Dental OSCE Quiz 2

When taking a history from a medically compromised child you must ensure you get a definitive from the parents, and ask them what it means for the child.
The medical condition may affect visits and life. Ask the parents how they this condition daily. The child may require for a condition and you should be aware of the of this for dental treatment.

It is important to gauge the of the condition. Is the condition ? Get information about the condition was diagnosed, and any relating to the condition. Is the child under the care of a ?
Does look after the child?

For an epileptic child the following information must be gathered:
- What of epilepsy?
- How do they fit?
- How do they usually fit for?
- When was their ?
- Do they take any ? has there been any to this?
- What is the ?
- Are they under the care of a ?

For a child with a cardiac problem you must get the following information:
- Definitive
- Is the child under the care of a ?
- Does the child experience from their condition?
- Does it have an effect on their ?
- Have they ever had any ? Do they have any planned?

A child with congenital heart disease presents a few problems in the dental setting. Their risk is higher and they may have enamel . During treatment, these children may be more than usual, may be on therapy or have and there is an increased risk during procedures under anaesthetic (you may need to liaise with the and should this be required)

In these children, therapy is .
You should take caution with local anaesthetics
Always be aware of ABC when assessing signs during treatment.

In asthmatic children, the effect of local inhalers may increase their risk of and dental . In these children we would generally avoid anaesthesia. Steroid therapy means the child is .

In practice, make sure the child brings their to appointments. Avoid prescribing to these children as it may precipitate an , as well as .

In children with cystic fibrosis, the following implications should be considered:

- defects
- Delayed
- anaesthesia should be
- Narcotics or sedatives are avoided as these cause
- Avoid appointments

Patients undergoing treatment for cancer (therapy and therapy) may experience the following problems in the dental setting:

- Increased risk of thrush ( infection)
- Oral ation
- Dry mouth ( from radiation of )
- Increased risk of disease
- Destruction of bone from radiation - or ORN

When you gain consent for an extraction (surgical or not) you need to make the patient aware of the following risks:

- Post operative (pt to take analgesia)
- Post operative , bleeding or bruising
- of teeth
- or post operative infection of socket
- Damage to
- Excessive
- Damage to
- Creating an between oral cavity and maxillary (oral-antral or oral-antral fistula)
- of the mandible
- Fracture of maxillary

A patient has arrived with a failed crown you have to explain why this may have happened and what options they have.

Why?
- There may be under the crown margin, due to . The tooth or crown may have as well.
- We would need to the crown. This involves the existing crown and removing any on the tooth. We may need to the tooth a little more and take some more so a new crown can be made. This may take a few .
- If there is not much tooth left, we may need to place a in the tooth and build up the tooth above the gum in order to place a on top. This procedure has a higher risk of however and may result in a root in time.
- Depending on the state of the tooth underneath, we may have to take an and possibly carry out treatment on the tooth before we can place a crown on top.
- If the tooth underneath is we may have to it and replace it with a , partial , or an implant.

You're giving a parent advice about their child's diet to prevent further decay as their child has white spot lesions.

What are white spot lesions?
- The beginning of , where the tooth has been by sugar from food.
- Sugar is converted into by in our mouths
- The less we eat, the less attacks we have
- Sugar attacks can cause a in the tooth

Without oral hygiene improvement and diet changes, these white spot lesions may progress into and cause the child