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Questions and Answers
What is the recommended frequency for scaling and cleaning teeth in patients with individual needs?
What is the primary goal of anticipatory guidance for patients 12 years and older?
What is the purpose of assessing speech and language development in pediatric patients?
What is the recommended approach to fluoride supplementation in children?
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What is the primary objective of providing counselling on intraoral/perioral piercing?
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What is the recommended frequency for repeating anticipatory guidance procedures for children aged 2 to 12 years?
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What is the purpose of providing counselling on mouth guards for oro-facial trauma prevention?
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What is the primary goal of assessing developing dentition and occlusion in pediatric patients?
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What is the recommended approach to providing substance abuse counselling in patients 12 years and older?
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What is the primary goal of providing adequate referral for oral diseases, habits, or injuries?
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Study Notes
Preventive Dental Care
- Twice daily use of the recommended amount of fluoride-containing toothpaste is recommended as a primary preventive measure.
- Brushing should be supervised, and young children should be taught to spit out the toothpaste and to avoid rinsing immediately after brushing.
Fluoride Toothpaste in Children
- For children aged 6 months to less than 2 years, use a smear of fluoride toothpaste (0.125 mg) with a concentration of 1000 ppm, twice daily.
- For children aged 2 to less than 6 years, use a pea-sized amount of fluoride toothpaste (0.25 mg) with a concentration of 1000 ppm, twice daily.
- For children aged 6 years and above, use a full length of bristle fluoride toothpaste (0.5-1.0 mg) with a concentration of 1000 ppm, twice daily.
Topical Fluoride Treatment
- Professionally applied topical fluoride has been approved to prevent or reverse enamel caries.
- Topical fluoride treatments should be provided every six months or as indicated by the child's individual needs or risk status/susceptibility to caries.
Anticipatory Guidance
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For children aged 12-24 months, repeat the procedure for ages 6-12 months every six months, and provide counseling and education to parents on:
- The carcinogenicity of some food and beverages
- Dental caries and its relationship with prolonged bottle feeding
- Prolonged bottle feeding while asleep
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For children aged 2-12 years, repeat the procedures for 12-24 months every six months, and:
- Provide age-appropriate oral hygiene instructions
- Scale and clean the teeth every six months or as indicated by individual patient's needs
- Provide counseling and services (mouth guards) as needed for oro-facial trauma prevention
- Check developing dentition and occlusion as indicated by individual patient's needs
- Provide adequate referral for any oral diseases, habits, or injuries as indicated
- Assess speech and language development and provide referral for possible dental etiology of the problem
- Supplement a child's diet with fluoride according to established guidelines when fluoride levels in public drinking water are suboptimal
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For children aged 12 years and older, repeat the procedure for ages 2-12 years, and:
- Provide substance abuse counseling (smoking, smokeless tobacco) and its effects on dental health
- Provide counseling on intraoral/perioral piercing
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Description
Learn about the importance of fluoride toothpaste in preventive dental care, including its recommended use and supervisory guidance for young children.
