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What is the most common chronic disease in childhood/ |
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dental decay is five times more common than what? |
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dental decay is seven times more common than what? |
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what is the only way to eradicate tooth decay? |
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what % of children have had an annual visit with their PCP? |
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what % of children have had their dental visits? |
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AAPD recommends that each child should have what by one year? |
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what % of children age 3-4 have not received the recommended dental visits? |
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What is the impact of dental caries? |
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impacts quality of life leads to poor nutrition and effect the speech leads to depression, poor selfesteem and financial insecurity |
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What are the consequences of dental caries? |
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Pain, infection, ER visits, hospitalization |
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untreated caries can lead to local and systemic complications such as.... |
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facial cellulitis malocclusion from lost teeth poor self esteem |
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Dental caries is caused by what? |
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bacteria eating too much sugar sharing toothbrushes |
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early stages of caries present as ______ |
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frank cavities appear as _______ |
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brown areas progress to larger and deeper ________ |
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What teeth are affected first? |
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what teeth are affect second? |
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what teeth are affect when the disease becomes severe? |
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What is the etiology triad of dental caries? |
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Oral BACTERIA breaks down dietary SUGARS into acids which eat away the TOOTH |
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What bacteria is vertically transmitted from the primary caregiver htat causes caries? |
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caregivers with high bacteria levels usually have: |
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high levels of decay poor oral hygiene high frequency of sugar intake |
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oral bacteria produces acids for _____ minutes after sugar ingestion |
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_______ sugar is ingested is more important that _______ sugar is eaten. |
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if sugar intake is frequent, ________ predominates |
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What puts a child at risk? |
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family members with poor oral hygiene poor oral hygiene diet high in sugar improper bottle feeding breast feeding in the night pacifiers dipped in sugar chronic illnesses caregivers with stressful characteristics |
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What is the role of the pediatrician? |
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Definition
bright futures and AAP guidelines Oral health risk assessment anticipatory guidance |
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AAP recommendations for an oral health risk assessment |
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Definition
assess caregiver's oral health assess oral health of child recognize signs and symptoms of caries assess child's exposure to fluoride provide anticipatory guidance make referral to a dental home |
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What children are at a high risk for caries? |
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special health care needs low socioeconomic and ethno-cultural groups suboptimal exposure to topical or systemic fluoride poor dietary and feeding habits caregivers or siblings with carries visible caries, white spots, plaque or decay |
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children with asthma and allergies are on medications that ________ increasing risk of caries. |
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medications that dry salivary secretions |
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children who are ____ or _____ have a much higher rate of enamel defects. |
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preterm or low birth weight |
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childre with ______ are at risk for systemic infection from untreated oral disease. |
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What should the physical oral health assessment consist of ? |
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check for advance caries maternal screening child assessment positioning child for oral exam primary teeth eruption check for normal teeth check for brown and white spots |
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What should anticipatory guidance consist of? |
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minimize risk for infection xylitol gum for mothers look at dietary habits toothpaste flossing |
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fluoride reduces caries by what %? |
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fluoride varnish leads to __% reduction in number of cavities. |
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What type of fluoride has a greater effect? |
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Systemic reduces enamel solubility by what? |
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incorporation into its structure |
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inhibits demineralization promotes remineralization produces antibacterial activity |
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What are the indications for fluoride varnish? |
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moderate and high risk children without caries children with white spots children with caries generally applied twice per year beginning when teeth erupt |
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