Quiz 4 Dental Restorations Flashcards

1
Q

Types of Exams

A
Complete (IO/EO)
Screening (Classify)
Limited (Emergency)
Follow up
Maintenance (has anything changed)
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2
Q

Examination Methods

A
Visual exam (direct, raidographic, transillumination)
Palpation
Instrumentation
Percussion
Electrical Test
Ausculation
Smell
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3
Q

Tooth Numbering Systems

A

Universal is the one we actually use

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4
Q

What is dental charting?

A

Graphic representation of the condition of the client’s teeth and clinical features of the periodontium on specific date

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5
Q

What are the purposes for charting?

A
Care planning
Treatment/counseling
Evaluation
Protection (legal purposes)
Identification (dead)
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6
Q

What are additional materials used for charting?

A

Study casts, Radiographs, Form for manual charting, Computerized systems (saves times and effort)

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7
Q

Basic charting at CSN

A
Systematic Sequence (don't miss anything)
Basic Entries- name, date on all 4 lines, radiographic missing teeth
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8
Q

Charting RED

A

Pathology (decay, cavities)

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9
Q

Charting BLUE

A

Restorations (Solids, implants)

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10
Q

Charting YELLOW

A

Attrition/Abrasion

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11
Q

Charting BLACK

A

Missing, watch areas, abnormalities

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12
Q

Exploratory Examination

A

Use side of probe to determine caries on smooth surface
Use shepard’s hook explorer to follow margins of all restorations
Use shepard’s hook explorer to examine pits and fissures

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13
Q

Dental Caries

A

Acute, Rampant, Early Childhood caries, Chronic caries, Arrested caries, Recurrent, Primary or initial caries

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14
Q

Acute

A

Early stages

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15
Q

Rampant

A

All over the place

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16
Q

Early Childhood Caries

A

Baby bottle decay

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17
Q

Chronic caries

A

All the time

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18
Q

Arrested caries

A

Stopped, remineralized @ early stages

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19
Q

Recurrent

A

Margins

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20
Q

What are alternative methods for caries detection?

A

Laser Fluorescence device

Diagnodent and pen

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21
Q

Location of caries lesions

A

Pits and fissure
Smooth surface caries
root caries

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22
Q

Pits and Fissures

A

Most common in kids, prevent w/ sealants

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23
Q

Smooth surface caries

A

No groove, more in interproximal surfaces

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24
Q

Nomenclature by surfaces

A

Simple: Carious lesions (one surface)
Compound: 2 surfaces
Complex: 3+ surfaces

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25
G.V Black's Classification of caries
Class 1-6
26
Class I Caries
Cavities in pits or fissures
27
Class II caries
Cavities in proximal surfaces of premolars and molars
28
Class III caries
Cavities in proximal surfaces of incisors and canines that do not involve the incisal angle
29
Class IV caries
Cavities in proximal surfaces of incisors and canines that involved the incisal angle
30
Class V caries
Cavities in the cervical 1/3 of the facials or lingual surfaces
31
Class VI caries
Cavities on incisal edges of anterior teeth and cusp tips on posterior teeth
32
Enamel Caries Phase 1
Incipient Lesion (acids from biofilm go through) Subsurface demineralization (not visible) Visualization (White patch) 1st Clinical Evidence Remineralization (Want to heal and absorb fluoride)
33
Enamel Caries Phase 2
Untreated Incipient Lesion Breakdown of enamel over the demineralization area Progression of carious lesion Spread of carious lesion
34
Enamel Caries Characteristics
4.5-5.0 MS and Lactobacilli Pit and fissures and smooth surfaces of ename
35
Root Caries Characteristics
6.0-6.7 MS and lactobacilli Need gingival Recession Caries won't form while perio fibers are still attached Directly related to fluroide concentration in drinking water
36
Early Childhood Caries Characteristics
MS and Lactobacilli Prolonged exposure (constant juice/milk) Max ant teeth and primary molars first affected
37
Root Caries Specific Characteristics
``` Soft progressive lesion of cementum and dentin that involves bacteria and infection and invasion Increases w/ age Starts @ CEJ Dentin is invaded Soft, leathery or hard ```
38
Developmental Anomalies
Developmental Anomalies arise from a disruption in the stages of tooth development.
39
Hyperdontia
Presence of extra teeth beyond normal complement | Referred to as supernumerary(abnormal shape) or supplemental (normal shape)
40
Hypodontia
Absence of one or more teeth
41
Anodontia
is the absence of all teeth
42
Anomalies of whole teeth
macrodontia, microdontia, Gemination, Dens in dente, Dilaceration, Intrinsic staining
43
Macrodontia
refers to larger than normal teeth
44
Microdontia
refers to teeth smaller than normal
45
Gemination
A large tooth results from the splitting of a single tooth germ that attempts to form two teeth
46
Dens in dente
defined as a tooth within a tooth
47
Dilaceration
severe distortion of a crown or root caused by trauma during tooth formation
48
Intrinsic staining
can occur when the antibiotic tetracycline is administered during tooth formation (Not as common, usually happens more to kids)
49
Anomalies of Enamel Formation Noncarious dental lesions
Enamel dysplasia: from an insults to ameloblasts during tooth formation 2 types: Enamel Hypoplasia, Enamel hypocalcification
50
Enamel Hypoplasia
result of a disturbance in the formation of the organic enamel matrix that produces a pitted or rough, striated enamel surface Enamel is partially or wholly missing Usually affects 1st molars, incisors, canines
51
Enamel Hypocalcification
defect occurring in the enamel as the result of a disturbance during mineralization. Clinical appearance is white spotting of the enamel which the surface is generally smooth
52
Anomalies of Enamel Formation many factors can cause this:
Local trauma, systemic diseases, Hypoparathyroidism, Heredity, Fluorosis, Idiopathic (don't know cause)
53
Congenital Syphilis
Hutchinson's incisors and mulberry molars Central incisors are narrowed at incisal third Lateral incisors may be conical/peg-shaped
54
Talon Cusp
tooth w/n a tooth
55
Dentinogeneisis Imperfecta
irregular formation or absence of dentinal development
56
Dentin dysplasia
Teeth exhibit normal color and little evidence of attrition but show a retarded root formation and a lack supporting bone and root surface
57
Taurodontism
Bull-like teeth Inherited phenomenon Genetically determined
58
Acquired Tooth damage
``` Attrition Abrasion Erosion Abfraction Tooth Fracture ```
59
Attrition
tooth to tooth wear of the dentition (teeth occluding on each other) Can be on occlusal, incisal, and proximal surfaces Increases w/ age but not because of age From grinding
60
Abrasion
Pathologic tooth wear due to foreign substance (toothb rush) On exposed roots and incisal edges Caries may occur as a secondary factor
61
Erosion
Loss of a tooth surface as a results of chemical agents On facial or lingual surfaces Can be sensitive
62
Abfraction
Cervical stress lesion that is manifested as a V or wedge shaped defect at the CEJ
63
Tooth fracture
Small chips to excessive tooth loss of tooth structure | Trauma