Chapter 7 Flashcards
Definition of prevention/preventive aids
chemicals, devices, or procedures that reduce or eliminate disease or tooth destruction in the oral cavity
Definition of fluoride
naturally occurring mineral that helps protect tooth structure from dental caries
Definition of fluorosis
enamel condition caused by consumption of excessive levels of fluoride
Definition of demineralization
action that removes mineral from the tooth, usually caused by acids
Definition of dental caries
disease process whereby bacteria in plaque metabolize carbohydrates and produce acids that remove mineral from teeth and permit bacteria to invade the tooth and do further damage
Definition of fluorapatite
tooth mineral that results when fluoride is incorporated into the tooth
Definition of cariogenic
substances or microorganisms that promote dental caries
Definition of erosion
loss of tooth mineral caused by dietary or gastric acids, not by bacterial metabolism (caries process)
Definition of antibacterial mouth rinse
liquid used to rinse the oral cavity to reduce or suppress bacteria associated with dental caries or periodontal disease
Definition of substantivity
property of a material to have a prolonged therapeutic effect after its initial use
Definition of over-the-counter
available in retail or drug stores without a doctor’s prescription
Definition of sealant
protective resin that is bonded to enamel to protect pits and fissures from dental caries
Definition of desensitizing agent
chemical that seals open dentinal tubules in order to reduce tooth sensitivity to air, sweets, and temperature changes
Definition of mouth guard
hard or pliable material that protects teeth from trauma during sports activities or as the result of teeth grinding
Definition of custom-made
made specifically to fit one individual
Definition of bleaching
cosmetic process that uses chemicals to remove discolorations from teeth or to lighten them
Definition of extrinsic stains
stains occurring on the tooth surface
Definition of intrinsic stains
stains that are incorporated into the tooth structure, usually during the tooth’s development
What are the common brands of 12,3000 ppm fluoride
in-office treatment 1.23% APF gel or foam minute-foam and nupro APF gel (dentsply) topex (sultan healthcare) denti-care gel (medicom) twice a year
What are the precautions of 12,300 ppm fluoride
gastrointestinal upset, vomiting if swallowed; may etch esthetic restorations, not for children younger than age 3
What are the common brands of 2.0 NaF 9,000 ppm fluoride?
in-office treatment neutra-foam (oral-b) nuproneutral (dentsply) denti-foam (medicom) topex neutral (sultan healthcare) twice a year
What are the precautions of 9,000 ppm fluoride?
gastrointestinal upset, vomiting if swallowed; not for children younger than age 3
What are the common brands of 1.1% NaF gel or toothpaste 5,000 ppm fluoride?
daily at home use prevident (colgate) neutracare (oral-b) denti-care gel (medicom) fluoridex (discus dental) topex (sultan healthcare) gel-kam (colgate)
What are the precautions of 1.1 % NaF gel ?
not for children younger than age 6
What are the common brands of 0.4% SnF2 gel of 900 ppm fluoride?
daily at home use gel-kam (colgate) stop (oral b) denti-care gel (medicom) perio plus (discus dental) topex (sultan healthcare)
What are the precautions of 0.4 SnF2 gel?
may cause surface staining of teeth; not for children younger than age 6
What are the common brands of 0.2% NaF 900 ppm rinse?
weekly
fluorinse (oral-b)
prevident dental rinse (colgate)
nupro fluoride rinse (dentsply)
What are the common brands of 0.05 % NaF 250 ppm rinse?
over-the-counter home use; daily
ACT (Johnson & Johnson)
Fluorigard (colgate)
What are the precautions of 0.05% NaF 250 ppm rinse?
not for children younger than age 6
What are the common brands of toothpaste 0.24% NaF 1,100 ppm?
numerous brands and manufacturers
daily over-the-counter home use
not for children younger than age 6
What are the common brands of toothpaste 0.8% MFP 1,000 ppm?
numerous brands
daily over-the-counter home use
pea-sized amount with children younger than age 6
What is the color of an extrinsic stain from poor oral hygiene?
yellow
brown
green
black
What is the color of an extrinsic stain from coffee, tea, foods?
brown to black
What is the color of an extrinsic stain from tobacco products
yellow-brown to black
What is the color of a tetracycline intrinsic stain?
brown, gray, black bands
What is the color of a fluoride intrinsic stain?
white, brown sports or bands
What is the color of a minocycline intrinsic stain?
brown, gray
What is the color of a blood disorder intrinsic stain?
red, brown, purple
What is the color of a trauma intrinsic stain?
blue, black, brown
What is the color of an intrinsic pulp canal obliteration stain?
yellow
What is the color of an intrinsic pulp necrosis with hemorrhage stain?
gray, black
What is the color of an intrinsic pulp necrosis without hemorrhage stain?
yellow, gray-brown
What is the color of an intrinsic trauma during pulp extirpation stain?
gray, black
What is the color of an intrinsic tissue remnants in the pulp chamber stain?
brown, gray, black
What is the color of an intrinsic restorative dental material stain?
brown, gray, black
What is the color of an intrinsic endodontic materials stain stain?
gray, black
What is the color of a fluorosis intrinsic/extrinsic stain?
white, brown
What is the color of an aging intrinsic/extrinsic stain?
yellow
What is the pH at which a tooth mineral dissolves?
5.5
True or False
When mineral is converted to fluorapatite the pH is lowered to 4.5
true
True or False
Fluoride interferes with essential enzyme activity of bacteria
True (because it travels in the form of hydrofluoric acid)
Which fluoride is most used with children
APF (because it contains 12,300 ppm fluoride)
What does 2% neutral sodium fluoride contain?
9,000 ppm fluoride (used most often with adults)
stannous fluoride gels are provided by prescription as 1.1 % neutral sodium fluoride
5,000 ppm fluoride or 0.4% stanous fluoride 900 ppm fluoride
What is the concentration of fluoride in an OTC?
0.05% fluoride, 225 ppm
What is the most common fluoride additive to prophy paste?
1.23 APF
What is the lethal dose for a child weighing 20 pounds?
700 - 1500 mg of sodium fluoride
True or False
Sealants are unfilled or lightly filled resins used to seal pits and fissures
True
True or False
44% of caries in primary teeth occur in pits and fissures of molars
True (molars are 3 - 4 times more likely than premolars to experience decay)
True or False
Second molars have a priority to sealing first
True
True or False
Lower molars have the highest risk of decay
True (50%)
True or False
Upper molars have the highest risk of decay
True (35-40%)
What is the composition of resin sealants?
dimethylacrelate monomer/bisphenolaglycitol methacrelate bisgama or urethane dimethacrylic (UDMA)
True or False
Sealants containing no organic filler particles will wear faster than those that have filler particles added
True
True or False
Etched enamel begins remineralization after a 24 hour exposure to saliva by deposition of calcium phosphate salts
True
True or False
Most sealant failures occur within the first 3-6 months
True
True
Potassium depolarizes the nerves so it cannot fire and cause pain
True
True or False
Sports guards can absorb 80% of the energy from a traumatic hit to the mouth?
True
True or False
For heavy contact sports, a thickness of 4 mm is desirable
True (for less violent sports, thickness of 2 mm will suffice)