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Questions and Answers
What are the main advantages of using a Rubber Dam for the patient?
What are the main advantages of using a Rubber Dam for the patient?
- Protection from swallowing/aspirating foreign objects and assists the child in keeping the mouth open
- Protection from swallowing/aspirating foreign objects and softer tissue protection
- Assists in keeping the mouth open and a more comfortable dental treatment
- Protection from swallowing/aspirating foreign objects, soft tissue protection and a more comfortable dental treatment (correct)
What are the advantages of using a Rubber Dam for the dentist?
What are the advantages of using a Rubber Dam for the dentist?
- Moisture control, saliva & blood contamination, protection from air born infections, and better accessibility and visibility (correct)
- Moisture control, protection from airborne infection and better accessibility and visibility
- Moisture control, saliva & blood contamination and protection from air born infections
- Moisture control, saliva & blood contamination and better accessibility and visibility
What are the contraindications for using a Rubber Dam?
What are the contraindications for using a Rubber Dam?
- A patient with an upper respiratory tract infection and a latex allergy
- A patient with an upper respiratory tract infection and a patient who breaths through their mouth
- A patient with a latex allergy and a patient who breathes through their mouth
- All of the above are contraindications (correct)
What type of clamps are use for primary incisors?
What type of clamps are use for primary incisors?
What type of clamps are used for the first permanent molar?
What type of clamps are used for the first permanent molar?
What are the most common Rubber Dam placement methods?
What are the most common Rubber Dam placement methods?
What is one of the main morphological differences between primary and permanent teeth?
What is one of the main morphological differences between primary and permanent teeth?
What are the modifications for adhesive cavity preparations in primary teeth as compared to permanent teeth?
What are the modifications for adhesive cavity preparations in primary teeth as compared to permanent teeth?
Which of the following conditions would be a contraindication for performing a pulpectomy in a primary tooth?
Which of the following conditions would be a contraindication for performing a pulpectomy in a primary tooth?
A pulpectomy is indicated in primary teeth when the pulp is:
A pulpectomy is indicated in primary teeth when the pulp is:
What is the recommended working length for a pulpectomy in a primary tooth?
What is the recommended working length for a pulpectomy in a primary tooth?
Which of the following obturation materials for primary teeth has the highest prevalence of hypoplastic anomalies for the crown of permanent teeth?
Which of the following obturation materials for primary teeth has the highest prevalence of hypoplastic anomalies for the crown of permanent teeth?
Which of the following is NOT a clinical finding that would suggest pulpectomy is necessary in primary teeth?
Which of the following is NOT a clinical finding that would suggest pulpectomy is necessary in primary teeth?
What is the recommended success rate for a pulpotomy with MTA in primary teeth over 2 years?
What is the recommended success rate for a pulpotomy with MTA in primary teeth over 2 years?
What is the recommended success rate for a pulpectomy in a primary tooth using ZOE within 18 months?
What is the recommended success rate for a pulpectomy in a primary tooth using ZOE within 18 months?
What is the recommended success rate for a pulpectomy in a primary tooth using ZOE/Iodoform/CH within 18 months?
What is the recommended success rate for a pulpectomy in a primary tooth using ZOE/Iodoform/CH within 18 months?
Which of the following is NOT a recommended obturation material for pulpectomy in primary teeth?
Which of the following is NOT a recommended obturation material for pulpectomy in primary teeth?
What is the primary indication for using LSTR (Long-Term Space-Maintenance Retention) for primary teeth?
What is the primary indication for using LSTR (Long-Term Space-Maintenance Retention) for primary teeth?
Which of the following pulpal management methods is appropriate for deep caries with a vital, restorable tooth, exhibiting no signs of periapical or intra radicular pathology?
Which of the following pulpal management methods is appropriate for deep caries with a vital, restorable tooth, exhibiting no signs of periapical or intra radicular pathology?
Which of the following is a major challenge associated with performing a pulpectomy in primary teeth?
