Paediatric Dentistry Flashcards

What is the recommended management of traumatic dental injuries in children according to IADT guidelines?

Answer: Assess, diagnose, treat based on specific injury type and root development, with appropriate follow-up

IADT guidelines provide specific management protocols for each injury type (concussion, luxation, fracture, avulsion) based on root development stage, emphasising appropriate follow-up and monitoring.

At what age does the lower first permanent molar typically erupt?

Answer: 6 years

The lower first permanent molar typically erupts at approximately 6 years of age, giving rise to the common term 'six-year molar,' marking an important milestone in the transition to the permanent dentition.

What is the Frankl behaviour rating scale used for in paediatric dentistry?

Answer: Classify child patient behaviour from definitely negative to definitely positive

The Frankl scale (I–IV, from definitely negative to definitely positive) is used to classify a child's behaviour during dental treatment, guiding behaviour management strategies.

What is the dental significance of a child presenting with multiple early childhood caries (ECC) on upper primary incisors?

Answer: High caries risk, dietary assessment needed, fluoride varnish, and parent education

ECC (early childhood caries) affecting upper incisors indicates very high caries risk, typically related to frequent sugar exposure (bottle feeding, free-flow cups), requiring intensive preventive intervention.

Which radiograph is most appropriate to assess root development and periapical status of a primary tooth?

Answer: Periapical radiograph

Periapical radiographs provide the best detail of root length, development, resorption, periapical pathology, and proximity of the permanent successor for primary teeth.

What is the most common cause of premature loss of primary upper incisors in children under 3 years?

Answer: Early childhood caries (nursing bottle caries)

Nursing bottle caries (ECC) is the most common cause of premature upper primary incisor loss, resulting from prolonged bottle or breastfeeding with sugar-containing liquids at bedtime.