Manag Flashcards
Zone of fatty degeneration of Tome’s fibers
Zone 1
Zone of dentinal sclerosis
Zone 2
Zone of initial decalcification of dentin
Zone 3
Zone of bacterial invasion of decalcified but intact dentin
Zone 4
Zone of decomposed dentin
Zone 5
There is continued formation of dentin
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
B
Brandywine Type
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
C
There is extremely thin Dentin
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
C
. This is most frequently referred to as hereditary opalescent dentin
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
B
teeth has short roots
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
C
always occurs in families with osteogenesis imperfecta
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
A
large pulp chambers
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
C
has a characteristic translucent hue
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
E
may be complete absence of dentinal tubules
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
E
partial obliteration of the pulp chambers
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
B
absence of scalloping in the DEJ
A. TYPEIDENTINOGENESISIMPERFECTA
B. TYPEIIDENTINOGENESISIMPERFECTA
C. TYPEIIIDENTINOGENESISIMPERFECTA
D. A&B
E. ALLOFTHEABOVE
C
Described as “lava flowing around boulders”
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
W-shaped roots of mandibular molars
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Pulp stones in pulp chambers
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
B
Coronal Dentin Dysplasia
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
B
large pulp chambers
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Radicular Dentin Dysplasia
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Described as ‘series of sand dunes”
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Periapical radiolucencies
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Slitlike remnant of pulpal tissue
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
A
Thistle shape to the root portion of pulp
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
B
Also known as rootless tooth
A. TYPE I DENTINDYSPLASIA
B. TYPE II DENTINDYSPLASIA
C. TYPE III DENTINDYSPLASIA
D. A&B
E. B&C
D
Acute means there is pain. Rampant means affecting many teeth.
Acute/ rampant caries
For adults; have been there for a long time but no pain.
Chronic carries
Decay areas you will find in the tooth with no cavity, so it has been arrested.
Arrest carries
Only one
Simple cavity
Two
Compound cavity
Three or more
Complex cavity
Defect in quality and color of enamel
ENAMEL HYPOCALCIFICATION
Hypoplastic, hypocalcified, hypomaturation
AMELOGENESIS imperfecta
Interstitial keratitis
CONGENITAL SYPHILIS
Incipient caries of enamel cannot remineralize.
a. True
b. False
B
Caries are characterized by demineralization of the inorganic portion and disintegration of the organic substance.
a. True
b. False
A
The earliest evidence of caries on smooth
enamel surface is an opaque white area or a white spot which does not have an intact surface.
a. True
b. False
A
A remineralized lesion appears as a brown
or discolored spot, thus, it should be restored.
a. True
b. False
B
The function of sclerotic dentin is to wall off irritants by fat deposition through the tubules thus, preventing the flow of irritants.
a. True
b. False
B
The shape of smooth surface caries is conical with the base at dentino-enamel junction and the apex is at the enamel surface.
a. True
b. False
B
The positive zone is the largest portion of a carious lesion in enamel surface.
a. True
b. False
B
The shape of a pit and fissure lesion is V-shaped with a wide area of involvement at the surface of enamel and the apex towards the dentino-enamel junction.
a. True
b. False
B
The second level of dentinal/pulpal response to irritation is the formation of replacement odontoblast which forms sclerotic dentin.
a. True
b. False
A
Acidurity is the ability of the bacteria to
produce acid from a fermentable substrate.
a. True
b. False
B
These organisms predominate in deeper caries of the dentin:
a. Acidogenic organisms
b. Proteolytic organisms
c. Aciduric organisms
d. Lipolytic organisms
B
The dentinal sclerosis is a reaction of a:
a. Vital dentinal tubules
b. Vital pulp or vital dentinal tubules
c. Vital pulp and vital dentinal tubules
d. Vital pulp
C
Dentino-enamel junction and the apex at the enamel surface
a. True
b. False
B
This is the area of greatest demineralization:
a. Surface zone
b. Dark zone
c. Body of the lesion
d. Translucent zone
C
These liquefaction foci may fuse horizontally producing:
a. Transverse clefts
b. Cross clefts
c. Longitudinal clefts
d. Crescents clefts
A
These organisms predominate in early caries of the dentin:
a. Acidogenic organisms
b. Proteolytic organisms
c. Aciduric organisms
d. Lipolytic organisms
A
The microorganisms that are found penetrating the tubules before there is any evidence of the carious processes:
a. First generation bacteria
b. Original bacteria
c. Pioneer bacteria
d. Primary bacteria
C
This is also known as the positive zone:
a. Dark zone
b. Surface zone
c. Translucent zone
d. Body of the lesion
A
In advanced dentinal caries, the following changes are notes, except:
a. Thickening and swelling of the sheath of Neumann
b. Increase in diameter of dentinal tubules
C. Decrease in diameter of dentinal tubules
d. Destruction of matrix by bacterial enzymes
e. Decalcification of dentin
C
This area may be uncalcified due to a
greater degree of mineralization or greater concentration of fluoride:
a. Translucent zone
b. Body of lesion
c. Dark zone
d. Surface zone
D
This type of caries occurs when the pH can be stabilized and caries progression may stop:
a. Residual caries
b. Arrested caries
c. Hidden caries
d. Static caries
B
In advanced dentinal caries, there is
presence of clefts.
