Prevention of Dental Caries Flashcards

1
Q

what ar the main factors asscw it caries

A

teeth
plaque bacteria
sugar
time

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2
Q

what is important for the teeth

A

diet - resistance
add fluoride
use protective covers - fissure selects

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3
Q

what is imp for the plaque bac in caries

A

removal - mech?chem

vaccination - cariogenic bac

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4
Q

how does sugar influence carrie

A

improve diet

restrict fermentable carbs

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5
Q

how does time have an effect on caries

A

sugar in contact with teeth

avoid snacking

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6
Q

what is the term used to describe plaque bac

A

acidogenci

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7
Q

how is complete removal carried out for plaque control

A
not 100%
bac recolonise tooth 
flossing 
scale polish 
brush - fluoride
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8
Q

what does toothbrushing reduce

A

gingivitis

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9
Q

what are the properties of disclosing gents

A
non toxic
taste 
easily removed from mouth after use
good colour contrast
inexpensive
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10
Q

what are some common dyes and chess used as disclosing agent

A

bismarck brown

erythrosin (common stain tongue, lips etc)

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11
Q

what colour doe erytrosin

A

red

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12
Q

what are the chemical methods of control of plaque

A

antibiotics
antiseptics
enzymes

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13
Q

why are antibiotics not thought as a method plaque control

A

disrupt normal oral flora - albicans
hypersensitivity
storage
reisstance

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14
Q

what is an effective antiseptic used in toothpastes

A

chlorhexidine

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15
Q

what simp about chlrohexididne

A

gm +ve/-ve

s mutans more sensitive

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16
Q

what is the interaction of chlorhexidine and fluoride

A

high risk patients

radiation caries

17
Q

what are some problems assc with chlorhexidine

A

taste
staining
disrupts flora back throat

18
Q

what does STAMPS stand for

A

sp targetted anti microbial peptides

19
Q

what are STAMPS

A

co joined peptides
sp and antimicrobial
in vitro activity
combine with replacement therapy

20
Q

what are some enzymes assc with plaque control

A

single or mix
dextranases
mucinases polysacc

21
Q

what are some disadvantages of anti plaque enzymes

A

not very effective
enzymes dont sore wil n tooth paste
sp
are proteins = hypersentisivtiy

22
Q

what are some sugar alteatives

A

saccharine

xylitol

23
Q

what are some detersive foods

A

apples, carrots

little evidence

24
Q

explain xylitol

A

sugar alcohol
sucrose replace? added
sucres replacement
reduce MS bac

25
Q

what is raw starch - unrefined

A
not cariogenic 
poorly deign by alpha amylase
- s mutans
- s mites
- A viscous
26
Q

what does s sanguines and mites produce

A

alpha amylase

27
Q

what is a cooked starch

A

cariogenic in man

potatoes, popcorn

28
Q

what is replacement therapy

A

replace pathogenic bac by non pathogenic

29
Q

how does the colonisation of host with the effects strain in repaceemtn therapy

A

reduced cariogenic potential
displace existing s mutans
perssostn in s mutans sites
safe

30
Q

what are the defector staring harm

A

harmless by inoculate host at easy age

displace existing strains with ne on

31
Q

what can displaces s mutans

A

s salivarius