Treatment of Fluoride Toxicity

1) Syrup of ipecac to induce vomiting

2) Calcium products (milk, milk of magnesia) to lower acidity of stomach and combine w/ fluoride to decrease
absorption
3) Call 911 if needed
Thumb-Sucking Habits
-common up to age 3
-risk of malocclusion= time/day habit performed x duration of habit (weeks, months) x intensity of habit
-effects of thumb-sucking:
1) increased overjet (proclined max. anteriors and retroclined mand. anteriors)
2) anterior open bite (supraeruption of posterior teeth)
3) posterior crossbite (tongue not positioned btw max. alveolus and cheek constriction)
4) class II malocclusion
-txt: recommended intervention at age 5-6 yrs if child still has habit
Teething
-symptoms: rise in temp, drooling, diarrhea, dehydration, and loss of appetite
-symptoms can be reduced by using chilled teething rings w/ possible use of topical anesthetics and non-aspirin
analgesics
Natal and Neonatal Teeth
1) Natal teeth: teeth present at birth
2) Neonatal teeth: teeth erupting in first 30 days after birth
-most natal and neonatal teeth (90%) are primary teeth, only 10% are supernumerary
-most (85%) are mand. incisors
-supernumerary teeth should be extracted and extremely mobile primary teeth also to prevent aspiration
-tooth can be smoothed or extracted if ulcerates tongue or causing problems w/ breastfeeding
Early Childhood Caries (ECC) (Baby Bottle/Nursing Bottle Syndrome)
-presence of more than one decayed, missing, or filled tooth surface in any primary tooth in child 71 months (<6 yrs)
or younger
-severe ECC:
a) any sign of smooth surface decay in child under 3 yrs
b) one or more cavitated, missing, or filled tooth surface in primary max. anterior teeth or dmfs score over
4 in child 3-5 yrs
-typical presentation:
a) caries on max. incisors and primary molars
b) mand. incisors unaffected b/c tongue covers these teeth during feeding
c) child consistently put to bed w/ bottle containing milk or sugar drink
-recommendations:
a) infant shouldnt be put to bed w/ bottle
b) child should drink from cup as approach 1 st birthday
c) repeated drinking of fermentable carbohydrate beverage from bottle or sippy cup should be avoided
d) oral hygiene should begin at eruption of first tooth
e) oral health consult should be done within 6 months but no later than 12 months after eruption of first
tooth to educate parents
f) should assess mothers S. Mutans levels to decrease transmission