Cariology Flashcards
(87 cards)
What are the 4 things necessary to create dental caries?
1.TIME 2.Micro-Organisms 3.Substrate 4.Host & Teeth
What are three things that TODAY’s view of what causes caries incorporates?
1.Education 2.Income 3.Social Class
Dental caries is a _______ disease process.
multi-factorial
What are the two types of lesions that can occur with enamel exposure to acid?
1.Carious lesion 2.erosion
In remineralization: Partially demineralized apatite crystals can grow to their _______. Especially in the presence of ______!
ORIGINAL SIZE!….Fluoride
Caries: A ______ disease that progresses very ______ in most individuals.
chronic….SLOWLY
In erupting teeth, the outermost surface layer is _____ and ____ in fluoride
porous…low
If fluoride is present in the oral fluids, the gradual increase in the surface enamel is called “_______ maturation”
Secondary Maturation
Is there a VISUAL sign of caries after 1 week of undisturbed plaque? Is there a HISTOLOGICAL sign?
NO…Histo: yes, increase in enamel porosity
How long does it take for White Spot Lesions to appear with Undisturbed Plaque?
2 weeks
What is the technique that needs to be used when checking for White Spot Lesions?
Air-drying
Histologically, how long does it take for a surface lesion to form with undisturbed plaque?
2 weeks
How long does it take to see a White Spot lesion with a chalky surface (no air drying necessary!)? (w/o undisturbed plaque)
4 weeks
After 4 weeks of undisturbed plaque, what do you see Histologically?
Enlarged inter-crystalline spaces
What are the 4 indications of HIGH risk caries in CAMBRA?
1.Visible Cavites Present 2. Restorations in the last 3 Years 3. Interproximal caries lesions/radiolucencies 4.White Spots on enamel surfaces
What is CAMBRA short for?
CArries Management By Risk Assessment
If you have a have a W.S.L. that you have been letting plaque grow on for a while, THEN you take the plaque off… how long does it take for the chalky appearance to diminish?
1 week
If you have a have a W.S.L. that you have been letting plaque grow on for a while, THEN you take the plaque off… How long does it take to see a normal shiny appearance of normal enamel?
2 weeks
When thinking about our Caries Classification Pyramid (D1-D4)… Where on the pyramid will I find “Sub-clinical lesions in a dynamic state of progression/regression”??
The Base of the Pyramid
When thinking about our Caries Classification Pyramid (D1-D4)…Where on the pyramid will I find “lesions detectable only with additional diagnostic aids”?
The second rung from the bottom
When thinking about our Caries Classification Pyramid (D1-D4)…Which classification level is this, “Clinically detectable enamel lesion with intact surfaces”?
D1
When thinking about our Caries Classification Pyramid (D1-D4)… Which classification level is this, “Clinically detectable cavitation limited to enamel”?
D2
When thinking about our Caries Classification Pyramid (D1-D4)…Which class am I: “Clinically detectable lesions in dentin”?
D3
When thinking about our Caries Classification Pyramid (D1-D4)… Which classification am I: “Lesions into pulp”?
D4…yikes.