Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Caries Symposium > Caries Pattern + Diagnosis > Flashcards

Caries Pattern + Diagnosis Flashcards

(45 cards)

Start Studying
1
Q

Define caries

A 
> Disease of mineralised tissues: 
enamel 
dentine 
cementum
caused by the action of microorganisms on fermentable carbohydrates

> Can be arrested and remineralisation can occur in early stages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does decalcification appear clinically?

A

Chalky white/brown lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is decalcification most commonly seen?

A

Under ortho brackets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What 3 pits should be checked for possible caries?

A
  1. Buccal pits of lower 6s
  2. Palatal pits of uppers 6s
  3. Cingulum + palatal pits of upper 2s
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where is smooth surface caries found?

A
  1. Buccal
  2. Lingual
  3. Cervical
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does active caries present clinically?

A
  • Light brown caries

- Soft mushy if you check with a probe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What teeth does early bottle caries affect?

A

MAXILLARY
Incisors
1st Molars

MANDIBULAR
Canines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why are lower incisors normally not affected by early bottle caries?

A

They are protected by the tongue

+ saliva from floor of the mouth (salivary glands)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an amalgam tattoo caused by?

A

Amalgam gets into the dentinal tubules and stains them grey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define rampant caries

A

More than or equal to 10 new lesions per year

- Lower anteriors affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pattern of attack for caries in deciduous dentition (yrs)

A

0 to 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pattern of attack for caries in young mixed dentition (yrs)

A

6 to 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pattern of attack for caries in young permanent dentition (yrs)

A

12+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What teeth is caries most prevalent in the primary dentition?

A
  • Lower primary molars
  • Upper primary molars (2nd)
  • Upper anteriors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What teeth is caries least prevalent in the primary dentition?

A
  • Lower anteriors

- Buccal + lingual surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is interprox caries harder to develop in primary dentition?

A

Because primary dentition is very spaced out making the areas self cleansing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What teeth can enamel hypomineralisation occur in the primary dentition?

A

2nd primary molars

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Whats usually the pattern of extraction for caries in primary dentition?

A

8 primary molars removed + centrals + laterals

  • Canines saved to guide teeth in
  • Lower anteriors usually spared as they don’t get caries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What teeth can be fissure sealed if the child has a high caries risk?

Study These Flashcards
A

Molars and premolars

20
Q

What steps are part of the assessment for caries? (7)

Study These Flashcards
A
  1. Parent+patient management
  2. Symptoms
  3. HPC
  4. PDH
    - Tx to date
    - OH habits, F habits + Dietary habits
  5. MH
  6. SH
  7. Caries Risk Assessment
21
Q

What steps are part of the e/o I/o examination for caries?

Study These Flashcards
A
  1. Extra-oral
  2. Intra-oral
Soft tissues:
OH
Swelling
Sinuses
Ulceration
Hard tissues:
Teeth present
Dental age 
Occlusion 
Loose/missing/extra teeth 
Trauma
Dental anomalies 
Caries activity
22
Q

Clinical examination for caries

Study These Flashcards
A

VISUAL

  • dry teeth
  • good light
23
Q

What tests can be done for caries diagnosis

Study These Flashcards
A
  1. Radiographs
  2. Sensibility testing:
    - Nerve (hot/cold/electric)
  3. Vitality testing:
    - Blood supply (laser dopler)
    - Difficult to use, bulky
24
Q

How is fiberoptic transillumination used for caries detection?

Study These Flashcards
A

Light doesn’t carry through carious material

25
Why would you want to avoid extracting a second primary molar?
FPM will drift and take its place (of the premolar under it) | Resulting in crowding
26
What are some key considerations before you decide your tx?
1. If tooth is restorable 2. Patient/parent compliance 3. Stage of dental development 4. Space management 5. Anticipated difficulties 6. Overall prognosis
27
If the tooth is restorable what considerations do you need to make in terms of tx? (4)
1. Choice of restorative material 2. Choice of restorative technique 3. Cavity shape 4. Permanent vs temp restos
28
State an example of a temporary restoration material
Zinc oxide eugenol based temp material - Prevents pain + worsening Can hand excavate gross caries first
29
What material is used for stabilisation of caries?
GIC - GI Cement
30
What is carisol used for?
Dissolves carious dentine
31
Name 2 types of space maintainers (2)
1. Ortho brackets | 2. Band and loop space maintainer
32
When is a distal shoe used?
When removing a 2nd primary molar when the 1st permanent molar isn't there
33
Function of a distal shoe
Spike goes into bone so the unerupted FPM can slide up the metal and sit into the right space
34
Disadvantages of primary tooth extractions
- Increased crowing | - Tendency for space loss
35
Whats a rule for extractions
If you take out one you need to take out the other in the same arch to prevent centre line shift
36
What is an emergency tx options for caries?
1. Caries excavation + sedative dressing 2. Pulp therapy - Pulpotomy or Pulpectomy 3. Drainage of pus 4. Extraction (LA +- IHS or GA)
37
What age is IV sedation considered for?
12 years + | Young permanent dentition
38
Lower 6s rule for LA
- If a child doesn't have lower 6s then can get away with infiltration rather than IDB - If 6yrs or 6s erupting then IDB
39
Advantages of rubber dam
1. Isolation + moisture control 2. Retraction of gingivae + cheeks 3. Damage to soft tissues
40
Are linings usually required in primary teeth?
No | Limited room for cavity prep
41
Anatomical features of pulp in primary teeth (2)
1. Large - Limited room for cavity prep 2. Pulp horns close to surface - Pulp exposure easy
42
Anatomical features of roots in primary teeth (2)
Narrow mesio-distally, long + slender
43
Implications of a narrower root in primary teeth for root tx
Pulpectomy more difficult
44
When do you know to plan for pulp tx just off of your clinical examination?
When the marginal ridge has breakdown of more than 2/3rds of its length -> theres caries in the pulp (pulpotomy needed)
45
When do you know to plan for pulp tx just off of your radiographic examination?
Caries greater than or equal to 2/3rds into dentine - pulp involved Pulp caps dont tend to work very well in the primary teeth so go to pulpotomy

Caries Symposium (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions