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23 Oral Diagnosis > 6 - Caries Diagnosis and Nonrestorative Tx SDF > Flashcards

6 - Caries Diagnosis and Nonrestorative Tx SDF Flashcards

1
Q

white spot lesion on dry tooth will be __ way thru enamel

A

<1/2

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2
Q

white spot lesion on wet tooth will be ___ way thru enamel and maybe dentin

A

> 1/2

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3
Q

when detecting caries on natural teeth, what you should look for

A

translucent enamel or staining under translucent enamel

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4
Q

T/F: wrapping around the facial and lingual can make an incipient lesion look like it is severely cavitated

A

TRUE

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5
Q

know this

A
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6
Q

what classification:

No radiolucency evident on radiograph -no treatment

A

E0

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7
Q

what class:

Radiolucency confined to outer 1/3 of enamel -re-mineralize

A

E1

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8
Q

what class:

Radiolucency Extends to middle 1/3 of enamel -re-mineralize

A

E2

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9
Q

what class:

Radiolucency extends to DEJ re-mineralize or surgical therapy

A

D1

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10
Q

what class:

Radiolucency extends into middle 1/3 of dentin -surgical therapy

A

D2

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11
Q

what class:

Radiolucency extends into inner 1/3 of dentin -surgical therapy

A

D3

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12
Q

what is an active proximal lesion

A

Proximal lesion & gingivitis (not flossing)
Lesion not present at previous examination
Progression of lesion in radiographs
Cavitation visible with tooth separation

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13
Q

what is an arrested proximal lesion

A

reproducible radiograph showing no progression

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14
Q

what are different difficulties in diagnosing caries

A
  1. false caries depth
  2. cervical burnout
  3. cementum enamel junction
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15
Q

can explorers cause damage to a non-cavitated surface?

A

Yes! so increases risk of caries progression

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16
Q

what is one of the most significant patient management issues for the next decades

A

root caries

17
Q

what does CAMBRA stand for

A

Caries Management By Risk Assessment

18
Q

if you have caries, will you get more caries

A

yes

19
Q

what solution can be used for cavitated lesions

A

38% SDF solution

20
Q

what solution to use for noncavitated lesions

A

varnish

21
Q

do you put SDF on primary teeth

A

no only on permanengt

22
Q

what are nonrestorative treatments for carious lesions

A
  1. sealants: occlusla noncavitated
  2. fluoride varnish: noncaviated
  3. prescription fluoride toothpaste or gel: root lesions, cavitated and noncavitated
  4. SDF: all cavitated lesions
23
Q

what is the only SDf product in the US

A

Advantage Arrest frmo Elevate Oral Care

24
Q

what SDF used at creighton

A

advantage arest

25
Q

what fluoride toothpaste or gel used at creighton

A

prevident 5000, clinpro 5000, neutracare gel, thera-flur-n gel

26
Q

what sealant used at creighton

A

ultraseal XT hydro

27
Q

what fluoride varnish used at creighton

A

3M cavit seal

28
Q

what is the disadvantage of SDF

A

light color ->darker brown/black

29
Q

how is dentin hypersenitivity treated in this lecture

A

aqueous silver creates a protective layer that blocks dentin tubules, decerasing discomfort

30
Q

indications for SDF

A

Active caries in high or extreme caries risk patients; patients with multiple caries lesions
that will likely get worse before is treatment is completed.
Traditional treatment is challenged by behavioral or medical management; limited
financial resources; limited access to dental care; and if patient requests more
conservative care.
Access for traditional approaches are compromised.
Desensitizing root surfaces.

31
Q

contraindications for SDF

A
  1. silver allergy
  2. acute pain/irreversible pulpitis or PA lesion rediographically
  3. ulcerations or stomatitis
32
Q

what is the only GD procedure at creighton with consent form

A

SDF

33
Q

what color will lesion turn into when SDF arrests caries

A

black

34
Q

how to apply SDF

A

Clean + dry + isolate
Place small amount
Allow SDF to dry for one minute
Rinse mouth
Protect tissues, clothes, and counter area.
Stains easily.

35
Q

what can be used with SDF to decrease color changes

A

saturated solution of KI (SSKI)

23 Oral Diagnosis (13 decks)

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