PEDIATRIC DENTISTRY OSCE III
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
What are the rationales of early dental examination in infants/toddlers? - Answer- -
Provide anticipatory guidance to help parents fight against oral disease: family
education on caries and fluoride management
- Early identification and intervention of oral health problems are cost effective & lead to
satisfactory outcomes
What are the goals of the early dental visits in infants and toddlers? - Answer- -
Establish dental home by 12 months old
- Perform oral health risk assessment
- Use anticipatory guidance to arm parents in the fight against oral disease & identify
high-risk children
- Perform a comprehensive oral evaluation
What is the ultimate goal of early childhood assessment? - Answer- - Timely delivery of
educational information to patients at risk for developing ECC to prevent the need for
later surgical intervention
___________ is the number one chronic infectious disease of childhood. What are the
primary causes of this? - Answer- - Caries
- Carbohydrate rich diet, low salivary flow, microbial composition
How can infants acquire cariogenic bacteria? Who is the most common person to give
children these bacteria? - Answer- - Vertical or horizontal transmission
- Mothers via vertical transmission
More than _______% of children have caries by kindergarten. 70% of carious lesions
are found in ______% of the nation's children. - Answer- - 40%
- 20%
What is good, generalized anticipatory guidance to provide to the mother? - Answer- -
Oral hygiene
- Diet
- Fluoride
- Caries removal: treat caries prior to baby's arrival
- Delayed colonization: try to prevent sharing eating utensils, etc.
- Xylitol gum: increased salivation, decreased caries
, Describe the basic steps of how to carry out an infant new patient exam (NPE). -
Answer- - Sit knee to knee with parent: explain and ask permission prior to the knee to
knee exam
- Inform parent the child may cry, this is normal
- Have parent hold the patient's hands with theirs and the baby's knees with their
elbows (facing the dentist)
- Exam child's mouth: check white spot lesions, use finger rest & have assistant record
dental findings
- Toothbrush prophy & give OHI; next, wipe teeth w/ 2x2 gauze
- Apply fluoride
- Ask parents if they have questions
- Provide anticipatory guidance throughout the exam
What anticipatory guidance can be given to parents for infants regarding the following?
- Bottle use
- Juice
- Brushing
- Oral habits - Answer- - Bottle: don't sleep w/ bottle & stop use after 1 year, encourage
cup use
- Juice: ideally don't let child drink juice, max juice <4-6 oz/day, keep frequency low
- Brushing: use a smear of fluoridated toothpaste
- Habits: wipe child's mouth after feeding, review pacifier use (ended by 2 years old)
What type of radiograph should be used to identify the following?
- Mesiodens
- Interproximal caries
- Dens in dente
- Root resorption
- Dental age
- Traumatic injuries - Answer- - Mesiodens: anterior occlusal
- Interproximal caries: bitewing
- Dens in dente: anterior radiograph
- Root resorption: periapical
- Dental age: panoramic
- Traumatic injury: periapical
When mounting conventional radiographic films the embossed dot is pointed in what
direction? - Answer- - The embossed dot is facing up
The primary teeth enter occlusion at about ____ y/o. Roots formation is completed
about _____ years after eruption. - Answer- - 3
-3
For all new patients in the primary dentition a _____ radiograph is recommended. A full
mouth intraoral radiographic exam is preferred if there is _____. - Answer- - Maxillary
Occlusal
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
What are the rationales of early dental examination in infants/toddlers? - Answer- -
Provide anticipatory guidance to help parents fight against oral disease: family
education on caries and fluoride management
- Early identification and intervention of oral health problems are cost effective & lead to
satisfactory outcomes
What are the goals of the early dental visits in infants and toddlers? - Answer- -
Establish dental home by 12 months old
- Perform oral health risk assessment
- Use anticipatory guidance to arm parents in the fight against oral disease & identify
high-risk children
- Perform a comprehensive oral evaluation
What is the ultimate goal of early childhood assessment? - Answer- - Timely delivery of
educational information to patients at risk for developing ECC to prevent the need for
later surgical intervention
___________ is the number one chronic infectious disease of childhood. What are the
primary causes of this? - Answer- - Caries
- Carbohydrate rich diet, low salivary flow, microbial composition
How can infants acquire cariogenic bacteria? Who is the most common person to give
children these bacteria? - Answer- - Vertical or horizontal transmission
- Mothers via vertical transmission
More than _______% of children have caries by kindergarten. 70% of carious lesions
are found in ______% of the nation's children. - Answer- - 40%
- 20%
What is good, generalized anticipatory guidance to provide to the mother? - Answer- -
Oral hygiene
- Diet
- Fluoride
- Caries removal: treat caries prior to baby's arrival
- Delayed colonization: try to prevent sharing eating utensils, etc.
- Xylitol gum: increased salivation, decreased caries
, Describe the basic steps of how to carry out an infant new patient exam (NPE). -
Answer- - Sit knee to knee with parent: explain and ask permission prior to the knee to
knee exam
- Inform parent the child may cry, this is normal
- Have parent hold the patient's hands with theirs and the baby's knees with their
elbows (facing the dentist)
- Exam child's mouth: check white spot lesions, use finger rest & have assistant record
dental findings
- Toothbrush prophy & give OHI; next, wipe teeth w/ 2x2 gauze
- Apply fluoride
- Ask parents if they have questions
- Provide anticipatory guidance throughout the exam
What anticipatory guidance can be given to parents for infants regarding the following?
- Bottle use
- Juice
- Brushing
- Oral habits - Answer- - Bottle: don't sleep w/ bottle & stop use after 1 year, encourage
cup use
- Juice: ideally don't let child drink juice, max juice <4-6 oz/day, keep frequency low
- Brushing: use a smear of fluoridated toothpaste
- Habits: wipe child's mouth after feeding, review pacifier use (ended by 2 years old)
What type of radiograph should be used to identify the following?
- Mesiodens
- Interproximal caries
- Dens in dente
- Root resorption
- Dental age
- Traumatic injuries - Answer- - Mesiodens: anterior occlusal
- Interproximal caries: bitewing
- Dens in dente: anterior radiograph
- Root resorption: periapical
- Dental age: panoramic
- Traumatic injury: periapical
When mounting conventional radiographic films the embossed dot is pointed in what
direction? - Answer- - The embossed dot is facing up
The primary teeth enter occlusion at about ____ y/o. Roots formation is completed
about _____ years after eruption. - Answer- - 3
-3
For all new patients in the primary dentition a _____ radiograph is recommended. A full
mouth intraoral radiographic exam is preferred if there is _____. - Answer- - Maxillary
Occlusal
