Cariology Flashcards

1
Q

cariology

A

study of dental caries and cariogenesis

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1
Q

dental caries

A

an infectious microbiotic diesease resulting in locatized destruction and dissoluiton of calcified tissues

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2
Q

what are the elements for careis formation?

A
  • teeth
  • bacteria (s. mutans)
  • substrate (carbs)
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3
Q

receipe for caries

A
  • tooth
  • bioflim (plaque)
  • food source
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4
Q

caries are

A

multifactorial

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5
Q

what are the types of bacteria that cause caries?

A
  • streptococcus mutans
  • streptococcus sanguis
  • streptococcus mitis
  • bacterorides melaninogenicus
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6
Q

streptococcus mitis

A
  • considered normal oral flora
  • can SLOW growth of s. mutans
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7
Q

bacterorides melaninogenicus

A
  • obligate anaerobe
  • assiocated with perio disease
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8
Q

acids in the mouth

A

lower the pH

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9
Q

pH of ____ will demineralize enamel

A

5.5

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10
Q

pH of ______ demineralize dentin

A

6.2

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11
Q

the pH remain below 5.5 for 20-60 mins after

A

each sugar exposure

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12
Q

bacteria consume _____ and the waste product is _______

A

sugar; acid

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13
Q

what is the preferred food of s. mutans

A

sucrose

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14
Q

over the last 30 years careis prevelance has remained _______ in older children

A

constant

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15
Q

what is the main site for caries initiation?

A

pits and fissures

16
Q

where are locations of caries formation?

A

*pits and fissures
* smooth surfaces (Interproximal, gingival)
* root surfaces

17
Q

Pit and Fissure caries

A
  • Class 1 caries
  • occlussal surface of post
  • buccal surface of post
  • lingual surface of lateral incisors
18
Q

what is the most prevalent location of caries?

A

pits and fissures

19
Q

_____ can help to prevent pit and fissure caries

A

sealants

20
Q

how can we detect pit and fissure caries?

A

* NOT A STICK
* drag explorer check for softness
* shadowing
* radiograph(only when large enough)

21
Q

if s mutans is in pits and fissure we will see caries within

A

6-24 months

22
Q

how do we diagnose interproximal caries??

A

BITEWINGS

not PA

23
Q

Buccal and lingual caries are

A

Class 5

24
Q

how do we diagnose buccal and lingual caries?

A

visually

25
Q

interproximal caries are

A

class 2

26
Q

interproximal caries tend to start

A

gingival to contact

27
Q

smooth surface caries are assocatied with

A

high sugar intake

28
Q

root surface caries are

A

harder to restore

29
Q

recurrent caries

A

develop at the margin of a restoration

30
Q

caries ________ is beign used more today

A

management

31
Q

sealants

A
  • thin coating placed on chewing surfaces of with
  • with or without enameloplasty
32
Q

resin inflitration can be used up to

A

D1

is an intermediate option

33
Q

process of resin inflitration

A
  1. clean tooth
  2. dry area
  3. etch for 30 sec 1-3 times
  4. rinse dry well
  5. inflitrate usign icon resin
34
Q

resin inflitration acts as a

A

chemical drill

35
Q

sliver diamine fluride

A
  • stains
  • used to manage caries in kids
36
Q

what are the ADA classification of caries?

A
  • sound
  • inital
  • moderate
  • advanced