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ORE Part 1

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16.1 Paediatrics Dentistry

Child Psychology and Behavior Management

  • Inhalation sedation is commonly used for children requiring dental procedures as it helps to manage anxiety and discomfort effectively. This method is particularly useful for cooperative children undergoing fillings. [Q3034]
  • General anesthesia is often required for multiple extractions in an uncooperative young child. It ensures the child remains still and pain-free during the procedure. [Q3042]
  • Laughing gas (nitrous oxide sedation) is effective for managing uncooperative children during dental procedures. It helps to reduce anxiety and provides mild analgesia. [Q3043]
  • Managing an uncooperative child may depend on the situation, and separation from parents might sometimes help. This approach can reduce distraction and enhance the dentist’s control over the treatment. [Q3056]
  • Various scenarios can be provided for child behavior management. Techniques include positive reinforcement, distraction, and gradual desensitization. [Q3606]
  • Using humor is an effective way to distract a patient during dental procedures. It helps to create a relaxed and positive atmosphere. [Q3613]
  • Engaging a child through play, using familiar toys and puppets, is a widely accepted method to develop rapport. This technique is effective for children of various ages and helps to ease their anxiety. [Q3677]
  • The preference for female dentists dealing with children often depends on the child’s preference and comfort. Some children may feel more at ease with female practitioners. [Q3717]
  • The tell, show, do approach is effective for young children, including 4-year-olds, during their first clinic visit. It helps to familiarize them with dental procedures and reduces fear. [Q3744]
  • Praising poor behavior generally does not improve behavior and can reinforce it. It is important to praise positive behaviors to encourage their recurrence. [Q4653]
  • The Tell-Show-Do technique is effective for managing pediatric patients in many cases. This method helps children understand what to expect during treatment, reducing anxiety. [Q4926]
  • Tell-Show-Do is an effective method for behavior management in children. It involves explaining procedures in a child-friendly manner and demonstrating them before proceeding. [Q5991]
  • Younger children generally respond well to nonverbal communication like smiling and touching. These gestures help to build trust and comfort in a clinical setting. [Q6130]

Preventive Dentistry in Children

  • Mandibular incisors are least affected by nursing bottle syndrome due to their position and saliva protection. Preventive measures are essential to avoid this condition. [Q0063]
  • Regular dental prophylaxis provides a short-term improvement in oral hygiene, but long-term benefits depend on home care. Educating parents on proper oral hygiene is crucial. [Q0116]
  • The prevalence of caries experience in 12-year-old children is around 60%. This highlights the need for effective preventive measures. [Q3006]
  • About 10% of 5-year-old children exhibit erosion on the palatal surfaces of their primary incisors. Early detection and intervention are key to preventing further damage. [Q3014]
  • The MMR vaccine is typically given at 1 year of age. This vaccination is crucial for preventing measles, mumps, and rubella. [Q3190]
  • The MMR vaccine is typically administered at 1 year of age. Ensuring timely vaccination is important for child health. [Q3312]
  • Fissure sealants are best applied around 6 years of age when the first molars erupt. This preventive measure helps to protect against caries. [Q3340]
  • For children aged 10 years, fluoride content should be 1450 ppm in toothpaste. This concentration helps to prevent caries effectively. [Q3736]
  • For a child of 4 years, the recommended fluoride content in toothpaste is 1000 ppm. This helps to strengthen enamel and prevent decay. [Q3737]
  • For adults, the fluoride content in toothpaste should be 1450 ppm. This provides effective protection against caries. [Q3738]
  • Fluoride concentration in toothpaste varies with age. Tailoring fluoride use to age ensures optimal dental health. [Q3739]
  • For children aged 6 to 9 years, it is recommended to use toothpaste with 1000 ppm fluoride. This helps to maintain strong and healthy teeth. [Q3745]
  • 2500 ppm fluoride toothpaste is not recommended for children over 9 years old. Using age-appropriate fluoride concentrations is important for safety and efficacy. [Q3746]
  • For children under 5 years old, 1000 ppm fluoride toothpaste is recommended. Early use of fluoride helps to build strong enamel. [Q3747]
  • Frequent caries in childhood are often called early childhood caries (ECC). This condition requires early intervention and preventive care. [Q3779]

