(1) A high caries rate Flashcards

1
Q

What is the acronym used when assessing History of Presenting Complaint?

A

OLDCART

  • Onset
  • Location
  • Duration
  • Characteristic
  • Aggravating factors
  • Relieving factors
  • Treatment
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2
Q

What is a short sentence that can be written under Medical History if patient does not have any significant or relevant medical conditions?

A

The patient is otherwise fit and well

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3
Q

What are assessed during extra-oral examination?

A
  • General impression
  • Facial symmetry
  • Profile
  • Eyes
  • Nose
  • Skin
  • Neck (lesions/scars, lymph nodes, glandular enlargements)
  • TMJ (behind, front)
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4
Q

What are assessed during intra-oral examination?

A
  • Teeth
  • Restorations
  • Caries
  • Erosion/abrasion/attrition
  • Occlusion
  • Periodontal probing
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5
Q

Which teeth should be tested using electric pulp testing in patient with sinus?

A
  • Teeth in region of the sinus
    • Specific
    • Adjacent teeth
  • Teeth on the opposite side for comparison
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6
Q

Describe bitewing radiography parameters

A
  • y-axis: +10 deg
  • x-axis: //teeth
  • central beam: occlusal plane
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7
Q

What are the limitations of BW for the detection of occlusal caries?

A
  • Superimposition of sound enamel masks small/medium lesions
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8
Q

Periapical radiolucencies suggest that the tooth is vital or non-vital?

A

Non-vital

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9
Q

What is the sequence of treatment?

A
  • Immediate phase
    • Manage presenting complaint
    • Relieve pain
  • Stabilization of caries
    • Removal of caries
    • Temporary restoration
  • Preventive treatment
    • Dietary analysis
    • OHI
    • Fluoride advice
  • Permanent restoration
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10
Q

Give two examples of temporary restoration materials

A
  • ZOE pastes
    • Bactericidal
  • Glass ionomer
    • Adhesive to enamel and dentine, hard and durable
    • Aesthetic
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11
Q

What carious tissue must be removed?

A
  • All softened carious tissue at DEJ
  • Stained and soft/flaky dentine
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12
Q

How to analyze dietary record?

A
  • Highlight sugar-rich foods and drinks
  • Eating frequency
  • Sugar attacks frequency
  • Consistency of food (dry, sticky …)
  • Identify hidden sugar
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