Oral Diseses And Bpe Flashcards

1
Q

What is bone score 0 mean ?

A

No pocketing no calculus all overhangs and no bleeding on probing

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2
Q

What does BPe score one mean

A

No pockets above 3.5 mm coloured bands remained totally visible no calculus or overhangs of fillings bleeding occurring after probing

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3
Q

What does BPe code 2 mean ?

A

No pockets above 3.5 mm coloured band remains totally visible supra and subgingival calculus and overhangs present

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4
Q

What does the Bpe code 3 mean

A

Pocket depth of 4 to 5 mm the coloured band is partly visible and calculus present and bleeding on probing

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5
Q

What does BPE code 4 mean

A

Pocket depths greater than 6 mm coloured band is not visible at all

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6
Q

What does BPE code star mean

A

Notice the presence of furcation along with bleeding on probing super and subgingival calculus

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7
Q

What are the main types of oral diseases

A

Dental Caries and chronic periodontal disease

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8
Q

What are waste products of oral bacteria

A

Acids

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9
Q

What does bacteria affect

A

Mineralised tissue strong crystal structures in the enamel and Dentine is demineralised by acid

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10
Q

What are the factors to develop in cavities

A

Carbohydrates bacteria week organic acids adverse time to attack

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11
Q

What produces acid

Use correct terminology

A

Streptococcus mutans
Lactobaccilli
Streptococcus sag is

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12
Q

How would you describe bacterial plaque or plaque biofilm

A

A sticky see-through substance and it attaches to keep bacteria on the teeth

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13
Q

Where does plaque sit

A

Stagnant areas

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14
Q

What does fire film turn acids into

A

Sugar

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15
Q

What to bacteria is make Caries

A

Streptococcus mutants and lactobacilli

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16
Q

What food is classed as protein

A

Meat fish dairy

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17
Q

What food is classed as fts

A

Vegetable oils and meet fat

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18
Q

What are classed as carbs

A

Natural sugars fibre from fruit fruit and vegetables plus processed artificial sugars

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19
Q

From food category what is the only one which will cause Caries

A

Artificial sugars

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20
Q

What does cariogenic foods mean

A

Foods that cause Caries

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21
Q

What does Intrinstic sugars mean

A

No added sugar to an item it was already there naturally

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22
Q

What does extrinsic sugars mean

A

Added sugar when the food was made such as lactose and honey are known as three sugars

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23
Q

What are free sugars

A

They are added at form by refined sugar added to tea three sugars are released in smoothies and sometimes added in manufacturing such as hidden sugar

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24
Q

What is dextrous

A

Sucrose glucose and it is the most damaging it instantly turns to acid and medications may have this in naturally

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25
Q

What is harmless to teeth

A

Milk extrinsic sugars such as lactose and intrinsic sugars such as raw fruit

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26
Q

Where can we find added sugars

A

Fruit smoothies dried fruit honey fruit juice and canned fruit

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27
Q

Explain acid formation

A

In 1 to 2 minutes it’s turned into acid acid lasts about 20 Minutes to 2 hours then demineralisation occurs at PH 5.5 or above then the pH in Slava buffers to slow this down and to make it stopThen the pH will return to 7 then natural healing and remilitarisation then we eat and it starts all over again

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28
Q

What are the sites of Caries

A

Fisher sealants
medial and distal areas
stagnant areas and contact points

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29
Q

What does a white spot lesion mean

A

It is an early sign of the carious lesion

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30
Q

What does a brown spot on a contact point of a tooth mean

A

This is remineralise area

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31
Q

Will a patient have a pain if Careys are in the enamel

A

No as there is no nerve tissue here

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32
Q

What is more likely to happen if Caries goes into the Dentine

A

Tooth fractures and holes

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33
Q

Where are odontoblast sells located

A

In the abdominal junction

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34
Q

When made to patient feel sensitivity

A

When the dental tubulars Are not sealed

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35
Q

Explain irreversible pulpits

A

Carries spread to the pulp and the pulp is constantly exposed
Increased blood flow through the apical for a man to the pulp
There is no swelling as it is confined inside the tooth chamber pressure builds up giving the patient pain pressure compresses blood supply and causes hope death when the nerve dies Ta will stop this then leads to an alveoli abscess very painful

36
Q

Explain albeola abscess

A

After irreversible pulp piss the pulp dies and the blood supply is cut off by inflamed pressure, the infective material passes through the apical foraman into a Aleovar bone at apex causing another inflammatory reaction in the tissue surrounding the apex puss forms and an acute Alveolar abscess occurs

37
Q

What are the six signs of acute inflammation

A

Pain, heat, swelling, high body temperature, loss of function, redness.