a. True
b. False
A
. In Zone 5, the tubules will contain focal,
dense accumulations of bacteria that form liquefaction foci referred to as:
a. Bloating
b. Curling
c. Beading
d. Lobuling
C
The appearance of sclerotic dentin by
reflected light:
a. Light b. White c. Yellow d. Dark
D
26.This lies at the advancing front of the enamel lesion slightly more porous than sound enamel:
a. Surface zone
b. Dark zone
c. Body of the lesion
d. Translucent zone
D
In transmitted light, the sclerotic dentin appears:
a. Black b. Pink c. Yellow d. White
D
In older adults, the rate of carious destruction progresses:
a. Faster than young persons
b. Slower than young persons
c. As fast as the young persons
d. As slow as the young persons
e. Slower than young persons
B
Caries result to:
a. Demineralization of the inorganic portion
b. Destruction of the organic substance
c. All of the above
C
What is an infectious disease of mineralized tissues of teeth caused by microbial action and fermentable carbohydrates and that will now result in demineralization of the inorganic portion and destruction of organic substances?
a. TMJ problem
b. Diabetes
c. Caries
C
Caries classification according to location, except:
a. Pit and fissure caries
b. Smooth surface caries
c. Crown caries
C
Speed and morphology of carious lesions depends on the:
a. Classification
b. Area of origin
c. Number of surfaces involved
B
Inverted V-shaped (the base at DEJ and apex is at enamel surface); because it is an inverted V-shape, there is already mass destruction at the inner part of the tooth. When you visually drill it, you will be
surprised on how hollow it is inside:
a. Crown caries
b. Root caries
c. Pit and fissure caries
C
There is a small destruction in the enamel surface but already big destruction on the inner portion:
a. Pit and fissure caries
b. Root caries
c. Enamel caries
d. Smooth surface caries
A
Usually V-shaped. This wide involvement is at the surface and goes narrower as you go to the DEJ:
a. Pit and fissure caries
b. Root caries
c. Enamel caries
d. Smooth surface caries
D
Has U-shaped and it is based on the surface of the root:
a. Pit and fissure caries
b. Root caries
c. Enamel caries
d. Smooth surface caries
B
Properties that contribute to
microbial
pathogenicity and cariogenicity:
➢ Ability of the organism to produce acid
from fermentable substrate
➢ You need an acidic environment for
cariogenic bacteria to thrive
a. Acidogenicity
b. Adhesion
c. Acidurity
A
Properties that contribute to microbial
pathogenicity and cariogenicity:
➢ The ability to attach or adhere to the
tooth surface to form dental plaque
The microorganisms can be able to produce a matrix attaching to the tooth, so it will be able to produce biofilm, a matrix where it can really grow and thus cause caries
a. Acidogenicity
b. Adhesion
c. Acidurity
B
Properties that contribute to microbial
pathogenicity and cariogenicity:
➢ This is the ability of the organism to
survive in an acidic environment
a. Acidogenicity
b. Adhesion
c. Acidurity
C
During the EARLY stage of enamel caries, this is what happens; if you notice the surface enamel is still intact but you already have something going on inside.
