LP6 Flashcards

1
Q

what is the most important measure for prevention?

A

treatment of disease

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2
Q

when can treatment take place?

A

only after a diagnosis is made

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3
Q

3 objectives of caries management

A
  1. determine restorative treatment needs
  2. determine areas that require remineralization
  3. define steps for a remineralization program
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4
Q

what must be charted for restorative treatment needs? (4)

A
  1. existing restorations and sealants
  2. caries
  3. recurrent caries
  4. sealants in need of repair
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5
Q

what must be done for areas that require remineralization

A
  1. chart white spots and white cervical lines

2. outline appropriate strategies for the patient

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6
Q

what are the steps for remineralization program

A
  1. explain needs and corrective methods for patient understanding
  2. prepare and explain risk assessment for individual patient
  3. select and demonstrate procedures that must be followed
  4. plan for evaluation and re-evaluation at continuing maintenance appointments
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7
Q

what are the two different approaches to treatment?

A
  1. mechanical

2. preventative

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8
Q

what must be considered when taking the preventative approach?

A
  1. patients dental knowledge
  2. social status
  3. medical history
  4. biofilm control
  5. oral hygiene status
  6. fluoride exposure
  7. diet habits
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9
Q

the earlier the caries detected the _____ the restoration and greater outcomes

A

smaller

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10
Q

what pre-treatment decisions should be asked

A
  1. do you treat disease causing the decay?

2. do you restore the decay which is the result of the disease?

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11
Q

to treat the disease, the general approach recommended is to: (3 steps)

A
  1. identify the factors causing the disease and modify appropriately
  2. provide appropriate treatment modalties and make recommendations
  3. evaluate success through a recall
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12
Q

treating the disease will _____ or ______ the possibility of the disease from progressing. how can this be done?

A

reduce or eliminate

done by patient ed

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13
Q

when treating the decay, which is the result of disease what should be addressed?

A
  1. any symptomatic teeth-any tooth with caries is causing sensitivity and or carious lesion is near the pulp
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14
Q

what are the 3 levels of treatment

A
  1. primary
  2. secondary
  3. tertiary
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15
Q

characteristics and examples of primary treatment

A
  • directed toward pre-pathogenisis stage
  • services which prevent initiation of disease
  • ex: sealant, fluoride, OHI
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16
Q

characteristics and examples of secondary treatment

A
  • directed toward initial stages of disease pathogenesis
  • intervene or prevent the progression and recurrence of disease
    ex: small lesions (MO, MA, O) resotrations
17
Q

characteristics and examples of tertiary treatment

A
  • directed toward end result of disease pathogenesis
  • provide rehabilitation
  • ex: Root canal therapy, implants, and bridges
18
Q

post-op recommendations

A
  • get under control
  • stabilize before reconstruction
  • recommend decrease of risk factors
  • replace fractures/overhangs
  • extract unsalvagable teeth
  • establish regular dental exam
19
Q

define occlusal amalgam

A

one-surface restoration

20
Q

define MOD amalgam

A

3 surface restoration

21
Q

example of a 2 surface amalgam

A

MO or DO

22
Q

define root surface amalgam

A

amalgam restoration on the cervical or root of tooth

23
Q

define gold onlay

A

prepared cast restoration that is cemented in place by frictional and mechanical factors that covers one or more cusp tips
-less tooth surface is removed when comparing inlays to full cast crowns

24
Q

define porcelin inlays

A

prepared cast restoration that is cemented in place by frictional and mechanical factors with in the occlusal surface

  • doesn’t cover cusp tips
  • less tooth surface is removed when comparing inlays to full cast crown
25
Q

define full porcelin crowns

A

prosthesis clinical crown attached to the natural root of the tooth
-anatomy replicated that of natural tooth surface

26
Q

define implant

A

attachment that is surgically inserted into or onto bone

-tooth replacement is then secured on to the attachment

27
Q

define fixed partial denture or bridge

A

permanently attached replacement that requires existence of natural teeth for support

28
Q

define removable partial

A

requires existence of some natural teeth in arch, and arch specific

29
Q

define complete removable denture

A

prosthetic replacement of all teeth, complete removable maxillary and mandibular denture

30
Q

define dental grill

A

fixed/removable attachment

known as a jewelry item