Which of the following is a major challenge associated with performing a pulpectomy in primary teeth?
Which pulpal management method has the highest success rate in primary teeth according to the provided content?
Which pulpal management method has the highest success rate in primary teeth according to the provided content?
What is a significant shortcoming of using ZOE as an obturation material in primary molars?
What is a significant shortcoming of using ZOE as an obturation material in primary molars?
Which obturation material is a combination of zinc oxide, barium sulphate, and iodoform?
Which obturation material is a combination of zinc oxide, barium sulphate, and iodoform?
Which condition is NOT an indication for using full coverage crowns when restoring anterior primary teeth?
Which condition is NOT an indication for using full coverage crowns when restoring anterior primary teeth?
What is a key disadvantage of using strip crowns for restoring anterior primary teeth?
What is a key disadvantage of using strip crowns for restoring anterior primary teeth?
Which of the following is an advantage of using strip crowns for restoring anterior primary teeth?
Which of the following is an advantage of using strip crowns for restoring anterior primary teeth?
What materials are recommended for restoring class III cavities in anterior primary teeth?
What materials are recommended for restoring class III cavities in anterior primary teeth?
When restoring class V cavities in anterior primary teeth, which materials are NOT recommended?
When restoring class V cavities in anterior primary teeth, which materials are NOT recommended?
Which is NOT an indication for prefabricated stainless steel crowns in pediatric dentistry?
Which is NOT an indication for prefabricated stainless steel crowns in pediatric dentistry?
What indicates that a stainless steel crown (SSC) may be necessary for a 9-year-old patient?
What indicates that a stainless steel crown (SSC) may be necessary for a 9-year-old patient?
For a restoration that requires an isthmus distance greater than ½ the intercuspal distance, which crown type is likely indicated?
For a restoration that requires an isthmus distance greater than ½ the intercuspal distance, which crown type is likely indicated?
What is the primary characteristic of cavitation that necessitates operative intervention?
What is the primary characteristic of cavitation that necessitates operative intervention?
Which statement correctly describes the prevalence of cavitation after tooth separation for primary teeth?
Which statement correctly describes the prevalence of cavitation after tooth separation for primary teeth?
What type of lesions does resin infiltration mainly address?
What type of lesions does resin infiltration mainly address?
Which of the following is NOT true regarding determining cavitation status?
Which of the following is NOT true regarding determining cavitation status?
Which anatomical area has the highest prevalence of cavitation after tooth separation?
Which anatomical area has the highest prevalence of cavitation after tooth separation?
What type of cement is recommended for cementing a Stainless Steel Crown (SSC)?
What type of cement is recommended for cementing a Stainless Steel Crown (SSC)?
What is the recommended application frequency for Silver Diamine Fluoride (SDF)?
What is the recommended application frequency for Silver Diamine Fluoride (SDF)?
Which of the following is NOT a clinical effect of SDF?
Which of the following is NOT a clinical effect of SDF?
What is the cut-off category for diagnosing a cavitated caries lesion when using the International Caries Detection Assessment System (ICDAS) II?
What is the cut-off category for diagnosing a cavitated caries lesion when using the International Caries Detection Assessment System (ICDAS) II?
According to the ICDAS II, what are the characteristics of an ICDAS 3 carious lesion?
According to the ICDAS II, what are the characteristics of an ICDAS 3 carious lesion?
What does SMART stand for in the minimally invasive treatment approach for cavities?
What does SMART stand for in the minimally invasive treatment approach for cavities?
Which of the following steps is NOT part of the Hall technique for treating carious primary molars?
Which of the following steps is NOT part of the Hall technique for treating carious primary molars?
How many categories are used to evaluate caries in the ICDAS?
How many categories are used to evaluate caries in the ICDAS?
Which of these advantages is TRUE for stainless steel crowns (SSC) for primary teeth?
