Dental Caries 1 Flashcards
what is dental caries
microbial disease
reversible in early stages
sub surface mineral loss due to acid production by dental plaque over time
whites a carious lesion
occurs in tooth and is a manifestation of the caries process
where does the caries process occur
in the biofilm (plaque)
what is caries diagnosis
human professional summation of all available data
what are the steps of caries diagnosis
is there or not
is it active (progressing/regressing) or is it arrested
what going to do with ti
what can be used to see if there is dental caries
visual
radiograph
something fancy
what is the detection sensitivity
ability of a technique to say there IS caries present when a reference (gold) standard also says there IS caries
what si the technique specificity
ability of a technique to say there IS NOT caries present when he reference (gold) standard says there IS NOT cares
what is the gold standard on extracted teeth
histology
micro radiographic technique
what sit he gold standard in the mouth
bitewing radiographs
visual assessment - can’t easily tell lesion depth
lesion biopsy
what is needed to be done before an examination for caries
trophy
prep tooth for examination
what does prophy entail
history
exam - extra ad intra oral
soft tissues
teeth
can you see carious lesions under plaque
no
how do u do prophylaxis
handpiece
- geared down
- reduced speed
rubber cup gets under gingival margin
what can higher speed rotations and rubber cup do
generate heat and pain _ DONT