CARIOLOGY > LESSON 2: DENTAL CARIES > Flashcards

LESSON 2: DENTAL CARIES Flashcards

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1
Q

According to ________, dental caries is an infectious microbiological disease of the teeth that results in localized dissolution and destruction of calcified tissues.

A

Sturdevant

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2
Q

According to ________, dental caries are localized post eruptive pathological process of external origin involving softening of the heard tooth tissue and preceding to the formation.

A

World Health Organization (WHO)

(Hindi masisira ang ngipin unless erupted. Hanggat hindi na expose sa bacterial environment hindi siya masisira.)

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3
Q

According to ________, dental caries are microbial disease of the calcified tissues of the teeth, characterized by demineralization of the inorganic portion and destruction of the organic substance of the tooth

A

Shafer, Hine, Levy

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4
Q

What are the classification of caries?

A
  1. Based on Anatomical Site
  2. Based on Progression
  3. Based on the virginity of the lesion
  4. Based on Extend of Caries
  5. Based on the Direction of the Attack
  6. Based on the Number of Surfaces Involved
  7. Based on Chronology
  8. G.V. Black Classification
  9. Based on Tissue Involved
  10. WHO Classification
  11. Other Classification
  12. Classification according to Mc Ghee
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5
Q

Anatomical Site Classification and Definition

A
  1. Pit and Fissure Caries - Occlusal on Posterior, Buccal/Lingual on Upper Incisors
  2. Smooth Surface Caries - Proximal, Buccal, Lingual Surface
  3. Root Caries - CEJ, Structures below gingiva
  4. Interproximal Caries - Mesial side co-incise with the distal side (Two teeth involved)
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6
Q

Caries Based on Progression

A
  1. Acute - Rapid
  2. Chronic - Long standing lesions
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7
Q

Types of Acute Progression

A
  1. Rampant Caries
  2. Nursing Bottle Caries
  3. Radiation Caries
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8
Q

These caries are rapidly invading and involves several teeth. Its lesions are soft and light colored. Pulp is already involved at early stage.

A

Acute Progression

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9
Q

These caries under Acute Progression are suddenly appearing and widespread. It results in early involvement of the pulp.

A

Rampant Caries

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10
Q

Nursing Bottle Caries are also known as?

A
  • Nursing Caries
  • Nursing Bottle Mouth
  • Nursing Bottle Syndrome
  • Bottle Propping Caries
  • Comforter Caries
  • Baby Bottle Tooth Decay
  • Tooth Cleaning Neglect
  • Maternally Derived Streptococcus Mutans Disease or MDSMD (New Name)
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11
Q

Radiotherapy is associated with the dryness of the mouth or ________ due to decreased salivary secretion.

A

Xerostomia

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12
Q

These caries are caused by decreased salivation from radiotherapy.

A

Radiation Caries

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13
Q

These caries which fall under the category of based on progression involve lesions that are long standing, fewer in number, and smaller than the acute lesions.

A

Chronic Caries

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14
Q

Decalcified dentin is ________ and ________.

A

Dark brown and Leathery

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15
Q

Type of Chronic Caries

A

Arrested Caries

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16
Q

These caries are stationary and does not show any tendency for further progression due to the reparative dentin which forms in response to the stimulus of the caries.

A

Arrested Caries

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17
Q

Categories under Virginity of the Lesion

A
  1. Initial/Primary Caries
  2. Secondary/Recurrent Caries
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18
Q

It is the first attack on the tooth surface. Its designation is based on the initial location of the lesion on the surface rather than the extent of the damage.

A

Initial/Primary Caries

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19
Q

These are observed around the edges and under the restorations.

A

Secondary/Recurrent Caries

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20
Q

Common Locations of Secondary/Recurrent Caries

A
  1. Rough or overhanging margin
  2. Fracture place in all locations of the mouth.
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21
Q

Reasons why secondary/recurrent cavities occur.

A
  1. Not all caries have been removed during cavity prep.
  2. Cavity was not sealed properly, allowing bacteria to enter that space.
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22
Q

Classification based on Extend of Caries

A
  1. Incipient Caries
  2. Occult Caries
  3. Cavitated Caries

IOCin moh bohai moh backlah,,..,

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23
Q

These are early caries lesions that are best seen on smooth surfaces of the teeth. They are visible as white spots.

A

Incipient Caries

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24
Q

Incipient Caries undergo the process of ______ which indicates that the lesion is not for restorative treatment.

