UNIT 315 Flashcards
What category of sugars is the most responsible for dental caries?
Non milk extrinsic
Name 3 secondary causes of periodontal disease
- Pregnancy
- Diabetes
- Epileptic drugs
- Xerostomia
- Smoking
Ratio of bacteria to interbaterial substances in plaque
70:30
Bacteria are attached to the surface of the teeth as a result of which glycol-protein later deposited first on the teeth?
Salivary/acquired pellicle
Which of the following toothpaste ingredients has the most effects on suppressing the formation of plaque?
Triclosan
Triclosan
- active ingredients in toothpaste to fight periodontal disease
Biological enzymes
Included in toothpaste to help with stain removal
Sodium fluoride
Increase tooth resistance to acid attack
Sodium saccharine
Added to toothpaste to give a pleasant taste to the product
3 examples of topical fluoride
Varnish Gel Foam Toothpaste Mouthwash
Topical fluoride
Applied directly to teeth
Fluoride varnish advantages
Targeted on area
High dosage
Topical fluoride disadvantage
Only available in surgery
Easily washed away
Tablets advantages
Home medication once a day
Know the dose taken
Tablets disadvantage
Easily forgotten
Water supply
1 ppm
Which instrument is used to remove supragingival interproximal calculus?
Push scaler
Periodontal hoe
Removing sub gingival and affected cementum
Name five signs of inflammation
Redness pain swelling heat loss of function
Which micro organism initiates the process of dental Caries?
Streptococcus mutants
What is an abscess?
A collection of pus which is made of dead white blood cells and bacteria
Think of two social factors that can affect oral health
Poverty/socio economic status
environment/ culture deprivation
PH level of mouth
7
Stephen curve
- Graph plotted on the pH level of the mouth
- The graph for show food intake will reduce pH level in the mouth to a level bad for teeth and then rises again with time
- The pH level at neutral in the mouth is seven and every time it drops below 5.5 it seems to be critical and acid attack happens
Super floss
Cleaning under bridge Pontic ( or ortho appliance)
Disclosing tablets
Show up areas of plaque
Interdental brush
Clean between teeth or under ortho appliance
What is the best way to deliver oral health advice about tooth brushing and flossing?
Skill - therefore demonstration (lead on with caries)
Gives three examples of topical fluoride
Gel
Toothpaste
Mouthwash
Varnish
Apart from water, state two other ways you can introduce systemic fluoride
Tablets or drops
Varnish advantage
Targeted on area
High dosage
Disadvantage fluoride
Only available in surgery
Easy washed away
Tablets advantage
Home medication once a day
Know the dose taken
Disadvantage tablets
Easily forgotten
What is the optimum concentration of fluoride when added to the water supply?
1ppm
Give two examples of visual aids that could be used to motivate a teenager with high decay rate to improve their oral hygiene
Models
Pictures of celebs
Leaflets
What is the most suitable matrix system to use when placing a class V restoration?
Cellulode (clear) cervical strip
Class I
Cavities on the occlusal surface of premolars and molars
Class II
Cavities Extends to two surfaces (MO or DO) on molars and ore molars
Class III
One surface cavity occurs mesial or distal on anteriors
Class IV (4)
Cavities on 2 surfaces extends into the incisor edge on anterior teeth (MI OR DI)
Class V
Will be buccal, palatal, lingual surfaces
Subgingival/occurs at the cervical margin of the tooth on any tooth
Likely to be filled with GIC
Class (VI) 6
Cavities on the Incisal edge of anterior teeth or occlusal cusp of posterior teeth
Dental enamel may be etched prior to the placement of a fissure sealant with which acid?
Phosphoric acid (ortho phosphoric acid)
Which lining material promotes secondary Dentine?
Calcium hydroxide
Impression paste and kalzinol have what in common
Zinc oxide eugenol