Lecture 18

Question 1

Establishing a dental home within six months of eruption of the first tooth and no later than 12 months of age to conduct a caries risk assessment and provide parental education including anticipatory guidance for prevention of oral diseases; Preventive interventions within the first year of life are critical

Answer 1

AAPD policy statement #4

Question 2

Microbial risk; Complex microbiome; Bacteria can be transmitted vertically from caregiver to child through salivary contact, affected by the frequency and exposure; Infants whose mothers have high levels of Strep mutans, a result of untreated caries, are at greater risk of acquiring the organism earlier than children whose mothers have low levels; Horizontal transmission (between other members of a family or children in daycare) also occurs

Answer 2

early childhood caries (ECC)

Question 3

T/F: diet does not play a role in remineralization

Answer 3

False

Question 4

Saliva rinses away carbohydrates, buffers acids; Minerals in saliva (calcium, phosphate) re-enter tooth; Good oral hygiene; destroys biofilm so bacteria can’t attach

Answer 4

remineralization

Question 5

caries attacking a previously intact surface

Answer 5

new lesion

Question 6

hard and shiny form of caries that does not have to be treated

Answer 6

arrested caries

Question 7

Educating legislators, policy makers, and third party payors regarding the consequences of and preventive strategies for ECC.

Answer 7

AAPD policy statement #6

Question 8

Can be white spot lesion, remineralized, incipient/initial lesion, rampant

Answer 8

caries

Question 9

3 classifications of caries

Answer 9

initial, moderate, and severe

Question 10

Avoiding frequent consumption of liquids and/or solid foods containing sugar particularly sugar-sweetened beverages

Answer 10

AAPD policy statement #1

Question 11

visible signs of enamel breakdown or signs the dentin is moderately demineralized; must be treated before it gets too out of control

Answer 11

moderate caries

Question 12

Implementing oral hygiene measures no later than the time of eruption of the first primary tooth. Tooth brushing should be performed for children by a parent twice daily, using a soft toothbrush of age-appropriate size; In children under the age of three, a smear or rice-sized amount of fluoridated toothpaste should be used. In children ages three to six, a pea-sized amount of fluoridated toothpaste should be used.

Answer 12

AAPD policy statement #2

Question 13

___ is infectious, manageable, and preventable

Answer 13

caries

Question 14

T/F: caries is a bacterial disease

Answer 14

True

Question 15

Providing professionally-applied fluoride varnish treatments for children at risk for ECC.

Answer 15

AAPD policy statement #3

Question 16

T/F: home care plays a role in remineralization by removing bacterial habitat so that bacteria can’t stick and cause demineralization

Answer 16

True

Question 17

makes teeth less susceptible to acid and strengthens enamel

Answer 17

fluoride

Question 18

Enamel demineralizes at pH of ____

Answer 18

5.5 or below

Question 19

primary microbes of caries

Answer 19

Strep mutans, lactobacillus, actinomyces

Question 20

ECC is ____ times more common than asthma

Answer 20

5x

Question 21

Raises pH to non-demineralizing levels; Flushes away floating microbes; Antibacterial properties; Calcium and phosphate ions to enter tooth

Answer 21

saliva

Question 22

presence of one or more decayed,missing, or filled tooth surfaces in any primary tooth in a child under the age of six.

Answer 22

early childhood caries (ECC)

Question 23

infectious Disease that is Multifactorial: Biofilm, bacteria, time, diet, habits, education, socioeconomic factors, etc

Answer 23

caries

Question 24

caries locations

Answer 24

pit and fissure; smooth surfaces

Question 25

caries left behind before filling is placed

Answer 25

residual caries

Question 26

caries occurs around margins of restoration

Answer 26

recurrent lesion

Question 27

proper diet starves _____

Answer 27

bateria (s. mutans)

Question 28

Working with medical providers to ensure all infants and toddlers have access to dental screenings, counseling, and preventive procedures

Answer 28

AAPD policy statement #5

Question 29

earliest clinically detectable lesion compatible with mild demineralization; limited to enamel or to shallow demineralization of cementum/dentin

Answer 29

initial caries

Question 30

T/F: caries can be active or arrested

Answer 30

True

Question 31

a higher risk of new carious lesions (primary and permanent teeth); hospitalizations and emergency room visits; high treatment costs; loss of school days, diminished ability to learn; diminished oral health-related quality of life

Answer 31

consequences of early childhood caries

Question 32

decay and crumbling of tooth, bacteria in dental plaque eat carbs from our diet, bacteria secrete acids, acids lower oral pH

Answer 32

caries

Question 33

susceptible host, bacteria, food source, and time

Answer 33

requirements for caries

Question 34

bacteria consume carbs from diet, acid is waste product, acid results in _______ of enamel

Answer 34

demineralization

Question 35

enamel is fully cavitated and dentin is exposed; dentin lesion is deeply/severely demineralized

Answer 35

advanced caries

Question 36

a carious lesion occurs when demineralization is _______ than remineralization over time

Answer 36

greater