Paedodontics with Answers

Section One:
1. sealants for 1st molars best age – [as soon as first molar erupts and isolation is
possible usually 6-7 years]
2. how old is the patient most likely to have a trauma that damages tooth germ of
permanent incisor? in years: 1, 2, etc.-------[ less then 4 years]
3. - few questions on dates of eruption.... i mean v were asked to tell the age of giving
child patient---[ pg 540-541 churchill appendix C]
4. - a lot of questions on fluorides in children with various types of caries risks in
various age groups---[pg 161 churchill. Table 8.2]
5. case4: child patient 4 or 5 yr old had a sibling ----[ modelling]
6. what behaviour method will you choose in a co-operative, accompanied child -–[ tell,
show, do, pg 58 pink book]
7. Question avulsion :time period for re-implantation---[ within an 1 hour is the best
prognosis. Meduim in which its stored. Saline> cold milk> Water> air. Delayed
reimplantation can be within 24 hours ..pg 108-109 pink book]
7. behaviour management techniques from children
8. - child with several caries, anxious. Which anaesthetic to use? ---[nitrous oxide]
9. - anxious child:- provide sense of control,---[modelling]
10. - indication for stainless steel crown:
* most durable restoration for primary molars.
* badly broken down primary molars
* after pulp therapy in primary molars
* in secondary molars as an interim restoration where crowns are required but the
patient is too young
* in developmental anomalies
* severe tooth loss due to bruxism/erosion
* as a temporary coverage
11. picture of a tooth with rampant caries, how would you manage it--------------

a. extract the tooth

b. use fluoride
[ best treatment option for rampant caries is composit, Also Pg 169 masters dentistry]

12. first stage in management of rampant caries

a. excavation and temporization

b. [prevention and stabilization]---- http://jsn.sagepub.com/content/21/5/272.abstract

14. picture to diagnose rampant caries.
what advise we will give to pt-------------[ OHI, dietry advice]
what will we ask in history, social medical etc.---------[Socioeconomic history]

15. a picture of rampant caries was shown and asked the diagnosis.
the same picture was shown and they asked what would be first step in the treatment of it:
dietary analysis, no treatment, extraction, pain relief, restoration of lesions.-------[ pain
relief]

16. date of eruption of permanent maxillary central incisor. ------[6-7 years]

17. eruption date of permanent mandibular second molar.--------[11-13 years]
18. eruption date of permanent maxillary second premolar.-------[ 10-12 years]
19. date of calcification of permanent maxillary central incisor.---[ 3-4months]
20. date of calcification of permanent mandibular first molar.------[ at birth]
21. management of palatally intruded tooth some hours ago-----[ immediate aims to prevent
external bone resorption. Periapical x ray to determine if the tooth has got an open or
closed apex. For open apex make sure the pulp is vital and let it erupt naturally and if it
doesn’t then orthodontic intervention may be required.

Peri Apical Xray if open apex leave it to re erupt if closed reposition it.]

22. management of trauma, pulp exposure in a 7 yr old , central permanent incisor, over 72
hours------[ First an x ray then calcium hydroxide for apexfication and root canal after the
formation of a calific barrier]

23. safest material for vital pulpotomy-----[ferrous sulphate]

24. eruption of teeth

25. .% of 12 year olds with caries------[ 38 %]

26. % of children with caries less than 5 years old-------[ 45% ]

27. picture of child with apical abscess-----[swelling, and inflammation]

28. percentage of caries in children

29.most common reason for missing upper central incisor------[supernumary tooth]

30. what is the percentage of children getting cavities after application of sealants?---- [85%
of the fissure sealents fail after 1 year and 55% after 5 years ]
31. what behaviour method will you choose in a co-operative, accompanied child ---[ tell,
show, do]
32. indication for stainless steel crown
33. first line treatment patient 5years old with an abscess on buccal side of lower first
temporary molar –---[drainage first and then antibiotics but only in cases where the
infection is not localized and patient has systemic symptoms like fever malaise]
34. cement used in apexification-----------[ non setting calcium hydroxide and MTA ]
35. pictures to identify age of a child according to teeth present -1 was an xray the other a
picture of a skull with mixed dentition

36.whats student t-test? didn’t have a clue check at this link

http://en.wikipedia.org/wiki/student%27s_t-test

37 who is more appropriate to give consent?

