Introduction Flashcards
what does restorative dentistry consist of
prevention
treatments
maintenance
what are the prevention procedures
initial risk assessment - what do and eat
education/prevention measures
reassessment
what re the treatments
stabilisation
rehabilitation
what is stabalisation
aims to cease disease process to then prevent and rehab such as perio diseases, caries and erosion
what does reahbiitaiton include
simple and complex restorations
what is maintenance
restorations don’t last forever are finite
amalgam 8-10 yrs
composite 5-8
what is dental caries
bacterial disease of calcified tissue of teeth characterised by demineralisation of inorganic and destruction of organic substance of the tooth
what are the requirements for caries
microorgansims on tooth, use sugar substrate to then produce acid which over time causes demineralisation of tooth which leads to caries
what kind of process is caries
dynamic process
what is a dynamic process
balance between demineralisation nd demineralisation
what pH favours demineralisation
pH
what pH favours remineralisation
pH > 5.5
what is important about an individuals saliva
buffering power
what are rampant caries
caries out of control
what is a caries risk assessment
informs and underpins effective preventative mesures
takes many forms
what is a cariogram
show interaction of caries related factors
chance to avoid caries
recommend prevention
what is risk
probability that some harmful event will occur
may be within a sp period of time
what is crime risk
probability indiv develop carious lesion
modified behaviour changes risk
what factors are considered in risk
harmful
protective
pas expeirene
what is DMFT
decayed missing filled teeth
what is DMFS
decayed missing filled surfaces
wat are DMFT’s
excludes wisdom teeth
less robust if used in elderly as more teeth lost thropeiro
what are DMFS’s
excludes wisdom teeth
surfaces with both caries an restorative score D
new caries in past years
what is related general diseases
med history n meds
- reduced salivary flow - med, radiation
- dietary behaviour
- impaired mobility
what are factors to be considered when looking at caries
diet
content fermentable carb
dairy
what test is done to look at diet
lactobacillus test
what about oral hygine to be considered
estimation of plaque % helpful
use of disclosing agent
what are some place retentive features
crowded teeth
overhanging restorations
no contact point restorations
estimation of what microorg is useful
streptococci
what can give fluoride expo
diet, water and oral hygiene products