Readings Flashcards
There is impaired masticatory ability when a patient has less than _ teeth
20
How many pairs of occluding teeth are there in SDA
10
Adult patients have adequate functionality when the most posterior teeth are
2nd premolars
Important considerations when treatment planning are _ to establish a prognosis
- Chief complaint
- Functional and psychological needs
- Relevant medical and dental history
- Ability for patient to maintain the treatment
Differences in the elderly population we see today are
- Keeping teeth
- Living longer
- Living with chronic disease
Dental health risk factors seen in elderly populations are
- Restorative trauma to teeth
- Recession
- Medication induced xerostomia
- Diet= carb ingestions
- Decrease oral hygiene (dexterity)
Over a 8 year period what is the 1st most common complications of an FDP
caries
Reasons for caries around FDPs are
- Marginal gaps
- Difficult cleaning access
RPD patients have a higher probability of caries on what teeth
- abutment teeth
- any teeth in contact with the RPD
- Teeth with gingival recession
Caries susceptibilit (increases/decreases) when the abutment tooth is crowned
decreases
What are the three main mechanisms of fluoride
- Inhibiting remineralization
- Promoting remineralization
- Inhibiting bacterial metabolism (at high conc.)
Inadequate salivary flow is defined as _ mL/min or less
0.7
In prosth patients with gingival recession a fluoride varnish is recommended how many times annually
3 times
Chlorhexidine due to staining and impact on taste should be limited to
7 consetutive days 1 x per month
Chlorhexidine recommended dose is .
10 mL of a 0.12% rinse for one minute 1 hr before brushing
How often should paitents chew xylitol gum at high caries risk
15 min with 7-10g/day
What is CPP-ACP
Casein phosphopeptide-amorphous calcium phosphate (MI paste)
Patients with Xerostomia can benefit from
- low sugar diet
- frequent water sipping (with 2 teaspoons of baking soda in 8 ox water)–> neutralizes acid in the mouth
Predictors for abutment tooth longevity are
- C:R ratio
- Mobility
- Alveolar bone support
- Root configuration
- Angulation
- Opposing occlusion
- Pulp condition
- Presence of endo treatment