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,Dental Home an ongoing relationship between the dentist and the patient, including all aspects of oral
health care delivered in a comprehensive, continuously accessible, coordinated, and
family-centered way
What is the most cost effective way to provide dental care? Dental home
What is the most common infectious disease among U.S. Dental caries, particularly among poor, non-white children
children?
When should a dental home be established? within 6 months of first tooth eruption and No later than 12 months
What is dental neglect WILLFUL failure of parent or guardian to seek and follow through with treatment
necessary to ensure a level of oral heath essential for adequate function and freedom
from pain and infection.
Dental disability orofacial pain, infection, or pathological condition and/or lack of functional dentition
affect nutritional intake, growth and development, or participation in life activities.
Medically-necessary care Reasonable and essential diagnostic, preventive, and treatment services (including
supplies, appliances, and devices) and follow-up care as determined by qualified health
care providers in treating any condition, disease, injury, or congenital or developmental
malformation to promote optimal health, growth, and development. MNC includes all
supportive health care services that, in the judgment of the attending dentist, are
necessary for the provision of optimal quality therapeutic and preventive oral care. These
services include, but are not limited to, sedation, general anesthesia, and utilization of
surgical facilities.
MNC ____________ the probability of good health and well-being increases, decreases
and ________________ the likelihood of an unfavorable outcome.
Perinatal 20th week of gestation to 4 weeks post-partum
Women are more or less susceptible to oral disease? Why? More susceptible, due to endocrinological fluctuations during pregnancy.
Poor oral health is associated with what birth problems? Low birthwaeight, growth restriction, preterm delivery, preclampsia, early pregnancy
loss, and intrauterine fetal demise.
,Use of _______ ______ and avoiding tobacco and alcohol is Folic acid
protective for oral facial clefts?
Pillow under the ______ hip maintains the uterus off the vena right
cava
What analgesics should be avoided during pregnancy? Ibuprofen and Naproxen, during 1st and 3rd trimester.
Can opiods be used during pregnancy? yes just minimum effectvie dose as they do cross the placenta
What antibiotics should be avoided during pregnancy? Erythromycin, tetracycline, fluoroquinolones.
Infants born via C-section are colonized by S. Mutans Earlier
_________________ compared to vaginal births
Teenage pregnancy (11-15) causes the following: Pregnancy-induced hypertension (causes increased bleeding during procedures),
anemia, sexually transmissble diseases, and premature delivery
Mild hypertension Equal to or greater than 140/90
Severe hypertension Greater than or equal to 160/110
Acute onset, severe hypertension that persists for 15 minutes Emergency. Physician should be notified immediately.
or more =
Maternal levels of vitamin ____ may affect primary tooth D
development
Approximately ______ percent of pregnant participants reported Xerostomia
persistent xerostomia
There is an correlation between periodontal disease in gestational
prengnant women and _____________ diabetes
, Poor plaque control added with hormone changes in Pyogenic Granuloma
pregnancy can lead to development of what pathology?
Due to increased risk of fetal hypoxia leading to inreased risk Nitrious Oxide during the first trimester
of pregnancy loss, what should be avoided?
Due to worries regaring merucury, what products should be Tooth whitening products that contain or generate hydrogen peroxide (releases
avoided during pregnancy? inorganic mercury from amalgam fillings)
What should be done before brushing after vomitting? Rinse with a cup of water containing a teaspoon of sodium bicarbonate.
exclusive breastfeeding recommended until 6-months to a year or more as mutually desired by mother and infant.
What percentage of mothers have difficulty with 25-80%
breastfeeding?
What percentage of children have ankyloglossia? 5%
Does nighttime breast feeding alone increase caries? No, but in conjunction with other carbohydrates is highly cariogenic.
Breast feeding has been linked to: Decreased celiac, inflamatory bowel disease, obesity, diabetes, cardiovascular disease,
SIDS, postpartum depression, and child abuse.
_______ % of babies with ankyloglossia who are breastfed have 50
no feeding trouble
Delay introduction of pacifiers until 1 month and cease by 3 years old.
Prolonged pacifier use may increase the incidence of (3 Otitis media
things) Oral candidia
GI infections
Motivational interviewing a counseling technique that provides people with an opportunity to talk about and
resolve their feelings so that they can move forward with change