Pulp Therapy in Children

  • Pulpectomy is preferred for a necrotic primary molar to remove infected pulp tissue and preserve the tooth. This procedure helps to maintain space for the permanent successor. [Q0066]
  • A pulpectomy is recommended for a primary central incisor with traumatic pulp exposure two days after injury. This treatment helps to prevent infection and preserve the tooth. [Q0109]
  • Endodontic treatment is indicated to maintain the deciduous tooth as a space maintainer when the permanent successor is absent. This helps to prevent space loss and malocclusion. [Q0400]
  • Bone resorption is most probable in the interradicular septum following pulpal gangrene in a deciduous molar. Early intervention is needed to prevent further bone loss. [Q0401]
  • A pulpotomy on 75 is appropriate while waiting for the development of 35. This helps to maintain the tooth and prevent space loss. [Q0451]
  • Calcium hydroxide pulpotomy is appropriate to maintain pulp vitality and allow for continued root development in a vital tooth. This procedure is crucial for long-term dental health. [Q0472]
  • Internal resorption is a common complication of failed Ca(OH)2 pulpotomies in primary teeth. Regular monitoring and timely intervention are essential. [Q0560]
  • Ferric sulphate is commonly used in pulpotomy procedures. It helps to control bleeding and maintain pulp vitality. [Q3718]
  • The collapse of the marginal ridge in a primary molar usually indicates a compromised or involved pulp. Prompt treatment is necessary to prevent further complications. [Q4958]

Restorative Techniques for Children

  • Proximal reduction is greater to allow the stainless steel crown to pass the contact area. Proper crown preparation ensures a good fit and function. [Q0061]
  • Labial-lingual movement is typically used for extracting maxillary deciduous molars. This technique helps to minimize trauma and facilitate extraction. [Q0083]
  • A pulpectomized primary tooth serves as an excellent space maintainer until the permanent tooth erupts. Maintaining space is crucial for proper alignment of permanent teeth. [Q0497]
  • GIC is the best material for restoring a badly broken deciduous molar in an 8-year-old. This material provides a good seal and is easy to handle. [Q0760]
  • Fillings are typically used to manage caries in a 3-year-old. Early restorative care helps to prevent further decay and maintain oral health. [Q3418]
  • Stainless steel crowns are commonly used for crown restoration in primary molars after pulpectomy. They provide durability and protection for the restored tooth. [Q4830]

Trauma Management in Children

  • Apical abscesses are the most common finding in young children with dental complaints. Early diagnosis and treatment are essential to prevent complications. [Q0215]
  • Putting the intruded tooth back in place and splinting is recommended. This helps to stabilize the tooth and promote healing. [Q0399]
  • 4-6 weeks is the recommended duration for functional splinting after intrusive luxation. Proper splinting supports healing and tooth stability. [Q3181]
  • Immediate dental consultation is recommended for an avulsed primary tooth to determine the appropriate treatment. Timely intervention can prevent complications. [Q3327]
  • Yes, intra-alveolar fractures are less common in primary teeth compared to permanent teeth. Understanding this helps in managing dental trauma in children. [Q4181]
  • Aspirin is not recommended for children due to the risk of Reye’s syndrome. Alternative pain management options should be considered. [Q5550]
  • Reye’s syndrome is a condition where aspirin should be avoided in children under 12 years old. Awareness of this risk is crucial for safe pediatric care. [Q5684]

