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caries final
study guide
74
Dentistry
Undergraduate 1
12/06/2013

Additional Dentistry Flashcards

 


 

Cards

Term
What is the purpose of the plaque index/scoring system?
Definition
to asses what areas need more attention/ show patient areas where they are missing while brushing
Term
Primary Caries
Definition
on surface, not previously affected
Term
Acute Caries
Definition
fast onset, pain associated, 6mos. or less in development
Term
Chronic Caries
Definition
slow onset, little or no pain
Term
Secondary Caries
Definition
on tooth surface previously affected and restored (such as around fillings)
Term
Recurrent Caries
Definition
on tooth surface underneath filling material, Arrested, Stationary and show no tendencies towards breakdown
Term
Rampant Caries
Definition
wide spread in mouth over short period of time
Term
Incipient Caries
Definition
white spots, are able to be re-mineralized
Term
Early childhood caries (nursing/baby bottle caries)
Definition
form of rampant caries, from at-will feeding/drinking. maxillary ANTERIORS and mandibular MOLARS most affected
Term
frequently eating sticky or retentive foods
Definition
increases risk of caries
Term
pH remains low for
Definition
20 minutes after eating
Term
Stephen Curve
Definition
immediate drop in pH when sugar is consumed, followed by a longer recovery period when other foods are eaten
Term
Previous Caries
Infrequent dental visits
Poor diet
Poor oral hygiene
Inadequate fluoride
Inadequate saliva flow
Definition
High caries risk
Term
CAMBRA
Definition
caries management by risk assessment
Term
secondary dentin
Definition
laid down at the pulpal wall to insulate the nerves from the invasion
Term
Sclerotic dentin
Definition
refers to the dentinal tubules filling with calcium salts also slows the process and protects the pulp by inhibiting the pain receptors
Term
When acids have been neutralized
Definition
calcium and phosphate from the saliva diffuse back into the enamel structure. (about 20 min after acid attack)
Term
occurs naturally and is the healing process in the fight against decay
Definition
re-mineralization
Term
enlarges the hydroxyapatite crystals to form flurappatite crystals (acts as a catalyst for re-mineralization)
Definition
Fluoride
Term
more resistant to decay
Definition
re-mineralized enamel
Term
lubricates membranes
cleanses
begins digestion
protects against disease
buffer for pH
re-mineralizes
speech
Definition
functions of saliva
Term
aids in replacing calcium and phosphate lost during demineralization
Definition
saliva
Term
subsurface lesion
Definition
outer surface layer intact
Term
early lesion
Definition
subsurface area of demineralization
Term
1% pore space
Definition
translucent zone
Term
2%-4% pore space
Definition
dark zone
Term
approximately 1% pore space
Definition
surface zone
Term
5%-25% pore space
Definition
body of a lesion
Term
re-mineralized area
Definition
surface
Term
demineralized
Definition
body of lesion
Term
re-mineralized
Definition
dark zone
Term
demineralized area
Definition
translucent
Term
histologic zones
Definition
surface, body of lesion, dark zone, translucent
Term
soft/leathery with large surface area or cavity 5mm square or larger
Definition
advanced root lesions
Term
visual, radiographs, explorer/probe, laser fluorescence
Definition
ways to detect caries
Term
occlusal surface caries are difficult to detect because
Definition
x-ray is a two dimensional picture of a three dimensional object.
Term
often go unnoticed until a large amount of tooth is affected
Definition
occlusal surface caries
Term
often cannot be entered by an explorer
Definition
fissures (3 forms)
Term
rods that extend from the base of the fissure toward the DEJ
Definition
spread diagonally under the surface with little or no openings
Term
when enamel is undermined
Definition
the tooth fractures
Term
plaque is the source of the acid - acids bring caries
Definition
G.V. Black's classification
Term
also follow direction of enamel rods
rods are perpendicular toward DEJ and do not fan out, surface lesion usually larger than subsurface lesion
Definition
smooth surface caries
Term
pit and fissures or smooth surfaces
follows general direction of enamel rods
once contacts DEJ, spreads laterally and follows dentinal tubules
Definition
enamel caries
Term
rough roots collect plaque
demineralization begins at sharpies fibers
spreads laterally
spreads faster due to less mineralization
Definition
root caries
Term
initial evidence of caries
Definition
white spot lesions
Term
initial stage of tooth decay that has not penetrated the outer surface of the tooth (white spot on enamel)
Definition
incipient lesion
Term
incipient lesion
progress of demineralization toward the DEJ
overt or frank lesion which is characterized by actual cavitation
Definition
3 distinct stages of caries
Term
lactic, acetic, formic, propionic
Definition
acids
Term
acids diffuse in, forms incipient lesion
dissolved minerals diffuse out
when sufficient mineral is lost, surface collapses to form a frank carious lesion
Definition
process of demineralization
Term
calcium, phosphates
Definition
dissolved minerals
Term
rod structure is made up of
Definition
hydroxyapatite crystals
Term
hydroxyapatite crystals are primarily composed of
Definition
calcium and phosphate
Term
along rod structure,
Definition
solution moves in and out of enamel
Term
surface enamel is
Definition
higher in fluoride content
Term
enamel is
Definition
more resistant to acid
Term
S. mutans
lactobacillus(deep caries)
S. sobrinus
Definition
microorganisms involved in caries formation
Term
continuous dissolution of the outer enamel surface
Definition
historical perspective on caries process
Term
founder of modern dentistry
Definition
Dr. G.V. Black (microbial plaque is source of acids)
Term
caries is
Definition
a transmissible bacterial infection
Term
xerostomia
Definition
dryness of the mouth
Term
Biotene, Oral Balance, Oasis, OralMoist, Tom’s of Maine Clean and Fresh
Definition
products to help with xerostomia
Term
the main substrate for cariogenic bacteria
Definition
sucrose
Term
most foods contain
Definition
significant levels of fermentable carbohydrates
Term
demineralization begins when
Definition
pH levels drop below 5.5
Term
an effect of bulimia is
Definition
erosion
Term
Cavities in pits or fissures
-occlusal surfaces of premolars and molars
-facial and lingual surfaces of molars
-lingual surfaces of maxillary incisors
Definition
class I (G.V.Black)
Term
Cavities in proximal surfaces of premolars and molars
Definition
class II (G.V.Black)
Term
Cavities in proximal surfaces of incisors and canines that do NOT involve the incisal angle
Definition
Class III (G.V.Black)
Term
cavities in proximal surfaces of incisors or canines that involve the incisal angle
Definition
class IV (G.V.Black)
Term
Cavities in the cervical 1/3rd of facial or lingual surfaces (NOT pit or fissure)
Definition
Class V (G.V.Black)
Term
Cavities on incisal edges of anterior teeth and cusp tips of posterior teeth
Definition
Class VI (G.V.Black)
Term
involves one tooth surface (occlusal cavity)
Definition
simple cavity
Term
involves two tooth surfaces (mesio-occlusal cavity)
Definition
compound cavity
Term
involved more than two tooth surfaces (mesio-occlusal-distal cavity)
Definition
complex cavity
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