38
Q

What is the flow if cavities are left untreated

A
Reversible pulpis 
Irreversible pulpitis
Pulp death
Acute Alveolar abscess
Chronic abscess
39
Q

What in saliva

A

Water - Transporting
Ptyalin - digestive enzyme acts on carbohydrates
Inorganic idiot minerals - calcium irons and phosphate
Antibodies – defence immune system known as immunoglobulins
Leucocytes- known as white blood cells are part of the bodies defence system

40
Q

Ultrasonic scaler what is it used for

A

Supragingival calculus

41
Q

Hygienist hand scaler what is it used for

A

Supragingival

42
Q

Jaquette scaler what is it used for

A

Supragingival calculus

43
Q

Push scaler our route planner what is it used for

A

Subgingival calculus

44
Q

Curette scaler what is the use for

A

Subgingival calculus

45
Q

Periodontal hoe scaler what is it used for

A

Subgingival calculus

46
Q

Disposable irrigation syringe what is it used for

A

Pocket irrigation

47
Q

What does ANUG mean

A

Acute necrotising ulcerative gingivitis

48
Q

What are the symptoms of anug

A

Pain, bad breath, loss of gingival papillae, Common among smokers and people with who are oral health, makes the gingiva bright red or yellow and grey layer where the gum has been destroyed, Inflammation present, loss of attachment known as nip necrotising ulcerative pertiodontis

49
Q

Information about acute lateral periodontal abscess

A

Sometimes post forms in a deep poppet, sometimes confused with acute Alveolar abscess, the lateral region of the route, antibiotics into the pocket usually metronidazole, subgingival scale and sometimes helps, if nothing helps Xla

50
Q

Where can oral cancer affect

A

The soft tissues, slavery glands, jawbones

51
Q

Squamous cell carcinoma what is it

A

Oral cancer affecting the soft tissues usually 90% of oral cancer is this

52
Q

What are signs and symptoms of oral cancer

A

Painless ulcer that has no cause that has not healed in 2 to 3 weeks , Also underneath the tongue are on the floor of the mouth, white or red patch of oral mucus membrane

53
Q

What is the five year survival rate percentage for squamous cell carcinoma

A

55% aggressive surgery treatment to remove the cancer by maxillofacial surgery is often includes removal of the jar facial bones and a soft tissues

54
Q

What is a melanoma known as

A

Skin cancer

55
Q

What does oppression mean and where can it be found

A

Seen in smokers with staining, has a shiny surface, Aggressive toothpaste, around the neck of the teeth, we can sometimes see deep in the chamber, using excessive side to side motion when brushing, may result in needing root canal treatment

56
Q

What is attrition how does that happen and where

A

It is the loss of Enamel on abating surface, can be from natural wear, or due to clenching or grinding, or due to a crown or a bridge crashing on natural teeth, if grinding use medications are mouthwash to stop or reduce or A mouthguard

57
Q

What is abfraction

A

The loss of the cervical surface, it usually happens on the premolars, usually on the bucle lingual and Platal surfaces, treatment is a denture to replace lost teeth

58
Q

What is periodontal disease

A

Affects the supporting structures of the gingivae , Periodontal ligament, the alveolar bone

59
Q

What is juvenile periodontis

A

It is the periodontal disease is very uncommon would usually found in young children

60
Q

What is chronic gingivitis known as

A

Chronic inflammation which will eventually lead to periodontal disease

61
Q

What Will happen when someone has chronic periodontitis

A

The periodontal ligament and the structures. Of the teeth and supporting tissues are lost

62
Q

What does untreated chronic gingivitis develop into

A

Chronic periodontitis

63
Q

What are the causes of periodontal disease

A

Bacterial infection of the supporting structures, debris or plaque biofilm left on the teeth, overhangs, loose contact points, stagnant food trap areas, Hooghly made partial dentures, scale, microorganisms been able to multiply

64
Q

What can you tell me about some gingiva calculus

A

It’s harder and a darker colour

65
Q

Explained the healthy periodontal tissue

A

Pink stippled gingiva, 3 mm crevice, intact periodontal ligament, Intact alveolar bone

66
Q

Explain what chronic gingivitis would look like

A

Plaque deposits becoming calcified, a false pocket, swollen gingiva, intact periodontal ligament, intact alveolar bone

