Dentistry for Doctors Flashcards

1
Q

What are the 2 most prevelant diseases in the world?

A
  • Dental Caries

- Periodontal disease

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2
Q

What percentage of scottish adults are edentulous? (Have no teeth)

A

9% (2014)

- 44% (1972)

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3
Q

What percentage of annual health care budget goes to dentistry?

A

~ 5%

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4
Q

What is the most common reason for a child to have a general anaesthetic in the UK?

A

Dental extractions

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5
Q

What is the consequence of dental abscesss?

A

Infection (can be chronic) - drains out through gum usually

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6
Q

How common are oral and oropharyngeal cancers?

A

6th most common malignancy and incidence in young is rising (HPV?)

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7
Q

How many patients with dental issues are seen a year by GPs?

A

30 - 48 (usually seeking a course of antibiotics)

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8
Q

When should an ulcer be considered malignant until proven otherwise?

A

If present after 3 weeks

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9
Q

What are different examples of cancers of the mouth?

A
  • Squamous cell carcinomas

- Leukoplakias

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10
Q

What do pre-malignant leukoplakias look like?

A
  • White

- Or red velvety patch

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11
Q

Why do oral mucosal lesions often look white?

A

Unshed dead keratin - abosrbs light

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12
Q

What may TMJ (temporo-mandibular joint) disfunction syndrome present with?

A
  • Trismus and pain
  • Possibly clicking
    Refer to dental hospital
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13
Q

What are the 2 main components of teeth?

A
  • Enamel (hard but brittle)

- Dentine (soft but flexible)

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14
Q

What lies in the middle of a tooth?

A

The dental pulp (leaves dentine on outside and shrinks in (contains nerve, blood vessels and connective tissue)

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15
Q

How many of each tooth in each quadrant (primary/baby) teeth?

A

5

  • 2 incisors
  • 1 canine
  • 2 molars
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16
Q

How many of each tooth in each quadrant in an adult?

A

8

  • 2 incisors
  • 1 canine
  • 2 premolars
  • 3 molars (wisdom tooth)
17
Q

When does eruption of adult teeth begin?

A

6 years

18
Q

When do babies start to get teeth?

A
  • 6 months first tooth

- All baby teeth at 30 months

19
Q

When are all baby teeth shed?

A

12

20
Q

What percentage of people do not develop wisdom teeth?

A

25%

21
Q

What is plaque?

A

A micro biofilm (huge variety of species)

22
Q

Name some uncommon infections of the mouth that do not affect children or elderly?

A
  • Pericoronitis
  • Acute necrotizing Ulcerative Gingivitis (trench mouth)
  • Acute Alveolar Osteitis (dry socket)
23
Q

Describe the perfect storm which leads to dental caries and periodontal disease?

A

Perfect storm between a dysfunctional soma (high sugar, poor oral ygiene), and a dysfunctional psyche (poor motivation) leading to a disrupted homeostasis in the microbiome, changing it from benign / protective to actively pathogenic

24
Q

WHere are the 2 places where the vast majority of cavities occur?

A
  • Near base of the fissure

- Below contact point

25
Q

What bacteria may dissolve enamel, cause cavities and feed off sugar?

A
  • Strep Mutans
  • Lactobacilli
    Drive out competitor micro-organsims
26
Q

What is periodontal disease?

A
  • Loss of hoeostasis in biofilm
  • Plaque which is left undisturbed under gingival margin causes localised inflammation causes gingivy to swell bone resorbs to increase blood flow, bone shrinks and takes epithelial attachment with it causes pocket in tooth with many bacteria - only starts to hurt at end stages
27
Q

How large can a pocket be in periodontal disease?

A

6 - 7 mm

28
Q

How can periodontal disease cause disease elsewhere in the body?

A
  • Periodontal tissues are very vascular and blood vessels within the inflamed tissue are very leaky allowing periodontal bacteria (bacteraemia) and inflammatory mediators to spill over into the bloodstream
29
Q

What diseases are thought to possibly have a link to periodontal disease?

A
  • Cardiovascular disease
  • Diabetes
  • Pulmonary disease
  • Kidney disease
  • Adverse pregnancy outcomes (pre-eclampsia)
30
Q

What are the different types of dentists?

A
  • Primary care dentist, therapist and hygienist
  • Restorative and implant dentist
  • Endodontist
  • Paediatric dentist
  • Prosthodontist
  • Periodontist (gums)
  • Oral surgeon (within jaw)
  • Orthodontist
  • Oral and maxillo facial surgeon (head and neck cancer mostly)
  • Special care dentist (medical compromise)
  • Oral medicine specialist (lumps and mumps)
  • Specialist in Dental Public Health
31
Q

What is the acid etch technique?

A

Dry surface then etch it with 33% phosphoric acid will demineralise and pause possibly 20-30 microns into the tooth surface this is then dried off and a thin monomoplastic is flowed in which is them polimerised wih light and a filling material which is the same plastic but filled with various tiny glass beads which are the shades/colours required

32
Q

What structure causes the colour on someone’s teeth?

A

The colour of the dentine (not enamel)