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Clinical Cases in Pediatric Dentistry Question and answers 100% correct 2024/2025 Clinical Cases in Pediatric Dentistry, 2nd edition What is the probability that natal teeth are members of the normal complement of primary teeth ? - correct answer The overwhelming probability is that a natal o...

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  • 13 september 2024
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Clinical Cases in Pediatric Dentistry, 2nd
edition
What is the probability that natal teeth are members of the normal
complement of primary teeth ? - correct answer ✔The overwhelming
probability is that a natal or neonatal tooth is a member of the 10 primary teeth
in the arch, with fewer than 10% in most surveys being supernumeraries.


Where do natal teeth most often occur in the mouth ? - correct answer
✔Most natal teeth occur in the mandibular arch in the incisor region, and more
than half of the time they occur in pairs.


What is the potential risk of using topical anesthetics in infants prior to
extraction of a natal tooth ? - correct answer ✔Methemoglobonemia is a rare
risk if topical anesthesics like benzocaine or prilocaine are used in infants.
Oral sucrose can be considered prior to the extraction of a mobile natal tooth
to soothe the neonate.


What are the potential etiologies of natal teeth ? - correct answer ✔Etiologies
are usually attributed to a superficial position of the primary tooth bud, but also
may include genetic factors, endocrine disorders, infection, and conditions
such as cleft lip and palate and Hallerman-Streiff Syndrome


What are characteristics of other neonatal oral lesions that would help
differentiate a natal tooth ? - correct answer ✔The other congenital oral
abnormalities, which might be mistaken for a natal tooth, include a keratin-
filled body such as a Bohn's nodule or a mucous retention cyst. However ,
they are softer in consistency.


What areas should be covered in anticipatory guidance related to oral hygiene
? - correct answer ✔A thorough coverage of oral hygiene includes frequency
and duration, a technique demonstration with the child, review of devices,

,dentrifice use, location at home, positioning ideas, and problem solving such
as how to fit oral hygiene into the family's daily routine.


What is the dietary pattern that is considered normal for a child from six
months to 12 months ? - correct answer ✔A child may be breast or bottle fed
for the first six months of age. In the next six months, breastfeeding may be
stopped or continued, depending on the needs and wishes of the mother and
child. Some solid food is introduced in this period as well and bottle feeding
ends with a transition to a cup at meal times. At 12 months, the child should
be self-feeding and drinking from a cup on a trial basis since the process is
initially messy.


When do habits become a concern in the preschool child ? - correct answer
✔Habits are emotionally satisfying in the first few years if lie and become
detrimental when they cause dental changes, which can occur at any time.
Allowing a habit to continue is a balance between its benefit to the child and
any effect it may have on oral health. Most habits are lost by the third year of
life. However, parents should be counseled on the potential effects of habits
and be encouraged to wean the child from pacifiers or fingers as soon as is
feasible.


What factors are considered when determining the recall interval in infant oral
health ? - correct answer ✔Caries risk factors not only determine what
anticipatory guidance information is to be provided to parents, but also how
frequently a child is seen again. The reliance of a child on parental care
makes it important to assess outcomes in areas such as oral hygiene, diet,
and anticipated parental compliance. No fixed interval is right for every child.
However, in general the higher the caries risk the more frequent the recall.
Also, the dentist should recommend a reasonable recall period to allow
parents the time to effect improvement.


How would preventive recommendations change if the child did not have
access to a fluoridated municipal water supply? - correct answer
✔Supplemental fluoride in the form of prescribed drops, tablets, or rinses

, should be considered as a preventive recommendation for the child who lives
in an area where the municipal water supply has no fluoride concentration. the
amount of fluoride that is prescribed is based on the child's age and known
amount of fluoride concentration (ppm) in the child's main water supply.


What are four risk factors believed to be indicative of an elevated susceptibility
to dental caries ? - correct answer ✔Many risk factors have been identified
including: the mother/caregiver has active caries, low socioeconomic status,
recent immigrant status, more than three between-meal, high carbohydrate
snacks or beverages per day, or special health care needs


What are the clinical risk factors believed to be indicative of an elevated
susceptibility to dental caries ? - correct answer ✔The clinical risk factors
which can be assessed on examination are: child has white spot lesion or
enamel defects, visible cavitation, existing restorations, or significant plaque
accumulation


What are some of alternatives to a night-time bottle that can be offered to help
parents trying to break the bedtime habit of their child ? - correct answer
✔To eliminate a bottle habit, parents can substitute water or gradually dilute
the contents of the bottle over several nights with water. They can clean the
teeth well and take the bottle away when the child falls asleep. A pacifier or
other object can be substituted for the bottle. The parent can read or rock the
child to sleep.


What are considerations regarding the intake of fruit juice during infancy ? -
correct answer ✔Human milk or infant formula is recommended is the only
nutrient fed to infants until approximately six months of age, and it is optimal
to completely avoid the use of juice in infants before one year of age.


What are elements of a systematic approach to GERD in a child this age (16
months old) ? - correct answer ✔The immediate and long-term treatment
plans hinge on successful medical management of GERD. Close interaction

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