67
Q

What are factors of chronic periodontis

A

Smoking ,mascitory stress,puberty, pregnancy, open lip posture

68
Q

What are medical conditions linked to chronic periodontitis

A

Diabetes aids, leukaemia, vitamin c deficiency, immunosuppressant drugs, blood disorders, epilepsy

69
Q

What are ill health factors into chronic periodontitis

A

Poorley aligned teeth,Small oral FPERTURE, in complete lip seal and pure density known as latrogenic

70
Q

Describe what chronic periodontitis would look like

A

A true pocket, loss of gingival attachment, destruction of a periodontal ligament, plaque and supragingival calculus, destruction of that Alveolar bone

71
Q

What can we do to periodontal pockets if they are reversible

A

They can be surgically repositioned by re-contouring the gingival margin

72
Q

What does CPITN stand for

A

Community periodontal index of treatment needs also known as basic periodontal examination BPE

73
Q

Other than a BP probe what can detect pocket depth

A

Radiographs

74
Q

Name how to control supragingival plaque

A

Remove it at home, use disclosing tablets, explain all health advice to patient,Scaling, keep plaque under control, interdental brushes, use a stickle scaler or a crushing push scaler or a Jacket scaler are ultrasonic Scala, abrasive prophylactic paste remove stains and helps to stop calculus forming

75
Q

Sub lingual plaque control or subgingival removal tell me some information

A

Once cleaned the junctional epithelium and reattach and Perio pockets are removed, Alveolar bone loss is permanent but we can use synthetic born replacement, periodontal ligament may reattach and pockets may heal, may need local anaesthetic when scaling

76
Q

What is the cute herpetic gingivitis

A

Signs of inflammation, caused by herpes simplex virus, I will mucous membrane result in tiny blisters and ulcers, contagious best to do dental treatment after the quotes I was gone, this is known as a cold sore, usually re-occurs commonly affects infants and resolve on its own

77
Q

Subacute Periocoronitis information

A

Infection of the gingival flap and affects the teeth tissue, usually affects the lower third molars, trauma and infection equals information, traumatised when the mouth is closing, cleared with mouthwash disinfectant chlorhexidine, use hot salt water rinses, oxygen release and mouthwash removed bacteria, antibiotics if patient has a raised temperature, aneoerobic Bacteria involved usually metronidazole can complete extraction of the opposite to break the cycle

78
Q

What does ptyalism mean

A

Means more saliva produced, usually patients with periodontal disease, patients suffering with Parkinson’s disease, patients who are pregnant

79
Q

What is prevention of cavities how can it be done

A

Modification of the diet fewer cariogenic free sugar foods, Control bacterial plaque have good oral hygiene technique, increased tooth resistance to acid attack by involving fluoride to crystal structures

80
Q

Name some non-carious to surface losses

A

Erosion this happens due to acidic foods dissolve in the enamel, abrasion which is pushing too hard on the teeth, attrition which is the loss of a normal on the boat and service, abfrication loss of the cervical surface of the tooth e.g. the neck

81
Q

What medical conditions can cause erosion on the teeth

A

Ballemia, some chemotherapy for cancer, stomach ulcers, acid reflux,hiatus hernia

82
Q

Why would a patient have reduced slavery flow

A

Normally things changes saliva glands reduces the ability to produce, autoimmune disorders, lost mood intake and dehydration, medications , sjogrens syndrome affect of glands dry mouth known as xerstomia

83
Q

What are the consequences of reduced slippery flow

A

Mark debris collecting, increased plaque biofilm, causes halitosis not as bad breath, more chance of cavities and periodontal disease, reduces buffering which means more frequent acid attacks, affects the sensation and test, makes the retention of dentures difficult, Who are lubrication of soft tissues meaning harder to speak and swallow

84
Q

What do antibodies and leukocytes do

A

Protect from infection, protect the oral cavity, defends the oral cavity, protect from the tiny microorganisms

85
Q

What makes Slava

A

Water, antibodies,leukocytes , inorganic irion and minerals

86
Q

What does the war to do in a person Slava

A

It is a carrying Agent, self-cleaning,moistens soft tissue and food, Allows for to go deglutition Known as swallowing, dissolved food particles so taste is produced, allow speech, dislodges food

87
Q

What are minerals and inoganic irons used in Slaiva for

A

Neutralise organic acids by bacteria, buffer , Helps control the pH level, produces thick saliva, if this is law you will have lots of protection against cavities and watery sliver, if you produce more of this it can lead to more calculus and periodontal disease