Dental Charting

Question 1

What are five purposes of dental charting? PCLFF

Answer 1

Planning, communication, legal document, financial, audits, forensic uses

Question 2

What are the two major types of charting?

Answer 2

1) Anatomical chart
2) Geometrical chart (Dentrix)

Question 3

At MCC, the dental chart includes what two findings?

Answer 3

Oral and radiographic findings

Question 4

List the correct sequence of charting. (5)

Answer 4

1) Record missing teeth
2) Record any removable prosthesis
3) Examine and record each tooth
4) Evaluate the restored surfaces and look for decay (with transillumination of mirror, air syringe, #23 explorer)
5) Evaluate and record abnormalities or regressive changes

Question 5

Decay is most commonly found in what 4 places?

Answer 5

1) Pits/Fissures
2) Interproximally
3) Cervical 1/3rd
4. Hard to clean areas

Question 6

Supernumerary teeth are classified as:

Answer 6

Hyperdontia

Question 7

Anodontia teeth are classified as:

Answer 7

Hypodontia

Question 8

A defect of enamel mineralization/maturation caused by heredity or systemic irregularities causing it to be weak and thin.

Answer 8

Enamel hypocalcification

Question 9

Small teeth or tooth, peg laterals.

Answer 9

Microdontia

Question 10

Defect with single tooth that attempted to divide during its development.

Answer 10

Gemination

Question 11

Caused by too much fluoride on teeth when developing.

Answer 11

Fluorosis

Question 12

Exposure to syphilis during tooth development such as Hutchingson’s incisors and Mulberry molars.

Answer 12

Syphilitic Enamel Hypoplasia

Question 13

Tooth-to-tooth wear, or grinding, is called what?

Answer 13

Bruxism (bruhk-si-zm)

Question 14

Tooth wear due to foreign substance such as stiff toothbrush bristles is called what?

Answer 14

Abrasion

Question 15

A “V” or wedge shaped defect at the CEJ due to occlusal forces.

Answer 15

Abfraction

Question 16

Loss of tooth due to chemical agent is what?

Answer 16

Erosion

Question 17

Small chips to deep breaks in tooth.

Answer 17

Fracture

Question 18

A preventable disease, characterized by demineralization of the hard components.

Answer 18

Caries

Question 19

An infectious, transmissible, & communicable disease caused by bacteria, diet, and the right pH

Answer 19

Caries

Question 20

Enamel is made from what?

Answer 20

Hydroxyapatite (hy-droxy-apa-tite)

Question 21

[Ca10(PO4)6(OH)2] also means?

Answer 21

Hydroxyapatite (enamel)

Question 22

This forms on the tooth (derived from saliva & first stage of plaque/biofilm).

Answer 22

Pellicle

Question 23

What are the three major bacteria’s that cause caries?

Answer 23

Mutans streptococcus (MS), Sobrinus Streptococcus, & Lactobacillus species

Question 24

Acids diffuse between the enamel crystals through diffusion channels from a concentration gradient & produces hydrogen ions which dissolve the calcium phosphate minerals of the subsurface enamel or dentin process is called?

Answer 24

Demineralization

Question 25

Demineralization can be halted or reversed because of?

Answer 25

Remineralization

Question 26

What are the four types of caries? ("Best" to worst)

Answer 26

1) Chronic 2) Arrested 3) Recurrent 4) Rampant or Acute

Question 26

Four stages of caries are?

Answer 26

1) Initial infection 2) Early subsurface lesion 3) White area lesion (early stage = bright/smooth) (late stage = white and rough) 4) Cavitation

Question 27

This approach you wait for disease and treat, and watch lesions get larger.

Answer 27

Surgical

Question 28

This approach is more of a risk based approach where you identify those at risk who are more likely to develop caries

Answer 28

Medical

Question 29

Bacteria passed from mother to child is called what?

Answer 29

Vertical transmission

Question 29

What three locations are caries most frequent?

Answer 29

1) Pit/fissures 2) Cervical 1/3rd 3) Cementum/root

Question 30

Why do we dry teeth?

Answer 30

We dry teeth to determine which stage of the caries process. The saliva will masks the dull or shine of a tooth.

Question 31

Light Emitting Diode (LED) and fiber optic technologies to accurately detect both occlusal and interproximal caries

Answer 31

Caries ID

Question 32

What's another way we can see caries?

Answer 32

Radiographs

Question 33

Name four things you will need to look for caries.

Answer 33

1) LOTS of air 2) Mirror, sharp eyes 3) VERY goo lighting 4) Caries ID

Question 33

A naturally occurring 5-carbon sugar polyol which is not fermentable by MS or LB which can be used to control caries is?

Answer 33

(Xylitol) Gum

Question 34

What is another control strategy for caries?

Answer 34

Chlorhexidine-RX rinse

Question 35

This is a silver filling and is called?

Answer 35

Amalgam

Question 36

These are tooth colored fillings which is called?

Answer 36

Composites

Question 37

In dental charting, this is outlines in blue.

Answer 37

Composites

Question 38

In dental charting, this is solid blue.

Answer 38

Amalgam (silver filling)

Question 39

Gold foil is usually placed where?

Answer 39

In the cervical third of the tooth

Question 40

A protective coating placed on pits & fissures of teeth to prevent decay.

Answer 40

Sealant

Question 41

When a tooth has had too much tooth structure lost due to decay trauma, weakened tooth structure (root canal/infection) or fractures etc.

Answer 41

Crown

Question 42

A restoration that is made and fitted for the tooth and COVERS a cusp(s).

Answer 42

ONlay

Question 43

Fitted IN a tooth and cemented in the tooth.

Answer 43

INlay

Question 44

Porcelain facings that add onto the tooth to change the look of a smile.

Answer 44

Veneers

Question 45

A bridge is usually made when a tooth has been extracted.

Answer 45

Fixed bridge

Question 46

In a fixed bridge, there are ___ abutment teeth and __ pontic teeth

Answer 46

2 abutment teeth (cover natural tooth) 1 pontic tooth (dummy") tooth

Question 47

A classification system that originally described surfaces of caries now it also describes restoration is called what?

Answer 47

GV black's Classification System

Question 48

This class has: -Pits and fissures only Surfaces involved: -Occlusal of premolars and molars -Lingual of maxillary incisors

Answer 48

Class 1

Question 49

This class has: -Proximal surfaces of posterior teeth -Occlusal surfaces if tooth in contact with another tooth Notice how these restorations all cover the marginal ridge

Answer 49

Class 2

Question 50

This class has: -Proximal surfaces of anterior teeth -Incisal angle NOT involved

Answer 50

Class 3

Question 51

This class has: -Proximal surfaces of incisors and canines -Incisal angle IS included

Answer 51

Class 4

Question 52

This class has: -Gingival third (cervical 1/3) of facial or lingual surfaces of any tooth

Answer 52

Class 5

Question 53

This class has: -Incisal edge of anterior teeth -Cusp tips of posterior teeth

Answer 53

Class 6

Question 54

1) Simple involves ___ surface(s)? 2) Compounds involves ___ surface(s)? 3) Complex involves ___ surface(s)?

Answer 54

1) 1 2) 2 3) 3