Decalcification Flashcards

1
Q

What causes decalcification?

A
  • poor OH
  • high sugar diet
  • high frequency sugar
  • fixed appliances
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2
Q

How can decalcification be prevented?

A
  • patient selection
  • educate patients - OHI, diet advice
  • monitor patients
  • use of fluoride
  • diet sheet
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3
Q

Clinical factors to prevent decalcification?

A
  • remove and prevent stagnation areas
  • auxiliary use - stainless steel ligatures over elastomerics
  • removal of wires
  • removal of appliance
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4
Q

How can decalcification be treated?

A
  • fluoride toothpaste
  • toothmousse
  • microabrasion - hydrofluoric acid 18% and pumice
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5
Q

How much fluoride should mouthwash and toothpaste have?

A

Paste - 1450 ppm

Wash - 250 ppm

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6
Q

Can white spot lesions improve after orthodontic treatment?

A

Yes - they can improve by 50% 6 months after treatment is complete

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7
Q

What is decalcification?

A

Teeth lose calcium
Demineralisation of teeth
Early tooth decay

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8
Q

What micro organism is plaque caused by?

A

Streptococcus Mutans

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9
Q

What immediate advice would you give to a patient regarding immediate management of decalcification?

A
  • show patient the decalcification
  • advise the use of tooth mousse
  • use of a normal fluoride tooth paste (1450 ppm)
  • visit GDP for examination
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10
Q

What tooth is most commonly effected by decalcification?

A

Maxillary lateral incisor

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