Sie sind auf Seite 1von 1

Child Abuse and Neglect

-dentists mandated by law to report any suspected child abuse or neglect


-proof of abuse/neglect NOT necessary
-failure to report suspected abuse/neglect may result in legal ramifications (fine, jail, civil liability)
-types:
1) Physical: intentional abuse
-common injuries include bruises, welts, lacerations, burns, and fractures
-50% of abuse in craniofacial region, w/ 25% in oral region
2) Emotional: denial of affection, isolation, extreme threats, corruption
3) Sexual: any type of sexual activity, exhibitionism, and pornography
4) Neglect: willful negligence to provide for basic needs of child (food, shelter, clothing, medical care,
supervision, protection, guidance)
-willful failure of parent to seek and follow through w/ txt necessary to endure a level of oral
health for adequate fxn and freedom from pain and infxn
Pit and Fissure Sealants
1) Indications
a) deep pits/fissures
b) caries-free surface or incipient lesion
2) Contraindications
a) rampant caries
b) interproximal caries
c) well-coalesced grooves
d) inability to maintain dry field
3) Technique:
a) obtain clean pit/fissures
-pumice, air polishing device, toothbrush, 3% H2O2, enameloplasty
b) isolation (rubber dam, cotton rolls, dry angles, etc w/ high-volume suction
c) acid etch (37% phosphoric acid) for 20-30 seconds, rinse 30 seconds, dry w/ air 15 seconds
-check for frosty enamel appearance
d) bonding agent
e) place sealant in all occlusal, buccal, and lingual grooves
-avoid excessive sealant and check occlusion
4) Types of sealants
a) resin-based sealants are most common and have superior retention compared to glass ionomer sealants
Cleft Palate
-combined cleft lip and palate more common than cleft palate alone
-isolated cleft palate more common in females
-4 classes:
1) Class I: only soft palate
2) Class II: soft and hard palates but not alveolar process
3) Class III: soft and hard palate and involves alveolar process on one side of premaxilla
4) Class IV: soft palate and continues through alveolus on both sides of premaxilla
Cleft Lip
-more common in males
-more common on left side than right
-4 classes:
1) Class I: unilateral notching of vermilion not extending to lip
2) Class II: unilateral notching that extends into lip but not to floor of nose
3) Class III: unilateral notching that extends into floor of nose
4) Class IV: any bilateral clefting of lip

Das könnte Ihnen auch gefallen