Behavior Boss
Name three basic communicative behavior guidance techniques.
What is Tell-Show-Do, Distraction, Positive reinforcement?
Premature loss of one primary molar generally calls for what type of space maintainer?
What is a unilateral space maintainer like a band & loop or distal shoe?
What are the best diagnostic methods for pulpal pain in primary teeth?
What is percussion?
True or false: an avulsed primary tooth should be replanted if the child arrives quickly enough.
What is false?
What important visible effect of SDF should the parent understand before treatment?
What is the SDF will stain the tooth?
You explain an instrument, demonstrate it on the child’s hand, then use it intraorally. What technique?
What is Tell Show Do?
Match the arch: multiple/bilateral primary tooth loss requiring space maintenance.
Mandibular? Maxillary?
What is lower lingual holding arch and nance/TPA?
A primary molar has asymptomatic deep caries.
Sound peripheral walls and an adequate seal are possible, but complete removal risks exposure. Treatment?
What is indirect pulp cap?
A traumatized tooth is tender to percussion, has normal mobility, and is not displaced.
Diagnosis?
What is concussion?
A cooperative child has multi-surface caries on a primary incisor, excellent isolation, adequate tooth structure, favorable occlusion, and high esthetic demand.
Appropriate full-coverage option?
What is resin strip crown or zirconia crown?
A fearful healthy child needs restorative treatment and basic behavior guidance has failed.
Is sedation potentially indicated or contraindicated?
What is indicated?
A second primary molar is lost before eruption of the first permanent molar.
Which appliance should come to mind?
What is distal shoe?
During a primary molar pulpotomy, appropriate hemostasis cannot be obtained.
Do you simply finish the planned pulpotomy?
What is no?
A traumatized tooth is not displaced but is tender to percussion and has bleeding at the gingival margin.
Diagnosis?
What is subluxation?
A necrotic primary tooth has a localized draining sinus tract but no facial swelling, fever, or systemic illness.
Does the sinus tract alone mean systemic antibiotics are required?
What is no?
During sedation the pulse oximeter reads 99%.
Does that prove the child is ventilating normally right now and why?
What is no because real time ventilation is only available via capnography.
A 5-year-old has persistent thumb sucking with anterior open bite and posterior crossbite.
What feature of the habit is particularly important in tooth movement?
What is duration?
An immature permanent incisor has a small recent traumatic pulp exposure and vital pulp.
What is the key biological goal?
What is to maintain the pulpal health and vitality to allow for maturation?
A primary maxillary incisor is intruded.
What relationship determines extraction versus observation in the lecture?
What is none because the guidelines state you should allow the tooth to spontaneously reposition itself?
A 44-lb child is prescribed amoxicillin 30 mg/kg/day divided TID.
How many mg per dose?
What is 200 mg?
A child weighs 55 lb. Using 4.4 mg/kg, calculate the maximum lidocaine dose.
What is 110 mg?
A 6-year-old’s first permanent molar is erupting into the root of the second primary molar.
What condition should you suspect?
What is ectopic eruption?
An immature permanent tooth has necrotic pulp and an open apex.
Name two non-vital treatment concepts discussed in lecture.
What is apexogenesis or revascularization/regeneration?
An 11-year-old has a missing permanent maxillary central incisor after a bicycle fall and the tooth cannot be found.
First major dental concern?
What is where is the tooth?
A 7-year-old has a grossly carious primary molar, rapidly increasing facial swelling, fever, malaise, and is not eating or drinking.
Give management priorities.
What are systemic infection and dehydration.