Stain, Calc, Plaque, Test 1/28 Flashcards
Chemotherapeutic agent shown to have side effect of tooth staining
Chlorahexadine
2/3 inorganic matter of calculus is crystalline, principally _________
Apatite
Sticky and contribute to adhesion of plaque
Polysaccharides
Heavy calc formers have higher salivary levels of ____ ions and ____ ions
Ca & Pa
Number density from soft to hard
1) enamel
2) mature calculus
3) dentin
4) cementum & bone
TF
Calculus not predisposing factor in pocket formation
False
TF
Sub g calc always covered by masses of active bacteria
True
TF
Calc act as reservoir for endotoxins
True
TF
Calc predisposing factor in pocket dev
True
TF
Chemical content of supra and sub calc similar
True
TF
Bone hardest substance
False
TF
Hard calcified deposits are calc
True
Most pathogenic plaque
Loose plaque
3 basic steps for calc formation
1) pellicle forms
2) biofilm forms
3) mineralization
Avg time calc formation
12 days
All are ways for manner calc attach except
Pyrophosphate
Tenacious membranous layer amorphous, acellular, and organic forms over tooth
Acquired pellicle
Crystalline material of bones an teeth with calcium and phosphate
Apatite
Plays major role in dental caries and perio
Microbial biofilm
Disease of dental calcified structures characterized by demineralization
Dental caries
Dental calcified structures consist of
- Enamel
- cementum
- bone
- dentin
Inhibitor of calcification occurs in parotid saliva
Parotid pyrophosphate
Addition of mineral elements
Mineralization
TF
Removal stains improves appearance
True
TF
Bc early lesions are symptomless, may go unnoticed
True
TF
Bc clients susceptibility to bacteremia health hx must be reviewed each appt
True
TF
Most depressed lesions are ulcers
True
TF
Ulcer may result from rupture of elevated lesion
True
TF
Fissures, ulcers, in white area indicative of malignancy
True
TF
Dentinogenesis can occur in prim and perm dentitions
True
TF
When stains are tenacious excessive polishing should be avoided
True
TF
Removal of stains contributes to clients well being
True
TF
Over period of time it is possible for white spots from systemic hypoplasia to become stained
True
TF
Endogenous stains are always extrinsic and usually are discolorations of dentin reflected thru enamel
False
Lesions close to each other
Coalescing
Lesions limited to small focal area
Localized
One lesion of particular type w/distinct margin
Single
Discrete, not running together; may be arranged in clusters
Multiple separate
Involves most of an area
Generalized
Use of fingers and thumb of each hand simultaneously
Bimanual
Lesions bright red patches
Erythroplakia
More than one lesion of particular type
Multiple lesions
Use of single finger to palpate
Digital palpation
Small (1cm) circumscribed lesion w/thin surface
Vesicle
Producing color or pigment
Chromogenic
Used to examine opposite sides
Bilateral palpation
Finger and thumb from same hand
Bidigital palpation
Contains pus yellowish in color may be <5mm
Pustule
Contain fluid soft and translucent
Blisterform
Large lesion (>1cm) filled w/fluid mucin or serum
Bulla
Slightly raised lesion broad flat top
Plaque
Small (pinhead) solid lesion
Papule
Induration or hardening
Sclerosis
2cm or > general swelling but not neoplasm
Tumor
Growing outward
Exophytic
Stains from sources outside the tooth
Exogenous
Hardened; abnormally hard
Indurated
Perceiving by sense of touch
Palpation
Circumscribed flat lesion
Patch
Motor disturbance of trigerminal nerve
Trismus
Hemorrhagic spot of pinpoint to pinhead size
Petechia
Disease of lymph nodes
Lymphadopathy
Benign bony growth
Exosteosis
Red area variable size and shape
Erythema
Stains within tooth surface
Intrinsic
Stains develop within tooth
Endogenous
Rh incompatibility may leave green, brown, blue hue
Erythroblastosis fetalis
Small nipple shape
Papilla
Location of stains externally
Extrinsic
Type of pupils (shocked)
Dilated
Marked with points or dots differentiated from surrounding surface color, elevation, or texture
Punctuate
Mass of tissue projects outward
Polyp
White patch
Leukoplakia
Larger than papule
Nodule
Anterior or inferior surface of tissue
Ventral
Results from ingestion of excessive fluoride
Enamel hypomineralization
Lesion base as wide as lesion itself
Sessile
Shallow depressed lesion doesn’t extend through epithelium
Erosion
Type of pupil (drugs)
Pinpoint
8 warning signs of oral cancer
1) swelling, lump, or growth anywhere with or without pain
2) white scaly patches, or red velvety areas
3) any sore that doesn’t heal promptly (within 2 weeks)
4) numbness and tingling
5) excessive dryness or wetnes
6) prolonged hoarseness, sore throat, lump in throat
7) difficulty swallowing
8) difficulty opening mouth
Lesion may occur as single or multiple and may have regular or irregular form
Flat
Intake of too much _________ can cause enamel alterations result of toxic damage to ameloblasts
Fluoride
Lesion attached by narrow stalk
Pedunculated
Common sites for neoplasms
Hard palate
Excessive fluoride amount
2ppm
Green stain characteristics
Food stuff
Causes of exogenous stain except
Amelogenesis inperfecta
TF
Endogenous stains always extrinsic
False
Microorganisms predominately ____________ in calculus and most are __________
Cocci & rods; nonviable
Provide matrix
Filamentous organisms
Stain with calculus like characteristic
Black line
Leaf has caries inhibiting effect
Betel
Main reason non compliance with stannous fluoride
Bitter metallic taste of tin oxide
Another name for calculus
Serumal
Food source phosphates
Marshmallows
Tetracycline affinity for
Calcified tissue
Enamel partially or completely missing teeth yellow-brown or gray-brown
Amelogenesis imperfecta
Part of teeth with heaviest sub gingival deposits
Interproximal
Type calc amorphous shape
Supragingival
TF
Control of plaque supplemented by complete removal by patient can reduce or or eliminate gingival inflammation
False
4 ways to inhibit calculus formation
1) Professional removal
2) Personal biofilm control
3) Anti-calculus dentifrice
4) Marshmellows
8 warning signs of periodontal disease Good Grief Get Pissy Pearl An Active Bunny
1) Gums that bleed when brushed
2) Gums that are red, swollen, and tender
3) Gums that have pulled away from teeth
4) Pus between teeth and gums when gums are pressed
5) Perm teeth loose or separating
6) Any change in way teeth fit together when you bite
7) Any changes in fit of partial dentures
8) Bad breath