A

Remineralization

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25
These are caries found in dentin but no visible damage on the enamel. It is defined as hidden caries and can only be seen through radiographs or transillumination.
Occult Caries
26
Most common caries found on the tooth due to the presence of holes due to cavities.
Cavitated Caries
27
Caries Based on the Direction of the Attack
1. Forward Caries - enamel to dentin 2. Backward Caries - DEJ to enamel
28
Lesion is triangle in shape with base of triangle at enamel surface + apex towards dentin. In pits + fissures base is at DEJ and apex is in the pit.
Forward Caries It is based on the direction of dentinal tubules and enamel rods.
29
Triangle shaped with base at DEJ + apex towards enamel surface.
Backward Caries
30
Caries Based on the Number of Surfaces Involved
1. Simple Caries - 1 surface 2. Compound Caries - 2 surfaces 3. Complex Caries - 3 or more surfaces
31
Caries Based on Chronology
1. Early Childhood Caries - 4 to 8 years old 2. Adolescent Caries/Teenage Caries - 11 to 19 years old 3. Adult Caries - 55-65 years old
32
Other names for Early Childhood Caries
1. Nursing Caries 2. Rampant Caries
33
Categories under Early Childhood Caries
1. Type I (Mild) - molars/incisors of 2-5 year old kids due to their food intake and lack of oral hygiene 2. Type II (Moderate) - unaffected mandi incisors; from inappropriate feeding and lack of oral hygiene; occurs after the first tooth erupts 3. Type III (Severe) - all teeth are affected and is caused by multitude of factors
34
Caries is also described to be a rapidly burrowing type, with a small enamel opening.
Adolescent Caries/Teenage Caries
35
Caries that affect 55-65 year old people due to decreased salivary flow and root/cervical caries associated with clasp.
Adult Caries
36
Full Name of GV Black
Greene Vardiman Black
37
GV Black Classification: Occlusal surface of molars and lingual pits of incisors.
Class I
38
Class I GV Black Classification begins to appear in _______, _______, and _______.
pits, fissures, and defective grooves
39
GV Black Classification: Proximal aspects of posterior teeth.
Class II
40
GV Black Classification: proximal aspects of incisors; no incisal edge removal
Class III
41
GV Black Classification: proximal and incisal aspects of incisors; with incisal edge removal
Class IV
42
GV Black Classification: gingival third of all teeth, facial and lingual
Class V
43
GV Black Classification: lesions on incisal edges and cusp tips
Class VI
44
Classification based on Tissue Involved
1. Enamel Caries 2. Dentinal Caries 3. Cemental Caries
45
WHO Classification
D1 D2 D3 D4
46
WHO Classification: Clinically detectable enamel lesions with intact (non-cavitated) surfaces.
D1
47
WHO Classification: Clinically detectable cavities limited to enamel.
D2
48
WHO Classification: Detectable cavities in dentin.
D3
49
WHO Classification: Cavities extending into the pulp.
D4
50
Other Classification of Dental Caries
1. Senile Caries 2. Residual Caries
51
Caries associated with aging and almost exclusively seen on root surfaces.
Senile Caries
52
Caries that are not removed during restorative procedure.
Residual Caries
53
Mount G.J. (1997) classified dental caries based on _____ and _____.
Site and Size
54
Mount G.J. Site Classification
1. Site 1 2. Site 2 3. Site 3
55
Mount G.J. Site Classification: Includes lesions on pits & fissures of posterior teeth, buccal grooves of mandibular molars, palatal grooves of maxillary molars and erosion lesions on incisal edges.
Site 1
56
Mount G.J. Site Classification: includes lesions in contact areas of posteriors and anterior.
Site 2
57
Mount G.J. Site Classification: includes lesions originating in gingival third of all teeth.
Site 3
58
Mount G.J. Size Classification
Size 0 Size 1 (Mild) Size 2 (Moderate) Size 3 (Enlarged) Size 4 (Severe)
59
Mount G.J. Size Classification: includes lesions which have passed just beyond remineralization.
Size 1
60
Mount G.J. Size Classification: small and early enough to be remineralized with only residual stain
Size 0
61
Mount G.J. Size Classification: includes larger lesions, with adequate tooth structure to support restoration
Size 2
62
Mount G.J. Size Classification: includes lesions in which tooth structure & restoration are susceptible to fracture
Size 3
63
Mount G.J. Size Classification: includes lesion which have destroyed a major portion of tooth structure
Size 4
64
Classification according to Mc. Ghee
1. Superficial caries - surface of enamel affected 2. Simple caries - penetration into DEJ 3. Deep seated caries - cavity of sufficient depth 4. Caries with almost exposed pulp - large well defined cavity 5. Caries with pulp involvement 6. Caries with perforation laterally or through the floor of the pulp 7. Loss of crown of the tooth from caries 8. Caries on remaining root
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