- stepfather of a child
- grandmother of a child
- 16 year old sister of an 8 year old child
- [mother of 4 year old child ]

38 antibiotic for child allergic to penicillin that can’t swallow pills---[ azithromycin
suspension ]

39. child with dry mouth –----[salivary gland aplasia]

40.child with decay in the upper and lower ipsilateral molars, what radiograph would you
prescribe-vertical bitewing, horizontal bitewing, bimolar, iopas-----[ horizontal bitewings]

Section Two:
1. Case4:child patient 4 or 5 year old had a sibling (answer was show off)
Options were: which technique will u use inhalational sedation, intravenous
sedation, carry on with treatment with explanation, modelling, ask patient to wriggle
toes and talk to him etc------[modelling]
2. 8 year old, high caries rate. Prescribe fluoride content of toothpaste?-----[1250]

 500 ppm
 800 ppm
 1000 ppm
 1250 ppm

3. How to locate the working length in a tooth with open apex-----[ conventional periapical
radiograph which is 1-2 mm short of the radiographic apex]
4. Lots of questions about sedation with different scenario for children---------------- [Nitrous
Oxide is the first choice ( The cylinder is light blue for NO and the pressure in the cylinder
640psi and its 1.5 times heavier then air )]
5. Eruption dates for permanent teeth
6. Eruption dates of milk teeth
7. Which one is not a developmental line of teeth? Von ebner, neonatal, perikymata, etc
---------[ none of the above ]
8. Diet advise for a child
9. What’s the most effective method? Tell the parents not to give sweets for the child,
dentist tells the child which are good and bad foods, nurse talk to the child, send the child to
a dietician, etc----[ nurse talks to the child]
10. 3 year-old child, baby teeth to be extracted. You want to check permanent germs. Which
radiograph? Panoramic, periapical, bimolar, occlusal, lateral skull view, etc----[Panoramic]
11.%of children having plaque on their teeth----[72%]
12.a boy has proximal cavities on some of his teeth. Which one of following would you do?
 -give him a new toothbrush
 -ask him to add sugar to his drink
 Show him how to floss
.
13. 14. Caoh2 setting and non-setting-indications---- [Setting> lining and sealing the
canal, pulp capping.
Non setting > is for apexification and intra canal medicament ]
15. block used to anaesthetise to do an apicectomy of incisor----[Anterior superior alveolar
nerve and on the palatal side the naso palatine nerve should be blocked]
16. Best concentration of fluoride tooth paste for a 4 year olds----[1350- 1500ppm fluoride
tooth paste]
17. A picture of mixed dentition-asked abnormality- anterior cross bite
18. Pulpotomy which is the best material to use opt: formocresol, ferric sulfate etc.ca oh2
wasn’t an option----[ferric sulphate]
19.Extrinsic and Intrinsic Staining of teeth:
 Fluorosis---- white opacities which becomes brown later
 Tetracycline----blue or brown
 ,bilirrubin staining----greenish
 Congenital porphyria---- red
 Pulp necrosis--- grey,
 Iron ---- black stains,
 minocycline ---- black or brown
 Poor Oral Hygiene with chromogenic bacteria ---- green orange
(Pink book is pg 72 and masters dentistry is Pg 172 table 15)

21. In which of following is more likely to maintain vitality? concussion, subluxation,

intrusive luxation, avulsion----[ concussion ]
22. Trauma to tooth with closed apex
23. Radiograph of mixed dentition-identify the age
24. Commonest cause of enamel staining---[Extrinsic cause Food / smoking, Intrinsic is
Caries]
25. Best radiological view or investigations Showing
successor teeth in a young child---[panoramic ]
caries in 3 year old---[ bitewing ]

26.l.a.-maximum dose for child 5 years with 20 kg---[ weight of the person x 4.4/ 20 = 4.4
and then divide that the 2.2 mg lignocaine in a cartridge. So 4.4/2.2 = 2. So the max dose is
2 cartridges]
27. Best analgesic for children----[1st choice is 2% lignocaine and then Second choice is
Prilocaine 3% ]
28. Eruption dates of lower canine and lower second molar—[lower canine 9- 10 years and
lower second molar is 11-13 years]
29. Dosage of 8 year old child with anaphylactic reaction-----[first line of treatment is
adrenaline ]
 More then 12 years 0.5 ml or 500 micro gram
 6 – 12 years is 0.3 ml or 300 micro grams
 Less then 6 years is 0.15 ml or 150 micro grams
30. Management of palataly intruded tooth some hours ago
31. trauma-pulp exposure in a 7 year old, central permanent incisor-over 72 hrs
35. Most safest material for vital pulpotomy----------------- ferrous sulphate

36. What would cause red or brown discoloration in a primary teeth---[Congenital

porphyria]

37. Fluoride supplementation for children with high risk of caries

38. Fluoride on a patient 4 years old with high risk caries---[pg 161 table 8.2 Churchill]

39. Picture to identify age of a child according to teeth present -1 was an xray the other a
picture of a skull with mixed dentition

40. What will be the dose for a4 year old child where the level of fluoride is less than
0.1ppm----[ 0.5]

41. Flouride content in toothpaste for a child of 4 yrs--- [ 500 ppm ]

42. Flouride content in toothpaste for a child of 10 yrs---- [1400 ppm]

43. Flouride content in toothpaste for parents---- [ 1400 ppm ]

44. Ideal method of providing fluoridation to society---- [Water fluoridation ]

45. Ideal ppm in water fluoridation---- [Ans:1ppm ]

46. F Supplementation adviced for children with high caries rate.

47. Percentage of UK with fluoridated water ---- [10 %]

48.Many different scenarios were given and we had to choose which is the best like what is
indicated in a 15 year old boy who has lost his front tooth, what is indicated in a 26 year old
lady who has lost her front tooth.