Pediatrics

BY: LAUREN STEVENS

Diagnostic Criteria

0-18 years old

RISK THAT INCREASE ORAL DISEASE

Dexterity
Knowledge
Motivation
Parental Involvement

This Photo by Unknown Author is licensed under CC BY-SA

Barriers to Care

Transportation
Education
Behavior
Finances
Scheduling
Fear
Language Pinterest
 Oral Conditions and Pathology of
Infants (1-6 months)
Soft Tissue
Pseudomembranous candidiasis (Thrush)
Congenital epulis
Bohns nodule Thrush
Med-health.net
Epsteins pearls
Dental lamina cysts Congenital epulis
Medicine.academic.ru
Bifid uvula
Ankyloglossia

Ankyloglossia
Healio.com

Bohns Nodules
Indianpediatrics.net
Oral Conditions and Pathology of
Infants contd
Teeth
Natal teeth
Neonatal teeth

Natal teeth
Researchgate.net
Common Prescriptions for Infants
For Thrush
Antifungal medications safe for babies
Miconazole
Nystatin (Mycostatin, Nilstat, Nystex)

Medication side effects

Oral sensitivity
Oral irritation
Brushing or wiping gingiva will be difficult due to sensitivity but most continue to
reduce bacteria
Oral Health Care Considerations for
Infants
Feeding patterns
Prenatal and perinatal history
Nonnutritive sucking
Teething
Baby Bottle Tooth Decay
ECC

BBTD
Pinterest

Traditional pacifier Orthodontic pacifier

Walgreens.com Target.com
Treatment Considerations
Quiet Room
Have everything ready and easily
accessible
Have conversation with parent
prior to starting appointment
Show-Tell-Do
Possible additional staff needed
No premed unless specified by
PCP

http://abcd-dental.org/about-abcd/physicians/
What to teach this patient

Begin education during

pregnancy
Prevention
Knee-to-Knee sitting style
Wiping gums prior to eruption
Tooth brushing with first tooth
Lift the lip
Healthyteethhealthykids.com
Importance of care givers oral
health
Mutans streptococci

www.mchoralhealth.org
Oral Signs and Symptoms 6 months-
5years
Soft Tissue
Eruption Cysts
Mucocele
Traumatic ulcer
Eruption Cyst
Alveolar abscess
Primary Herpetic Gingivostomatitis Mucocele
Geographic tongue
Verruca vulgaris

Primary Herpetic
Gingivostomatitis Verruca Vulgaris
Oral Signs and Symptoms contd

Teeth
Enamel Hypoplasia
Fluorosis
White-spot lesions
Fused teeth Enamel Hypoplasia

Gemination

Researchgate.net askanorthodontist.com
 Common medications for children
6 months- 5 years
Amoxicillin
Azithromycin
Albuterol
Cefdniner (Omnicef)
Cephalexin (Keflex)
Fluticasone (Flonase)
Prednisone sodium phosphate
Ibuprofen
Montelukast (Singulair)
Trimethoprim/Sulfamethoxazole
Codeine phosphate/Acetaminophen
Budesonide
Ciprofloxicine/dexamethasone
Promethazine (Phenergan)
Prednisone
Hydrocodone bitartrate/acetaminophen
Mupirocin (Bactroban)
Nystatin
Methylphenidate (Ritalin, Concerta, Daytrana, Methylin)
Dextromethorphan/phenylephrine/chloropheniramine
Mometasone (Nasonex)
Triamcinolone
Prednisone
Sodium Fluoride
Multivitamins with fluoride
Amphetamine/dextroampethamine
Hydrocortisone
Lisdexamfetamine (Vyvanse)
Anipyrine/benzocaine
 Medication Side Effects

Antibiotics ADHD Medications

White patches on tongue Moodiness/Irritability
Allergic reactions (swelling of lips, face Eating Issues (loss of appetite)
and tongue)
Tics
WHY are they taking the antibiotic?
Sleep problems

Bronchodilators
Tachycardia
Xerostomia
Headache
 Oral Health Care Considerations for
6 months -5 years
Erupting teeth (primary dentition)
Malocclusion
Proper sized toothbrush
Eating habits

http://www.ctvnews.ca/health/unhealthy-snacks-too-tempting-for-kids-to-resist-study-
finds-1.2067367
Treatment Considerations

Child Behavior
New Independence
Show-Tell-Do
More fearful
Disclosing solution
Having parents out of the room
Bribery driven
Make it fun!
Oxforddentalsupply.com
 What to teach this patients
Pinterest
Fluoride Use
Systemic fluoride
How much to use tooth
brushing
Importance of flossing between
tighter contacts
Children becoming more
independent-Still need help!
Tooth eruption patterns
Trauma prevention New York Times
Oral Health Care Considerations of
Teens
Beginning orthodontia
Mixed dentition leading to full
secondary dentition
Completely independent
Poor nutritional habits
Increased risk of trauma
Potential use of tobacco
http://www.brunerortho.com/blog/why-you-
Eating disorders should-wear-a-mouthguard/

Increased risk of periodontal disease

TMJ problems
Piercings
Alexbratricdental.com.au
Common Medications for Teens

ADHD medications Drug abuse

Antidepressants Valium (Diazepam)
Mood stabilizers Vicodin (Hydrocodone)
Birth control Adderall (Amphetimes)
Acne medications Oxycontin (Oxycodone)
Xanax (Alprazolam)
Treatment Considerations

Appropriate conversation style

Disclosing solution
More detailed OHI
Be prepared for orthodontia

Pinterest.com
 What to teach this patient

Current oral health effects future

Special OHI instructions for unique needs
Effects of tobacco use
Effects of oral piercings
Relationship between diet and caries
Regular dental visits
Importance of self image
Sports guards
Rebelink.net

Dailymail.co.uk
 References
Wilkins, E. M. (2013). Clinical practice of the dental hygienist (11th ed.). Philadelphia, PA: Lippinctt
Williams & Wilkins
WebMD. (2017). Drugs and medications search. Retrieved from
http://www.webmd.com/drugs/condition-319-Thrush+Ora
Ianelli, V. (2017). 30 most commonly prescribed pediatric medications. Retrieved from
https://www.verywell.com/the-30-most-prescribed-drugs-in-pediatrics-2633435
Drugs.com. (2017). Nystatin side effects. Drugs.com. (2017). Retrieved from
https://www.drugs.com/sfx/nystatin-side-effects.html
Emedicinehealth. (2017). Antibiotics. Retrieved from
(http://www.emedicinehealth.com/antibiotics/page5_em.htm
WebMD. (2017). ADHD drugs: How to handle side effects in kids. Retrieved from
http://www.webmd.com/add-adhd/childhood-adhd/adhd-drugs-handle-side-effects-kids#2
American Academ of Pediatric Dentisty. (2015). Guideline on adoledcent oral health care. Retrieved
from http://www.aapd.org/media/policies_guidelines/g_adoleshealth.pdf