Preventative Dentistry Flashcards
What concentration is NuPro neutral NaF?
9000ppm
What concentration is Colgate’s children’s toothpaste?
500ppm
What are 2 other benefits of Stannous Fluoride apart from caries prevention?
Precipitate layer can:
1) Occlude open dentinal Tubules = lower tooth sensitivity
2) Preferentially dissolved in transient acid attack
What are the 10 steps in the Caries Management System
- Diet Assessment
- Plaque Assessment
- Bitewing Radiographic Survey
- Diagnosis and Caries Risk Assessment
- Treatment Planning
- Case presenting to patient
- Oral Hygiene Coaching
- Topical Fluoride (Professional + Home Care)
- Monitoring of Plaque Control + Treatment Outcomes
- Recall Program according to risk status
If a patient has a low caries risk, what should the recall protocol be?
1) 12 months following completion of treatment plan developed at first visit
2) Then consider 18–24 month recalls
What are the 10 steps in the Caries Management System
- Diet Assessment
- Plaque Assessment
- Bitewing Radiographic Survey
- Diagnosis and Caries Risk Assessment
- Treatment Planning
- Case presenting to patient
- Oral Hygiene Coaching
- Topical Fluoride (Professional + Home Care)
- Monitoring of Plaque Control + Treatment Outcomes
- Recall Program according to risk status
If a patient has a high caries risk, what should the recall protocol be?
1) 3 months following completion of treatment plan developed at first visit
2) Then 3-monthly until home care goals have been acheived, Lesion progression has been arrested, and patient is now deemed low/medium risk
If a patient has a medium caries risk, what should the recall protocol be?
1) 6 months following completion of treatment plan developed at first visit
2) Then 6-monthly until the patient is low risk
If a patient has a high caries risk, what should the recall protocol be?
1) 3 months following completion of treatment plan developed at first visit
2) Then 3-monthly until home care goals have been acheived, Lesion progression has been arrested, and patient is now deemed low/medium risk
T/F: If there is an unreliable patients that is likely to not attend for remineralizing care, is it better if their lesions were restored rather than leaving them to become the cause of dental emergency?
False, the dentist does not bear the responsibility for the patient’s consequences. Rather it is important to abide by minimal intervention and patient autonomy. The dentist should:
1) Present information on risk
2) Assistance on how to reduce the risk
What concentration Fluoride should medium risk caries patients use?
1) Twice daily using 1000 ppm
2) Fluoride rinse (220ppm NaF) for one minute once a day
What professional fluoride should be applied for a low risk patient?
Fluoride Gel at recall appointment
What professional fluoride should be applied for a medium/high risk patient?
Apply varnish to all lesions at each treatment session
What constitutes high caries risk?
- Untreated Frank Cavities
- And/Or extensive white spot lesions
- Bitewing Radiolucencies > into 2/3 of dentine
What constitutes medium caries risk?
- No Frank Cavities
- Sticky pits / fissures
- Bitewing Radiolucencies > into outer 1/3 of dentine
What salivary output would constitute high caries risk
< 1ml/min
What 5 questions can be asked to gauge a potentially carious diet?
Do you usually have anything to eat or drink:
1) as soon as you get up in the morning before breakfast?
2) between breakfast and lunch?
3) between lunch and dinner?
4) after dinner?
5) just before you go to bed or during the night?
If answer is yes, ask about biscuis, cake, pastry, chocolate, lollies, other sweet foods, fruit juice, cordial, soft drinks, tea, coffee (and added sugars)
What toothpastes would you recommend if a patient mentions they have a sodium lauryl sulphate allergy. What toothpaste would you change them to?
GSK Sensodyne
What are some clinical symptoms of sodium lauryl sulphate allergy in the mouth due to toothpaste?
1) Swelling, redness, dryness, or infection in your mouth.
2) Sensitive teeth and gums.
3) Dermatitis or cheilitis (itchy and peeling skin) around the mouth and lips.
4) Severely chapped lips
5) Sores in the mouth.
6) Itching
7) Hives.
8) Congestion
