Caries Diagnosis Flashcards

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1
Q

T/F: Caries is dichotomous.

A

False

Continuum from incipient to advanced

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2
Q

What are optimum conditions for caries detection?

A

Clean, dry, good light, sharp probe, magnification

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3
Q

T/F: Black/brown staining is a reliable indicator for caries.

A

False

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4
Q

T/F: Smooth surface caries rates are declining.

A

True

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5
Q

If we had perfect sensitivity than there would be no false ___________.

A

Negatives

Every time patient has disease we would know it

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6
Q

If we had perfect specificity there would be no false _________.

A

Positives

Every time patient was disease free we would know it

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7
Q

Probing and visual inspection have high __________ but low __________.

A

Specificity; sensitivity

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8
Q

T/F: Small lesions on radiographs are likely to be cavitated.

A

False

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9
Q

What is the effect of sealing teeth?

A

Nutrients cannot get to the bacteria in the lesions so carries progression often slows or stops

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10
Q

T/F: We should be concerned with sealing in hidden caries.

A

False

Caries will stop progressing if tooth is sealed

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11
Q

What are the two major balancing concepts in management of small fissure lesions?

A
  1. Diagnostic tests are not very sensitive

2. Minimal treatment effective for incipient and moderate lesions

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12
Q

T/F: Early detection and treatment of caries is crucial.

A

False

Even if detected early, often best to leave untreated and change habits or seal teeth

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