Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BDS2B Caries Symposium > 2 deciduous caries pattern and diagnosis > Flashcards

2 deciduous caries pattern and diagnosis Flashcards

1
Q

why can caries be arrested in early stages?

A

it is possible for remineralisation to happen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is caries?

A

disease of mineralised tissues (enamel, dentine, cementum) caused by action of micro-organisms on fermentable carbohydrates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does decalcification look like?

A

white/brown spot lesions

white- chalky

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

describe active caries?

A

light brown soft mushy probe will sink

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what else will be affected in interproximal caries?

A

adjacent tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what teeth are affected by nursing bottle (early childhood) caries?

A

upper incisors, 1st molars, lower canines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what causes nursing bottle caries?

A

bed with bottle not water
milk only safe during the day
may sleep without swallowing
less saliva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

appearance of secondary caries

A

ditched margins, cracked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

describe arrested caries

A

hard shiny glassy tough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are rampant caries?

A

10 or more new lesions in a year

commonly lower anteriors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

describe primary dentition caries pattern

A

molars, upper anteriors
rare in lower anteriors, buccal and lingual surfaces
no interproximal caries as no contacts occlusal caries in 1st primary molars

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

describe mixed dentition caries pattern?

A

lower 6s > upper 6s
cingulum pits of lateral incisors
incisors uncrontrolled caries
pits/grooves in palatal upper 6s and laterals, buccal lower 6s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

describe caries pattern in early permanent dentition

A

second molars erupting
host factors
-reduced salivary rate
-high mutans count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what makes caries management difficult in children?

A

parental involvement
patient development
dealing with two dentitions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

caries risk assessment

A 
parent/patient management
symptoms
HOPC
PDH
-tx experience 
-oral hygiene habits, family history, dietary habits
medical history
social history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe a caries exam

A

extra oral
intra-oral
-soft tissues
-oral hygiene, swellings, sinuses, ulceration, gingival health
-hard tissues
-teeth present, dental age, occlusion, loose, missing or extra teeth, trauma, dental abnormalities, caries activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how is caries detected?

A

visual exam
radiographs
sensibility testing - nerve
vitality testing - blood supply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how to do a caries clinical exam?

A

visual

  • dry teeth, good light, sharp eyes
  • ortho separators
  • caries detector dyes
  • lasers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how does FOTI work?

A

light doesnt travel through caries only healthy tooth

20
Q

what are orthodontic separators used for?

A

to see interproximally

21
Q

what should you consider when evaluating the dentition?

A 
tooth restorable
parent/px compliance
stage dental development
space management
anticipated difficulties
overal prognosis
22
Q

why is stabilisation used?

A 
prevent pain
preventive therapy
arrest restorable lesions
acclimatisation
decrease bacterial load in mouth
improve OH by making areas easier to clean
23
Q

what co-operation issues can children have?

A

emotional maturity, fears, previous bad experience, behavioural problems, ability

24
Q

why should you consider stage of development when treating?

A

primary teeth may be close to exfoliation
extractions could be part of ortho plan
space maintenance

25
Q

why is caries pattern important?

A

indicated level of caries activity

26
Q

what is caries prognosis dependant on?

A

preventive issues and motivation

27
Q

why consider space maintanence?

A 
effect of premature loss of primary teeth
depends on 
-tooth size/jaw relation
-muscle behaviour
-age at loss
-tooth
loss of 1st perm molars
crowding
28
Q

give examples of space maintainers

A

band and loop

distal shoe

29
Q

what are the results of early primary extractions?

A

crowding, tendency for space loss

greater space loss earlier removed

30
Q

how to balance/compensate extractions in primary teeth

A

balance primary canines to prevent centre line shift

balance of 1st molars if arch crowded

31
Q

what are the consequences of loosing upper FPM’s?

A

loss before complete eruption of 7 = rotation

& mesial movement 7 and distal drift of 5

32
Q

what are the consequences of loosing lower FPM’s?

A

loss after optimum age = tilting 7’s

loss before optimum age = 5 drifts distally and rotates

33
Q

what does relief of symptoms depend on?

A

nature of the pain
status of pulp
stage of dental development
level of px compliance

34
Q

pain history questions for a child

A 
where is the pain
what does the tooth feel like
how long has the tooth been painful
does anything make the pain better or worse
keet px awake?
spontaneous or precipitated eg eating
relieved with analgesics/antibiotics
35
Q

when should you prescribe antibiotics?

A

systemic illness
pyrexia
facial swelling

36
Q

what are the emergency tx options?

A 
caries excavation and sedative dressing
pulp therapy
drainage of pus
extraction 
-LA +/- IHS
-GA
37
Q

what age is IV sedation considered for?

A

12 and over

38
Q

how can you ensure pain free LA?

A

topical
warm LA cartridge
lower 6s (>6yrs) use IDB
intra-papillary infiltration avoids palatal injection

39
Q

how does a rubber dam increase safety?

A

prevents:
damage to soft tissues
risk of inhalation
cross-infection

40
Q

how does a dam benefit operator and px

A 
isolation and moisture control
retraction of gingivae and cheeks 
effective inhalation sedation
px confidence
operator confidence
41
Q

sequence of restoration

A 
fissure sealants
preventive restorations
simple fillings
eg. shallow cervical cavities
fillings requiring LA but not into pulp
-upper arch first
pulpotomies/pulpectomies
extractions
42
Q

what are the methods of caries removal?

A 
hand excavation
rotary instruments
chemo-mechanical removal
air abrasion
lasers
43
Q

what are the anatomical features of primary crowns?

A 
shorter
narrower occlusal tables
thin enamel and dentine
broad contact areas
enamel rods in gingival 1/3 extended occlusally
marked cervical constrictions
whiter
44
Q

where is the clinical significance of primary crown anatomical features

A

limited room for cavity prep
clinical caries only detected if large- bitewings needed
enamel at floor of box not undermined
retention of ss crown

45
Q

what are the anatomical features of primary pulp and why is it significant?

A

large- limited room for caivty prep

pulp horns close to surface - pulp exposure easy

46
Q

what are the anatomical features of primary roots and why are they significant?

A

narrow mesio-distally, long, slender, flared

pulpectomy more difficult

BDS2B Caries Symposium (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions