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Preventive exam 2
preventive exam 2
83
Dentistry
Undergraduate 1
04/21/2014

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Term
eggshells
honey
salt
myrrh
cinnamon
oils
Definition
historical dentifrice ingredients
Term
ingredients that yield therapeutic benefits to the patient
Definition
active ingredients
Term
what is the change agent?
Definition
you are the change agent
Term
cosmetic
theraputic
combination of the two
Definition
classification by FDA of mouth rinses.
Term
dislodging particulate matter
temporarily reducing microorganisms
provide freshness
reduce malodor
caries prevention
antiplaque/gingivitis
relief of mucositis
Definition
at home uses for mouth rinses
Term
pre/post-operative to reduce aerosols
impression procedures
irrigation
medicament for ultrasonic cleaning
implant lavage
Definition
in-office uses for mouth rinses
Term
home oral irrigation devices are currently accepted for
Definition
gingivitis and mild periodontitis. more research is needed
Term
over the counter products
most dentists are skeptical of their value
studies show minimal effectiveness
should be used with caution
Definition
Cosmetic mouth rinses
Term
my be either over the counter or prescription
contain added active ingredient to protect from some oral diseases
regulated by FDA and ADA
Definition
Therapeutic mouth rinses
Term
theraputic mouth rinses are classified as
Definition
Generation1 and Generation 2
Term
antibacterial properties
low substantivity
limited therapeutic value
most mouth rinses fit in this category
Definition
1st generation agents
Term
The American Dental Association, Council on Dental Therapeutics’
official stamp
Definition
is responsible for the ADA seal of approval
Term
set specific standards for
use in diagnosis, treatment, and prevention of oral diseases.
Definition
purpose of ADA seal
Term
• Caries prevention (fluoride dentifrices)
• Prevention of plaque and gingivitis
• Relief of dentinal hypersensitivity (desensitizing
dentifrices)
Definition
Approved awards for the ADA seal
Term
the ADA does NOT have a seal for what?
Definition
Tartar control
Term
why does the ADA not support plaque reduction as a claim?
Definition
no therapeutic benefit
Term
who's choice is it to obtain the ADA seal?
Definition
the manufacturers
Term
new applications for the dentifrices are
Definition
rare
Term
triclosan/copolymer is in what dentifrice?
Definition
Colgate total
Term
provide structure, texture, cleansing preservatives
Definition
inactive ingredients
Term
remove stain/ polish teeth
Definition
cleansing agents
Term
maintain moisture levels
Definition
humectants (humid humectants!)
Term
enhance apprearence
Definition
coloring agents (no brown toothpaste!)
Term
increase compliance
Definition
non-sucrose sweeteners
Term
prevents deterioration
Definition
preservatives
Term
enhance appeal
Definition
flavors
Term
lower surface tension and create foaming effect
Definition
Foaming agents (surfactants)
Term
what are foaming agents known as?
Definition
surfactants
Term
what is the most popular surfactant?
Definition
sodium laurylsufate
Term
prevent separation
Definition
thickening agents (binders)
Term
thickening agents are know as?
Definition
binders
Term
keep pH stable
Definition
buffering agents
Term
anticaries
remineralization
antigingivitis
Definition
therapeutic effects of active ingredients
Term
what is the most researched theraputic agent?
Definition
fluoride
Term
fluoride delivers anywhere from
Definition
1,000 - 1,500 ppm
Term
most acceptance of anticaries agent is what?
Definition
fluoride
Term
what type of fluoride is used more in Europe?
Definition
Amine
Term
children's fluoride toothpaste should contain
Definition
250 ppm fluoride
Term
why should children's toothpaste only contain 250 ppm fluoride?
Definition
to reduce risk of fluorosis
Term
bringing the fluoride content down to 250 ppm fluoride will also
Definition
slightly reduce the anti-caries benefit
Term
over time, xylitol-resistant bacteria are
Definition
less cariogenic
Term
starves bacteria
reduces acid
inhibits bacterial fermentation
Definition
Xylitol
Term
MI paste is
Definition
Amorphous Calcium Phosphate
Term
Amorphous Calcium Phosphate (ACP/ MI paste)
Definition
prevents caries progression
enhances enamel remineralization
precipitates and grows on the tooth surface
enhances whitening
Term
how does ACP help to reduce sensitivity?
