Acquired Tooth Disease - Sorenson

Question 1

dental caries is more common than what respiratory problem and what allergy problem?

Answer 1

asthma and hay fever

Question 2

dental caries is the number one chronic childhood disease. T/F

Answer 2

true

Question 3

what is the most common reason a child misses school?

Answer 3

dental pain

Question 4

prevalence of caries in children under 4 years old is about what?

Answer 4

40-50%

Question 5

intrinsic erosion is caused by what?

extrinsic erosion is caused by what?

Answer 5

gastric acid

dietary acids and sugars

Question 6

tooth enamel begins to de-mineralize at pH levels below what?

the average soda has a pH of what?

Answer 6

5. 5

2. 5

Question 7

How many teaspoons of sugar are in a 12 oz can of soda?

how many grams of sugar are in a teaspoon?

Answer 7

9.5tsp

4gms/tsp

Question 8

what physical force keeps amalgam in teeth?

Answer 8

friction

Question 9

what causes external root resorption?

can be initiated by what 3 things?

most common cause specifically is what?

Answer 9

osteoclasts attacking part of the tooth.

can be initiated by trauma, ectopic teeth resorbing the roots or chronic inflammation

orthodontics

Question 10

How do you treat external root resorption?

Answer 10

root canal and calcium hydroxide

Question 11

enamel doesn’t dissolve so if a tooth is erupting and resorbing another tooth it may get stuck under the enamel. T/F

Answer 11

true

Question 12

T/F whenever the crown of one tooth comes close to or in contact with the root of another tooth, resorption can take place

Answer 12

true

Question 13

if a tooth is avulsed and reimplanted, external resorption can occur T/F

Answer 13

true

Question 14

what is one possible cause for internal root resorption?

Answer 14

trauma

Question 15

what material should you not use for pulpotomies because it will cause internal resorption?

What should we use instead?

Answer 15

Calcium Hydroxide\

ZOE or MTA should be used instead

Question 16

why do primary teeth tend to move within the bone as opposed to fracturing during trauma?

Answer 16

because the bone structure surrounding primary teeth isn’t as thick and dense as permanent teeth.

Question 17

T/F anytime there is a fracture of tooth or bone in primary teeth, the teeth should be extracted because they are not likely to survive

Answer 17

true

Question 18

cellulitis is caused by what?

Answer 18

primary or permanent tooth pulpal necrosis

Question 19

generally children do not complain of pain with a chronic alveolar abscess. T/F

Answer 19

true

Question 20

what is the treatment for cellulitis?

which tooth is almost always the source of cellulitis?

Answer 20

number one thing is to put the kid on a high dose of amoxilcillin (clyndamycin or azithromycin if he/she is allergic to penicillins)

then we extract the tooth.

primary 1st molar

Question 21

What is the treatment of a chronic abscess?

Answer 21

no need for antibiotics according to Sorenson because it will do nothing for the symptoms because they are not bad.

need to extract the tooth an put in a space maintainer unless you can see the succedaneous tooth

Question 22

What is the treatment for acute abscess?

Answer 22

give antibiotic then do pulpectomy or extraction

Question 23

what is the most common age to get the first herpetic lesion?

Answer 23

1.5-3 years of age

Question 24

leukemia’s and cancers of the brain = more than 50% of all childhood cancers. T/F

Answer 24

true

Question 25

What are the most common type of solid tumor in a child?

Answer 25

brain tumor (gliomas or medulloblastomas)

Question 26

due to their slow growth, odontomas are more considered hamartomas rather than true neoplasms. T/F

Answer 26

true

Question 27

what is the most common odontogenic tumor? that tumor can interfere with what? What are the two types

Answer 27

odontoma can interfere with the eruption of permanent teeth compound and complex.

Question 28

Compound Odontomas occur most frequently where? typically associated with what tooth? what are the symptoms?

Answer 28

occur most frequently in the anterior maxilla and commonly associated with an unerupted canine these are typically asymptomatic but can delay the eruption of the permanent tooth

Question 29

Complex Odontomas occur most frequently where? can it cause a tooth to be missing?

Answer 29

posterior mandible can cause a tooth to be missing if it arises from a normal tooth follicle

Question 30

what is the treatment for odontomas? what is the prognosis?

