COMPLETE TEST BANK: Current Diagnosis And Treatment Pediatrics, Twenty-Fourth Edition by William Hay latest Update
CURRENT Diagnosis and Treatment Pediatrics
CURRENT Diagnosis and Treatment Pediatrics
All for this textbook (28)
Written for
CURRENT Diagnosis and Treatment Pediat
All documents for this subject (3)
Seller
Follow
phinta004
Reviews received
Content preview
Test Bank - CURRENT Diagnosis and Treatment Pediatrics,
24th Edition (Levin, 9781259862908), Chapter 1-46 | Rationals
Included
True or False: Restorations are used to stop caries - ANSWER: False! Restorations repair the tooth
structure ... they *do NOT treat the disease that is causing the caries*
List the steps involved in treatment planning for a pediatric patient - ANSWER: - Step #1:
Comprehensive oral examination and caries risk assessment
- Step #2: Evaluation of data and diagnoses
- Step #3: Decide on the restorative plan & behavior guidance approach
- Step #4: Determine recall regimen based on caries risk
- Step #5: Formulate a treatment plan based on caries risk and the behavior guidance approach
What factors place a child at *high caries risk*? - ANSWER: - Decayed, missing, filled surfaces greater
than the child's age
- Numerous white spot lesions
- High levels of mutans streptococci
- Low SES
- High caries rate in siblings/parent
- Diet high in sugar
- Presence of dental appliances
What is the recommended *radiograph interval* recommended for children who have *primary
teeth* with *high caries risk*? - ANSWER: Posterior BW exam at *6-12 month intervals* if the
proximal surfaces cannot be examined visually or with a probe
What is the recommended *radiograph interval* recommended for children who have *primary
teeth* and *no clinical caries and not at increased risk for caries*? - ANSWER: Posterior BW exam at
*12-24 month intervals* if the proximal surfaces cannot be examined visually or with a probe
For *primary teeth* how long does it take for decay to progress through *outer half of enamel*? -
ANSWER: ~1 year
For *primary teeth* how long does it take for decay to progress through *inner half of enamel*? -
ANSWER: ~1 year
For *permanent teeth* how long does it take for decay to progress *entirely through enamel*? -
ANSWER: ~3 years
What is the recommended *radiograph interval* recommended for adolescents who have
*permanent teeth* and *LOW caries risk*? - ANSWER: 18-36 month recall
What is the recommended *radiograph interval* recommended for adolescents who have
*permanent teeth* and *HIGH caries risk*? - ANSWER: 6-12 months
True or False: Immature permanent teeth are susceptible to faster decay progression than adult
permanent teeth - ANSWER: True!
What is a normal finding associated with the *lower primary first molars* that is occasionally
mistaken for pathology? - ANSWER: The lower primary first molars often have an area of *less dense
interradicular bone* ... this should NOT be confused with a furcation radiolucency
, What is a normal finding associated with the *primary maxillary first molar* that is occasionally
mistaken for decay? - ANSWER: There is a discrepancy between the MD width = on the X-ray you see
overlap which may be mistaken for a carious radiolucency, but is actually the mesial concavity and is
NOT pathology
How can you *distinguish the less dense interradicular bone* associated with a primary first molar
*from a furcation radiolucency*? - ANSWER: Look for an intact lamina dura, intact PDL space,
presence of interradicular trabeculation, and absence of decay!
True or False: Glass ionomer is a *temporary* material - ANSWER: True!
What are the *indications* for *pulpectomy*? - ANSWER: - Teeth with deep decay and evidence of
chronic, irreversible inflammation or necrosis of the pulp
- Carious exposure of a vital primary incisor or canine
- Retention of the tooth is required/desired (eg. 2nd primary molar before eruption of the 1st
permanent molar)
What are the *properties* of *glass ionomers* that make them *favorable to use in children*? -
ANSWER: - Chemical bonding to both enamel and dentin
- Thermal expansion similar to that of tooth structure
- Biocompatibility
- Uptake and release of fluoride
- Decreased moisture sensitivity = easier to work with if you cannot obtain perfect isolation
If a patient is *not cooperative* or the *tooth is NOT appropriately and continuously isolated* which
restorative material should be used: composite resin or RMGI? - ANSWER: *Use RMGI!* = does not
require the same level of isolation that is necessary for using a resin composite
What is the *first choice* of material for a *sealant*? - ANSWER: Resin-based sealants
True or False: Glass ionomer cement is the first choice of material for a pit and fissure sealant since
there is associated fluoride release - ANSWER: False! *Resin-based sealants are the first choice of
material*, but GI may be used as an interim preventive agent
What are the *indications* for placing *pit and fissure sealants*? - ANSWER: - Placed on the pits and
fissures of primary and permanent teeth when it is determined the tooth is at *high risk of
experiencing caries*
- Should be placed on *early, non-cavitated lesions*
Describe the *procedural steps* for placing a *sealant*? - ANSWER: - Clean the tooth surface
- Isolate the quadrant and utilize a bite block
- Determine if need to open grooves
- Etch enamel (20-60 seconds) and rinse
- Dry thoroughly
- Apply hydrophilic dentin bonding agent
- Place sealant on the mesial-occlusal surface and drag into the grooves (rivers NOT lakes)
- Polymerize 20-40 seconds
- Evaluate surface coverage, retention and occlusion
- Floss the contacts
True or False: The ideal time to place a sealant is right when the tooth starts to erupt - ANSWER:
False! Ideally you should *wait until the tooth is fully erupted*
Which areas are most likely indicated for a *sealant*? - ANSWER: - Seal OL groove of upper molars
- Seal buccal pit & grooves of lower molars
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller phinta004. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
