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Clinical Applications II > Week 4: Caries Preventative Agents > Flashcards

Week 4: Caries Preventative Agents Flashcards

1
Q

caries are ____, not _____

A

acquired, not inherited

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2
Q

when is the ideal age for first risk assessment?

A

age 1 or earlier

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3
Q

early caries DETECTION strategies

A

QLF, DIFOTI, ICDAS, DIAGNOdent

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4
Q

caries are not _____

A

genetic

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5
Q

stages of caries

A
  • incipient
  • moderate
  • advanced
  • severe
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6
Q

caries lesions that are just starting; can you remineralize?

A

incipient caries; yes

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7
Q

caries RISK ASSESSMENT strategies

A
  • using CAMBRA

- antimicrobials, remineralize, behaviors

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8
Q

smooth surface risk preventative measures

A
  • antimicrobial
  • xylitol
  • fluoride
  • diet modification
  • CPP-ACP/ACP/TCP
  • oral hygiene instruction
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9
Q

pit/fissure risk preventative measures

A

sealants

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10
Q

naturally occurring nutrient that in the right concentrations can decrease caries risk/remineralize

A

fluoride

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11
Q

reduction % in cares with

systemic fluoride use

A

40-65%

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12
Q

sources of topical fluoride

A

professionally applied, toothpaste, mouth-rinse

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13
Q

sources of systemic fluoride

A

community water, foods, tea

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14
Q

fluoride is a negatively charged ion that attracts ____ into tooth surface

A

calcium

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15
Q

calcium-fluoride ion forms on tooth surface and ____ _____ when pH ____

A

releases fluoride, drops

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16
Q

options for topical fluoride

A

sodium fluoride (NaF), acidulated phosphate fluoride (APF), stannous fluoride

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17
Q

professionally-applied fluoride option (not typically applied outside dental offices)

A

acidulated phosphate (APF)

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18
Q

is stannous fluoride acid? does it contain tin now?

A

NO, this has changed!

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19
Q

self-applied fluoride gel indicated for high-risk patients; what are ppm? is it available OTC?

A

NaF gel; ppm = 5,000; available by prescription only

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20
Q

self-applied fluoride gel not sufficient for high risk patients; what are ppm? is it available OTC?

A

0.4% SnF2; ppm = 1,000; available OTC

21
Q

5000 PPM fluoride brands

A

Sensodyne 5000 ppm toothpaste, Colgate Prevident, Clinpro 5000, fluoridex

22
Q

Colgate Prevident 5000 characteristics

A

1.1% NaF; liquid gel formula, no sodium lauryl sulfate (no irritation to gum)

23
Q

Clinpro 5000: 3M Espe

A

1.1% NaF, calcium/phosphate ions present to promote remineralization

24
Q

daily use fluoride mouthrinse

  1. ____ PPM
  2. ___, ___, ____ preparations
  3. most common brand = ____
  4. rinse for _____ at ___
A
  1. 230ppm
  2. NaF, APF, SnF2
  3. ACTS (0.5% NaF)
  4. 1 minute at night
25
Q

weekly use mouthrinse

  1. ___ PPM
  2. ____ NaF
  3. commonly used in ____
A
  1. 920 ppm
  2. 0.2% NaF
  3. schools
26
Q

fluoride mouthrinses are not recommended under the age of ___ d/t lack of ____ ____

A

6, spitting muscle action

27
Q

what causing foaming toothpaste?

A

sodium lauryl sulfate

28
Q

APF gel

  1. pH = ___
  2. ___ PPM
  3. Has potential to ___ cosmetic restorations (_____/____)
  4. protect using ____ ___ or use neutral pH gel
  5. __% caries reduction
A
  1. 3.5 (acidic)
  2. 12,300 ppm
  3. etch, porcelain/composites
  4. petroleum jelly
  5. 30% reduction
29
Q

NaF Gel (2%)

  1. pH = ____
  2. ____ PPM
  3. ____ with cosmetic restorations
A
  1. neutral
  2. 9,040 PPM
  3. safe
30
Q

NaF Varnish

  1. _____ PPM
  2. first introduced as a ___ ___
  3. protection equal to ___
A
  1. 22,600 PPM
  2. cavity liner
  3. gel
31
Q

fluoride is used as an __-____ use as fluoride treatment

A

off-label

32
Q

fluoride that stops caries once applied; causes ______

A

silver diamine fluoride; causes darkness

33
Q

antimicrobial use for _______ patients; use __________

A

high risk; 0.12% chlorhexidine

34
Q

use 0.12% chlorhexidine (CHX) use instructions

A

nightly for 1 week; one week per month thereafter for the next 6 months

35
Q

chlorhexidine available in ___ forms in Europe; only available as a ___ in USA

A

many, rinse

36
Q

light blue chlorhexidine = ____ version

pink chlorhexidine = ___ version

A

alcohol; alcohol-free

37
Q

chlorhexidine is used for ______; patients ____ and older

A

short-term, 6 years

38
Q

sugar alcohol made from plant-material, mainly from birch tree

A

xylitol

39
Q

xylitol cannot be metabolized by ____ ____

A

streptococcus mutans

40
Q

use chlorhexidine __ _____ following use of toothpaste OR ___ use of toothpaste when using CHX if it contains SLS

A

30 minutes

41
Q

xylitol use instructions

  1. use minimum __ per day
  2. use __ grams but a maximum of ___ grams
  3. must maintain in mouth for __ minutes
A
  1. 3x per day
  2. 5-6 grams, not over 8-10 grams
  3. 5 minutes
42
Q

products that list xylitol as 1st three ingredients = __ gram per serving

A

1 gram

43
Q

free-floating calcium and phosphate ions, designed to enhance remineralization

A

amorphous calcium phosphate (ACP)

44
Q

amorphous calcium phosphate (ACP) product claims

A
  1. helps prevent/stop demineralization
  2. stimulate remineralization via bioavailability of Ca/P
  3. occlude dentinal tubules and thus decreases hypersensitivity
45
Q

presence of this enhances ACP, drink from milk protein casein, slows diffusion of free calcium from tooth

A

casein phosphopeptide amorphous calcium phospohate (CPP-ACP)

46
Q

new hybrid of calcium, phosphate, SLS, fumaric acid that increases efficacy of fluoride

A

tri-calcium phosphate (TCP)

47
Q

baking sodium in toothpaste works by ____ acid, is bactericidal

A

neutralizing

48
Q

another name for CPP-ACP

A

recaldent

49
Q

presence of CPP stabilizes ____

A

ACP

Clinical Applications II (12 decks)

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