Other

  • For idiopathic failure of eruption, surgical soft tissue exposure followed by orthodontic traction is the best treatment plan. This approach helps to facilitate the eruption of the affected tooth. [Q0110]
  • For idiopathic failure of eruption, surgical soft tissue exposure is recommended. This procedure aids in the eruption of the affected tooth. [Q0114]
  • Widespread gingivitis with systemic symptoms suggests a need for hematological screening to rule out systemic conditions. Early referral and diagnosis are crucial. [Q0115]
  • All the listed differences are characteristics that distinguish deciduous teeth from permanent teeth. Understanding these differences is important for accurate diagnosis and treatment. [Q0308]
  • Premature extraction of a deciduous molar can lead to loss of arch length, affecting the space available for permanent teeth. Space maintenance is essential to prevent malocclusion. [Q0391]
  • An ankylosed primary molar can cause the first permanent molar to incline mesially, compromising space maintenance. Early intervention is needed to manage this condition. [Q0398]
  • Typically, a mandibular deciduous second molar has 4 pulp horns. Accurate knowledge of dental anatomy is essential for diagnosis and treatment. [Q0402]
  • Herpes labialis, caused by HSV-1, is a common recurrent infection in children with a history of primary herpes simplex. Management includes antiviral treatment and symptom relief. [Q0409]
  • Mandibular second premolars are commonly congenitally missing teeth. Early diagnosis and space maintenance are important to manage this condition. [Q0637]
  • An 11-year-old typically has all incisors, some premolars, and some canines erupted. Knowledge of dental development stages is crucial for accurate assessment. [Q0656]
  • Eruption cysts typically resolve on their own as the underlying tooth erupts, making observation the most appropriate management. Surgical intervention is rarely needed. [Q0665]
  • Loss of a permanent mandibular molar affects the remaining teeth in the mouth. Early restorative intervention is crucial to prevent further dental issues. [Q0753]
  • Pulpal gangrene in a deciduous molar often results in loss of arch length. Prompt endodontic treatment and space maintenance are necessary. [Q0754]
  • Loss of multiple teeth can lead to TMJ dysfunction due to changes in occlusion and jaw dynamics. Comprehensive care is needed to manage this condition. [Q0756]
  • The final deposition of ameloblasts occurs in the primary enamel cuticle. Understanding this process is essential for diagnosing enamel defects. [Q0757]
  • The junctional epithelium is formed from the fusion of the oral epithelium and the reduced enamel epithelium during tooth eruption. This knowledge is crucial for understanding periodontal health. [Q0758]
  • Full X-rays are recommended in children between the ages of 3 and 5, depending on their dental development and risk factors. Regular radiographic assessment helps in early diagnosis of dental issues. [Q0762]
  • Turner’s tooth is a developmental disturbance resulting from infection or trauma to the primary tooth, affecting the developing permanent tooth. Early diagnosis and management are crucial. [Q0769]
  • Soft tissue resection to allow eruption is the most appropriate management for aiding the eruption of the premolar. Timely intervention can prevent complications. [Q0796]
  • In a 10-year-old child, typically no treatment is required as the permanent teeth are close to erupting. Regular monitoring is important to ensure proper dental development. [Q0797]
  • Second lower molars are the most frequently retained deciduous teeth. Monitoring these teeth is important to manage potential dental issues. [Q0800]
  • Pituitary adenoma is a common cause of increased growth hormone production. Early diagnosis and treatment are essential for managing this condition. [Q3009]
  • Dentinogenesis imperfecta is characterized by tooth discoloration and brittle bones. This genetic condition requires specialized dental care. [Q3039]
  • Tongue tie is caused by a short and tight midline fraenum binding down the tip of the tongue. Early intervention can improve oral function and speech development. [Q3132]
  • No, ameloblastic fibroma is not the most common type of ameloblastomas in children. Understanding the types of ameloblastomas aids in accurate diagnosis and treatment planning. [Q3228]
  • No, hypodontia in anhidrotic ectodermal dysplasia primarily affects permanent teeth. This knowledge is important for accurate diagnosis and management. [Q3271]
  • No, anhidrotic ectodermal dysplasia typically affects permanent teeth more often. Early diagnosis can help in planning long-term dental care. [Q3272]
  • Yes, anhidrotic ectodermal dysplasia is commonly associated with hypodontia. Recognizing this association aids in diagnosis and treatment planning. [Q3274]
  • It depends on the location of the fragment and its impact on the developing permanent tooth. Surgical removal may be necessary to prevent impaction. [Q3288]
  • It should be used only under medical supervision to ensure safety and proper dosing. This is crucial for preventing adverse effects in children. [Q3339]
  • An eruption cyst can cause a blue swelling on the gums where a tooth is about to erupt. Observation is usually sufficient as the cyst resolves with tooth eruption. [Q3373]
  • Bone grafting is typically performed during adolescence when growth is still ongoing. This timing helps to ensure optimal integration and function of the graft. [Q3378]
  • BMPs are used to promote bone growth in dentistry. They are particularly useful in procedures such as bone grafting and implant placement. [Q3380]
  • Yes, boys typically experience delayed tooth eruption compared to girls. This knowledge helps in anticipating and managing dental development. [Q3385]
  • Chediak-Higashi syndrome is a good example of defective microtubule polymerization in cells. Understanding this helps in diagnosing and managing the condition. [Q3444]
  • Use alternative antibiotics that are suitable for children and safe for those with penicillin allergies. Proper management of antibiotic prophylaxis is essential for patient safety. [Q3445]
  • Using sugar-free gum or candies can stimulate saliva production and help manage dry mouth in children. This approach is important for maintaining oral health. [Q3446]
  • Yes, chronic renal failure in children is associated with a higher risk of caries due to factors like xerostomia and dietary restrictions. Regular dental check-ups and preventive care are crucial. [Q3461]
  • Cleft lip is seen in approximately 1 in 1000 live births. Early surgical intervention and multidisciplinary care are important for optimal outcomes. [Q3476]
  • Cleft lip with or without a palatal cleft is more common in males. Recognizing this helps in early diagnosis and planning appropriate care. [Q3477]
  • Cleft lips are typically treated around the age of 3 months in the UK. Early treatment helps to ensure proper feeding, speech development, and facial aesthetics. [Q3478]
  • Cleft palate alone is approximately twice as common in females. Early diagnosis and intervention are essential for managing this condition. [Q3479]
  • Denture stomatitis is commonly caused by Candida, a fungal infection. Proper denture hygiene and antifungal treatment are key to management. [Q3592]
  • Diabetes can be associated with both Chediak-Higashi syndrome and leukemias. Managing these conditions requires a comprehensive approach to care. [Q3593]
  • The development of the parotid gland begins around the sixth week of gestation. This early development is crucial for proper salivary gland function. [Q3595]
  • Branchial cysts typically appear in early childhood. Early diagnosis and surgical removal are often required. [Q3597]
  • Down Syndrome is associated with high arched palate, macroglossia, and micrognathia. These features can impact oral health and require specialized care. [Q3619]
  • Down Syndrome is typically associated with hypodontia, not hyperdontia. Understanding these dental anomalies aids in planning appropriate treatment. [Q3621]
  • All these trisomy syndromes are associated with heart defects. Multidisciplinary care is essential for managing these patients. [Q3622]
  • The early bell stage begins around the 8th week of gestation. This stage is crucial for the formation of tooth structure. [Q3648]
  • Enamel hardness is significantly reduced in hypoplastic enamel. This condition requires careful management to prevent further dental issues. [Q3666]
  • Enamel hypoplasia can be caused by systemic conditions like typhoid in early childhood. Early diagnosis and intervention can mitigate its effects. [Q3667]
  • The consequence of eruption is generally more important than the exact timing. Ensuring proper eruption and alignment is key to oral health. [Q3687]
  • The late bell stage of tooth development begins around 12 weeks in utero. This stage involves significant morphological changes in the developing tooth. [Q4226]
  • The mandibular first deciduous molars are located between the canines and second molars. Accurate knowledge of dental anatomy is crucial for diagnosis and treatment. [Q4262]
  • A compound odontoma is characterized by the presence of multiple small tooth-like structures. This condition requires surgical removal and careful follow-up. [Q4270]
  • Various conditions can affect both primary and permanent dentitions. Comprehensive dental care is needed to address these issues. [Q4477]