Answer 30

simple local excision (often removing the tooth with it) excellent prognosis because they don't recur and are not invasive

Question 31

two teeth joined at the cementum is called what? two teeth with two pulps but one clinical crown is called what?

Answer 31

concrescence fusion

Question 32

What sometimes happens to permanent teeth when primary teeth fuse?

Answer 32

sometimes permanent teeth are missing if the primary teeth fuse.

Question 33

what is the most common tooth to have a dens invaginatus? be very specific what is the common presentation? what is the treatment before it gets infected?

Answer 33

maxilary permanent lateral incisor common presentation is pulp necrosis and abscess cover with sealant or restoration

Question 34

Cherubism may cause what to happen to primary teeth? what does it do to permanent teeth?

Answer 34

may cause primary teeth to exfoliate early may cause displacement of permanent teeth

Question 35

enamel hypoplasia can be caused by what vitamin and mineral deficiencies? can be caused by what immune response? can be caused by what very general type of drugs?

Answer 35

A, C, D, calcium and phosphorous fever antibiotics

Question 36

kids with cleft lip and palate are very likely to have hypoplasia. T/F

Answer 36

true

Question 37

T/F enamel hypoplasia can be caused by fluoride

Answer 37

True especially between birth and 4-5 years of age

Question 38

destructive lesions can be present on developing permanent teeth and are termed what?

Answer 38

pre-eruptive "caries"

Question 39

the anomaly characterized by a tendency for the body of the tooth to enlarge at the expense of the roots is called what?

Answer 39

Taurodontism

Question 40

Dentinogenesis imperfecta is also called what? the disturbance occurs in which stage of tooth development

Answer 40

hereditary opalescent dentin occurs in the histodifferentiation stage

Question 41

what is one of the most common inherited defects in man? (it has to do with teeth)

Answer 41

Dentinogenesis imperfecta type 2

Question 42

which type of dentinogenesis imperfecta does sorenson say has a shell tooth appearance on radiograph?

Answer 42

type 3

Question 43

Type 1 dentin dysplasia makes the pulp chambers look like what?

Answer 43

very small chevrons reaching from one root to the other

Question 44

Type 2 dentin dysplasia looks like what in the pulp of primary teeth? what about permanent teeth?

Answer 44

pulp chambers are obliterated in primary pulp looks like thistle tube in permanent teeth

Question 45

what is the most common type of amelogenesis imperfecta? what is the enamel like?

Answer 45

hypocalcified type pitted surface or "moth eaten" and soft enamel

Question 46

What is enamel like in the hypoplastic type of amelogenesis imperfecta?

Answer 46

hard thin enamel makes for small teeth.

Question 47

What is enamel like in the hypomaturation type?

Answer 47

normal enamel thickness but low radiodensity and soft fractures and flakes away "snow capped" teeth

Question 48

anodontia may be part of what disease? oligodontia may be part of what diseases?

Answer 48

ectodermal dysplasia ecodermal dysplasia and down syndrome

Question 49

What is the defnition of hypodontia? Which teeth are commonly missing in hypodontia What is the definition of oligodontia?

Answer 49

agenesis of some (fewer than 6) teeth not including 3rd molars typically the maxillary laterals and mandibular second premolars that are missing. agenesis of more than 6 permanent teeth. (typically the last tooth in a series of teeth, 3rd molars, 2nd premolars, lateral incisors,

Question 50

what teeth are most commonly missing in ectodermal dysplasia? what teeth are most commonly present?

Answer 50

mandibular incisors as well as Max/Man premolars Max centrals max canines Max/Man first molars

Question 51

hyperbilirubinemia during tooth development will cause what? blood decomposition in teeth will cause what?

Answer 51

discoloration of the teeth discoloration of the teeth

Question 52

Cystic fribrosis can cause what to happen to the teeth?

Answer 52

discoloration

Question 53

T/F both allergic reaction and injury can cause severe enlargement of the tongue

Answer 53

True

Question 54

fissured tongue is sometimes seen in patients with what diseases? 2 of them

Answer 54

down syndrome and hypothyroidism these are also associated with macroglossia