodontic Treatment = Root canal therapy to save a tooth

From 1 to 2 years of age, toddlers learn to _______.

sit, stand, walk, and run

What fear commonly develops in children aged 1 to 2?

<p>Fear of separation from parents (A)</p> Signup and view all the answers

Match the pediatric patient age groups with their characteristics:

<p>Infancy = All basic needs being met and developing trust Toddlers = Learning to walk and express simple words Preschoolers = Identifying familiar faces and experiencing stranger anxiety Adolescents = Developing complex personalities and independence</p> Signup and view all the answers

What characterizes is most noticeable in Autism?

<p>Difficulty in social interaction (C)</p> Signup and view all the answers

At what age is it recommended for a child to begin first dental examinations?

<p>One</p> Signup and view all the answers

Before any dental care is provided for a child under 18 years, consent must be given by the ______.

<p>parent or legal guardian</p> Signup and view all the answers

What should be done to establish rapport with the child and parent in a dental setting?

<p>Establish a friendly but professional rapport. Tell Show Do Technique. Role play.</p> Signup and view all the answers

Match the following child language terms with their meanings:

<p>Sugar bugs = Decay in teeth Tooth pillow = Mouth prop Straw = Suction tool Sleepy juice = Anesthetic</p> Signup and view all the answers

What is a recommended way to involve a child in a dental procedure?

<p>Letting them choose safety eyewear (D)</p> Signup and view all the answers

Why is it important for dental professionals to explain procedures using child-friendly language?

<p>To ensure children understand and feel comfortable.</p> Signup and view all the answers

Which of the following is a common characteristic of Trisomy 21 syndrome?

<p>Almond-shaped eyes (D)</p> Signup and view all the answers

Cerebral palsy can be characterized by paralysis and muscle weakness.

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

Which type of cerebral palsy is characterized by uncontrollable, purposeless movements?

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

All individuals with Down syndrome have the same level of intellectual disability.

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

What is often necessary for providing dental treatment to patients with severe intellectual disabilities?

<p>General anesthesia</p> Signup and view all the answers

Spasticity is characterized by increased muscle tension that manifests as an exaggerated ________ reflex.

<p>stretch</p> Signup and view all the answers

Match the following terms to their descriptions:

<p>Cerebral Palsy = Characterized by paralysis and muscle weakness Down Syndrome = Trisomy 21 with specific physical characteristics Athetosis = Involuntary, purposeless movements Spasticity = Increased muscle tension and exaggerated reflexes</p> Signup and view all the answers

What additional disorders may individuals with cerebral palsy experience?

<p>Seizure disorders and learning disabilities (D)</p> Signup and view all the answers

Flashcards

Chronologic Age

The actual number of years and months a child has lived.

Mental Age

Refers to the child's mental abilities and how developed their thinking skills are.

Learning Basic Trust

This stage of development focuses on the child's growing trust in their caregivers, leading to a sense of security.

Learning Autonomy

Children at this stage are developing their independence and desire to make their own choices.

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Play age

This period of development is characterized by the child's exploration of their world through play, leading to imagination and creativity.

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Pediatric Patient

A child's ability to understand and cooperate with dental treatment is limited at this stage.

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Unique Treatment Setting

The unique setting of a pediatric dental practice incorporates play areas and colorful decorations to make children feel comfortable.

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Child Language

Using language that a child can easily understand to explain dental procedures.

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Helpful Words

Simple, familiar words used to explain dental procedures to children.

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Tell

Explaining the dental procedure to the child before doing it.

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Show

Showing the child what is going to happen during the procedure.

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Do

Performing the procedure exactly as explained and shown to the child.

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Tell, Show, Do

The 'Tell-Show-Do' method for explaining dental procedures to children.

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Positive Reinforcement

Giving positive reinforcement for good behavior.

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Child's Choice

Giving the child choices and control during the procedure.

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Making Children Comfortable

Helping children cope with dental procedures by explaining them in a way they understand.

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Replantation

A dental procedure where a tooth that has been completely knocked out of its socket is reinserted and stabilized.

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Endodontic Treatment

A procedure where the pulp of a tooth is removed and the tooth is sealed to prevent infection and decay.

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Surgical Curettes

Surgical instruments used to remove tissue from the socket of an avulsed tooth.

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Avulsion

A dental emergency where a tooth is completely knocked out of its socket.

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Splinting

A procedure where a tooth is secured to its neighboring teeth to provide stability and support.

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Cerebral Palsy

A condition characterized by paralysis, muscle weakness, lack of coordination, and other motor function disorders.

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Spasticity

Increased muscle tension, causing exaggerated stretch reflex, a common type of Cerebral Palsy.

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Athetosis

Uncontrolled, involuntary, and poorly coordinated body movements, often with facial grimacing and drooling, another type of Cerebral Palsy.

