Week 2: Risk Assessment Flashcards
dental caries is an ____ ____ disease resulting in the destruction of ___ structures
infectious, communicable, tooth
4 items needed for caries
tooth, bacteria, sugar (diet), time
plaque bacteria
- step mutans
- step sobrinus
- lactobacilli
is dental caries acquired or inherited?
acquired
caries imbalance
disease indicators
risk factors
- try to balance out -
protective factors
caries imbalance: risk factors for caries
BAD
bad bacteria
absence of saliva
dietary habits
caries imbalance: disease indicators
WREC white spots restorations < 3 yrs enamel lesions cavities/dentin
caries imbalance: protective factors
SAFE saliva & sealants antibacterial fluoride effective diet
white spot lesions can/cannot be remineralized
can (“last chance”/close to needing restoration)
in ____ stages only, remineralization can “reverse” caries
early
transition from white spot to enamel lesion
clinical caries
remineralization is possible as long as _____ surface is intact
enamel
never ___ on suspected caries lesions w/ instruments
push
growing lesion as evidenced by an increase in size when evaluated at two points in time; usually ___ in texture
active caries lesion; soft
lesion not changing in size over time; ___ in texture, usually associated with a change in color (yellow, brown, black)
inactive caries lesion, hard
patient does not now, nor have they ever had cavitated carious lesion. No risk factors evident
caries free/”controlled”
patient has developed cavitated carious lesions in the past year that need restorative care
caries active
patient has no cavitated carious lesions in the past year but incipient lesions or other risk factors are present
caries prone/”at risk” (low, moderate, high)
although there is a Hx of caries activity, the patient has had no new caries lesions in the past year and no new caries risk factors have been identified
caries inactive
in clinic, to describe caries, we use…
controlled, at risk ( for moderate and high risk pts), active
m/o responsible for P.D.
p. gingivalis
p. intermedia
a. actinomycetemcomitans
possibility of loss, injury, disease (probability the event will occur again)
risk
an individual is at risk when exposed to a known disease-causing factor
at risk
a factor that increases the likelihood that an individual will develop disease (not necessarily to cause)
risk factor/risk marker