Prevention of caries in adults and children Flashcards
What does development of caries depend on?
Host, micro-organisms, substrate and time
What is caries driven by?
Biofilm on surface. No plaque = no caries. Caries will become self-cleansing if no plaque
Which enamel caries zones remineralise and demineralise?
Surface zone and dark zone remineralise
Translucent zone and body of lesion demineralise
What are the zones of dentine caries?
Demineralisation, bacterial invasion, destruction, sclerosis.
Or infected and affected
What is affected dentine?
Nearer pulp. Still bacteria in but not as denatured.
What is the decline in caries since the 1970s down to?
Fluoride toothpaste
What is the current decay experience for 5-, 12- and 15-yos?
5yos: -31% affected -Mean DMFT 0.9 12yos: -34% affected -Mean DMFT 0.6 -43% filled that have caries 15yos: -46% affected -Mean DMFT 1.2 -61% filled that have caries
How many 5 yos and 12 yos in England experienced toothache within last 6 months? (2013)
14% of 5yos
20% of 12yos
What are the impacts on 5yos and 12yos with tootache
Difficulty eating Loss of sleep (tiredness at school) Time off school Problems with tooth-brushing Interference with school activities
How many children have dental sepsis?
5% of children aged 5
What are the impacts of severe early childhood caries on children?
-Failure to thrive
-Preschool: weigh less, smaller than peers
6x more likely to have iron-deficiency anaemia (caries affects diet)
How much are general anaesthetics used for caries?
50,000 children admitted with caries
31% of all GAs
£30 million in England
25% increase in 10 years (less caries being restored?)
Why is an accurate diagnosis important?
Correct restorative decisions
-don’t want to cut unnecessarily
initiate prevention
Name 3 methods of detection and diagnosis of caries?
Visual exam Radiographs FOTI TTS Laser fluorescence Magnification
What is the best method of caries diagnosis?
Good visual exam with support of radiographs
