Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Patient Care III > Fluoride > Flashcards

Fluoride Flashcards

1
Q

_____% of adults aged 20-64 have had dental caries in permanent teeth

A

92%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

___% of adults aged 20-64 have untreated decay

A

26

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A supplement to caries prevention-not a solution on its own:

A

Fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Fluoride is a _____ to caries prevention but not a ______ on its own

A

supplement; prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the priority to to caries control?

A

oral hygiene/plaque control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What must be addressed with the patient as an aspect of caries control?

A

Dietary habits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Type of fluoride therapy in which Ingested agents that become incorporated into forming tooth structure:

A

systemic application

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Type of fluoride therapy characterized by strengthening the teeth already in the mouth, making them more resistant to caries:

A

Topical application

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the two types of fluoride therapy?

A
  1. Systemic application
  2. Topical application
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Systemic application of fluoride therapy includes: (3)

A
  1. water
  2. supplements
  3. food/beverages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Topical application of fluoride therapy include: (3)

A
  1. water
  2. homecare (toothpaste, mouth rinses, etc.)
  3. in-office products
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the mechanism of action of systemic fluoride therapy?

A

Ingested and incorporated into enamel during development of tooth structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the mechanisms of action of topical fluoride therapy? (2)

A
  1. promoted remineralization and prevents demineralization after eruption
  2. inhibits glycolysis in bacteria, thereby inhibiting the ability of bacteria to metabolize carbohydrates and produce acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What type of fluoride therapy inhibits glycolysis in bacteria?

A

topical therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

An increase of the natural fluoride level in a community’s water supply to a level optimal for dental health:

A

Water fluoridation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fluoridation of water has contributed to a major decline in _______ from the 1950s to 1980s and continues to:

A

dental caries; reduce/prevent tooth decay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When cities discontinue water fluoridation, evidence demonstrates:

A

rapid increase in caries rates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Considered one of the most cost-effective preventive dental program by public health:

A

water fluoridation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Benefits of water fluoridation include:

  1. ____ decrease in caries in primary dentition
  2. _____ decrease in children/adolescent permanent dentition
  3. approximately ____ decrease in coronal caries and ______ decrease in root caries in adult population
A
  1. 30-39%
  2. 35%
  3. 20-30% ; 20-40%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What do we mean by shooting for an “optimal” level of water fluoridation?

A

Optimal= minimal caries with minimal fluorosis

(just the right amount)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

______ ppm decreases caries with less than _____% of population with fluorosis

A

.7 ppm; 10%

22
Q

What is the optimal level of water fluoridation?

A

0.6 ppm - 1.2 ppm

23
Q

Changes in the appearance of enamel caused by too much systemic fluoride:

A

Fluorosis

24
Q

Fluorosis is a change in the appearance of enamel caused by too much:

A

Systemic fluoride

25
Q

What can be seen in the following image?

A

Fluorosis

26
Q

Discuss how you can distinguish between demineralization of tooth structures and fluorosis:

A

Upon exploring, demineralized tooth structure will feel rough, whereas fluorosis will feel smooth

27
Q

The image on the left shows ______, while the image on the right shows _____

A

Left: demineralization of tooth structures

Right: Fluorosis

28
Q

Teeth are comprised of ____ inorganic substances, by comparison bones are typically around _____ inorganic

A

99%
70%

29
Q

Teeth are comprised of:

_____% minerals
_____% water
_____% proteins

A

95% minerals
4% water
1% proteins

30
Q

A tooth is composed primarily of minerals (95%). These minerals include:

A

Primarily calcium & phosphorus which bond together to form hard crystallites

31
Q

Fluoride is deposited into enamel during enamel maturation phase, resulting in a concentration of fluoride in the enamel:

A

Topical fluoride therapy

32
Q

Topical fluoride therapy is deposited into the _______ during the _______ phase, resulting in a concentration of fluoride in the enamel

A

enamel; enamel maturation

33
Q

When using topical fluoride, the highest concentration occurs in the ______ portion (5-10 microns) and decreases as you ______

A

outermost; move toward the dentin

34
Q

When using topical fluoride, fluoride ions are substituted in the _____ and form a stable, more compact bond, making the tooth resistant to ____

A

hydroxyapatite crystal; demineralization

35
Q

Topical fluoride does NOT cause:

A

Fluorosis

36
Q

The enamel’s reaction to fluoride is influence by: (3)

A
  1. concentration of fluoride
  2. pH of fluoride
  3. length of exposure
37
Q

Acidic fluorides typically form:

A

Calcium fluoride

38
Q

Higher concentrations of fluoride form:

A

Calcium fluoride

39
Q

In office fluorides are > _____ ppm so they typically form ______

A

9000 ppm; calcium fluoride

40
Q

Fluorides you can buy over the counter are considered:

A

Neutral fluorides

41
Q

Neutral fluorides < _____ ppm form _____

A

100 ppm; fluorapatite

42
Q

Benefits of topical fluoride include: (3)

A
  1. remineralization
  2. interferes with bacterial metabolism
  3. prevention
43
Q

Types of topical fluoride applications:

A

1) 2% Neutral sodium fluoride (9000 ppm) foam or gel application

2) 1.23% Acidulated Phosphate Fluoride (APF) (12,300 ppm) foam or gel

3) 5.0% NaF (22,600 ppm) varnish

44
Q

1) 2% Neutral sodium fluoride (9000 ppm) foam or gel application

2) 1.23% Acidulated Phosphate Fluoride (APF) (12,300 ppm) foam or gel

3) 5.0% NaF (22,600 ppm) varnish

Of the listed types of topical fluoride applications, which label which are commonly/rarely used in practice:

A

1) rarely used in practices

2) rarely used in practices

3) commonly used in practices

45
Q

Initial deposits of fluoride is:

A

NOT permanent

46
Q

What happens to the topical fluoride after 24 hours after the initial application:

A

relatively rapid loss

47
Q

What happens to the topical fluoride in the several weeks following the initial application:

A

Loss continues for several weeks

48
Q

After every application of topical fluoride, there is an increase in the amount of _____ fluoride in the ______

A

permanently bound; outermost layer of enamel

49
Q

After every application of topical fluoride, there is an increase in the amount of permanently fluoride in the outermost layer of enamel.

This causes:

A

A decrease in caries susceptibility (initiation & progression)

50
Q
A

Patient Care III (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions