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Viva Questions and Answers Related to Tooth Extraction in Kids

Here are 50 viva questions and answers related to tooth extraction in kids:

  1. Q: Why might a child need a tooth extraction?
    • A: Common reasons include severe decay, abscess, overcrowding, or trauma.
  1. Q: What is the most common primary tooth extracted in children?
    • A: The primary molars are often extracted due to decay or space issues.
  1. Q: How can you assess the need for tooth extraction in a child?
    • A: Clinical examination, X-rays, and sometimes, assessing the child’s medical history.
  1. Q: What are the primary contraindications for tooth extraction in kids?
    • A: Uncontrolled systemic diseases, bleeding disorders, or active infections.
  1. Q: How do you manage a child’s anxiety before tooth extraction?
    • A: Establishing rapport, explaining the procedure in child-friendly terms, and using behavior management techniques.
  1. Q: What is the significance of a dental radiograph before extraction?
    • A: It helps assess the tooth’s roots, neighboring teeth, and any potential complications.
  1. Q: Can deciduous teeth be extracted without local anesthesia?
  1. Q: How do you choose between local anesthesia and general anesthesia for tooth extraction in kids?
    • A: It depends on the child’s age, cooperation, and the complexity of the extraction.
  1. Q: What are the potential complications of tooth extraction in children?
    • A: Complications may include bleeding, infection, damage to adjacent teeth, or nerve injury.
  1. Q: What postoperative instructions would you give to parents after a tooth extraction?
    • A: Avoiding certain foods, maintaining oral hygiene, and administering prescribed medications.
  1. Q: When should a child resume normal activities after a tooth extraction?
    • A: Generally, normal activities can be resumed the next day, but vigorous physical activities may be limited for a few days.
  1. Q: How do you manage bleeding after a tooth extraction in a child?
    • A: Applying gentle pressure with gauze and advising the child to avoid vigorous rinsing.
  1. Q: What is the role of antibiotics in post-extraction care?
    • A: Antibiotics may be prescribed to prevent or treat infection, depending on the specific case.
  1. Q: How do you address a child’s fear of dental injections?
    • A: Using topical anesthetics, distraction techniques, and the “tell-show-do” approach.
  1. Q: What is dry socket, and how can it be managed in children?
    • A: Dry socket is the loss of the blood clot post-extraction. Management involves gentle irrigation and placement of a medicated dressing.
  1. Q: Can tooth extraction in children affect the eruption of permanent teeth?
  1. Q: What are the indications for space maintainers after tooth extraction in kids?
    • A: To prevent adjacent teeth from drifting into the empty space and maintaining proper alignment.
  1. Q: How do you handle a child’s reluctance during the extraction procedure?
    • A: Using behavior management techniques such as positive reinforcement and distraction.
  1. Q: At what age do most children start losing their primary teeth?
    • A: The primary tooth loss usually begins around 6 years old and continues until 12 years old.
  1. Q: Is there a specific technique for extracting primary teeth in children?
    • A: Techniques may vary, but gentle rocking and elevation are commonly employed.
  1. Q: How do you assess the need for surgical extraction in children?
    • A: Clinical evaluation of the tooth’s position, root morphology, and potential challenges.
  1. Q: What precautions should be taken for a child with a bleeding disorder undergoing tooth extraction?
  1. Q: Can a child with a cold or upper respiratory infection undergo tooth extraction?
    • A: It is generally advisable to delay the procedure until the child is in better health to reduce the risk of complications.
  1. Q: How do you educate parents about preventive measures post-extraction?
    • A: Emphasizing the importance of maintaining good oral hygiene, avoiding sticky or hard foods, and attending follow-up appointments.
  1. Q: Are there any dietary restrictions for a child after tooth extraction?
    • A: Advising soft, cool, and non-spicy foods initially and gradually reintroducing a normal diet.
  1. Q: What is the role of a dental assistant during a pediatric tooth extraction procedure?
    • A: Assisting with chairside procedures, comforting the child, and maintaining a sterile environment.
  1. Q: Can tooth extractions in children affect their speech development?
    • A: Speech development is generally not affected, but close monitoring is essential, especially if multiple teeth are extracted.