Definition
globule occludes the dentinal tubules
Term
Essential oils
Zinc Chloride
Chlorine dioxide
Definition
Antihalitosis
Term
Fluorides
Definition
Caries prevention
Term
metallic salts
potassium nitrate
Definition
relief of dentinal hypersensitivity
Term
peroxides
Definition
whitening
Term
triclosan
Definition
reduction of gingivitis, plaque and calculus
Term
zinc compounds
pyrophosphates
Definition
anticalculus
Term
when using Chlorhexidine, there should be a
Definition
30 minute time frame between brushing and rinsing
Term
peridex, perioguard
is a bisbiguanide
Definition
Chlorhexidine 0.12%
Term
what percent is associated with Chlorhexidine?
Definition
0.12%
Term
what does RDA# stand for?
Definition
Radioactive Dentin Abrasion#or Relative Dentin Abrasivity#
Term
if the RDA# is 200 or below
Definition
it is safe for enamel
Term
if the RDA# is 120 or below
Definition
it is safe for exposed root surfaces
Term
what has the highest RDA# of 277?
Definition
Topol Smoker's toothpaste/ Pearl drops
Term
If alumina is the 1st listed ingredient, what should you do?
Definition
Don't buy the product!
Term
What has the lowest RDA# of 7?
Definition
Arm & Hammer Tooth Powder
Term
Soft tissue damage (acid pH)
Hard tissue damage (excessive pH/abrasion)
Misperceptions of cleanliness because teeth feel smooth and look white
Definition
problems with whitening toothpastes
Term
What is the recommended amount of toothpaste for an adult?
Definition
a ribbon
Term
what is the recommended amount of toothpaste for a child?
Definition
a pea sized dot
Term
when used appropriately, manual, powered, and sonic brushes
Definition
can all be effective for dental biofilm removal
Term
what is the primary objective of toothbrushing?
Definition
the safe and effective removal of dental biofilm from all surfaces of the dentition
Term
First powered and later sonic toothbrushes
were introduced in _________.
Definition
the second half of the 20th century
Term
Seminal research in the _________ by
Loe and others definitively demonstrated
the role of plaque as a bacterial ecology
involved in the development of periodontal
disease.
Definition
1960s and 1970s
Term
Supragingival plaque _________
subgingival plaque
Definition
contains
more aerobic bacteria (e.g., Streptococcus mutans) and
acts as a bacterial reservoir for
Term
In mature biofilm, _________.
Definition
the biofilm structure consists mainly of a polysaccharide
matrix containing voids as well as nonvital
material of bacterial origin
and the bacteria are enveloped by the biofilm structure
Term
_________ has antibacterial properties
Definition
triclosan/copolymer, essential
oils, chlorhexidine, xylitol and cetylpyridinium chloride
Term
Reducing, removing or changing the
biofilm is carried out _________.
Definition
to try to reduce the bacteria associated with caries
and periodontal disease, to freshen the breath
and for social acceptance
Term
An ideal dentifrice should help _________.
Definition
prevent plaque formation,
disrupt plaque and optimize plaque removal
Term
An ideal toothbrush should _________.
Definition
effectively and safely remove plaque from all surfaces of the tooth, be easy to use, ergonomic and patient-friendly and deliver agents in the dentifrice to the tooth surface
Term
_________ brushes are effective at removing dental biofilm provided they are used appropriately.
Definition
Manual, Powered and Sonic
Term
Historically, patients have been taught the _________ and to angle the brush so that the bristles will be at 45 degrees to the sulcus
Definition
Bass technique
Term
More recent manual brushes include
designs with handles and grips that result in the bristles being in a tilted _________.
Definition
45 degree angle
Term
Robinson et al. found from their metaanalysis that rotation-oscillation brushes
reduced plaque and gingivitis_________
manual brushes
Definition
more than
Term
One study found that _________ of
dental biofilm was removed in_________
seconds with a rotation-oscillation
powered brush; the same amount of
plaque removal required twice as long
with a manual brush.
Definition
75%, 15
Term
Specifically with regard to erosion, the
abrasiveness of toothpaste slurry has been
found by investigators to be _________
predictive of abrasion than the stiffness of the filaments of brushes
Definition
more
Term
It is believed that _________ is an
important factor in the effectiveness of
baking soda.
Definition
cleaning power rather than abrasivity
Term
It has been hypothesized that baking
soda may affect the biofilm’s _________.
Definition
polysaccharide matrix, or may disrupt bacterial adhesion by blocking calcium
bonds
Term
_________ is a frequently used cleaning
agent in dentifrices.
Definition
baking soda (sodium bicarbonate), calcium carbonate and calcium phosphate
Term
The American Dental Association
recommends using _________ daily
Definition
either floss or an interdental cleaner
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