Revision of spotting clinical exam
Pediatric and Community Dentistry Department
Mahmoud Abd-Elmotelb
lecturer of Pediatric and Community Dentistry
Faculty of Dentistry
Minia University
Trauma �Identify?
Trauma
Contusion
Trauma
Laceration
Trauma
Abrasion
Trauma
Complicated crown root fracture
Trauma
Avulsion
Trauma
Enamel and Dentine crown fractures
Ellis class II
Trauma
Complicated enamel and dentine crown fracture
Ellis class III
Trauma
Extrusion
Trauma
Lateral luxation
Trauma
Intrusion
Trauma
Tooth fragment restoration
Space maintainers��Identify and classify?
Nance Appliance�Fixed, non function and passive
RPD�Removable, function and passive
Lingual arch�Fixed non-function and passive
Modified fixed partial denture�Fixed, functional and passive
Band and loop �Fixed, non-function and passive
Prevention�Identify?
Prevention of dental caries and periodontal diseases
Pit and fissure sealant
Fluoride varnish
Fluoride gel in Styrofoam disposable tray
Fluoride foam in Styrofoam disposable tray
Ionic tooth brush
Electric tooth brush
Fones brushing technique
Charter brushing technique
Tongue cleaner
Dental floss threader
Tooth pick
Rubber tip
Interproximal tooth brush
Single tufted tooth brush
Tootheete
Oral irrigator
Dental floss with holder
Y shaped dental floss holder
Prevention of oral cancer
Toludine blue test
Veloscope
Vizilite
Prevention of dental trauma
Ready made mouth guard
Mouth formed mouth guard
Single layer custom made mouth guard
Pressure laminated custom made mouth guard
Helmet
Prevention of oral habits
Tongue guard
Thumb guard
Oral screen
Lip bumper
Lip biting
Bruxism
Anterior bite plane
Z –spring with posterior bite plane
Expansion screw with posterior bite plane
Humphrey appliance
Hulterman appliance
Cries Risk Activity Tests�Identify, What the test measure, What dose specific measure mean
1-Saliva rate
2-Saliva PH
Detect areas of low pH (high H ion conc)
Chair side test where 1% sugar rinsed followed by Methyl red (yellow) which turned into red in areas of pH lower than 6 (5.5) to deep red in areas lower than 5
Methyl red test
2-Saliva PH
Detect ability of MO to ferment CHO producing lactic acids
Sample of 0.2 ml saliva incubated into glucose agar medium with bromocresol color indicator
Snyder test
the color changed into green with in:
2-Saliva PH
Modified Snyder test is chair side test through using semisolid agar in 5ml test tube where color change (green to yellow) from 0 to 4 scores observed from top to bottom of tube to indicate patient risk
Alban test
Modified Snyder
After 4 days:
0 🡪 No color change 🡪 No risk
+1 🡪 Top ¼ color change
+2 🡪 Top ½ color change
+3 🡪 Top ¾ color change
+4 🡪 Entire tube color change
Increasing score means increasing of risk
3- Saliva buffer
Chair side test where Strips including dried acids and pH color indicator for detecting buffering capacity of saliva
Color change indicates Buffering capacity of saliva from low ,moderate to high respectively (Yellow 🡪 pH 4 or less, Green🡪 pH 4.5 to 5.5 or Blue 🡪 pH 6 or more)
Dento Buff
Ph(4)
Ph(4.5-5.5)
Ph(6)
Buffering Capacity
4- Bacteria
LB count detected trough Colony forming unit (CFU):
- 0:1000 CFU 🡪 Mild risk
- 1000: 10,000 CFU 🡪 Moderate risk
- > 10,000 CFU 🡪 Sever risk
LB count test
4- Bacteria
Chair side of Strips with growth media specific to LB or SM
Saliva is applied to strip (Dip-slide) and incubated for 48 hs for SM and for 96 hs for LB 🡪 colony density compared to colony density index
Dento cult
4- Bacteria
48 Hs for S.M
96 Hs for LB
NO
Low
Mod
High
Pulp therapy�Identify?
- LDF (LASER Doppler Flowmetery)
- Pulse Oximeter
- Electric pulp tester
- Internal resorption in roots
- Excessive pathologic root resorption
- Tooth approach shedding
- Pulpotomized primary molar with crown placement
Hall Technique
Pulpectomized primary molar with crown placement
Cervical pulpotomy of young permanent tooth
Good luck