Module 24 ch 26 Flashcards
There is a constant process of _____ and ______ on the tooth surface.
demineralization
remineralization
The basic caries process starts with?
biofilm
acidogenic bacteria
The acidogenic bacteria metabolize ______ which produces an _____
fermentable carbs we ingest
acid
_____ bacteria are most active during the initial stages of demineralization
Mutans Streptococci
Lactobacilli are most active during the _____
progression of the cavity
Transmission of acidogenic bacteria to a child is usually from?
infected family members
What are some types of fermentable carbs?
sucrose
glucose
fructose
___ of ingestion of sugary foods has a strong influence on amount of acid produced.
frequency
The acid produced by the bacteria dissolves the ______ and _____ ions of enamel and dentin?
calcium
phosphorus
Remineralization can ___ or halt the demineralization process
arrest
Saliva acts to ___ acids and supply ____ to the tooth
buffer
minerals
______ is a continuous source for fluoride transport to the tooth.
Saliva
Fluoride can inhibit _____ in the biofilm
bacteria
A cavity is the ______ of the caries infection
end-stage
The ______ is an invisible lesion
initial infection
An early subsurface infection is generally ______
invisible
A white area Lesion can be seen by?
drying surface and viewing under bright light
What are the stages of Dental Caries
Initial Infection Early Subsurface Infection White Lesion White Lesion Advanced Cavitation
What caries needs x-rays to confirm depth
proximal
What x-rays are used to detect root caries
V BWX
X-rays can’t reveal true depth of early caries not extending into dentin?
True
Patients with one or more cavitated lesions are assigned a CAMBRA _____ level
high risk
A CAMBRA extreme risk level is assigned when _______ is present in addition to _____ lesions
Xerostomia
Cavitated
A first approach to treating caries as a disease is to eliminate?
causative factors
______ gum can reduce levels of streptococcus mutans
Xylitol
What chemotherapeutic is highly effective against mutans streptococcus infections
Chlorhexidine (.12%)
