Dental Caries Flashcards

1
Q

how many species of bacteria have been identified in the oral biofilm

A

700

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2
Q

what are the regions of biofilm that are not neutralized by saliva buffers

A

exopolysaccharide rich matrix (EPS)

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3
Q

what are the bacterial types that dominate plaque

A

filamentous and spiral

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4
Q

how long after a cleaning can biofilm reaccumulate

A

2 hours

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5
Q

if left undisturbed, biofilm creates what type of environment

A

anaerobic - for the attachment of streptococci

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6
Q

how much saliva does an adult produce in one day

A

1-1.5L

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7
Q

signs of hyposalivation

A

lack of pooling on the floor of the mouth
gingivitis
mucositis

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8
Q

what is an important composition of saliva that that stabilizes calcium and phosphate

A

statherin

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9
Q

high-frequency exposure to fermentable carbohydrates such as ______ may be the most important factor in producing cariogenic biofilm and, ultimately, caries lesions

A

sucrose

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10
Q

dietary intake for caries should focus on

A

acidity and sucrose

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11
Q

what is the most susceptible site for caries

A
  1. pit a fissure
  2. smooth enamel
  3. root surfaces
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12
Q

what is the first clinical evidence of of dimeneralization

A

white spots - non cavitated lesions that appear chalky white

(caused by poor oral hygiene, frequent exposure to sucrose or acid)

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13
Q

describe sclerotic dentin

A

shiny, darker in color, feels hard to the explorer’s tip

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14
Q

what is the most superficial zone of the carious dent

A

necrotic zone

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15
Q

unattached dentin in the pulp chamber is called

A

pulp stones

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16
Q

infection in the pulp is characterized by

A

inflammatory response
capillary dilation
local edema
stagnation of blood flow

17
Q

recently erupted teeth with large pulp chambers and short-wide canals have _____ type of chance for surviving than a fully formed tooth with small pulp chambers

A

greater

18
Q

caries progression happens how

A
  1. demineralization of organic matrix
  2. organic matrix of dentin is denatured/degraded
  3. loss of matrix
19
Q

CAMBRA

A

caries management by risk assessment

20
Q

what percentage of sodium fluoride is most effective

A

5%

21
Q

what is the main drawback of SDF

A

the precipitate of silver that makes the carious dentin stain black

22
Q

how long should SDF be applied

A

3 minutes with a microbrush, rised with water, and covering with fluoride varnish

23
Q

when are caries reported to be reactivated after SDF

A

24 months

24
Q

what type of sealant is best used for filling of pits/fissures

A

low viscous