Preventive Dentistry in Children

  • Mandibular incisors are least affected by nursing bottle syndrome due to their position and saliva protection. Regular monitoring and preventive care are essential to protect these teeth. [Q0063]
  • Regular dental prophylaxis provides a short-term improvement in oral hygiene, but long-term benefits depend on home care. Emphasizing the importance of good oral hygiene practices at home is crucial. [Q0116]
  • The prevalence of caries experience in 12-year-old children is around 60%. This highlights the importance of preventive measures and regular dental check-ups. [Q3006]
  • About 10% of 5-year-old children exhibit erosion on the palatal surfaces of their primary incisors. Early diagnosis and intervention can prevent further dental issues. [Q3014]
  • The MMR vaccine is typically given at 1 year of age. Ensuring timely vaccination is important for overall health and development. [Q3190]
  • The MMR vaccine is typically administered at 1 year of age. Timely vaccination helps protect against measles, mumps, and rubella. [Q3312]
  • Fissure sealants are best applied around 6 years of age when the first molars erupt. This preventive measure helps protect molars from decay. [Q3340]
  • For children aged 10 years, fluoride content should be 1450 ppm in toothpaste. This level of fluoride helps prevent tooth decay effectively. [Q3736]
  • For a child of 4 years, the recommended fluoride content in toothpaste is 1000 ppm. Proper fluoride use is key to preventing early childhood caries. [Q3737]
  • For adults, the fluoride content in toothpaste should be 1450 ppm. Ensuring the correct fluoride concentration is important for caries prevention. [Q3738]
  • Fluoride concentration in toothpaste varies with age. Using age-appropriate fluoride toothpaste helps in effective caries prevention. [Q3739]
  • For children aged 6 to 9 years, it is recommended to use toothpaste with 1000 ppm fluoride. This helps in maintaining optimal oral health during the growing years. [Q3745]
  • 2500 ppm fluoride toothpaste is not recommended for children over 9 years old. High fluoride concentrations should be used cautiously to avoid fluorosis. [Q3746]
  • For children under 5 years old, 1000 ppm fluoride toothpaste is recommended. Using the correct fluoride concentration helps protect young teeth from decay. [Q3747]
  • Frequent caries in childhood are often called early childhood caries (ECC). Early detection and preventive care are essential to manage ECC. [Q3779]

