Caries Clinical Presentation And Diagnosis (2) Flashcards

1
Q

What are 2 ways to diagnose caries based on their virginity of lesion?

A
  1. Initial/ primary caries
  2. Recurrent/ secondary caries
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2
Q

How would you class caries according to their extent?

A

Incipient caries
Occult caries
Cavitation

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3
Q

How would you classify caries based on their tissue involvement?

A

– Initial caries – demineralization without structural defect
– Superficial caries – enamel caries
– Moderate caries – dentin caries
– Deep caries – close to the pulp
– Deep complicated caries – caries led to the opening of the pulp cavity

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4
Q

How would you classify cares based on the number of surfaces involved?

A

– Simple
– Compound – 2 surfaces
– Complex – more than 2
– Surfaces to be restored:
– O, M, D, B, L/P and combinations: MOD

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5
Q

What is blacks classification of caries?

A
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6
Q

What is the WHO classification of dental caries?

A

D1-4

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7
Q

What is the IDCAS system of caries diagnosis?

A

Rated 0-6

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8
Q

What rating of the IDCAS will you need to manage?

A

4-6 by removing tissue and restoring

(0-3 is just preventable measures)

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9
Q

How do you calculate the sensitivity of of diagnostic accuracy?

A

TP/(TP=+FN)

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10
Q

What does the sensitivity of the diagnostic accuracy detect?

A

Probability that the diagnostic method indicates caries when caries is truly present

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11
Q

What s the calculation to calculate the specificity of diagnostic accuracy?

A

TN/ (FP+TN)

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12
Q

What does the specificity of diagnostic accuracy check?

A

Probability that the diagnostic method indicates “no caries” when caries is truly not present.

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13
Q

What method of diagnosis is shown here?

A

Visual-tactile caries examination

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14
Q

What is required when carrying out visual-tactile caries examination?

A

Good light
Clean
Dry

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15
Q

What caries diagnostic tool is shown here?

A

Fibre-optic transillumination

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16
Q

What caries diagnostic tool is indicated here?

A

Magnification

17
Q

What type of caries diagnostic tool is this?

A

Tooth separation

Orthodontic elastic applied for 2-3 days

18
Q

What type of caries diagnostic tool is shown?

A

Laser autofluorescence DIAGNOdent

19
Q

Do healthy tooth structures have lots or minimal/no fluorescence?

A

Little or no fluorescence

20
Q

What wavelength is the laser autofluoresence DIAGNOdent set at?

A

650 nm

Infrared

21
Q

What caries diagnostic tool is this?

A

Radiograph

22
Q

What would a DIAGNOdent value above 30 indicate?

A

Operative care advised