The Role Of Fluoride In Caries Management Flashcards

(52 cards)

1
Q

What concentration of fluoride has low mottling

A

1ppm of fluoride

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2
Q

if water is fluoridated what conc of fluoride is in the water

A

0.7PPM

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3
Q

what does DMFT mean

A

decayed missing filled teeth

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4
Q

what does the graph of fluorosis and DMFT show

A

that with the ppm of fluoride increasing there is only a slight decrease in DMFT
but the severity of fluorosis greatly increases

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5
Q

where is fluoride absorbed in the body

A

mainly in the stomach

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6
Q

what type of absorption is fluoride absorbed by

A

systemic absorption

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7
Q

where does excretion of fluoride happen

A

in the kidneys

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8
Q

how is fluoride absorbed into the blood

A

as HF

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9
Q

where is fluoride incorporated

A

in calcified tissues such as bones and teeth

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10
Q

where does fluoride also enter

A

saliva

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11
Q

how does fluoride work

A

decreases demineralisation of enamel
increases remineralisation of enamel
incorporated in developing enamel
interferes with metabolism of some plaque bacteria

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12
Q

what are some examples of bacteria ghat cause caries

A

strep mutans

lactobacillus

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13
Q

what is the critical ph of enamel

A

5.5

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14
Q

how long does it take to get the ph of the mouth back up to normal after an acid attack

A

around an hour( some notes say 20-40 mins)

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15
Q

what does acid demineralisation cause in the enamel crystals

A

porosities

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16
Q

why does the lesion appear chalky

A

due to the fact that light is refracted differently of those enamel porous crystals leaving a chalky appearance

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17
Q

what ions are important for remineralisation

A

calcium
phosphorus
fluoride

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18
Q

will demineralised enamel take fluoride up

A

yes

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19
Q

where can we get calcium and phosphate from

A

saliva
dairy food
CPP-ACP mousse

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20
Q

what is tooth mousse

A

made from casein
it is milk product to paste on teeth
very common

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21
Q

what does CPP-ACP stand for

A

Casein phosphopeptide–amorphous calcium phosphate

22
Q

where do we lose most of the enamel

A

at the sub surface

23
Q

what is the conc of fluoride varnish used in clinic

24
Q

what do we apply at the surface enamel

A

high fluoride varnish

25
what do we apply at the whole enamel lesion
water or simple toothpaste will remineralise the whole area
26
what can high conc fluorides form
calcium fluoride
27
what does fluoride do to bacteria
changes the bacterial pH- more acidic | also interferes with the glycolytic pathway
28
how is fluoride incorporated in enamel
are fluoridated hydroxyapatite or as fluorapatite
29
is this enough fluoride if it is only incorporated with crystals
no it needs to be used daily in the form of toothpaste twice a day
30
what is the ppm of silver diamine fluoride
40000 ppm
31
what is the issue with silver diamine fluoride
THE TEETH WILL GO BLACK DUE TO THE FLUORIDE
32
what are the sources of systemic fluoride
``` swallowed toothpaste water foods-fish,tea tablets/drops milk salt ```
33
at age 5 what is the ratio of kids needing GA for dental care in fluoridated Dunedin
1:88
34
at age 5 what is the ratio of kids in low fluoride mosgiel (NZ)
1:24
35
what are conc of toothpastes in supermarkets
1450ppm
36
what is the conc of prescribed toothpaste
2800-5000ppm
37
what is the conc of fluoride varnish in clinics
7000-22000 ppm
38
what is the conc of fluoride rinses
226-910 ppm
39
what is the percentage of silver diamine fluoride
37%
40
what is the conc of ppm of silver diamine fluoride
60000ppm
41
what do we recommend about toothpaste for children( 3 years)
upto 3 years old 1000ppm fluoride smear of toothpaste parents brush
42
what do we recommend about toothpaste for children 3-6 years
toothpaste 1350-1500ppmF pea sized amount parents help with brushing
43
what should be the conc of daily fluoride mouthwash
0.05%
44
what should be the conc of weekly fluoride mouthwash
0.2%
45
what do we consider when prescribing fluoride mouthwash
age alcohol or not? appropriate instructions
46
what fluoride varnish should be apply if the patient has asthma
colophony free
47
what are other courses of fluoride
GIC composite resin some fissure sealants
48
what is dental fluorosis
occurs when more than trace amounts are ingested during tooth development stage
49
when is the highest risk of fluorosis in permanent anterior teeth
18 months- 3 years
50
when do children learn how to spit
3-4 years
51
how do we prevent fluorosis
stopping additional systemic fluoride before the age of three make sure kids have the correct amount of toothpaste all fluoride should have child safety tops
52
what makes toothpaste beneficial if a child was to ingest too much
it has foaming agents so will just cause vomiting