DMF- Pedia Part 10 (Early childhood caries until remember before facial clefts)

Board Question: Most common tooth involvement in ECC is

Max incisors (specifically Quad 1)

Board Question: Weaning of bottle feeding

12-14 months

Early childhood caries are rampant caries due to __

Sleeping with feeding bottle

Early childhood caries are also known as (5 other terms)

BBB-IN

Baby bottle tooth decay

Bottle mouth syndrome

Bottle caries

Infant caries

Nursing caries

Board Question: Pattern of early childhood caries from most infected to least infected

1. Cervical of Max Incisors

2. Max posterior

3. Mand posterior

4. Mand incisors

3 other terms for NUG

Trench mouth

Vincent's angina

Vincent's infection

Necrotizing ulcerative gingivitis (NUG) is very rare in __ and usually effects those who are __ years old

Preschool children

15-35 y/o

Necrotizing ulcerative gingivitis (NUG) only involves __

Gingiva

3 microorganisms associated with Necrotizing ulcerative gingivitis (NUG)

FuPS

Fusobacterium

Prevotella intermedia

Spirochetes

2 differential diganosis of Necrotizing ulcerative gingivitis (NUG) and differentiate them

ANUG- interdental papilla is necrotic

PHG (primary herpetic gingivostomatitis)- interdental papilla is intact

Signs and symptoms of Necrotizing ulcerative gingivitis (NUG)

Painful hyperemic gingival PUNCHED OUT erosions covered by GRAY PSEUDOMEMBRANE with FETID ODOR

Those at risk for Necrotizing ulcerative gingivitis (NUG) (4)

PPUS

Poor oral hygiene

Poor nutrition

Under stress

Smoking

Treatment for NUG

Debridement, hydrogen peroxide rinse, then antibiotics

Patients with achondroplasia will develop __

Class III Maxillary deficiency

Increase GH before epiphyseal plate closure

Gigantism

Increase GH after epiphyseal plate closure

Acromegaly

Patients with Gigantism and Acromegaly have skeletal class __

III

Patients with Gigantism have __ tongue and __ roots

Enlarged tongue

Long roots

True or false: Patients with Gigantism possess mandibular prognathism and posterior crossbite

True

A patient has a large head with short arms and legs, comparing to the trunk length, what condition does this patient possibly have?

Achondroplasia

Short limb dwarfism

Achondroplasia

4 dental considerations of a patient with achondroplasia

SUCD

Small maxilla (causing crowding of teeth)

Underdeveloped mandible

Class III Malocclusion

Delayed eruption and exfoliation of teeth

Primary Herpetic Gingivostomatitis is common in __

Children

What is the causative agent of Primary herpetic gingivostomatitis

HSV Type I (herpex simplex virus type I)

What do you call the secondary infection of primary herpetic gingivostomatitis?

Recurrent herpes labialis

2 other terms for recurrent herpes labialis

Cold sores

Fever blister

Board Question: Signs and symptoms of primary herpetic gingivostomatitis

Fever and painful reddish ulcerations in gingiva and mouth

Board Question: What is the most common cause of generalized acute gingival inflammation in a preschool child?

Acute herpetic gingivostomatitis

__ is associated with painful white/yellow ulcers with bright red that causes apthous ulcers

Coxsackie virus

2 types of coxsackie virus

Coxsackie A and B

Coxsackie B effects __

Internal organs

Coxsackie A causes __ and __

Herpangina

Hand/foot mouth disease

Minor apthous ulcers are __ cm and last for __

<1 cm

2 weeks

Major apthous ulcers are __ cm and last for __

>1 cm

More than 2 weeks

Difference between Apthous ulcers and primary herpetic gingivitis:

Apthous ulcers: there is history of recurrence and location is unattached mucosa

Primary herpetic gingivitis: there is no history of recurrence and location is both attached and unattached mucosa

Common location of apthous ulcers

Unattached mucosa

Frequence recurrences of ulcers should be screen for __ and __

Diabetes Mellitus

Behcet's Syndrome

What is Behcet's syndrome?

A disease that involves inflammation of blood vessels (vasculitis) and inflammation of uvea (uveitis)

Where is uvea located and what is its function

Middle layer of the eye which provides blood supply to the retina

diabetes mellitus triad

PPP

Polyphagia

Polydipsia

Polyuria