Prevention

Question 1

How does diet advice help prevention?

Answer 1

Reduce freq and amount of sugar,
Only have sugar in mealtimes
Provide assistance to allow patients to have good dietary practice

Question 2

What are the pillars of prevention?

Answer 2

Diet analysis, fissure sealants, fluoride, OHI, recall interval

Question 3

How does fissure sealants help prevention?

Answer 3

Remove the large grooves so less plaque retention there, however if not well bonded to tooth it can leak and cause caries beneath

Question 4

How does fluoride help prevention?

Answer 4

its a protective factor so low exposure increases risk, add topical fluoride- (varnish) and shorten recall interval based on caries

Question 4

How does OHI help prevention?

Answer 4

Focus on brushing technique, ensure plaque is removed form hard to reach sites, toothpaste should contain fluoride, spit don’t rinse, timing of brushing, make interproximal cleaning necessary like flossing

Question 5

How does saliva help prevention?

Answer 5

less saliva = higher caries risk, sjogrens syndrome, can prescribe saliva substitutes

Question 6

How does smoking cessation help prevention?

Answer 6

smokers have up to 6x more likely signs of periodontal disease, increased risk of recurrence, offer advice to patient

Question 7

How to offer prevention for toothwear?

Answer 7

identify if intrinsic or extrinsic acid source, if in talk to gp, if ex do a diet analysis,
for abrasion identify abrasive source if attrition prevent grinding habit

Question 8

What is genetics a risk factor for?

Answer 8

periodontal disease

Question 9

What is the primary stage of prevention?

Answer 9

Reducing disease within the population through universal measures or targeting high risk groups

Question 10

What is the secondary stage of prevention?

Answer 10

Intervening and detecting early stages of disease before full symptoms develop

Question 11

What is the tertiary level of prevention?

Answer 11

Reducing impact of ongoing illness with lasting effects