Paediatric Dentistry Flashcards

What are the BSPD guidance criteria for referring a child for orthodontic assessment?

Answer: Severe hypodontia, significant skeletal discrepancy, ectopic canines, IOTN DHC 4-5

BSPD and referral criteria include IOTN DHC grades 4–5, ectopic canines, hypodontia, severe skeletal problems, and any condition requiring specialist interceptive or comprehensive orthodontic management.

What is the recommended treatment for a child with severe early childhood caries (ECC) affecting multiple teeth requiring GA?

Answer: Comprehensive treatment under GA: restore restorable teeth, extract non-restorable, provide preventive care

GA treatment for severe ECC should be comprehensive, addressing all teeth in one session; post-GA preventive care (fluoride, diet counselling) is essential to prevent recurrence.

What is the significance of a sinus tract (parulis) associated with a primary molar?

Answer: Indicates chronic periapical or furcation abscess; extraction usually required

A parulis/sinus tract indicates chronic dentoalveolar infection; in primary teeth, extraction is typically preferred to protect the permanent successor from spreading infection.

What is the most appropriate management of an uncomplicated crown fracture (enamel only) in a permanent upper central incisor in a 10-year-old?

Answer: Smooth sharp edges; apply dentine bonding agent if dentine exposed; monitor pulp vitality

Uncomplicated enamel fractures require smoothing of sharp edges, protection of any exposed dentine with bonding agent or glass ionomer, and regular vitality monitoring given the open apex.

What is the standard screening tool for detecting early childhood caries risk in infants at the first dental visit in the UK?

Answer: Caries risk assessment (e.g., CAMBRA or practice-adapted tool) combined with dietary history

Caries risk assessment tools (including medical/dental history, dietary habits, fluoride exposure, and plaque levels) are used at the first visit to stratify risk and tailor preventive advice.

When is extraction of an over-retained primary tooth indicated?

Answer: When it deflects the permanent successor or causes significant crowding or delayed eruption

Over-retained primary teeth should be extracted when they deflect the eruption path of the permanent successor, contribute to significant crowding, or are failing to exfoliate normally.