Oral Healthcare Issues in Clinical Practice Flashcards Preview

Digestive, Endocrine, and Metabolic Systems > Oral Healthcare Issues in Clinical Practice > Flashcards

Flashcards in Oral Healthcare Issues in Clinical Practice Deck (26):
1

Enamel is superficial to ___________, which itself is superficial to ______________.

dentine; pulp (with blood vessels)

2

The _______________ binds teeth to the alveolar bone.

periodontal ligament

3

How many teeth are included in the primary (aka childhood) set?

20

4

The first teeth to erupt are the _____________, which appear at age __________.

central incisors; 6-12 months

5

Describe the nomenclature of the teeth.

From medial to lateral:
- Central incisor
- Lateral incisor
- Canine (also called eye teeth)
- First premolar
- Second premolar
- First molar
- Second molar
- Third molar

6

Why is it important for MDs to know about oral health?

Because many more people have medical insurance than dental insurance; the number of dentists per capita is declining; and oral health and systemic health are intimately linked.

7

True or false: medicaid covers dental procedures for adults.

False.

8

True or false: caries is not contagious.

False. It can be transmitted from one child to another.

9

Why is sugar bad for teeth?

Because bacteria metabolize it and produce acid

10

Because buffers neutralize the saliva in about twenty minutes – regardless of how much sugar is eaten – the frequency of sugar consumption is more important in the consideration of cavity risk than ___________.

the total amount eaten

11

What is usually the first sign of tooth demineralization?

White spots

12

After white spots appear on teeth, what is the next step in the progression toward caries?

Brown spot within a white spot; this occurs because the enamel is gone and the dentine (which is darker) gets exposed.

13

At what age can kids usually brush their teeth without assistance?

Age 6

14

True or false: bottled water is fluoridated.

False. Many immigrants (who came from nations with unsafe tap water) will rely exclusively on bottled water and miss fluoridation.

15

Which areas of the mouth are most prone to develop cancer?

Lateral sides of the tongue
Floor of the mouth
Inside of the lips

16

Periodontal disease results from _________________ (three things).

chronic plaque at gum line, bacterial infection, and host inflammatory response

17

There are three types of periodontal disease: _______________.

- gingivitis (mildest)
- chronic periodontitis
- aggressive periodontitis (most severe)

18

What percent of artificial heart valve infections arise from periodontal infection?

8%

19

Poor glycemic control leads to a _________ increase in periodontal disease. Similarly, periodontitis has been shown to worsen glycemic control.

threefold

20

Fat tissue releases which two cytokines that induce inflammation?

TNFalpha
IL-6

21

True or false: treating periodontal disease leads to decreased adverse birth outcomes.

False.

22

Oral care protocols have been shown to decrease ventilator-associated pneumonia by _______.

90%

23

The most common chronic disease of childhood is ____________.

dental caries

24

Adults have 32 teeth (including the wisdom teeth aka third molars) and children have only 20. Which teeth do kids not have?

The three molars (6 on top and 6 on bottom)

25

Most kids have all their primary dentition by age ______.

3

26

Periodontitis can lead to what perinatal complications?

Pre-term delivery or preeclampsia

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