Oral Environment 3 - Oral Health Aspects Flashcards

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1
Q

where is salivary flow highest?

A

lower, lingual regions

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2
Q

where is salivary flow slowest?

A

labial and buccal regions

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3
Q

where are cariogenic sugars retained longest?

A

regions where salivary flow is lowest

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4
Q

what is clearance?

A

the rate at which substances are removed from the mouth

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5
Q

what is clearance related to?

A

factors such as salivary film velocity and location in the mouth

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6
Q

what are important oral health aspects?

A

removal of harmful materials, retention of beneficial materials

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7
Q

what is removal of harmful substances increased by?

A

high salivary flow rates

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8
Q

what is retention of beneficial substances improved by?

A

low salivary flow rates

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9
Q

how do plaque microorganisms generate acid?

A

metabolising sugars such as sucrose

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10
Q

what is the stephan curve?

A

a graph of the plaque pH change over time

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11
Q

how does increased salivary flow neutralise plaque acid?

A

increased bicarbonate content of saliva

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12
Q

what are the bulk cariogenic sugars?

A

sucrose, fructose, glucose and lactose

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13
Q

what are the non-caloric/high intensity sugars?

A

aspartame, cyclamates, saccharin and sucralose

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14
Q

what are the low caloric sugars?

A

manitol, sorbitol, xylitol

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15
Q

what causes xerostomia?

A

loss of function of more than one major salivary gland

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16
Q

what causes decreased salivary flow?

A

side effects of drugs, radiotherapy, salivary gland diseases, systemic diseases affecting salivary glands

17
Q

what does radiotherapy damage in the mouth?

A

glands and epithelia

18
Q

what is a common disease of the salivary glands?

A

Sjogrens disease

19
Q

what are smooth surface cervical caries related to?

A

reduced salivary flow and clearance

20
Q

what are the consequences of decreased salivary flow?

A

increased dental caries, increased oral disease, dysaesthesia (burning mouth), impaired oral function, diminished taste perception

21
Q

what are the consequences of decreased clearance?

A

loss of protective components: antimicrobial agents, buffering, decreased remineralisation, mucins adn other proteins, gustin

22
Q

how do you manage xerostomia when functioning gland tissue is present?

A

by chewing or by drugs

23
Q

how do you manage xerostomia when there is not functioning gland tissue?

A

saliva substitutes used which are mucin or cellulose based as water alone is not very effective