Week 6 - Preventive Products

Question 1

What are the different levels of fluoride

Answer 1

• no fluoride
• low fluoride
• standard fluoride
• standard fluoride plus additives
• high fluoride

Question 2

What is the ppm of low fluoride

Answer 2

500-550ppm

Question 3

What is the pm of standard fluoride

Answer 3

1000-1500ppm

Question 4

What is the ppm of high fluoride

Answer 4

5000ppm

Question 5

Under what age are children not recommended fluoride

Answer 5

under 18 months
why =
unfluoridated toothpaste is optional for babies 6 month to 18 months but runs the risk of encouraging sweet flavours

Question 6

from 18- 6years (primary and mixed dentition phase) what type of tooth paste should you recommend (for low risk of caries)

Answer 6

500ppm

Question 7

From 6years to adult what concentration of fluoride (for low caries risk)

Answer 7

standard fluoride 1000-1500ppm

Question 8

What is the function of fluroide

Question 9

what does pink mean in plaque disclosing solution

Answer 9

plaque <48 hours old

Question 10

What does blue mean in disclosing solution

Answer 10

plaque > 48 hours

Question 11

What does pale blue/aqua mean in plaque disclosing solution

Answer 11

acid producing plaque

Question 12

When would super floss be recommended

Answer 12

for under bridges or orthodontic wires

Question 13

If the patient struggles with floss what would you recommend

Answer 13

interproximal brushes (piksters)

Question 14

When would you not recommend pikster

Answer 14

if the patient has tight contacts - if so use floss only

Question 15

What are the main active ingredients in mouthwashes

Answer 15

• chlorhexidine
• essential oils (menthol, thymol, methyl salicylate and eucalyptol)

Question 16

What is the active ingredient in tooth mousse

Answer 16

CPP-ACP

Question 17

What does CPP-ACP stand for

Answer 17

casein phosphopeptide-amorphous calcium phosphate

Question 18

What is the concentration of fluoride in tooth mousse plus

Answer 18

900 ppm

Question 19

What is CPP ACP

Answer 19

Milk based product which helps in remineralization and prevents dental caries
the casein phosphopeptide forms nanoclusters with amorphous calcium phosphate providing a pool of calcium and phosphate which maintains super saturation of saliva
it can also help in the buffering of plaque pH

Question 20

What should be considered when recommending CPP-ACP

Answer 20

don’t give it to anyone with a milk protein allergy

Question 21

What is the function of arginine and where is it found

Answer 21

helps control sensitivity

Question 22

What is the function of triclosan and where is it found

Answer 22

Antibacterial action
Found in standard 1000 - 1500 ppm toothpaste

Question 23

What is the function of novamin and where is it found

Answer 23

helps treat sensitivity and helps remineralise
found in sensodyne standard toothpaste

Question 24

What is the function of sodium mono fluorophosphate (SMF) and where is it found

Answer 24

caries management and remineralization
standard toothpaste

Question 25

What is the function of hydrogen peroxide and where is it found

Answer 25

bleaching agent
found in whitening toothpaste

Question 26

What are the advantages of varnish

Answer 26

• higher ppm of fluoride
• its in contact with the teeth longer
• patient compliance
• ability to place it intraorally in any setting

Question 27

What is the concentration of fluoride in varnish

Answer 27

5% sodium fluoride
(22.6 mg F/ml or 22, 600 ppm)

Question 28

What is the function of tri-calcium phosphate (TCP) and where is it found

Answer 28

found in varnish

Question 29

What is the function of silver diamine fluoride

Answer 29

• Used to arrest dentine carries - stop the progression of carries
• dentine desensitiser

Question 30

What are the disadvantages of silver diamine fluoride

Answer 30

stains surfaces black
there are less staining versions now

Question 31

What is silver diamine fluoride comprised of

Answer 31

silver fluoride + potassium iodide

Question 32

What is the criteria for low risk patients

Answer 32

no new caries for > 3 years

Question 33

What is the criteria for moderate risk patients

Answer 33

one or two new carious lesions in the past 3 years or the presence of a factor that increases risk

Question 34

What is the criteria for high risk patients

Answer 34

• 3 or more new lesions over 3 years
• any caries in a child <6
• presence of multiple factors (e.g. cariogenic diet, poor family oral health, irregular dental care)
• minimal fluoride exposure
• xerostomia (dry mouth)

Question 35

What is the criteria for very high risk patients

Answer 35

• multiple severe, active lesions
• medically compromised and special needs patients
• patients using drugs that dry the mouth
• children living in remote communities
• patients who have had radiation therapy

Question 36

What is primary and secondary prevention for low risk patents

Answer 36

encourage them to continue what they are doing e.g. reinforce continued need for good diet, hydration and oral hygiene. Monitor for any changes (e.g. new medication)

Question 37

What is primary and secondary prevention against caries for moderate risk patients

Answer 37

• dietary advice
• oral hygiene instruction
• regular professional cleaning
• apply FI varnish
• treat the cavities
• remineralise with CPP-ACP (tooth mousse)
• encourage hydration
• reapply fluoride varnish 6-monthly
• regular recalls

Question 38

What is primary and secondary prevention against caries for high risk patients

Answer 38

same as moderate risk patients plus
- dietary analysis
- reinforce OH advice, education and instruction
- professional cleaning
- mouthwash - antimicrobial
- fluoride varnish
- CPP-ACP/high fluoride toothpaste
- treat cavities