ABPD REVIEW EXAM QUESTIONS
WITH COMPLETE ANSWERS
(Ref #45) - ANSWER-1. Cause disease directly (microflora)
2. Predict disease (socioeconomic status)
3. Protective factors (fluoride, sugar substitutes, toothbrushing)
Caries Management Protocols
(Ref #45) - ANSWER-Surgical intervention alone does not stop the disease process.
Modern management of dental caries should be more conservative and include early
detection of noncavitated lesions, identification of an individual's risk for caries
progression, understanding of the disease process for that individual, and "active
surveillance" to apply preventative measures and monitor carefully for signs of
arrestment or progression.
Caries Management Protocols
for Children
(Ref #45) - ANSWER-Based on a specific patient's
- Risk Levels
- Age
- Compliance with Preventative Strategies
Others:
Don't forget about Diet Counseling, Active Surveillance
Dental Caries-Risk Assessment
(Ref # 45) - ANSWER-Based on:
1. Child's Age
2. Biological Factors (Microflora)
3. Protective Factors (Fluoride)
4. Clinical Findings (Decalcification)
Dental Home
(1)
(Ref #13) - ANSWER-1. Dental home by 12 months of age
2. Dental home provides...
a. Comprehensive Oral Care (incl acute & preventive services.
b. Assessment of Oral Diseases & Conditions
c. Individual Preventative Care based on caries-risk assessment and a periodontal
disease assessment.
d. Anticipatory Guidance about growth & development
(teething, digit or pacifier habits)
e. Plan for Acute Dental Trauma
, Dental Home
(2)
(Ref #13) - ANSWER-f. Info on Proper Care of Child's Teeth & Gingiva.
(incl the prevention, diagnosis, and treatment of disease & maintenance of health,
function, & esthetics.
g. Dietary Counseling.
h. Referral to Dental Specialist when needed.
i. Referral to Future Dentist when all grown up.
3. Interaction with early intervention, schools, etc.
ECC
Challenges & Treatment Options
(Ref #21) - ANSWER-- Infants with ECC grow at a slower pace.
- Some ECC may be severely underweight.
- May also be associated with Iron Deficiency.
- Optimize Nutrition during 3rd Trimester & infant's 1st year when enamel is
undergoing maturation.
- Enamel hypoplasia common in low birthweight or systemic illness in neonatal
period.
- Malnutrition/undernutrition during the perinatal period causes hypoplasia.
- Association exists between clinical hypoplasia & ECC.
- Cariogenic bacteria may be transmitted to child.
ECC
Severity
(Ref #21) - ANSWER-- Help direct parents to improve home oral health.
- Frequent bottle feeding at night, ad libitum breat-feeding, and training cups
associated with but not implicated in ECC.
- ECC does not arise from breast-milk alone but in combo with carbohydrates.
- THE SEVERITY OF ECC is associated with POOR FEEDING HABITS.
- A Multifactorial etiologic process.
ECC
Treatment
(Ref #21) - ANSWER-- Treatment should be specific and individualized
- Optimizing home care
- Anticariogenic agents with increase visits.
(Prevention)
- ITR (Interim Therapeutic Restorations) = GI
- SSC to decrease tooth surfaces at risk
- Use of Advanced Behavior Guidance techniques
(Protective stabilization, Sedation, GA)
Compelete Clinical Exam
WITH COMPLETE ANSWERS
(Ref #45) - ANSWER-1. Cause disease directly (microflora)
2. Predict disease (socioeconomic status)
3. Protective factors (fluoride, sugar substitutes, toothbrushing)
Caries Management Protocols
(Ref #45) - ANSWER-Surgical intervention alone does not stop the disease process.
Modern management of dental caries should be more conservative and include early
detection of noncavitated lesions, identification of an individual's risk for caries
progression, understanding of the disease process for that individual, and "active
surveillance" to apply preventative measures and monitor carefully for signs of
arrestment or progression.
Caries Management Protocols
for Children
(Ref #45) - ANSWER-Based on a specific patient's
- Risk Levels
- Age
- Compliance with Preventative Strategies
Others:
Don't forget about Diet Counseling, Active Surveillance
Dental Caries-Risk Assessment
(Ref # 45) - ANSWER-Based on:
1. Child's Age
2. Biological Factors (Microflora)
3. Protective Factors (Fluoride)
4. Clinical Findings (Decalcification)
Dental Home
(1)
(Ref #13) - ANSWER-1. Dental home by 12 months of age
2. Dental home provides...
a. Comprehensive Oral Care (incl acute & preventive services.
b. Assessment of Oral Diseases & Conditions
c. Individual Preventative Care based on caries-risk assessment and a periodontal
disease assessment.
d. Anticipatory Guidance about growth & development
(teething, digit or pacifier habits)
e. Plan for Acute Dental Trauma
, Dental Home
(2)
(Ref #13) - ANSWER-f. Info on Proper Care of Child's Teeth & Gingiva.
(incl the prevention, diagnosis, and treatment of disease & maintenance of health,
function, & esthetics.
g. Dietary Counseling.
h. Referral to Dental Specialist when needed.
i. Referral to Future Dentist when all grown up.
3. Interaction with early intervention, schools, etc.
ECC
Challenges & Treatment Options
(Ref #21) - ANSWER-- Infants with ECC grow at a slower pace.
- Some ECC may be severely underweight.
- May also be associated with Iron Deficiency.
- Optimize Nutrition during 3rd Trimester & infant's 1st year when enamel is
undergoing maturation.
- Enamel hypoplasia common in low birthweight or systemic illness in neonatal
period.
- Malnutrition/undernutrition during the perinatal period causes hypoplasia.
- Association exists between clinical hypoplasia & ECC.
- Cariogenic bacteria may be transmitted to child.
ECC
Severity
(Ref #21) - ANSWER-- Help direct parents to improve home oral health.
- Frequent bottle feeding at night, ad libitum breat-feeding, and training cups
associated with but not implicated in ECC.
- ECC does not arise from breast-milk alone but in combo with carbohydrates.
- THE SEVERITY OF ECC is associated with POOR FEEDING HABITS.
- A Multifactorial etiologic process.
ECC
Treatment
(Ref #21) - ANSWER-- Treatment should be specific and individualized
- Optimizing home care
- Anticariogenic agents with increase visits.
(Prevention)
- ITR (Interim Therapeutic Restorations) = GI
- SSC to decrease tooth surfaces at risk
- Use of Advanced Behavior Guidance techniques
(Protective stabilization, Sedation, GA)
Compelete Clinical Exam