  1. Q: How do you manage a child’s postoperative pain after tooth extraction?
    • A: Prescribing appropriate pain medication and providing instructions for its use.
  1. Q: What precautions should be taken for a child with a cardiac condition undergoing tooth extraction?
    • A: Collaborating with the child’s cardiologist, obtaining necessary clearances, and monitoring the child’s vital signs closely.
  1. Q: Is there a risk of damage to permanent tooth buds during primary tooth extraction?
    • A: Careful extraction techniques minimize the risk, but it’s crucial to be mindful of adjacent permanent teeth.
  1. Q: How do you address a child’s concerns about appearance after tooth extraction?
    • A: Discussing the natural healing process and assuring them that their appearance will return to normal.
  1. Q: Can tooth extraction in children lead to temporomandibular joint (TMJ) issues?
    • A: While rare, improper extraction techniques could potentially contribute to TMJ issues.
  1. Q: What is the role of preoperative radiographs in planning a tooth extraction?
    • A: Identifying the tooth’s root anatomy, proximity to vital structures, and potential challenges.
  1. Q: How do you handle a child who refuses to open their mouth for the extraction procedure?
    • A: Using behavior management techniques, such as positive reinforcement and the “tell-show-do” approach.
  1. Q: Is sedation always necessary for pediatric tooth extractions?
    • A: Sedation is not always necessary; it depends on the child’s age, behavior, and the complexity of the extraction.
  1. Q: What are the considerations for extracting a primary tooth with a succedaneous successor?
    • A: Assessing the stage of eruption of the permanent tooth and the impact on occlusion.
  1. Q: Can a child with a developmental disability undergo tooth extraction?
    • A: Yes, with appropriate modifications and accommodations to ensure their comfort and safety.
  1. Q: How do you address the parents’ concerns about the potential impact of tooth extraction on their child’s self-esteem?
    • A: Emphasizing the long-term benefits of maintaining oral health and discussing potential orthodontic interventions if necessary.
  1. Q: Can tooth extraction in children lead to speech impediments?
    • A: Speech impediments are unlikely, but close monitoring is essential, especially if multiple teeth are extracted.
  1. Q: What measures can be taken to minimize anxiety in children before tooth extraction?
    • A: Creating a child-friendly environment, using positive language, and employing behavior management techniques.
  1. Q: How do you handle a child’s questions about pain during the extraction procedure?
  1. Q: Can a child resume school immediately after a tooth extraction?
    • A: In most cases, yes, unless there are specific postoperative considerations or complications.
  1. Q: What role do parents play in the postoperative care of a child after tooth extraction?
    • A: Ensuring the child follows postoperative instructions, administering medications as prescribed, and monitoring for any signs of complications.
  1. Q: How soon can a child eat solid foods after a tooth extraction?
    • A: It is advisable to start with soft foods initially and gradually transition to a normal diet as comfort allows.
  1. Q: What is the role of orthodontic consultation before pediatric tooth extraction?
    • A: Assessing the impact of tooth extraction on the child’s occlusion and planning for potential orthodontic interventions.
  1. Q: Can primary teeth with pulpal involvement be treated with pulp therapy instead of extraction?
    • A: In some cases, pulp therapy may be attempted to preserve the primary tooth, but extraction may be necessary if the infection persists.
  1. Q: How do you handle a child’s postoperative anxiety or fear of returning to the dentist?
    • A: Reinforcing positive experiences, using behavior management techniques, and addressing any concerns the child may have.
  1. Q: What are the indications for a referral to an oral and maxillofacial surgeon for pediatric tooth extraction?
    • A: Complex extractions, impacted teeth, or cases requiring general anesthesia may warrant a referral.
  1. Q: Can a child with a compromised immune system undergo tooth extraction?
    • A: Special precautions and consultation with the child’s healthcare team are necessary to ensure a safe procedure.
  1. Q: How do you communicate with a child during the extraction procedure to minimize fear and anxiety?
    • A: Using child-friendly language, explaining each step in a positive manner, and providing reassurance throughout the procedure.

 

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