Dental Charting Flashcards

1
Q

What are five purposes of dental charting? PCLFF

A

Planning, communication, legal document, financial, audits, forensic uses

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2
Q

What are the two major types of charting?

A

1) Anatomical chart
2) Geometrical chart (Dentrix)

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3
Q

At MCC, the dental chart includes what two findings?

A

Oral and radiographic findings

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4
Q

List the correct sequence of charting. (5)

A

1) Record missing teeth
2) Record any removable prosthesis
3) Examine and record each tooth
4) Evaluate the restored surfaces and look for decay (with transillumination of mirror, air syringe, #23 explorer)
5) Evaluate and record abnormalities or regressive changes

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5
Q

Decay is most commonly found in what 4 places?

A

1) Pits/Fissures
2) Interproximally
3) Cervical 1/3rd
4. Hard to clean areas

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6
Q

Supernumerary teeth are classified as:

A

Hyperdontia

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7
Q

Anodontia teeth are classified as:

A

Hypodontia

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8
Q

A defect of enamel mineralization/maturation caused by heredity or systemic irregularities causing it to be weak and thin.

A

Enamel hypocalcification

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9
Q

Small teeth or tooth, peg laterals.

A

Microdontia

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10
Q

Defect with single tooth that attempted to divide during its development.

A

Gemination

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11
Q

Caused by too much fluoride on teeth when developing.

A

Fluorosis

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12
Q

Exposure to syphilis during tooth development such as Hutchingson’s incisors and Mulberry molars.

A

Syphilitic Enamel Hypoplasia

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13
Q

Tooth-to-tooth wear, or grinding, is called what?

A

Bruxism (bruhk-si-zm)

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14
Q

Tooth wear due to foreign substance such as stiff toothbrush bristles is called what?

A

Abrasion

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15
Q

A “V” or wedge shaped defect at the CEJ due to occlusal forces.

A

Abfraction

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16
Q

Loss of tooth due to chemical agent is what?

A

Erosion

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17
Q

Small chips to deep breaks in tooth.

A

Fracture

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18
Q

A preventable disease, characterized by demineralization of the hard components.

A

Caries

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19
Q

An infectious, transmissible, & communicable disease caused by bacteria, diet, and the right pH

A

Caries

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20
Q

Enamel is made from what?

A

Hydroxyapatite (hy-droxy-apa-tite)

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21
Q

[Ca10(PO4)6(OH)2] also means?

A

Hydroxyapatite (enamel)

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22
Q

This forms on the tooth (derived from saliva & first stage of plaque/biofilm).

A

Pellicle

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23
Q

What are the three major bacteria’s that cause caries?

A

Mutans streptococcus (MS), Sobrinus Streptococcus, & Lactobacillus species

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24
Q

Acids diffuse between the enamel crystals through diffusion channels from a concentration gradient & produces hydrogen ions which dissolve the calcium phosphate minerals of the subsurface enamel or dentin process is called?

A

Demineralization

25
Q

Demineralization can be halted or reversed because of?

A

Remineralization

26
Q

What are the four types of caries? (“Best” to worst)

A

1) Chronic
2) Arrested
3) Recurrent
4) Rampant or Acute

26
Q

Four stages of caries are?

A

1) Initial infection
2) Early subsurface lesion
3) White area lesion (early stage = bright/smooth) (late stage = white and rough)
4) Cavitation

27
Q

This approach you wait for disease and treat, and watch lesions get larger.

A

Surgical

28
Q

This approach is more of a risk based approach where you identify those at risk who are more likely to develop caries

A

Medical

29
Q

Bacteria passed from mother to child is called what?

A

Vertical transmission

29
Q

What three locations are caries most frequent?

A

1) Pit/fissures
2) Cervical 1/3rd
3) Cementum/root

30
Q

Why do we dry teeth?

A

We dry teeth to determine which stage of the caries process. The saliva will masks the dull or shine of a tooth.

31
Q

Light Emitting Diode (LED) and fiber optic technologies to accurately detect both occlusal and interproximal caries

A

Caries ID

32
Q

What’s another way we can see caries?

A

Radiographs

33
Q

Name four things you will need to look for caries.

A

1) LOTS of air
2) Mirror, sharp eyes
3) VERY goo lighting
4) Caries ID

33
Q

A naturally occurring 5-carbon sugar polyol which is not fermentable by MS or LB which can be used to control caries is?

A

(Xylitol) Gum

34
Q

What is another control strategy for caries?

A

Chlorhexidine-RX rinse

35
Q

This is a silver filling and is called?

A

Amalgam

36
Q

These are tooth colored fillings which is called?

A

Composites

37
Q

In dental charting, this is outlines in blue.

A

Composites

38
Q

In dental charting, this is solid blue.

A

Amalgam (silver filling)

39
Q

Gold foil is usually placed where?

A

In the cervical third of the tooth

40
Q

A protective coating placed on pits & fissures of teeth to prevent decay.

A

Sealant

41
Q

When a tooth has had too much tooth structure lost due to decay trauma, weakened tooth structure (root canal/infection) or fractures etc.

A

Crown

42
Q

A restoration that is made and fitted for the tooth and COVERS a cusp(s).

A

ONlay

43
Q

Fitted IN a tooth and cemented in the tooth.

A

INlay

44
Q

Porcelain facings that add onto the tooth to change the look of a smile.

A

Veneers

45
Q

A bridge is usually made when a tooth has been extracted.

A

Fixed bridge

46
Q

In a fixed bridge, there are ___ abutment teeth and __ pontic teeth

A

2 abutment teeth (cover natural tooth)
1 pontic tooth (dummy”) tooth

47
Q

A classification system that originally described surfaces of caries now it also describes restoration is called what?

A

GV black’s Classification System

48
Q

This class has:
-Pits and fissures only
Surfaces involved:
-Occlusal of premolars and molars
-Lingual of maxillary incisors

A

Class 1

49
Q

This class has:
-Proximal surfaces of posterior teeth
-Occlusal surfaces if tooth in contact with another tooth
Notice how these restorations all cover the marginal ridge

A

Class 2

50
Q

This class has:
-Proximal surfaces of anterior teeth
-Incisal angle NOT involved

A

Class 3

51
Q

This class has:
-Proximal surfaces of incisors and canines
-Incisal angle IS included

A

Class 4

52
Q

This class has:
-Gingival third (cervical 1/3) of facial or lingual surfaces of any tooth

A

Class 5

53
Q

This class has:
-Incisal edge of anterior teeth
-Cusp tips of posterior teeth

A

Class 6

54
Q

1) Simple involves ___ surface(s)?
2) Compounds involves ___ surface(s)?
3) Complex involves ___ surface(s)?

A

1) 1
2) 2
3) 3

55
Q
A