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Profound Intellectual Disability

Individuals with IQs below 20 to 25, requiring constant aid and supervision.

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Down Syndrome (Trisomy 21)

A chromosomal disorder that commonly results in certain physical characteristics and mental impairment, ranging from mild to moderate.

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Specialized Care for Profound Intellectual Disability

A highly structured environment with constant aid and supervision is necessary for individuals with profound intellectual disability.

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Specialized Dental Care for Profound Intellectual Disability

Individuals with profound intellectual disability require specialized dental care due to their limited capacity for self-care.

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Premedication for Cerebral Palsy

Premedication may be used to help control and relax patients with Cerebral Palsy before dental procedures.

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General Anesthesia for Cerebral Palsy

General anesthesia may be used for patients with Cerebral Palsy when routine dental care is not possible with premedication.

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Dental Team Skills for Cerebral Palsy

Patience, understanding, and flexibility are crucial for dental teams working with patients with Cerebral Palsy.

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Autism Spectrum Disorder (ASD)

A developmental disorder characterized by challenges in social interaction, communication (both verbal and nonverbal), and repetitive behaviors, typically evident before age 3.

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Behavior Management Techniques

Strategies used to manage challenging behavior in children, including techniques like positive reinforcement, behavior modification, and desensitization.

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Initial Dental Visit (Initial Consultation)

A first dental visit aimed at familiarizing the child with the dental office environment, the staff, and basic dental procedures.

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Recall Appointments

Regular dental checkups that are scheduled after the initial dental visit to maintain oral health and prevent dental problems.

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Consent

Informed permission given by a parent or legal guardian for a child under 18 to receive dental treatment.

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Medical History

The process of gathering information about a child's overall health history, including past illnesses, current medications, and known allergies.

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Dental History

The process of collecting information about a child's dental history, including previous dental treatments, any dental problems, and current oral hygiene practices.

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Rapport Building

The process of establishing a positive and trusting relationship with both the child and the parent during a dental visit, creating a more comfortable experience.

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Film Size Selection

Used to determine the appropriate size of a dental film based on the child's mouth and comfort level.

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Bending Film Corners

A technique for placing bitewing radiographic films, particularly useful for children with smaller mouths, by bending the corners of the film for easier positioning.

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Recommended Age for First Dental Visit

The age at which a child should begin regular dental checkups, which is generally recommended to be at age 2.

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Scheduling Recall Appointments

The process of arranging for a child to return for follow-up dental appointments after their initial visit.

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Study Notes

Pediatric Dentistry Learning Outcomes

  • Students will be able to pronounce, define, and spell key terms related to pediatric dentistry.
  • Students will be able to discuss the appearance and setting of a pediatric dental practice.
  • Students will be able to discuss the pediatric patient, including stages of childhood, behavior techniques, and treating children with special needs.
  • Students will be able to explain why children and adults with special needs are treated in pediatric practices.
  • Students will be able to discuss the diagnosis and treatment planning of a pediatric patient.
  • Students will be able to discuss the importance of preventive dentistry in pediatrics.
  • Students will be able to list the types of procedures performed for pediatric patients.
  • Students will be able to discuss pediatric dental trauma and treatments.
  • Students will be able to discuss how to handle suspected child abuse.

Pediatric Dentistry Performance Outcomes

  • Students will be able to assist in pulpotomy of a primary tooth.
  • Students will assist in placement of a stainless steel crown.

Key Terms

  • analogy: comparison of similarities between unlike things
  • athetosis: type of involuntary movement of the body, face, and extremities.
  • autonomy: process of becoming independent in childhood.
  • avulsed: torn away or dislodged by force.
  • cerebral palsy: neural disorder of motor function caused by brain damage.
  • chronologic age: actual age of pediatric patients in months or years
  • contour: to shape or conform an object.
  • Down syndrome: chromosomal defect causing physical characteristics and mental impairment, known as trisomy 21.
  • emotional age: measure of emotional maturity in pediatric patients.
  • extrusion: displacement of a tooth from its socket due to injury.
  • Frankl scale: method to evaluate patient behavior.
  • intellectual disability: disorder limiting intellectual and adaptive functions, including social and practical skills.
  • intrusion: tooth displacement into its socket due to injury.
  • luxation: dislocation.
  • mental age: measure of intellectual capacity and development.
  • neural: referring to brain, nervous system, or nerve pathways.
  • open bay concept: open design for pediatric dental offices.
  • papoose board: protective stabilization device for pediatric patients.
  • pediatric dentistry: dentistry specializing in infants, children, adolescents, and those with special needs.
  • postnatal: after birth
  • prenatal: before birth
  • pulpotomy: removal of the coronal portion of a vital pulp.
  • spasticity: exaggerated movement of arms and legs.
  • T-band: type of matrix band used for primary teeth.

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