Non-EU Examination

Child Dental Health

October 2021
Three Hours
Write your Exam Number only on the outside of each answer book.
There are TWO Answer Books
Section A
Answer ALL eight questions.
There are ten marks for each question.
Write your Exam Number here:
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Page 2 of 9
Question 1.
A. What is Molar Incisor Hypomineralisation (MIH)?
(1 mark)
I. ……………………………………………………………………………………………………
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B. How do teeth affected by Molar Incisor Hypomineralisation (MIH) present clinically?
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
C. List 2 other conditions which can present with hypomineralised lesions.
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
D. What are common clinical problems for patients with MIH?
(3 marks)
I. ……………………………………………………………………………………………………
II. …………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
E. How can permanent molar teeth severely affected by MIH be managed?
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
Page 3 of 9
Question 2.
A. When is a splint required in the treatment of dental trauma?
(1 mark)
I. ……………………………………………………………………………………………………
B. What is the aim of splinting injured teeth?
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
C. Which type of traumatic dental injuries commonly require splinting?
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
D. What are the most important characteristics of a dental trauma splint?
(4 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
IV. ……………………………………………………………………………………………………
E. How many uninjured teeth should be included in the splint on either side of a single injured
tooth in the permanent dentition?
(1 mark)
I. ……………………………………………………………………………………………………
Page 4 of 9
Question 3.
Regarding the Hall technique for restoration of carious primary molars;
A. List three features of the Hall preformed metal crown technique which are different to
placement of a conventional preformed metal crown.
(3 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
B. List three indications for the Hall preformed metal crown technique.
(3 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
C. List four contraindications for the Hall preformed metal crown technique.
(4 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
IV. ……………………………………………………………………………………………………
Page 5 of 9
Question 4.
A. List two options for definitive treatment of a permanent central incisor tooth with an
enamel dentine fracture in an eight year old child.
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
B. What findings indicate an unfavourable outcome at follow up after treatment for an enamel
dentine fracture of a permanent central incisor tooth in an eight year old child?
(3 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
C. What is the appropriate treatment for a primary / deciduous incisor which has been
intruded with the apex displaced toward the labial bone plate?
(1 mark)
I. …………………………………………………………..
D. List four important factors which determine the prognosis of a re-implanted permanent
incisor tooth.
(4 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
IV. ……………………………………………………………………………………………………
Page 6 of 9
Question 5.
A. What advice should you provide regarding toothbrushing and toothpaste to a parent of a
children under 2 years old living in a fluoridated area in Ireland?
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
B. List three clinical factors which should be considered when determining caries risk status in
children.
(3 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
C. List two options for increasing the availability of topical fluoride to a high caries risk eleven
year old child.
(2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
D. When considering safety and safeguarding of children, what features of particular concern
should alert a dentist to the possibility of dental neglect?
(3 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
Page 7 of 9
Question 6.
This is a photograph of a 4 year old child. Please use table below for your answers
A. List 2 obvious abnormal findings. (2 marks)
B. What is the aetiology of each of these findings? (4 marks)
C. What is the treatment for each of these findings? (4 marks)
A)
Abnormal finding
B)
Aetiology
C)
Treatment
I.
II.
Page 8 of 9
Question 7.
A. List two types of dental local anaesthetic agents that are commonly used in paediatric
patients. (2 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
B. How would you calculate the maximum safe dose of local anaesthesia for a child? Please
include the safe maximum dose (in mg/ kg) for one of the agents listed above?
(2 marks)
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C. List 4 precautions that you need to take when giving local anaesthesia to a child.
(4 marks)
I. ……………………………………………………………………………………………………
II. ……………………………………………………………………………………………………
III. ……………………………………………………………………………………………………
IV. ……………………………………………………………………………………………………
D. What post-operative instruction would you give following treatment of a child with local
anaesthesia? (2 marks)
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Page 9 of 9
Question 8.
This is a radiograph is a child in the primary dentition.
A. What type of radiograph is this? (1 mark)
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B. List the carious teeth present on this radiograph. Please describe the surface affected and the
depth of each lesion. (3 marks)
Tooth Surface affected Depth
C. Describe the radiographic appearance of tooth 84 (the lower right first primary molar).(2 marks)
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D. Based on the radiograph only, what is the most likely pulpal diagnosis for tooth 84? (2 mark)
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E. What is your treatment plan for tooth 84? (2 marks)
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