Clincial Presentation Of Caries Flashcards
What is caries?
Disease of mineralised tissue or teeth cause by the action of microorganisms of ferment able carbohydrates
Demineralisation or mineral portion followed by disintegration of organic material
What are the main micro organisms associated with caries
Strep. Mutans
Lactobacilli
Where are susceptible sites for caries?
Enamel pits and fissures Approximately areas Cervical areas Root surface Restoration margins
What 4 reasons could there be for defective tooth structure
Caries
Nctsl
Trauma
Developmental defects
When should caries be treated operatively?
Visible cavitation
Caries to edj- seen radiographically
What is NDIP
National dental inspection programme
Inspects all p1 and p7 children in Scotland
Annual basic inspection
Bi annual detailed inspection
What problems can be associated with natural dentition in old ages?
Root caries
Nctsl
Treatment can be difficult if elderly patient is incapacitated
When should a child be radiographically screened?
Age 5 onwards- bilateral bws
Lateral obliques could be alternative if no cooperation
Dpt re. Ortho tx plan
What is the earliest sign of enamel caries?
White spot lesion
Active- White and chalky
Inactive- brown and glossy
What is the pulp dentine complex
Reacts to initiation of caries Protects tooth a vitality Bacterial toxins move through tubules eliciting inflammatory reaction from pulp Reactionary dentine forms Tubules become sclerotic
What is a peri radicular abscess
Progression of irreversible pulpitis
Exudate extends into adjacent soft tissues
What is cellulitis
Swelling of soft tissues of the mouth and face from diffuse spread of infection along the facial planes
What is Ludwig angina
Progression of cellulitis Floor of mouth involved Elevated tongue Breathing difficulties Risk of asphyxiation
What is primary root caries?
Below cej
No involvement of enamel or restorations
What is secondary root caries ?
Root surface caries next to existing restorations