Histopathology of Enamel Caries
Also known as the positive zone which actually form as a result of demineralization:
a. Zone 1: translucent zone
b. Zone 2: dark zone
c. Zone 3: body of lesion
d. Zone 4: surface zone
B
Innermost; inner crystallization zone, and
the enamel here is hypercalcified more than the normal enamel:
a. Zone 1: translucent zone
b. Zone 2: dark zone
c. Zone 3: body of lesion
d. Zone 4: surface zone
A
Outermost; appears to be
unaffected. The greater resistance of the surface layer may be due to greater degree mineralization or greater concentration of fluoride on the surface enamel:
a. Zone 1: translucent zone
b. Zone 2: dark zone
c. Zone 3: body of lesion
d. Zone 4: surface zone
D
Zone of transparent dentin wherein there is a reaction of vital dentinal tubules and vital pulp resulting into calcification of dentinal tubules due to deposition of calcium salts
a. Zone 1: Zone of fatty degeneration of Tome’s fibers
b. Zone 2: Zone of dentinal sclerosis
c. Zone 3: Zone of initial decalcification of dentin
d. Zone 4: Zone of bacterial invasion of decalcified but intact dentin
B
Innermost zone; there is deposition of fat
lobules and formation of fatty materials
A. Zone. 1: zone of fatty degeneration of tomes fiber
b. Zone 2: Zone of dentinal sclerosis
c. Zone 3: Zone of initial decalcification
of dentin
d. Zone 4: Zone of bacterial invasion of
decalcified but intact dentin
e. Zone 5: Zone of decomposed dentin
A
- This is a narrow zone, preceding bacterial invasion. Involves the walls of the tubules allowing them to distance likely as they become packed with masses of microorganisms:
a. Zone 1: Zone of fatty degeneration of Tome’s fibers
b. Zone 2: Zone of dentinal sclerosis
c. Zone 3: Zone of initial decalcification
of dentin
d. Zone 4: Zone of bacterial invasion of decalcified but intact dentin
e. Zone 5: Zone of decomposed dentin
C
Class III - all of the 3rd molar inside ramus
A. True
B. False
A
Overgrowth of cementum
A. Ghostteeth
B. Hypercementosis
C. Concrescence
D. Turner’stooth
E. Cementicles
F. Dentinogenesis imperfecta
B
In dental caries, zone 4 can still be preserved
A. True
B. False
B
This area may be unaffected due to a greater degree of mineralization or a greater concentration of fluoride
A. Surface zone
B. Darkzone
C. Bodyofthelesion D. Translucentzone
A
results to defective shape of enamel
A. Fluorosis
B. Hypocalcification
C. Hypoplasia
D. Ghostteeth
E. Turner’stooth
F. Congenital syphilis
C
Mulberry molars
Congenitalsyphilis
B. Ghostteeth
C. Amelogenesisimperfecta
D. Hypoplasia
E. Fluorosis
F. Dentinogenesis imperfecta
G. Hypocalcification
A.
Also known as regional odontodysplasia A. Amelogenesisimperfecta
B. Hypoplasia
C. Ghost teeth
D. Turner’s tooth
E. Hypocalcification
F. Dentinogenesis imperfecta
C
Results to defective color of enamel
A. Ghostteeth
B. Hypocalcification
C. Hypoplasia
D. Amelogenesisimperfecta
E. DentinogenesisImperfecta
F. Turner’s Tooth
G. Fluorosis
H. Concrescence
B
Mottled enamel
A. Hypocalcification
B. Ghostteeth
C. Turner’stooth
D. Fluorosis
E. Amelogenesisimperfecta
F. Dentinogenesis Imperfecta
G. Hypoplasia
D
Small calcified areas found in periodontal membrane
A. Hypercementosis
B. Cementicles
C. Ghostteeth
D. Denticles
E. Osteodentin
B
Results to defective shape of enamel
A. Fluorosis
B. Hypocalcification
C. Hypoplasia
D. Ghostteeth
E. Turner’steeth
F. Congenital syphilis
C
A type of hypoplasia due to local infection or trauma
A. Turner’stooth
B. Hypoplasia
C. Dentinogenesisimperfecta D. Amelogenesisimperfecta E. Ghostteeth
F. Hypocalcification
G. Fluorosis
A
Hutchinson’s incisor
A. Ghostteeth
B. Fluorosis
C. Dentinogenesisimperfecta D. Congenitalsyphilis
E. Hypocalcification
F. Hypoplasia
G. Amelogénesis imperfecta
D
A group of hereditary disorders of enamel
formation in both dentitions
A. Concrescence
B. Fluorosis
C. Hypoplasia
D. Turner’stooth
E. Amelogenesisimperfecta
F. Ghost teeth
G. Hypocalcification
E
Both enamel and dentin are thin
A. Fluorosis
B. Ghostteeth
C. Hypoplasia
D. Hypocalcification
E. Turner’stooth
F. Amelogenesis imperfecta
G. Dentinogenesis imperfecta
B
Translucent zone
Zone 1
Dark zone
Zone 2
Body of lesion
Zone 3
Surface zone
Zone 4
