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caries 2 > caries symposium > Flashcards

caries symposium Flashcards

1
Q

list the 7 elements of caries risk?

A 
clinical evidence
dietary habits
social history
medical history
fluoride use
plaque control
saliva
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2
Q

list the 8 element of preventative caries programme ?

A 
radiograph
toothbrushing instruction
strength of F in toothpaste
F varnish
F supplement
diet advice
fissure sealant
sugar free medicine
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3
Q

compare an active and inactive white spot lesion?

A

active - white spot chalky, not bright, swollen gingiva

inactive - demineralisation at rest, gingiva not swollen

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4
Q

where are white spot lesions often found ?

A

gingival margin

pits and fissures

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5
Q

which curve demonstrates the change in ph of the mouth after patient is exposed to sugar?

A

stephan curve

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6
Q

the ph of an active white spot lesion drops below what?

A

5.5

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7
Q

name 2 microorganisms in the mouth which survive in acidic conditions?

A

lactobacilli

strep mutans

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8
Q

name 2 microorganism found in the mouth which don’t survive in acidic conditions?

A

s. sanguines

s. gordonni

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9
Q

caries develops in which shape in pits and fissures?

A

triangle

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10
Q

does black caries at the root indicate an active or inactive lesion?

A

inactive

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11
Q

define dental caries

A

a disease of the dental hard tissues caused by the action of micro-organisms, found in plaque, on fermentable carbohydrates. At an individual level it is a preventable disease

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12
Q

where does early childhood caries usually effect and why?

A

upper anteriors and molars caused by innapropriate uses of feeding cups and bottles

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13
Q

list some advice you would give a mother of a new born in relation to dental health of her child?

A
  • support and promote breast feeding
  • feeding cup rather than bottle from 6 months with free-flow sprout
  • drinks with free sugars never put in bottle
  • if child must have juice, give diluting with lots of water, at meal times and with straw
  • wean child off breast feeding after a year
  • food and confectionary with free sugars at meal times only
  • only plain water and milk in-between meals
  • sugar free medicine when available
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14
Q

list some safe snacks for young children?

A 
mil/water
fruit (not dried)
savoury sandwiches
crackers and cheese
breadsticks
plain salted crisps over sweets
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15
Q

when should a child first have their teeth brushed?

A

as soon as their primary teeth erupt

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16
Q

when is a child able to fully brush their own teeth?

A

8 years old

17
Q

how much fluoride is recommended for a child toothpaste?

A

1000ppm (aqua fresh milk teeth)

18
Q

how much fluoride is in a standard toothpaste?

A

1400-1500ppm

19
Q

how much fluoride is in a high fluoride prescription toothpaste?

A

2800ppm

20
Q

what strength of tooth paste is recommended for a child up to 3?

A

1000ppm

21
Q

what strength go tooth paste is recommended for children between the ages of 4 and 16?

A

1000-1500ppm

22
Q

what strength of toothpaste is recommended for high risk children under 10?

A

1500ppm

23
Q

how much toothpaste should be applied to a tooth brush for a child under 3?

A

smear

24
Q

when should a child floss their own teeth?

A

12

25
Q

how may clinicians professionals administer fluoride ?

A

APF gels ot varnish
durbahat varnish
topical F varnish
floss fluoride in-between contacts

26
Q

compare a D1 and D3 lesion?

A

D1 - very early caries, dentist works with patient, only in enamel
D3 - progressed into dentine

27
Q

you should never poke caries with a sharp probe, instead you should use?

A

one with a ball end

28
Q

what ways can caries be classified?

A
  • by extent (D1 or D3)
  • by cavitation (cavitated or not)
  • by activity (active or inactive)
  • by site (smooth surface etc)
  • by location (primary or secondary)
29
Q

name some different site classifications of caries?

A

smooth surface
root surface
pit/fissure

30
Q

what are the basics for a good clinical examination?

A

good light
dry tooth
systematical approach
don’t use sharp robe

31
Q

what is sensitivity in terms of caries detection?

A

% of disease found correctly

32
Q

which has greater sensitivity, d1 or d3 cavities?

A

d3

33
Q

what is specificity in terms of caries detection?

A

% of health found correctly

34
Q

which has higher specificity d1 or d3 cavities?

A

d3

35
Q

how can you improve accuracy when detecting caries ?

A

ICCMS - thoroughly drying tooth for 30 secs
radiogrpahs
magnification
foti - fiber optic transillumination

caries 2 (1 decks)

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