CSA chemistry of enamel caries Flashcards

(41 cards)

1
Q

When do ionic materials precipitate?

A

if surrounding solution is above saturation

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2
Q

when do ionic materials dissolve?

A

if surround solution is below saturation

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3
Q

what is Solubility product for apatite Ca10(PO4)6(OH)2?

A

o Ksp = [Ca]10 x [PO4]6 x [OH]2

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4
Q

what must occur for salt to precipitate>

A

solubility product must be exceeded

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5
Q

what increases solubility of apatite>

A

carbonate/magneisum

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6
Q

What decreases solubility of apatite?

A

fluoride so less prone to dissolve

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7
Q

what if there is more fluoride in HAP?

A

less HAP need to be in solution before dissolution occurs

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8
Q

what form should phosphate in saliva be in?

A

soluble form to be available for HAP

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9
Q

WHAT Happens to Phosphate in higher pH?

A

less soluble

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10
Q

what happens when below critical ph

A

ENAMEL WILL DISSOLVE

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11
Q

What happens above pH 5 to dominant phosphate ion?

A

has one proton, HPO42-

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12
Q

What happens BELOW pH 5 to dominant phosphate ion?

A

phosphate= H2PO4-1

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13
Q

what happens when enamel dissolves?

A

ionicn bonding between Ca2+ ions weakened and ions move into solution

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14
Q

in a lesion radiograph what is the translucent zone?

A

leading front of lesion

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15
Q

in a WS lesion radiograph what is the body zone?

A

where bulk material has been lost from

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16
Q

in a WS lesion radiograph what is the surface zone?

A

surface of lesion

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17
Q

What is pore structure of a carious lesion of enamel like in translucent zone?

A

reasonable size

18
Q

What is pore structure of a carious lesion of enamel like in dark zone?

A

smaller pores

19
Q

What is pore structure of a carious lesion of enamel like in body of lesion?

20
Q

What is 30% of material coming out of translucent zone?

21
Q

what is the amount of caarbonate and magnesium lost in translucent zone?

A

10 times more concentrated and being lost than there is present

22
Q

What is 35% of material coming out of dark zone?

23
Q

Is more magnesium or carbonate lost in dark zone?

24
Q

What is calcium being lost like in body of lesion?

A

similar to amount present but amount lost is low, same with Mg

25
what analyses fluoride on surface of tooth
fluoride microprobe
26
What happens when analysing fluoride from sound enamel to surface zone?
On the surface zone, it is very high | - In dark zone/translucent zone it is very low
27
what are the chemical and histological changes occuring during caries attack?
* Mineral content high at surface * body of lesion lost a lot of mineral, less so in dark zone & translucent zone * carbonate = lost straight out of the surface
28
what happens to nuber of protons and fluoride during caries attack?
they're the same
29
What happens to crystals in translucent zone?
they become shabbier, acid attacks outside
30
what happens when the fluoride gets in during a caries attack?
lowers solubility
31
what are the first things removed from enamel in caries attack?
soluble carbonate & magnesium ions
32
What does fluoride at surface allow for ?
reprecipitation of crystal growth, pores become smaller
33
what happens during reprecipitation
pores pick up Ca and Phos. being lost from dark zone
34
is the solubility product very low at dark zone ?
YES
35
WHAT does enamel have?
most protein near the dentine
36
where is protein rich area
resides between prisms and is extremely insoluble
37
what may need to be removed for remineralization >
Proteins
38
what can some protein rich area do ?
offer protection and hinder caries progress
39
what happens to dark zone after protein removal?
decreases in size
40
where can albumin protein enter through and penetrate as far as translucent zone?
saliva
41
what can albumin do if it penetrates as far as translucent?
inhibit crystal growth