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What is the purpose of the plaque index/scoring system? |
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Definition
to asses what areas need more attention/ show patient areas where they are missing while brushing |
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on surface, not previously affected |
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fast onset, pain associated, 6mos. or less in development |
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slow onset, little or no pain |
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on tooth surface previously affected and restored (such as around fillings) |
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on tooth surface underneath filling material, Arrested, Stationary and show no tendencies towards breakdown |
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wide spread in mouth over short period of time |
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white spots, are able to be re-mineralized |
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Early childhood caries (nursing/baby bottle caries) |
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Definition
form of rampant caries, from at-will feeding/drinking. maxillary ANTERIORS and mandibular MOLARS most affected |
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frequently eating sticky or retentive foods |
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immediate drop in pH when sugar is consumed, followed by a longer recovery period when other foods are eaten |
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Previous Caries Infrequent dental visits Poor diet Poor oral hygiene Inadequate fluoride Inadequate saliva flow |
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caries management by risk assessment |
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laid down at the pulpal wall to insulate the nerves from the invasion |
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refers to the dentinal tubules filling with calcium salts also slows the process and protects the pulp by inhibiting the pain receptors |
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When acids have been neutralized |
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Definition
calcium and phosphate from the saliva diffuse back into the enamel structure. (about 20 min after acid attack) |
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occurs naturally and is the healing process in the fight against decay |
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enlarges the hydroxyapatite crystals to form flurappatite crystals (acts as a catalyst for re-mineralization) |
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lubricates membranes cleanses begins digestion protects against disease buffer for pH re-mineralizes speech |
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aids in replacing calcium and phosphate lost during demineralization |
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outer surface layer intact |
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subsurface area of demineralization |
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approximately 1% pore space |
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surface, body of lesion, dark zone, translucent |
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soft/leathery with large surface area or cavity 5mm square or larger |
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visual, radiographs, explorer/probe, laser fluorescence |
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occlusal surface caries are difficult to detect because |
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Definition
x-ray is a two dimensional picture of a three dimensional object. |
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often go unnoticed until a large amount of tooth is affected |
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often cannot be entered by an explorer |
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rods that extend from the base of the fissure toward the DEJ |
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spread diagonally under the surface with little or no openings |
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when enamel is undermined |
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Definition
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plaque is the source of the acid - acids bring caries |
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Definition
G.V. Black's classification |
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also follow direction of enamel rods rods are perpendicular toward DEJ and do not fan out, surface lesion usually larger than subsurface lesion |
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Definition
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pit and fissures or smooth surfaces follows general direction of enamel rods once contacts DEJ, spreads laterally and follows dentinal tubules |
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rough roots collect plaque demineralization begins at sharpies fibers spreads laterally spreads faster due to less mineralization |
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initial evidence of caries |
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initial stage of tooth decay that has not penetrated the outer surface of the tooth (white spot on enamel) |
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incipient lesion progress of demineralization toward the DEJ overt or frank lesion which is characterized by actual cavitation |
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3 distinct stages of caries |
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lactic, acetic, formic, propionic |
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acids diffuse in, forms incipient lesion dissolved minerals diffuse out when sufficient mineral is lost, surface collapses to form a frank carious lesion |
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process of demineralization |
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rod structure is made up of |
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hydroxyapatite crystals are primarily composed of |
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solution moves in and out of enamel |
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higher in fluoride content |
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S. mutans lactobacillus(deep caries) S. sobrinus |
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microorganisms involved in caries formation |
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continuous dissolution of the outer enamel surface |
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historical perspective on caries process |
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founder of modern dentistry |
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Dr. G.V. Black (microbial plaque is source of acids) |
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a transmissible bacterial infection |
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Biotene, Oral Balance, Oasis, OralMoist, Tom’s of Maine Clean and Fresh |
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Definition
products to help with xerostomia |
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the main substrate for cariogenic bacteria |
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significant levels of fermentable carbohydrates |
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demineralization begins when |
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Cavities in pits or fissures -occlusal surfaces of premolars and molars -facial and lingual surfaces of molars -lingual surfaces of maxillary incisors |
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Cavities in proximal surfaces of premolars and molars |
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Cavities in proximal surfaces of incisors and canines that do NOT involve the incisal angle |
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cavities in proximal surfaces of incisors or canines that involve the incisal angle |
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Cavities in the cervical 1/3rd of facial or lingual surfaces (NOT pit or fissure) |
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Cavities on incisal edges of anterior teeth and cusp tips of posterior teeth |
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involves one tooth surface (occlusal cavity) |
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involves two tooth surfaces (mesio-occlusal cavity) |
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involved more than two tooth surfaces (mesio-occlusal-distal cavity) |
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