MIDTERMS Flashcards
Objective method of determining whether caries is present
Lesion detection
Classification according to new lesions or recurrent lesions
- Primary caries
- Recurrent caries (Secondary caries)
- Rampant caries
Restoration and Sealant Codes: Lost or broken restoration
7
Caries Codes: Localized enamel breakdown without clinical visual sign of dentin involvement
3
a conical beam together with the flat sensor travels 360 degrees around objects
Code Beam Computer Tomography
When spread of caries along the DEJ exceeds in contagious enamel
Backward caries
CAMBRA: MODERATE (PERIODIC OE, FLUOIDE, DIET COUNSELING)
6 mos.
Brush 2x daily with F toothpaste +0.05% (220 ppmF) NaF mouth rinse (day and night)
Or Rx: 5000 ppmF toothpaste 2x daily
Reduce meal snacking
- Used for epidemiological investigations where the carious activity is at its late stage.
- it is also the primary developer of the records regarding carious activity
WHO organizational index
this is the deepest layer or zone, near dentin, and represents the advancing front of the lesion
- 10x more porous, not always present
Zone 1
Uses electrical conductivity to determine amount of demineralization
Electrical conductance measurement
Appears as a narrow radiolucent line around the root surface
PDL
Restoration and Sealant Codes: Sealant, partial
1
Caries cone in enamel is larger or equal to dentin
Forward caries
Found in gingival third buccal and lingual surfaces, proximal surfaces, and all smooth surfaces of teeth
Smooth surface caries
Restoration and Sealant Codes: sealant, full
2
Early dentinal changes
- Dentinal sclerosis
- Transparent dentin
- Initial decalcification of Dentinal Tubules
Name of Zone 1
Translucent zone
Carious dissolution of dental hard tissue always start on a tooth’s surface
Enamel caries
Lesion on unrestored surfaces
Primary caries
Shape of caries in radiographs in proximal surfaces
Triangular
Restoration and Sealant Codes: Not sealed or restored
0
Applies probe as electrode into fissures and the electrical conductance of the site is measured
Site-specific (Electrical conductance Measurement)
- Sign of initial carious lesion with first evidence of demineralization.
- formation is usually 3 weeks
White spots
Slow progressing, long standing lesions
Chronic caries
Zone 4
Surface zone
4 steps of diagnostic process
- Assemble all the facts
- Analyze and interpret data to reach a tentative or provisional diagnosis
- Make a differential diagnosis
- Select the closest, possible choice - Final Diagnosis
ICDAS codes and Criteria
- Occlusal
a. pits and fissures, b. Smooth surface (mesial, distal)
c. Caries associated with restorations and sealants - Root surfaces
Aims to characterize or monitor caries lesion once detected
Lesion assessment
Slightly darker than enamel in radiographs
Dentin
Caries Codes: First visual change in enamel only after prolonged air drying
1
Found in buccal and lingual surfaces of molars and lingual surface of maxillary anteriors
Pits and fissure caries
when enamel caries reaches the DEJ
Dentinal caries
Restoration and Sealant Codes: Temporary restoration
8
In this radiograph method, the whole oral cavity or dentition is seen
Panoramic
Pulp chamber and canals are seen as radiolucent lines within the tooth
Pulp Cavity
Implying a human professional summation of all data
Caries Diagnosis
CAMBRA: LOW (PERIODIC OE, FLUOIDE, DIET COUNSELING)
Brush 2x daily with F toothpaste
No diet counseling
Lesions developing adjacent to restorations
Recurrent Caries
In this radiograph method, the whole tooth is seen, and should be on the center of the radiograph
Intraoral Periapical
Caries Codes: Underlying dark shadow from dentin
4
Restoration and Sealant Codes: Tooth colored restoration
3
- Lies adjacent and superficial to the translucent zone
- does not transmit polarized light
Zone 2