Plaque control Flashcards

1
Q

What is the optimum amount of fluoride in water supplies?

A

1ppm

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2
Q

Fluoride is able to inhibit the metabolism of some plaque bacteria. True or false?

A

True

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3
Q

Why are antimicrobials formulated into oral healthcare products?

A

Because most patients are unable to maintain oral health using mechanical methods

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4
Q

What formulations is chlorhexidine available in?

A

Mouthwash
gel
varnish

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5
Q

Chlorhexidine is a narrow spectrum antibiotic. True or false?

A

False - broad spectrum

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6
Q

What is the use of chlorhexidine in dental care?

A

It reduces plaque, caries and gingivitis

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7
Q

What are the disadvantages of long-term use of chlorhexidine?

A

Can cause staining and mucosal irrititation

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8
Q

What is the most commonly used agent in paste?

A

Triclosan

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9
Q

What is meant by substantivity?

A

Once the agents are adsorbed to the mouth they are released slowly back into the oral environment and are then redistributed around the mouth

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10
Q

Triclosan selectively inhibits obligately anaerobic gram positive bacteria. True or false?

A

False - gram negative bacteria

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11
Q

How can the action of triclosan be enhanced?

A

By formulation with a co-polymer or zinc citrate

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12
Q

In which formulation are quaternary ammonium compounds used?

A

Mouthwash only

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13
Q

Zinc salts inhibit bacterial glycolysis. True or false?

A

True

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14
Q

Stannuous fluoride inhibits caries formation. True or false?

A

True

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15
Q

Surfactants are bactericidal. True or false?

A

True

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16
Q

Arginine salts decrease pH. True or false?

A

False - increase pH

17
Q

How does arginine raise the pH in the mouth?

A

It is metabolised to ammonia containing end-products by oral bacteria. This raises pH in the mouth, keeping it above caries levels

18
Q

Quaternary ammonium compounds are broad spectrum. True or false?

A

True

19
Q

How do quaternary ammonium compounds work?

A

They bind to bacterial cell membranes and disrupt integrity. This inhibits glucan synthesis and co-aggregation