Radiographic Interpretation of Caries Flashcards

1
Q

Plaque consists of what percentage of bacteria?

A

60-70%

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2
Q

What are the 3 requirements for the formation of caries?

A
  1. Susceptible hose
  2. Microorganisms
  3. Appropriate substrate
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3
Q

What are the peak incidences of caries?

A

6-8 years
11-19 years
56-65 years

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4
Q

What 3 things have caused a decline in caries incidence?

A
  1. Fluoridated water
  2. Fluoridated dentrifices
  3. Improved oral hygiene and oral health care
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5
Q

What does a full mouth radiographic survey consist of?

A

14 periapicals and 4 bitewings

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6
Q

These caries proceed faster in deciduous teeth than in permanent:

A

Acute caries

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7
Q

These caries have a slower progression, larger surface lesion, usually adults:

A

Chronic Caries

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8
Q

What do arrested caries feel and look like?

A

Polished and black.

Feels leathery when exploring

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9
Q

Originates on virgin surface:

A

Primary

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10
Q

In immediate vicinity of restoration:

A

Secondary

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11
Q

Describe incipient proximal caries:

A
  • early stage
  • less than half way through enamel
  • white spot
  • cone or v shape with broad base at surface of enamel.
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12
Q

Describe moderate proximal caries:

A
  • caries extending more than half-way through the enamel but not involving the DEJ.
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13
Q

Describe advanced proximal caries:

A
  • caries at or through the DEJ that extend no more than half way through the dentin to the pulp.
  • dentinal tubules act as a tract for microorganisms.
  • 2nd radiolucent triangle in dentin with base at DEJ.
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14
Q

Describe severe proximal caries:

A

Caries of enamel and dentin extending more than half-way through the dentin towards the pulp.

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15
Q

Can occlusal caries be detected radiographically?

A

Only if it has entered into the dentin.

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16
Q

What shape are occlusal caries and why?

A

Diamond, due to the direction of enamel rods.

17
Q

What 3 things increase caries incidence on cemental/root surfaces?

A
  1. Recession
  2. Loose contacts
  3. Xerostomia
18
Q

This is a radiolucent artifact caused by change in density and shape of the tooth at cervical margin.

A

Cervical burnout.

19
Q

These caries appear as scooped out (mouse nibble) radiolucency below the CEJ. These occur above the level of bone.

A

Cervical/cemental caries

20
Q

These type of caries are caused by xerostomia brought on by damage to salivary glands.

A

Radiation Caries

21
Q

Do caries present themselves clinically or radiographically initially?

A

CLinically, you need about 40% decalcification before seen on radiograph.