Which of these advantages is TRUE for stainless steel crowns (SSC) for primary teeth?
What is a common disadvantage of using stainless steel crowns (SSC) for primary teeth?
What is a common disadvantage of using stainless steel crowns (SSC) for primary teeth?
Which of the following situations is NOT a contraindication for placing a stainless steel crown (SSC) on a primary molar?
Which of the following situations is NOT a contraindication for placing a stainless steel crown (SSC) on a primary molar?
According to the provided information, which restorative material has the highest annual failure rate?
According to the provided information, which restorative material has the highest annual failure rate?
What is an advantage of the Hall Crown technique compared to traditional stainless steel crowns (SSC)?
What is an advantage of the Hall Crown technique compared to traditional stainless steel crowns (SSC)?
Which of the statements is TRUE about the Hall Crown technique, based on the provided information?
Which of the statements is TRUE about the Hall Crown technique, based on the provided information?
What is a potential disadvantage of using the Hall Crown technique?
What is a potential disadvantage of using the Hall Crown technique?
What does the provided information suggest about the success rate of the Hall Crown technique?
What does the provided information suggest about the success rate of the Hall Crown technique?
Flashcards
Resin infiltration
Resin infiltration
A non-invasive procedure for managing early enamel and dentin lesions without drilling.
ICDAS II R1
ICDAS II R1
The stage of tooth decay where the enamel is affected, but the cavity is not yet visible to the naked eye.
ICDAS II R3
ICDAS II R3
The stage of tooth decay where the outer 1/3 of the dentin is affected, but the cavity is not yet visible to the naked eye.
ICDAS II R6
ICDAS II R6
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Tooth separation
Tooth separation
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What is SMART?
What is SMART?
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Is 38% SDF recommended in Pediatric Dentistry?
Is 38% SDF recommended in Pediatric Dentistry?
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What are the clinical effects of SDF?
What are the clinical effects of SDF?
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What is the Hall Technique?
What is the Hall Technique?
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What does ICDAS stand for?
What does ICDAS stand for?
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How many categories is caries evaluated in ICDAS?
How many categories is caries evaluated in ICDAS?
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What are the characteristics of an ICDAS 1 carious lesion?
What are the characteristics of an ICDAS 1 carious lesion?
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What are the characteristics of an ICDAS 3 carious lesion?
What are the characteristics of an ICDAS 3 carious lesion?
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Rubber Dam
Rubber Dam
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Rubber Dam Clamp
Rubber Dam Clamp
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Rubber Dam Frame
Rubber Dam Frame
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Forceps
Forceps
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Clamps
Clamps
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Ivory Clamps 00, 0, 1A, 3A
Ivory Clamps 00, 0, 1A, 3A
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Ivory Clamps 14A, 14, 8A, 2A and SS White 27, 208, 26 and B2
Ivory Clamps 14A, 14, 8A, 2A and SS White 27, 208, 26 and B2
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Morphological Differences: Primary vs. Permanent Teeth
Morphological Differences: Primary vs. Permanent Teeth
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When are full coverage crowns indicated for primary anterior teeth?
When are full coverage crowns indicated for primary anterior teeth?
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What are the disadvantages of strip crowns for primary teeth?
What are the disadvantages of strip crowns for primary teeth?
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What are the advantages of strip crowns for primary teeth?
What are the advantages of strip crowns for primary teeth?
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What materials are used for restoring Class III cavities in primary teeth?
What materials are used for restoring Class III cavities in primary teeth?
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What materials are used for restoring Class V cavities in primary teeth?
What materials are used for restoring Class V cavities in primary teeth?
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What are the indications for stainless steel crowns (SSCs)?
What are the indications for stainless steel crowns (SSCs)?
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When prepping # 84 distally on a 9 year old patient, the isthmus distance is over ½ the intercuspal distance. Should you place a SSC?
When prepping # 84 distally on a 9 year old patient, the isthmus distance is over ½ the intercuspal distance. Should you place a SSC?
