Cariology- Lecture 4

Question 1

Surgical intervention to eliminate cavitated lesions

Answer 1

Tooth centered

Question 2

Uses a medical model to control the disease process

Answer 2

Patient centered

Question 3

Establishes risk level

Answer 3

Caries risk assessment

Question 4

-Gather data on current and recent dental history
-Interview patient to determine risk factors
-Conduct tests to determine status of saliva, bio-load, and any other pertinent data
-

Answer 4

Caries Risk Assessment

Question 5

• Establish a risk level for each patient that indicates their level of risk to develop new lesions
• Establish a caries treatment plan or protocol

Answer 5

Caries Risk Assessment

Question 6

ADA form
University of North Carolina form
Cari-free form
OSU form

Answer 6

Caries risk assessment forms

Question 7

How to access caries risk assesment form on axium

Answer 7

Add form

AD CRA - Caries Risk assesssment

Question 8

What is a low risk score?

Answer 8

0

Question 9

Moderate risk score?

Answer 9

1-9

Question 10

High Risk score?

Answer 10

Greater than 10

Question 11

Are not directly involved in the disease process but are
important because they affect the expression
and management of the caries disease

Answer 11

Social and economic status

Question 12

Have implications on the necessary
compliance and behavioral changes that can
decrease risk for caries in patients.

Answer 12

Social and economic status

Question 13

Predictive at the population level but are

generally inaccurate at the individual level

Answer 13

socioeconomic status and educational status implications

Question 14

Sugar intake in the form of fermentable carbohydrates and increased frequency

Answer 14

Increase risk for caries

Question 15

Use of these during the day or night increases the risk of caries

Answer 15

Candies and Lozenges

Question 16

Contribute to increasing risk by providing energy to the acidogenic and aciduric
bacteria and by influencing the pH of the biofilm to
support cariogenic bacteria.

Answer 16

Acidic beverages

Question 17

Modifies biofilm to support a lower pH environment

Answer 17

Frequency of snacking and drinking acidic drinks

Question 18

Inhibition of bacteria, diluting and eliminating bacteria and their substrates, buffering bacterial acids, and offering a reparative environment with necessary calcium and phosphate minerals after
bacteria-induced demineralization

Answer 18

Saliva

Question 19

Patients are more susceptible to dietary change that are associated with lower pH foods and beverages or foods and beverages containing fermentable carbohydrates

Answer 19

Xerostomia (dry mouth)

Question 20

Determines risk indicators more than risk factors

Answer 20

Dental Clinical Analysis (Dental exams)

Question 21

Visible cavitated caries lesions, white spots on teeth, and brown spots on teeth

Answer 21

Indicators for caries

Question 22

visible plaque or biofilm

Answer 22

Risk factor for caries development

Question 23

What do they measure to test the activity of biofilm bacteria?

Answer 23

ATP

Question 24

What may be a risk factor for a child under 6?

Answer 24

Primary caregiver with caries

Question 25

Designed to limit tooth demineralization caused by cariogenic bacteria, preventing cavitated lesions.

Answer 25

Preventive treatment methods

Question 26

1- Limiting pathogen growth and altering metabolism 2- Increasing resistance of the tooth surface to demineralization 3- Increasing biofilm pH

Answer 26

Preventive treatment methods

Question 27

Reduce the numbers of cariogenic bacteria and to create an environment conducive to remineralization

Answer 27

Primary goal of caries prevention

Question 28

``` General Health Diet Oral Hygiene Fluoride Exposure Immunization (Caries) Function of Saliva Antimicrobial Agents Calcium and Phosphate Compounds Probiotics Sealants Restorations ```

Answer 28

Factors influencing caries risk

Question 29

Antibiotic +: Blacks cell wall synthesis -: Increases gram - florsa (Narrow)

Answer 29

Vancomycin

Question 30

Antibiotic +: Blacks protein synthesis -: Can increase caries activity (broad)

Answer 30

Kanamycin

Question 31

Antibiotic +: Blocks protein synthesis -: Unknown (streptococci)

Answer 31

Actinobolin

Question 32

Bis Biguanides +: Antiseptic prevents bacterial adherence -: Bitter taste: stains teeth and tongue brown; mucusal irritation (broad)

Answer 32

Alexidine & Chlorhexidine

Question 33

Halogens +:Bacterialcidal -: Metallic taste

Answer 33

Iodine

Question 34

Halogens +: 1-10 arts per million (ppm) reduces acid production 250 ppm bacteriorstatic 1000 ppm bactericidal -: Increases enamel resistance to caries attack: fluorosis in developing chronic high doses

Answer 34

Fluoride

Question 35

An operative procedure in which multiple teeth with acute threatening caries are treated quickly by (1) removing the infected tooth structure, (2) medicating the pulp, if necessary, and (3) restoring the defect(s) with a temporary material.

Answer 35

Caries-Control restoration

Question 36

Teeth that have large caries lesions but no overt pulpal or periapical pathology should be...

Answer 36

Managed conservatively

Question 37

How should large carious lesions with healthy pulpal and periapical tissues be managed?

Answer 37

Via partial caries excavation and indirect pulp capping

Question 38

How should aggressive complete caries that invade the pulp space be treated?

Answer 38

Definitive root canal or extraction

Question 39

Improve salivary flow rates and increase buffering capacity

Answer 39

First strategy of caries management

Question 40

Try to reduce the numbers of cariogenic bacteria (S.Mutans) in the oral cavity

Answer 40

Second strategy of caries management

Question 41

Reduce the quantity and numbers of exposures of ingested refine carbohydrates

Answer 41

Third strategy of caries management

Question 42

Attempt to remineralize noncavitated lesions and prevent new lesions from developing

Answer 42

Fourth strategy of caries management

Question 43

What should patients with physical or visual deficiencies use?

Answer 43

Powered toothbrush

Question 44

Preferred for definitive restorations because they bind effectively to both enamel and dentin

Answer 44

Glass ionomer