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Flashcards in ADA Caries Deck (14)
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1

What 4 things is the ADA caries classification system based on?

1-Location
2-Anatomic site of origin
3-Extent/severity
4-Activity level

2

What are the 4 caries locations?

1-Pit and fissure
2-Approximal
3-Cervical and smooth surface
4-Root

3

What are the 4 categories of the extent/severity of caries?

1-Sound surface
2-Initial mineral loss
3-Moderate mineral loss
4-Advanced mineral loss

4

If the surface is healthy, no clinically detectable lesions, normal dental tissue and has no radiographic or other signs of caries lesion it is said to be?

Sound surface

5

The earliest detectable lesions compatible with net mineral loss limited to enamel or cementum or outermost layer of root dentin is the mildest form of caries and called?

Initial lesion

*White or brown presentation with radiolucency up to 1/3 of outer dentin

6

Deeper demineralization, possibility of enamel surface microcavitation, visible signs of enamel loss with dentin shadowing visible through enamel is what stage of caries?

Moderate mineral loss

*Radiolucency extends into the middle 1/3 of the dentin

7

Full cavitation through the enamel, completely exposed dentin with radiolucency extending into the inner 1/3 of the dentin is what stage of caries?

Advanced mineral loss (advanced caries)

8

What are the two caries activity levels?

Active
Arrested (no treatment required)

9

What is the best predictor of future caries lesions?

Presence of current caries lesions or evidence of caries lesions in the recent past

10

What are the 4 levels of caries risk?

1-Low risk
2-Moderate risk (early caries)
3-high risk (1 or more cavitated lesions)
4-Extreme risk (1 or more cavitated lesions with severe xerostomia)

11

Bitewings every 24-36 months, exams every 6-12 months, and use of OTC fluoride toothpaste is a good plan for what caries risk level?

Low risk

12

Bitewings every 18-24 months, exams every 4-6 months, baseline saliva testing (xylitol if needed) and OTC fluoride toothpaste with 0.05% NaF and varnish is a good plan for which caries risk level?

Moderate risk

13

Bitewings every 6-18 months, exams every 3-4 months, saliva testing, chlorhexidine gluconate, xylitol, 1.1% NaF toothpaste and NaF varnish is a good plan for what caries risk level?

High risk

14

Bitewings every 6 moths, exams every 3 months, chorhexidine 0.12%, xylitol, 1.1 % NaF toothpaste, acid neutralizing rinses if needed, and calcium phosphate paste is a good plan for what caries risk level?

Extreme risk (high plus dry mouth)