| Amy's Class Notes
on Puberty (1999)
I don't know if these will
help you out but just in case, I added them onto the site. These are just
notes that I took in class in different formats.
Physical
Characteristics of Puberty
-
Development of
reproductive organs
get very self conscious -- females tend to be more
-
Appearance of
secondary sexual characteristics
Based on hormonal changes. Growth spurts, gawky, facial hair, voice
changes (male)
-
Female: begin
menstruation
-
Growth Spurts
-
Poor coordination
-
Increased
nutitrional requirements
period of rapid growth. Highest time for boys, #2 highest for
females (pregnancy #1)
-
Skin disorders
-
Self interest
Emotional characteristic
-
Growing
Independence
-
Concerns over
physical appearance.
The #1 characteristic to zone in on for oral home care.
Oral
Characteristics of Puberty
-
Erupting teeth --
up to age 13
-
Dental Caries --
time of highest dental caries rate (more sugars in school, snacks, unsupervised
eating, etc.)
-
Gingivitis --
Puberty gingivitis. Exaggerated response to plaque due to hormonal
changes.
-
Orthodontic
appliances -- contributing factor to gingivitis. When braces come off, teeth may
be pitted if not taken care of.
-
Poor plaque
control.
-
Inadequate/Cariogenic
diet.
-
Early onset
periodontitis.
-
Juvenile
Periodontitis -- if mesial probings of 1st molars are 5- 6 mm, probe lower
anteriors if suspect J.P.
-
ANUG -- older
adolescents/younger adults. Nourishment not the best (16-17).
Plaque, neglected oral hygiene, immune system. Children may not know what
is going on, may not ask. Painful.
-
Oral manifestations
of STP
-
Effects of tobacco
use -- may start to see kids using "snuff". Usually boys instead of girls.
-
Effects of oral
contraceptives -- heightened response to plaque. Higher rate of
gingivitis.
-
Oral findings or
bulimia / anorexia -- erosion of linguals of max. anteriors.
-
Traumatic injury --
football, athletic, automobile, etc.
Dental
Treatment Modifications
-
Approach, treat as
adults.
-
Encourage to talk.
-
Get info by asking
leading questions.
-
Suggest/advise
(don't lecture, don't act as parent).
-
Don't place all
emphasis on home care on parent, teach them to be responsible for their own home
care. Don't need to call parent in.
-
Need legal consent
from parent for any dental treatments (x-rays, sealants, fluoride, etc.)
-
Treat their needs.
-
Take as many appts.
as needed. Gingiva may be inflammed, bleeding, infection, etc.
-
Diet Control.
Food pyramid, snack selection if seeing a lot of caries.
-
Need to look at
fluoride exposure. (may be on fluoride vitamins until 13-14).
-
If you would like
to add your class notes, please
send me an email and I
will add them to the site and credit you for your help!
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