Cariology w/ Dr. O Flashcards

1
Q

Most prevalent health conditions in world

A

Caries

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2
Q

Determinants of caries

A

saliva/quality, tooth morphology, PAST caries, defective restorations,

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3
Q

Reasons for decline in caries

A

increased dental visits, increased dietary awareness, inc flouride, inc antibiotic use,

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4
Q

caries in surveys is documented where

A

**KNOW THIS

in dentin, NOT enamel

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5
Q

leads to underestimation of caries problem in surveys

A

**KNOW THIS

that caries are documented in dentin, NOT enamel

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6
Q

A Unique survey

A

combines interviews and physical exams

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7
Q

Referring to the NHANES Survey, data generally shows expected ______ among ______

A

DISPARITIES: among racial/ethnic minorities (Age, race, SES, etc.)

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8
Q

epidemiology defined

A

The study of distributions and determinants of health problems in a population and to help control these problems, based on numbers

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9
Q

Dental Caries

A

Name of a chronic disease condition, localized destruction of susceptible hard dental tissue by acidic by-products from bacterial fermentation of sugar/carbs

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10
Q

Key words of dental caries

A

Bacteria/Biofilm
Multifactorial
Carbs/Sugar
Lasting Risk/Chronic

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11
Q

Cavity

A

Tooth decay, the hole that is a result of caries

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12
Q

3 Key Facts about Cavities

A

It is the most common preventable childhood disease

It can be arrested and is reversible to a point

Susceptibility throughout life

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13
Q

Appearance of incipient caries

A

White spot (“White spot lesion”)

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14
Q

Private Practice Vs Dental Public Health

laundary list

A

Private is about one patient and that patients past. Public is survey of needs.

Private uses x-rays, models etc while public analyzes data.

Private diagnosis and public program plans.

Private must have consent and public looks for ways to implement.

Private treats while public evaluates if it is working.

Private collects fee for service and public works through grants.

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15
Q

Assumptions of epidemiology

A

Disease does not occur at random and are rarely evenly distributed.

We can ID casual and preventative factors of human disease through investigation.

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16
Q

Is everyone susceptible to caries

A

yes

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17
Q

Prevalence vs incidence

A

Prevalence is a proportion, how many in this population

Incidence is new cases

18
Q

Is a dentist visit every 1-3 months enough to eliminate caries?

A

no

19
Q

Caries noun or adj?

A

Noun, who cares

20
Q

Carious lesion noun or adj

A

adjective, expresses the attribute of the disease

21
Q

Cause of caries

A

Multifactorial so cannot say

22
Q

Fermentation

A

mono and disachharides and cooked starch by bacteria in biofilm which increases acidity in the biofilm

23
Q

Dynamic process

A

Demin and Remin

24
Q

Rate of caries

A

Slow

25
Q

Distribution of Caries

A

Not even, not all are exposed the same

26
Q

Age and caries risk

A

risk increases with age

27
Q

Elderly caries associated with what

A

roots

28
Q

childhood caries commonly associated with what

A

restorations

29
Q

Gender and caries risk

A

Females have higher risk but they also see the dentist more so probably just see these more

30
Q

Does race play a role in caries risk?

A

YES.

31
Q

Need what for caries? (3 main things)

A

Host, food, and tooth

32
Q

Socioeconomics and caries risk…which ethnicities in specific experience more risk? (3)

A

**KNOW THIS

Lower SES have higher risk.

African Americans

Alaska
natives/American Indians

Hispanics especially Mexican Americans

33
Q

Low SES have higher what and lower what

A

High Decay and Missing lower Filling (b/c they are poor) (think DMF)

34
Q

Do genetics play a role in caries risk?

A

yes, some

35
Q

Greatest determinant for caries risk

A

**KNOW THIS

Past caries experience (secondary caries are a high risk)

36
Q

Other determinants/risk factors include

A

Saliva/xerostomia, tooth morphology, history, defective restorations, oral flora, diet, oral hygiene practices

37
Q

Decline in caries rates comes from what

A

**KNOW THIS

Improved Oral Health care

  • improved dental visit rates and hygiene
  • increased awareness of dietary affects leading to less sugar
  • Antibiotic use
  • increased flourided exposure
  • Decrease and change in virulence of organisms in oral cavity
38
Q

“Unique Surveys”

A

combine interviews and physical exams

39
Q

Why was NHANES designed?

A

to assess the health and nutritional status of adults and children in the US

40
Q

Survey data generally shows what???

A

Disparities between Age, Race, SES, etc.

41
Q

Strongest indication of dental caries is

A

**MUST KNOW!!

previous dental caries