Cariology I Flashcards

1
Q

What is the paradox of dental caries?

A

A paradoxon: Teeth can be destroyed relatively rapidly in vivo and yet are almost indestructible post mortem

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2
Q

What are the three main factors of caries?

A

Tooth, bacteria, sugar

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3
Q

What was the rate of caries in Paleolithic times?

A

2%

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4
Q

Can you cause caries in the laboratory?

A

Yes. you need a tooth, test tube, incubation, bacteria, substrate for bacteria (sugar)

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5
Q

Do animals get caries?

A

yes

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6
Q

What was the caries rate in the neolithic period?

A

~9%

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7
Q

In ancient humans, what was the prevalent caries location?

A

CEJ due to lack of agriculture and therefore lack of grooves and fissures

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8
Q

In modern man, what was the prevalent caries location?

A

grooves and fissures

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9
Q

Caries affected which population in the 1700s?

A

wealthy

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10
Q

Who is the patron saint of dentistry?

A

St. Apollonia, February 9

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11
Q

What happened in the 1700s that spiked dental caries?

A

cheap sugar cane, 1700-1800, industrialization

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12
Q

In Europe, less than ___ of individuals had cavities until Alexander the Great brought sugar to Greece in the 4th century BCE

A

In Europe, less than 10% of individuals had cavities until Alexander the Great brought sugar to Greece in the 4th centure BCE.

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13
Q

When was the biggest spike in dental caries?

A

The biggest spike was from 1800 to 1850, when Britain took control of the West Indies and imported far more sugar than previously

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14
Q

Why was there an increase in dental caries in 1874?

A

• In 1874, the British reduced the tax on sugar, and it became available to all social classes.

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15
Q

By the middle of the 20th century, between ___ and ____ of the population in Europe and the US had cavities.

A

• By the middle of the 20th century, between 50% and 90% of the population in Europe and the US had cavities.

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16
Q

Is dental caries still a problem?

A

It depends.

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17
Q

Is there an increase or decrease in caries?

A

declining in all the countries

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18
Q

What countries had the highest caries rate in 1971?

A

Norway, New Zealand, Finland… Why?

Fl in toothpaste

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19
Q

Why is Africa so low?

A

Diet, didn’t have access to sugar

20
Q

Why was Canada lower than US in 2003?

A

water fluoridation

21
Q

What was the the earliest theory of caries?

A

bTooth worm

Tooth ache caused by a worm that drank the blood of the teeth and fed on the roots
Chinese character.
Treatment by fumigation

22
Q

What was the theory of imbalance of humors?

A

blood (sanguine), Phlegm (phlegmatic), black bile (melancholic), and yellow bile (choleric)

23
Q

Vital Theory (until mid 19th century)

A

Decay originates within the tooth itself

24
Q

What was the chemical theory?>

A

parmly (1819): “chymical agent” from putrified food

Robertson (1835), Regnanrt (1938): inorganic acids

25
What was the Proteolytic theory?
Gottlieb, Frisbie (1944), Pincus (1949): proteolytic enzymes involved
26
What was the Proteolysis-chelation theory?
Shatz and martin (1955): Acid protects
27
Who developed the Chemo-parasitic theory?
Louis Pasteur: Microorganisms transform sugars to lactic acid during fermentation Emil Magitot (1867): Fermentation of sugars caused dissolution of tooth mineral in vitro Leber and Rottenstein (1867): Acids and bacteria (Leptothrix buckles) as the causitive agents of caries Underwood and Miles (1881): Micrococci found in carious dentin
28
Who developed to modern caries theory?
W. D. Miller (1853-1907) 1890 Microorganisms of the Human Mouth
29
What were the experimental results of W.D. Miller?
Acid present in deep carious lesion (by use of litmus paper). Bread, sugar, but not meat, mixed with saliva and incubated at 37 degrees C could decalcify crown of tooth. Certain types of mouth bacteria could produce acid. Lactic acid identified in saliva mixture. Different microorganisms invade carious dentin.
30
See Histopathology of Emnamel caries
..
31
What are the bands?
...
32
What are the layers of dentine caries?
Destruction, Penetration, Demineralization, Sclerotic Zone, Normal Dentine, (Reactionary D.) What layers should you remove?
33
What appearance does a healthy tooth surface have?
Smooth glass-like appearance and is translucent
34
What will you see if the enamel becomes more pours and appears dull and chalky?
White spot lesion?
35
What will you see if there is inactive or arrested white spot lesions with a shiny surface that may be ___ in color, having picked up exogenous stains in the mouth.
Inactive or arrested white spot lesions have a shiny surface and may be brown in color, having picked up exogenous stains from the mouth.
36
True or false. Cavitation can be arrested or active?
– mostly undermining - like a groundhog's pot – Active or arrested (Caries sicca) 
37
Why is dentine caries brown?
exogenous pigment-producing bacteria Products of a chemical reaction. (Protein breaks down in presence of sugar-Maillard reaction, oxidation)
38
What are primary caries?
soft, wet, and heavily infected
39
What are secondary or Recurrent caries?
Primary caries next to a filling. ** most common
40
What are residual caries?
infected tissue left by a dentist (darkly stained, hard and crumbly in texture, few live ("entombed") microorganisms
41
How are carious lesions classified?
according to their anatomical site according to speed of decay
42
When are the peaks of carious lesions?
6, 16, 55
43
What is the most effective preventative method?
sealants, flouride. Difficult to do sealants
44
What is the most common caries in teenagers?
interproximal. arch closes
45
What caries are prominent in the age 55?
root caries
46
What is the prevalence of caries indices?
The proportion of a population affected by a disease or condition at a particular time