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What makes SSCs a good option for restoring teeth?
What makes SSCs a good option for restoring teeth?
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What are the benefits of Stainless Steel Crowns (SSC)?
What are the benefits of Stainless Steel Crowns (SSC)?
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Why are Stainless Steel Crowns (SSC) less prone to fractures?
Why are Stainless Steel Crowns (SSC) less prone to fractures?
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How does dual retention benefit Stainless Steel Crowns (SSC)?
How does dual retention benefit Stainless Steel Crowns (SSC)?
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Why are Stainless Steel Crowns (SSC) less moisture sensitive?
Why are Stainless Steel Crowns (SSC) less moisture sensitive?
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What is the key benefit of the Hall Crown technique?
What is the key benefit of the Hall Crown technique?
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What challenges are associated with the Hall Crown technique?
What challenges are associated with the Hall Crown technique?
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What are the trade-offs when considering Stainless Steel Crowns (SSC) for a child?
What are the trade-offs when considering Stainless Steel Crowns (SSC) for a child?
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Pulp position in Primary vs Permanent Teeth
Pulp position in Primary vs Permanent Teeth
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Pulp Shape in Primary vs Permanent Teeth
Pulp Shape in Primary vs Permanent Teeth
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Accessory Canals in Primary vs Permanent Teeth
Accessory Canals in Primary vs Permanent Teeth
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Pulp Repair Potential in Primary vs Permanent Teeth
Pulp Repair Potential in Primary vs Permanent Teeth
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Apical Foramen Size in Primary vs Permanent Teeth
Apical Foramen Size in Primary vs Permanent Teeth
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Nerve Fiber Termination in Primary vs Permanent Teeth
Nerve Fiber Termination in Primary vs Permanent Teeth
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Indications for Indirect Pulp Capping
Indications for Indirect Pulp Capping
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Indications for Direct Pulp Capping
Indications for Direct Pulp Capping
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Indications for Pulpotomy
Indications for Pulpotomy
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Indications for Pulpectomy
Indications for Pulpectomy
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Indications for Pulpectomy in Primary Teeth
Indications for Pulpectomy in Primary Teeth
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Pulpectomy in Second Primary Molars
Pulpectomy in Second Primary Molars
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Pulpectomy in Anterior Primary Teeth
Pulpectomy in Anterior Primary Teeth
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LSTR (Limited Service Time Restoration)
LSTR (Limited Service Time Restoration)
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Removal of Pulpal Tissue in Pulpectomy
Removal of Pulpal Tissue in Pulpectomy
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Study Notes
Pediatric Dentistry Review Pedo II F 2023
- Presented by Katerina Kavvadia DDS, MS, PhD, Diplomate ABPD and Konstantina Taoufik DDS, MS, PhD, of the European University Cyprus School of Dentistry.
Morphologic & Histologic Differences in Primary vs. Permanent Teeth
- Primary teeth are smaller in all dimensions and have thinner enamel compared to permanent teeth.
- Pulp exposure risk is higher, especially in the mesial pulp horn.
- Interproximal boxes are extended into proximal self-cleansing areas of interproximal surfaces rather than contact points. This helps to avoid recurrent caries.
- Primary teeth have longer and thinner roots, diverging outward to make space for the permanent tooth germ.
- Root resorption and exfoliation are physiologic processes.
- Pulp in primary teeth is closer to the outer surface. Mesial is closer than distal. Pulp is porous: accessory canals lead directly into interradicular furcation. Pathology often affects the interradicular area, unlike the less affected permanent teeth.
Pulp Differences
- Apical foramen is enlarged in primary teeth, but restricted in permanent teeth.
- Inflammatory response is higher in primary teeth, Lower in permanent teeth
- Nerve fibers terminate in primary teeth at the odontoblastic area, while they extend beyond pre-dentin in permanent teeth.
- Localized orofacial infection is less localized in primary teeth.
