6. Caries Prevention II

Question 1

Evaluate teeth: ____ surfaces most at risk

Answer 1

occlusal

Question 2

2008 ADA Evidence Based Guidelines for Sealants

Grade 1a (Best Evidence): Sealants should be placed in ____ of healthy teeth and ____ early enamel carious lesions in permanent teeth of children, adolescents, and adults when tooth or patient is at risk for dental caries

Grade III (Weak evidence):
Sealants should be placed in \_\_\_\_ of primary teeth

Evidence of ____ compliance by Dentists with ADA Guidelines (Tellez, et al, JADA 2011)
• 37% general dentists and 42% pediatric dentists routinely seal

Answer 2

pit and fissures
non-cavitated
pit and fissures
weak

Question 3

Dental Sealants: #1 Preventive Strategy Against Occlusal Decay

____ caries reduction (Llodra et al 1993 (Cochrane Systematic Review pooled 17 studies)

\_\_\_\_ reduction when retained (Metz-Fairhurst, 2000) 
n 1 year retention: 92-96%
n 5 year retention: 67-82%
n 10 year retention: 41-57%
n \_\_\_\_ year retention: 52%

Answer 3

70%
100%
15

Question 4

Increased sealants with low-income children > prevented almost ____ caries

Answer 4

1 million

Question 5

Applying sealants in community settings

• brush ____ without toothpaste to cleanse grooves
• use isodry isolate or ____
• ____ teeth with air spray
• etch for ____ with gel
• rinse for ____ using air spray/evacuation
• re-isolate as needed
• dry teeth until ____
• apply sealant
• cure sealant for ____
• wipe sealant with cotton roll
• check retention and ____

Answer 5

teeth
cotton rolls
dry
30 s
15 s
chalky
40 s
IPC

Question 6

Managing Xerostomia

Use Saliva Substitute gels, sprays & rinses
n Biotene, Xero-Lube, Toms of Maine
n Ensure replacement of ____, peroxidase, and ____ and phosphate minerals

n Increase Oral Hygiene ____
n Increase ____ Frequency & Intensity
n Stimulate Saliva via ____
n Change ____ Patterns
n Consider medications, such as ____ or Cevimilene as needed

Answer 6

lactoferrins
calcium
frequency
fluoride
xylitol mints/gum
nutritional
pilocarpine

Question 7

Reducing Decay Risk From Sugars

Change the Time of Ingestion:
Eat with a ____, must AVOID ____

Limit ____ and duration of sugar foods

Substitute Healthier Alternatives
____ or Milk rather than Soda, Juice or Sports Drinks
____, Nuts, Carrots or ____ rather than Chips or Candy
____, Watermelon or ____ rather than Cookies, Cake or Pastries

Answer 7

meal
snacking
frequency
water
cheese
celery
ice cream
peaches

Question 8

xylitol and sugarless chewing gum

• increased ____
• increased ____ capacity of saliva
• reduction of food ____
• subtitution with ____ product
• ____properties of xylitol
• anticaries effect with ____ per day (2 tabs of gum, or 2 mints 4X a day)

Answer 8

salivary volume
buffering
retention
neutral
antibacterial
6-10g