Dental charting and caries detection

Question 1

What does the patient assessment allow

Answer 1

information gatherting

diagnoses, prognoses and risk assesses to make a treatment plan

Question 2

key stages in the patient assessment

Answer 2

history takin
patient examination
special tests

Question 3

dental charting

Answer 3

recording of the current condition of the dentition at a point in time

Question 4

what does dental charting detect

Answer 4

present
absent 
sound 
restored
caries
tooth surface loss
fractures

Question 5

what should dental restorations follow

Answer 5

natural contours of the teeth

Question 6

tooth notation systems

Answer 6

DI
universal
Zsigmody palmer notations
alphaneumeric system

Question 7

types of restroations

Answer 7

indirect

direct

Question 8

indirect restorations

Answer 8

crowns
veneers
bridges
(usually made by dental technicians)

Question 9

direct restoratios

Answer 9

amalgam
compositite
glass ionomers
placed directly one appointment

Question 10

what can caries do/lead to

Answer 10

as caries gets larger it proceeds to pulp
loss of tooth structure
pulp inflammation or pulp infection

Question 11

factors required for caries

Answer 11

tooth
bacteria
diet 
time
imbalance for 4 days

Question 12

benefits of early caries detection

Answer 12

reduced need for operative intervention
greater preservation of tooth structure
reduced mechanical failure of teeth and restorations

Question 13

succeptibletooth surfaces

Answer 13

pits and fissures of posterior teeth
gingival margin
below contact point of teeth (proximal surfaces)

Question 14

caries detection steps

Answer 14

clean and try teeth
good lighting
use of magnification
sharp eyes not probe
careful use of round ender probe to check for cavitiation

Question 15

special investigation to aid detection

Answer 15

radiographs
transillumination
laser fluoresence

Question 16

radiograph types

Answer 16

bitewing
periapical
OPG

Question 17

bitewing radiographs

Answer 17

proximal caries detection

occlusal only detected if extensive

Question 18

periapical

Answer 18

used for more anterior teeth

can see entire extent of roots

Question 19

transillumination

Answer 19

light shone through contact points of teeth
more reliable anterior teeth
shadowing may suggest caires

Question 20

laser fluorscence

Answer 20

detect demineralisation
accuracy affected by plaque/food
risk of false positives

Question 21

classifying carious lesiosn

Answer 21

size of depth
site
cavitiation
nature of progression
activity 
tooth restoration status
https://iccms-web.com/content/icdas

Question 22

types of caries

Answer 22

primary

secondary (caries associated with restorations and sealants)

Question 23

primary caires

Answer 23

lesions initiating and progressing on previously unrestored tooth surface

Question 24

secondary caries

Answer 24

initiation and progression of caries lesions on a restored tooth surface