- Pulp horns are nearer to the occlusal surface in primary teeth.
- Repair potential of pulp is high in primary teeth but less in permanent teeth.
Tooth Isolation in Pediatric Dentistry
- Essential tools & materials for placing rubber dam include: elastic sheet, punch, forceps, clamps, dental floss, rubber dam frame, and excavator.
- Advantages for patients include: protection from swallowing foreign objects, protection of soft tissues, assistance in keeping mouth open and creating a more comfortable experience.
- Advantages for dentists include: moisture control, preventing saliva & blood contamination, creating an aseptic environment, better accessibility & visibility, higher quality adhesive restorations, and less fogging of the mirror.
- Contraindications for rubber dam use include: upper respiratory tract infection, congestion, epilepsy, mouth breathing and latex allergy (only regarding latex sheet).
Clamps in Pediatric Dentistry
- Specific clamps are used for anterior and posterior primary teeth.
- Specific clamp types are listed, alongside the teeth they're used for.
Rubber Dam Placement Methods
- Common methods include clamp + elastic sheet + rubber dam frame.
Restorative Materials in Pediatric Dentistry
- Materials advised for primary teeth: Composite and RMGI.
- Materials advised for Class III cavities: Composite and RMGI.
- Materials advised for Class V cavities: Composite, conventional GIC and RMGI.
- Success rates of CL I and CL II primary molar fillings when placed under rubber dam, over 4 years in service: 93.6%.
Bisphenol A (BPA)
- Trace amounts of BPA derivatives are released from dental resins and are detectable up to 3 hours in saliva.
- Some BPA derivatives may pose health risks due to their estrogenic properties.
- BPA exposure reduction can be achieved by cleaning filled surfaces with pumice and cotton roll and rinsing with water.
- Using a rubber dam can reduce potential exposure to BPA.
Retrieval Practice Questions & Answers
- Various retrieval practice questions and answers related to pediatric dentistry topics from restorative materials to rubber dam, and dental issues like cavities.
Tooth Isolation Methods
- Methods include: Rubber Dam, Dry Angle, Cotton Roll holder and Isolite.
ICDAS II
- The ICDAS II caries diagnostic criteria system is used for diagnosing and evaluating various types of caries.
- Six categories are used to evaluate dental caries.
- A numerical value for caries diagnosis is determined at different levels of cavity and dentin depth.
Pit and Fissure Management
- Management of healthy pits & fissures: Monitoring and topical fluoride.
- Management of moderate caries: Therapeutic sealant or PRR.
- Management of advanced caries: Selective caries removal (vital teeth) and restoration.
- Recommended Materials for sealing: Glass ionomer, Resin composite
Surgical Methods
- Vital pulp management: Includes indirect pulp capping, direct pulp capping, pulpotomy, pulpectomy and LSTR.
- Non-vital pulp management: Includes extraction.
- Indications for pulpectomy: Irreversible inflamed or non-vital pulp, restorable tooth, root resorption <1/3 of root and cooperative patient (2nd primary molars in particular, and anteriors for aesthetics).
Splinting
- Splinting is required for certain types of trauma in permanent teeth, including extrusion, lateral luxation, intrusion, root fracture, alveolar fracture.
- Splinting is indicated for 4 weeks in injuries like lateral luxation and alveolar fracture.
Pulp/Dental Trauma Treatment
- Indicators for enamel-dentin-pulp fracture treatments: Direct pulp capping (DPC) and Cvek pulpotomy
Other Notes
- Methods of performing RCT procedures and restorative materials recommended for different types of damage and their effectiveness/success rates.
- Challenges in pulpectomy: Avoid damaging furcation or tooth bud through apex, non-cooperative patients, and medically compromising patients.
- The LSTR (laser) alternative treatment involves disinfection, for managing irreversible pulpitis (root resorption >1/3) with remaining serving time in the oral cavity up to 12 months.
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