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
Q

G.V Black’s Classification of caries

A

Class 1-6

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26
Q

Class I Caries

A

Cavities in pits or fissures

27
Q

Class II caries

A

Cavities in proximal surfaces of premolars and molars

28
Q

Class III caries

A

Cavities in proximal surfaces of incisors and canines that do not involve the incisal angle

29
Q

Class IV caries

A

Cavities in proximal surfaces of incisors and canines that involved the incisal angle

30
Q

Class V caries

A

Cavities in the cervical 1/3 of the facials or lingual surfaces

31
Q

Class VI caries

A

Cavities on incisal edges of anterior teeth and cusp tips on posterior teeth

32
Q

Enamel Caries Phase 1

A

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
Q

Enamel Caries Phase 2

A

Untreated Incipient Lesion
Breakdown of enamel over the demineralization area
Progression of carious lesion
Spread of carious lesion

34
Q

Enamel Caries Characteristics

A

4.5-5.0
MS and Lactobacilli
Pit and fissures and smooth surfaces of ename

35
Q

Root Caries Characteristics

A

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
Q

Early Childhood Caries Characteristics

A

MS and Lactobacilli
Prolonged exposure (constant juice/milk)
Max ant teeth and primary molars first affected

37
Q

Root Caries Specific Characteristics

A
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
Q

Developmental Anomalies

A

Developmental Anomalies arise from a disruption in the stages of tooth development.

39
Q

Hyperdontia

A

Presence of extra teeth beyond normal complement

Referred to as supernumerary(abnormal shape) or supplemental (normal shape)

40
Q

Hypodontia

A

Absence of one or more teeth

41
Q

Anodontia

A

is the absence of all teeth

42
Q

Anomalies of whole teeth

A

macrodontia, microdontia, Gemination, Dens in dente, Dilaceration, Intrinsic staining

43
Q

Macrodontia

A

refers to larger than normal teeth

44
Q

Microdontia

A

refers to teeth smaller than normal

45
Q

Gemination

A

A large tooth results from the splitting of a single tooth germ that attempts to form two teeth

46
Q

Dens in dente

A

defined as a tooth within a tooth

47
Q

Dilaceration

A

severe distortion of a crown or root caused by trauma during tooth formation

48
Q

Intrinsic staining

A

can occur when the antibiotic tetracycline is administered during tooth formation (Not as common, usually happens more to kids)

49
Q

Anomalies of Enamel Formation Noncarious dental lesions

A

Enamel dysplasia: from an insults to ameloblasts during tooth formation
2 types: Enamel Hypoplasia, Enamel hypocalcification

50
Q

Enamel Hypoplasia

A

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
Q

Enamel Hypocalcification

A

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
Q

Anomalies of Enamel Formation many factors can cause this:

A

Local trauma, systemic diseases, Hypoparathyroidism, Heredity, Fluorosis, Idiopathic (don’t know cause)

53
Q

Congenital Syphilis

A

Hutchinson’s incisors and mulberry molars
Central incisors are narrowed at incisal third
Lateral incisors may be conical/peg-shaped

54
Q

Talon Cusp

A

tooth w/n a tooth

55
Q

Dentinogeneisis Imperfecta

A

irregular formation or absence of dentinal development

56
Q

Dentin dysplasia

A

Teeth exhibit normal color and little evidence of attrition but show a retarded root formation and a lack supporting bone and root surface

57
Q

Taurodontism

A

Bull-like teeth
Inherited phenomenon
Genetically determined

58
Q

Acquired Tooth damage

A
Attrition
Abrasion
Erosion
Abfraction
Tooth Fracture
59
Q

Attrition

A

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
Q

Abrasion

A

Pathologic tooth wear due to foreign substance (toothb rush)
On exposed roots and incisal edges
Caries may occur as a secondary factor

61
Q

Erosion

A

Loss of a tooth surface as a results of chemical agents
On facial or lingual surfaces
Can be sensitive

62
Q

Abfraction

A

Cervical stress lesion that is manifested as a V or wedge shaped defect at the CEJ

63
Q

Tooth fracture

A

Small chips to excessive tooth loss of tooth structure

Trauma