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Flashcards in caries symposium Deck (35)
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1

list the 7 elements of caries risk?

clinical evidence
dietary habits
social history
medical history
fluoride use
plaque control
saliva

2

list the 8 element of preventative caries programme ?

radiograph
toothbrushing instruction
strength of F in toothpaste
F varnish
F supplement
diet advice
fissure sealant
sugar free medicine

3

compare an active and inactive white spot lesion?

active - white spot chalky, not bright, swollen gingiva
inactive - demineralisation at rest, gingiva not swollen

4

where are white spot lesions often found ?

gingival margin
pits and fissures

5

which curve demonstrates the change in ph of the mouth after patient is exposed to sugar?

stephan curve

6

the ph of an active white spot lesion drops below what?

5.5

7

name 2 microorganisms in the mouth which survive in acidic conditions?

lactobacilli
strep mutans

8

name 2 microorganism found in the mouth which don't survive in acidic conditions?

s. sanguines
s. gordonni

9

caries develops in which shape in pits and fissures?

triangle

10

does black caries at the root indicate an active or inactive lesion?

inactive

11

define dental caries

a disease of the dental hard tissues caused by the action of micro-organisms, found in plaque, on fermentable carbohydrates. At an individual level it is a preventable disease

12

where does early childhood caries usually effect and why?

upper anteriors and molars caused by innapropriate uses of feeding cups and bottles

13

list some advice you would give a mother of a new born in relation to dental health of her child?

- support and promote breast feeding
- feeding cup rather than bottle from 6 months with free-flow sprout
- drinks with free sugars never put in bottle
- if child must have juice, give diluting with lots of water, at meal times and with straw
- wean child off breast feeding after a year
- food and confectionary with free sugars at meal times only
- only plain water and milk in-between meals
- sugar free medicine when available

14

list some safe snacks for young children?

mil/water
fruit (not dried)
savoury sandwiches
crackers and cheese
breadsticks
plain salted crisps over sweets

15

when should a child first have their teeth brushed?

as soon as their primary teeth erupt

16

when is a child able to fully brush their own teeth?

8 years old

17

how much fluoride is recommended for a child toothpaste?

1000ppm (aqua fresh milk teeth)

18

how much fluoride is in a standard toothpaste?

1400-1500ppm

19

how much fluoride is in a high fluoride prescription toothpaste?

2800ppm

20

what strength of tooth paste is recommended for a child up to 3?

1000ppm

21

what strength go tooth paste is recommended for children between the ages of 4 and 16?

1000-1500ppm

22

what strength of toothpaste is recommended for high risk children under 10?

1500ppm

23

how much toothpaste should be applied to a tooth brush for a child under 3?

smear

24

when should a child floss their own teeth?

12

25

how may clinicians professionals administer fluoride ?

APF gels ot varnish
durbahat varnish
topical F varnish
floss fluoride in-between contacts

26

compare a D1 and D3 lesion?

D1 - very early caries, dentist works with patient, only in enamel
D3 - progressed into dentine

27

you should never poke caries with a sharp probe, instead you should use?

one with a ball end

28

what ways can caries be classified?

- by extent (D1 or D3)
- by cavitation (cavitated or not)
- by activity (active or inactive)
- by site (smooth surface etc)
- by location (primary or secondary)

29

name some different site classifications of caries?

smooth surface
root surface
pit/fissure

30

what are the basics for a good clinical examination?

good light
dry tooth
systematical approach
don't use sharp robe