Pulp Therapy in Children

  • Pulpectomy is preferred for a necrotic primary molar to remove infected pulp tissue and preserve the tooth. This procedure helps maintain space for the permanent successor. [Q0066]
  • A pulpectomy is recommended for a primary central incisor with traumatic pulp exposure two days after injury. This treatment helps preserve the tooth and prevent infection. [Q0109]
  • Endodontic treatment is indicated to maintain the deciduous tooth as a space maintainer when the permanent successor is absent. Preserving the primary tooth prevents space loss for the permanent dentition. [Q0400]
  • Bone resorption is most probable in the interradicular septum following pulpal gangrene in a deciduous molar. Prompt endodontic intervention is necessary to manage this condition. [Q0401]
  • A pulpotomy on 75 is appropriate while waiting for the development of 35. This treatment helps maintain the tooth’s function and space for the permanent successor. [Q0451]
  • Calcium hydroxide pulpotomy is appropriate to maintain pulp vitality and allow for continued root development in a vital tooth. This procedure helps in preserving the natural tooth structure. [Q0472]
  • Internal resorption is a common complication of failed Ca(OH)2 pulpotomies in primary teeth. Monitoring and appropriate intervention are essential to manage this condition. [Q0560]
  • Ferric sulphate is commonly used in pulpotomy procedures. It is effective in controlling bleeding and preserving the tooth structure. [Q3718]
  • The collapse of the marginal ridge in a primary molar usually indicates a compromised or involved pulp. Early diagnosis and appropriate treatment are crucial to prevent further damage. [Q4958]

Restorative Techniques for Children

  • Proximal reduction is greater to allow the stainless steel crown to pass the contact area. Ensuring proper crown fit is essential for the longevity of the restoration. [Q0061]
  • Labial-lingual movement is typically used for extracting maxillary deciduous molars. This technique minimizes trauma and ensures a smoother extraction process. [Q0083]
  • A pulpectomized primary tooth serves as an excellent space maintainer until the permanent tooth erupts. This helps in maintaining proper arch form and function. [Q0497]
  • GIC is the best material for restoring a badly broken deciduous molar in an 8-year-old. Its properties provide durability and protection for the restored tooth. [Q0760]
  • Fillings are typically used to manage caries in a 3-year-old. Early intervention helps prevent the progression of dental caries and maintains oral health. [Q3418]
  • Stainless steel crowns are commonly used for crown restoration in primary molars after pulpectomy. They provide durability and protect the tooth from further decay. [Q4830]

Trauma Management in Children

  • Apical abscesses are the most common finding in young children with dental complaints. Prompt diagnosis and treatment are essential to prevent complications. [Q0215]
  • Putting the intruded tooth back in place and splinting is recommended. This approach helps in stabilizing the tooth and promoting healing. [Q0399]
  • 4-6 weeks is the recommended duration for functional splinting after intrusive luxation. This allows sufficient time for the tooth to stabilize and heal. [Q3181]
  • Immediate dental consultation is recommended for an avulsed primary tooth to determine the appropriate treatment. Early intervention is crucial to manage this traumatic dental injury. [Q3327]
  • Yes, intra-alveolar fractures are less common in primary teeth compared to permanent teeth. Understanding the differences in fracture patterns helps in appropriate management. [Q4181]
  • Aspirin is not recommended for children due to the risk of Reye’s syndrome. Alternative pain management options should be considered for pediatric patients. [Q5550]
  • Reye’s syndrome is a condition where aspirin should be avoided in children under 12 years old. Awareness of this risk is crucial for safe pediatric care. [Q5684]