Exam (elaborations)
AAPD Oral Board
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Exam of 59 pages for the course AAPD Oral Board at AAPD Oral Board (AAPD Oral Board)
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AAPD ORAL BOARD COMPLETEDETAILED CASE STUDY
jDental Home - an ongoing relationship between the dentist and the patient, including all aspects of oral
health care delivered in a comprehensive, continuously accessible, coordinated, and family-centered way
What is the most cost effective way to provide dental care? - Dental home
What is the most common infectious disease among U.S. children? - Dental caries, particularly among
poor, non-white children
When should a dental home be established? - within 6 months of first tooth eruption and No later than
12 months
What is dental neglect - WILLFUL failure of parent or guardian to seek and follow through with treatment
necessary to ensure a level of oral heath essential for adequate function and freedom from pain and
infection.
Dental disability - orofacial pain, infection, or pathological condition and/or lack of functional dentition
affect nutritional intake, growth and development, or participation in life activities.
Medically-necessary care - Reasonable and essential diagnostic, preventive, and treatment services
(including supplies, appliances, and devices) and follow-up care as determined by qualified health care
providers in treating any condition, disease, injury, or congenital or developmental malformation to
promote optimal health, growth, and development. MNC includes all supportive health care services
that, in the judgment of the attending dentist, are necessary for the provision of optimal quality
therapeutic and preventive oral care. These services include, but are not limited to, sedation, general
anesthesia, and utilization of surgical facilities.
MNC ____________ the probability of good health and well-being and ________________ the likelihood
of an unfavorable outcome. - increases, decreases
,Perinatal - 20th week of gestation to 4 weeks post-partum
Women are more or less susceptible to oral disease? Why? - More susceptible, due to endocrinological
fluctuations during pregnancy.
Poor oral health is associated with what birth problems? - Low birthwaeight, growth restriction, preterm
delivery, preclampsia, early pregnancy loss, and intrauterine fetal demise.
Use of _______ ______ and avoiding tobacco and alcohol is protective for oral facial clefts? - Folic acid
Pillow under the ______ hip maintains the uterus off the vena cava - right
What analgesics should be avoided during pregnancy? - Ibuprofen and Naproxen, during 1st and 3rd
trimester.
Can opiods be used during pregnancy? - yes just minimum effectvie dose as they do cross the placenta
What antibiotics should be avoided during pregnancy? - Erythromycin, tetracycline, fluoroquinolones.
Infants born via C-section are colonized by S. Mutans _________________ compared to vaginal births -
Earlier
Teenage pregnancy (11-15) causes the following: - Pregnancy-induced hypertension (causes increased
bleeding during procedures), anemia, sexually transmissble diseases, and premature delivery
Mild hypertension - Equal to or greater than 140/90
Severe hypertension - Greater than or equal to 160/110
Acute onset, severe hypertension that persists for 15 minutes or more = - Emergency. Physician should
be notified immediately.
,Maternal levels of vitamin ____ may affect primary tooth development - D
Approximately ______ percent of pregnant participants reported persistent xerostomia - Xerostomia
There is an correlation between periodontal disease in prengnant women and _____________ diabetes -
gestational
Poor plaque control added with hormone changes in pregnancy can lead to development of what
pathology? - Pyogenic Granuloma
Due to increased risk of fetal hypoxia leading to inreased risk of pregnancy loss, what should be avoided?
- Nitrious Oxide during the first trimester
Due to worries regaring merucury, what products should be avoided during pregnancy? - Tooth
whitening products that contain or generate hydrogen peroxide (releases inorganic mercury from
amalgam fillings)
What should be done before brushing after vomitting? - Rinse with a cup of water containing a teaspoon
of sodium bicarbonate.
exclusive breastfeeding recommended until - 6-months to a year or more as mutually desired by mother
and infant.
What percentage of mothers have difficulty with breastfeeding? - 25-80%
What percentage of children have ankyloglossia? - 5%
Does nighttime breast feeding alone increase caries? - No, but in conjunction with other carbohydrates is
highly cariogenic.
, Breast feeding has been linked to: - Decreased celiac, inflamatory bowel disease, obesity, diabetes,
cardiovascular disease, SIDS, postpartum depression, and child abuse.
_______ % of babies with ankyloglossia who are breastfed have no feeding trouble - 50
Delay introduction of pacifiers until - 1 month and cease by 3 years old.
Prolonged pacifier use may increase the incidence of (3 things) - Otitis media
Oral candidia
GI infections
Motivational interviewing - a counseling technique that provides people with an opportunity to talk
about and resolve their feelings so that they can move forward with change
When use of smear or grain of rice - Starting at 1 month of age until able to expectorate.
severe early childhood caries - Any smooth surface caries present *under 3 years old*.
*3-5* anything above one point equal to age +1
Juice should be limited to - <1 year old: 0 oz.
1-3: <4 oz per day
4-6: 4-6 oz per day
*new book says 4-6 oz for 1-6 year olds
7-18: 8 oz per day
Smear sized amount of tooth paste is approximately - 0.1 mg fluoride
Pea sized (3-6 yrs old) is approximately - .25 mg fluoride
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