Dentifrices and Hypersensitivity Flashcards

1
Q

What is the active ingredient in most toothpastes?

A

Fluoride (MPF)

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2
Q
The following are \_\_\_\_\_\_
Silicas
Carbonates
Phosphates
- used to remove surface stains
A

Abrasive agents

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3
Q
The following are \_\_\_\_\_\_\_:
Aluminum
Calcium
Tin
- used to make tooth more slick
A

Polishing agents

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4
Q
\_\_\_\_\_\_ depends on 
▪Hardness
▪Size
▪Shape
▪Brushing Technique
▪Pressure of Brush
▪Hardness of bristles
▪Direction of brushing stroke
▪Number of strokes
A

Abrasiveness

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5
Q
Sorbitol
Manitol
Glycerin
Propylene Glycol
Maintain moisture 
Prevent evaporation
Prevent hardening
Increase shelf life
A

Humectants

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6
Q

What is the abrasive/polishing agent used with MPF in toothpastes?

A

Calcium carbonate

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7
Q
Natural Gums
Synthetic Cellulose
Seaweed Extracts
Thickening Agent
Stabilizes 
Prevents solids from settling out
A

Binders

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8
Q
\_\_\_\_\_\_ needs to be:
▪Pleasant
▪Immediate
▪Long lasting
Synthetic:
Spearmint      Cinnamon
Wintermint Peppermint
Vanilla     Citrus
Essential Oils:
Thymol Menthol
Eucalyptol      Methyl Salicylate
A

Flavoring agents

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9
Q

*Saccharin
*Cyclamate
Sorbitol
Mannitol
Glycerin
*Xylitol
** - Agents that serve as
humectants
-Used to counteract bitterness of

A

Sweeteners

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10
Q
▪ Sodium lauryl sulfate (SLS)
▪ Stable/compatible
▪ Some antibacterial properties
▪ Flavor easy to mask
▪ Low surface tension
Soaps
▪ Used in Early Toothpaste
▪ Disadvantages
▪ Irritating
▪ Flavor is difficult to mask
▪ Incompatible
A

Surfactant (Forming agent)

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11
Q

*All ADA Accepted toothpastes contain ________

A

Fluoride

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12
Q

No ADA Accepted toothpaste contains ______

A

sugar

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13
Q

What are the 3 types of fluoride used in anti-caries toothpaste?

A

NaF Sodium Fluoride
MFP
SnF2

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14
Q

Most OTC toothpastes are _____ ppm

A

1,000 ppm

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15
Q
Reported activity against:
- Caries
- Plaque
- Gingivitis
Research indicates superior 
efficacy:
- Antimicrobial
- Plaque**
- Gingivitis/gingival bleeding
- Calculus control
A

Stannous Fluoride

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16
Q

What is the most common ingredient in anti-hypersensitivity toothpaste?

A

Potassium Nitrate

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17
Q

What are the 2 *ANTI-HYPERSENSITIVITY toothpaste inredients?

A

Potassium nitrate

Stannous Fluoride

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18
Q

What are the 2 ingrediens for anti-gingivitis toothpastes?

A

Stannous Fluoride

Triclosan

19
Q
  • Contain:
  • Sodium bicarbonate
  • Silicate
  • Fluoride
A

baking soda toothpastes

20
Q

▪Tartar control toothpaste
▪Crystalline growth inhibitors interrupt
process of mineralization
▪Soluble pyrophosphates

A

▪Tartar control toothpaste

21
Q

Do baking soda toothpastes more effective than regular toothpastes?

A

No

22
Q

What are added to tartar control toothpastes?

A

Soluble pyrophosphates

23
Q

Whitening toothpastes control stains via ______ methods:

• Abrasives

A

• Physical Methods

24
Q

Whitening toothpastes control stains via ______ methods:
• Surface active agents or
bleaching/oxidizing
agents

A

• Chemical Mechanisms

25
Q

The following are used in _____ toothpastes

  • Hydrated silica
  • Titanium dioxide
  • Hydrogen Peroxide
  • Carbamide Peroxide
A

Whitening toothpastes

26
Q

Short sharp pain when stimulus reaches exposed dentin

A

Dentinal hypersensitivity

27
Q

What are the 4 modes of dentinal hypersensitivity?

A

thermal
tactile
Chemical
Evaporative

28
Q

Run from pulp to the outer dentinal surface
Can either be open or plugged
Number of tubules varies
Contain Tomes fibers
Extend into the dentinal tubules from the odontoblasts that
communicate with the pulp

A

Dentinal tubules

29
Q

_______ Dentin
•Tubules open to cavity
•Large number of tubules

A

Hypersensitive Dentin

30
Q

•Deposit of Salivary Proteins
•Debris from toothpaste and other
matter

A

Smear Layer

31
Q

Stimuli are transmitted to the pulp surface due to
the movement of fluid or semi-fluid within open
dentinal tubules

A

Brannstroms hydrodynamic theory

32
Q

What are the 2 mains ways dentinal hypersensitivty occurs?

A

Enamel loss

Gingival recession

33
Q

What are the 4 forms of enamel loss leading to dentinal tubules?

A

Abrasion
Bruxism
Abfraction
Erosion

34
Q

What is the most common cause of enamel loss?

A

erosion

35
Q

Are males or females more prone to have hypersensitivity?

A

Females

36
Q

What age group is most prone to have hypersensitivity?

A

20-40 yrs old

37
Q

What percentage of the population have hypersensitivity?

A

57%

38
Q

How long does sensitivity take to work?

A

2 weeks

39
Q

Significantly reduce hypersensitivity immediately
after treatment
Reduces dentin permeability

A

Glutaraldehyde/HEMA based agents - GLUMMA

40
Q

Forms a barrier over exposed dentin

Relief provided by calcium fluoride deposits

A

5% Sodium Fluoride Varnish

41
Q
Casein phosphopeptide – amorphous calcium phosphate
Mechanism of action:
- replaces calcium and phosphate ions
Use:
- apply with a prophy cup
- at home use
-applied after brushing teeth*
A

MI Paste

Recaldent (CPP-ACP)

42
Q

At home treatment for hypersensitivity:
Dentifrices containing 5% potassium nitrate
Works by penetrating the length of the tubule and preventing repolarization
Frequent and regular application is needed

A

Interference with neural transmission

43
Q

At home treatment for hypersensitivity:
Main active ingredient is fluoride
*Stannous Fluoride – most commonly used
*Arginine and calcium carbonate
Prescription Strength Fluoride Toothpaste
5,000 ppm (1.1% Sodium Fluoride) – Colgate PreviDent®

A

Tubule Occlusion