preventative dentistry and nutrition Flashcards
fluoridated toothpaste is a source of ____ fluoride
topical
prolonged exposure to excessive amounts of fluoride may cause
dental fluorosis
over the counter topical rinses are designed to be used
daily
what interdental cleaning aid can be used in hard to reach areas where gingival recession is present
periodontal aid
the most effective time to use a fluoridated mouth rinse is
immediately after brushing and flossing
recommended age when fluoride supplementation should cease for children who do not live in an area with a fluoridated water source and who do not consume bottled water containing fluoride is
16
age related dental changes may include what
abrasion and attrition
does all bottled water contain fluoride
no
the most effective way to remove plaque from proximal surfaces is by
interdental aids
after plaque has been thoroughly removed it takes about ___ hours to form again
24 hours
in water fluoridation the ratio of fluoride to water is
1 part per million
excess systemic fluoride intake is excreted by
the kidneys
brushing instructions for a young child should include
avoid swallowing fluoridated tooth paste
ways to receive fluoride treatment include
consumption of fluoridated bottled water or community water, nonprescription strength over the counter products for at home use, prescription strength fluorides that are applied in the dental office
t/f acute overdosing of fluoride can result in poisoning or even death
true
what artificial sweetener is most effective in preventing decay
xylitol
the method of toothbrushing useful for most people is
bass or modified bass
the major effect of fluoridated water in the prevention of caries is
systemic and topical
can sugar free sodas cause decay
yes
a toothbrush should be replaced
when the bristles begin to splay outward and show signs of wear
type of dental floss you could use is
floss, tape, waxed, unwaxed
the body through the ___, ___, and ___ excretes excess systemic fluoride
skin, kidneys and feces
what method of toothbrushing is best for cleaning artificial teeth and around Ortho appliances
charters
t/f acidulated phosphate fluoride is ideal for all patients
false
is a fluoride needs assessment necessary when a patient has rampant caries
yes
only energy and no other nutrients are provided by
empty calories
oral manifestations of bulimia include
decalcification of enamel
swollen and bleeding gums, slow wound healing, fatigue, depression and poor digestion can be the result of
vitamin c deficiency
a major factor in determining the carcinogenicity of a carbohydrate is
how long it stays in the mouth
the only nutrient that can make new cells and rebuild body tissues are
proteins
sticky sugary refined products are ___ cariogenic than/as complex carbohydrates
more
tooth erosion is often seen in patients with
a history of bulimia
the recommendation is that cholesterol be limited to less than
250 mg/day
which food group is at the bottom of the pyramid
grains
which antioxidant vitamin can help prevent cholesterol from oxidizing and damaging the arteries
vitamin c and e
dietary fiber is also called
roughage
raisins, soft drink and crackers are considered to be
cariogenic
compounds in proteins used by the body to build and repair tissue are
amino acids
five categories of major nutrients are
minerals, vitamins, fats, proteins and carbohydrates
a well balanced mixture of all 8 essential amino acids is the definition of a
complete protein
a good source of vitamin d is
fish, sunlight, butter
saliva flow serves what function(s)
speeds the clearance of food from the mouth, aids in remineralization of the teeth, delivers fluoride to the teeth
what is the concept of preventative dentistry
goal is to help an individual achieve and maintain an optimal oral health throughout their lives
dental assistants role in preventative dentistry is to
educate and motivate patients to maintain good oral health
what is one of the biggest barriers in which rdas overcome and should be aware of their behaviour and expressions while dealing with different patients
language barrier
tooth deposit order
acquired pellicle, plaque, material alba, food debris, calculus
materia alba can be removed with __ ,whereas ___ cannot
a water spray or oral irrigator; plaque
what is acquired pellicle
a thin acellular colourless transparent bacteria free film that forms on the teeth within minutes after cleaning
acquired pellicle is composed of
glycoproteins from saliva aka mucin
pros of acquired pellicle
keeps surfaces moist and acts as a barrier against acids produced by plaque
the first stage in biofilm formation is the
acquired pellicle
acids released from dental plaque lead to ___ of the adjacent tooth surface leading to caries/decay
demineralization
plaque is soft and can be easily removed by
brushing flossing
if plaque is not removed thoroughly and effectively at least once within 24 hours is can cause
gingivitis
calculus (tartar) refers to calcified deposits on the teeth formed by
mineralization of dental plaque
calculus frequently occurs on
lingual of mand. anteriors and buccal of max. molars
what is the cause of periodontal disease
plaque
if left undisturbed plaque can cause
destruction of epithelial attachment, pocket formation, bone destruction
periodontal disease is described in terms of
severity and loss of attachment
dental caries is a bacterial infection caused by specific bacteria which is
streptococcus mutane and lactobacilli
plaque bacteria + sugar/starch =
acid
the first sign of demineralization is a small
white spot/ white fleck
the teeth that benefit the most from optimum level of fluoride are
the ones still developing and newly erupted ones
2% sodium fluoride has a ___ pH and is safe for
neutral; safe for existing restorations
1.23% acidulated phosphate fluoride pH? should not be used on?
3.0-3.5; restorations
stannous fluoride can cause
staining of the teeth
disclosing agent contraindications
do not apply to tooth coloured restorations, do not apply before a sealant to be placed
toothbrushing technique recommended for patients with periodontal pockets and gingival inflammation
modified stillmans
when should a patient floss
before brushing
halitosis is
bad breath
coronal polishing removes plaque and
extrinsic stains
carbohydrates are the
chief source of energy and bulk
a co plate protein supports
life and normal growth
lipids (fats) provide
essential fatty acid, cushions main body organs, provides heat insulation, provides concentrated energy, makes food taste better, act as carrier of fat-soluble vitamins
HDL = ___ cholesterol
good cholesterol
deficiency of vitamin B causes
anemia and angular chelitis
deficiency of vitamin C
scurvy
deficiency of vitamin d
rickets in children and calcium loss from bones in adults
deficiency of vitamin E
muscular wasting, nerve damage, and reproductive failure
deficiency of vitamin K
bleeding disorders lack of clotting
deficiency of folic acid
gi disorders , anemia
anorexia nervosa is characterized by
self starvation
bulimia nervosa is characterized by
rapid overeating followed by purging