Cario Class 5

Question 1

Is topical or systemic fluoride more effective at caries prevention?

Answer 1

Topical

Question 2

What are 4 big functions of replacing the hydroxyl group with the fluoride ion in hydroxyapatite (which becomes fluoroapatite)?

Answer 2

1. Improves crystal structure (Fluoride is strongly bonded to the lattice site)
2. Decreases solubility (more stable apatite)
3. Inhibits bacterial growth
4. Promotes remineralization of the enamel

Question 3

What are two negatives of stannous floride and the positive aspect?

Answer 3

Extrinsic stains and unpleasant taste

+ reduces tooth sensitivity

Question 4

Acidulated phosphate fluoride: One positive and one negative

Answer 4

• enamel uptake is greatest in acidic environment (pH of 3.0)

+Non-irritating and non-staining

Question 5

Sodium fluoride: 3 positives and one negative

Answer 5

+ stable, absorbed by enamel at pH 7.0, no staining

• reduces salivary flow

Question 6

Silver diamine fluoride: 2 positives and 2 negatives

Answer 6

+ lots of fluoride (>44K ppm), arrests carious lesions

-stains carious lesions black, may cause mild gastric inflammation

Question 7

What evidence is there for fluoride foams?

Answer 7

No “sound” evidence

Question 8

When was SD approved by the FDA?

Answer 8

2016

Question 9

When was fluoride varnish approved by the FDA?

Answer 9

1994

Question 10

What is one benefit and one drawback to fluoride varnish?

Answer 10

+ it slows progression of carious lesions in both permanent and primary teeth

-less longevity than sealants

Question 11

For how long does one apply fluoride?

Answer 11

4 minutes

Question 12

What does the “D/d” in DMFT/dmft not include?

Answer 12

Filled teeth

Question 13

Why did women used to have higher rates of caries prior to water fluoridation?

Answer 13

Their teeth erupt earlier, thus prolonging their exposure to cariogenic challenges

Question 14

For children 2-19, which group has the highest proportion of untreated caries?

Answer 14

6-11 y/o

Question 15

For children 2-19, which group has the highest caries experience?

Answer 15

12-19 y/o

Question 16

Between 9-11 y/o and 6-8 y/o, which group has more sealants?

Answer 16

9-11 >6-8

Question 17

For adolescents 2-19, what ethnicity has the greatest total caries experience?

Answer 17

H>B>W

Question 18

For adolescents 2-19, which group has the most untreated caries?

Answer 18

B>H>W

Question 19

For adults age 20-64, which which group has the greatest total caries experience?

Answer 19

W>B/H

Question 20

For adults age 20-64, which group has the most untreated caries?

Answer 20

B>H>W

Question 21

For adults 65+, which group has the greatest total caries experience?

Answer 21

W>B/H

Question 22

For adults 65+, which group has the greatest amount of untreated caries?

Answer 22

B>H>W

Question 23

For adults 65+, who has the greatest number of dental sealants?

Answer 23

W>H>B

Question 24

For adults 65+, who has the greatest permanent retention?

Answer 24

W>H>B

Question 25

For adults 65+, which group has the greatest edentulism?

Answer 25

B>W>H

Question 26

What are three indications to use SDF?

Answer 26

1. High risk patients
2. Severe ECC
3. Multiple lesions