2&3 what happens to the structure of the tooth Flashcards

1
Q

what is a plaque biofilm?

A

an organised bacterial population

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2
Q

what 3 things are required for caries?

A

dental plaque
tooth
diet

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3
Q

how does saliva allow bacteria to adhere to enamel

A

enamel is a smooth surface so bacteria cant adhere w/o a primer
proteins in saliva glue to enamel
-allowing bacterial adhesion
-selective attachment

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4
Q

what does bacteria do when attaching?

A

creates new niches for other bacteria

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5
Q

what is a white spot lesion?

A

what’s left over when plaque removed

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6
Q

what does a wsl look like?

A

light, chalky on surface of enamel

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7
Q

why can enamel still be mineralized with caries?

A

when aced demineralizes saliva washes off so demineralization happens on sub-surface

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8
Q

what are the characteristics of an enamel lesion?

A

subsurface loss
enlarged gaps between rods
-mineral loss
rod length preserved

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9
Q

what shape do interproximal caries take?

A

triangle

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10
Q

what is a scar of wsl an effect of?

A

remineralization

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11
Q

what kind of surface does an active wsl have?

A

rough

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12
Q

what kind of surface does an inactive wsl have?

A

smooth

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13
Q

how does an inactive lesion look?

A

plaque can be removed

no cavitation

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14
Q

what does a wsl close to gingival margin, gingival bleeding and gingivitis with no plaque suggest?

A

good oral hygiene done prior to attending but not done regularly

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15
Q

why is the pH lower in an active lesion?

A

uses glucose/sucrose to produce acid much more efficiently than inactive
as bacteria live well in acidic environment it will survive & thrive

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16
Q

what is the ecological shift in disease?

A

S. sanguinis/S. gordonii
-remineralization
MS lactobacilli
-demineralization

17
Q

what is the environmental change in disease?

A

neutral pH
-remin
low pH
-demin

18
Q

what is the stress change in disease?

A

excess sugar
-remin
acid production
-demin