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Preventive exam 2 part 2
exam 2 part 2
66
Dentistry
Undergraduate 1
04/22/2014

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Cards

Term
Caries affects the primary dentition
in _____ of young children
Definition
41%
Term
In older adults, _____ is a
major factor in the onset of
carious lesions.
Definition
xerostomia
Term
Primarily _____ serve as the
main cariogenic bacteria
Definition
Streptococcus mutans (S. mutans) and lactobacilli
Term
When acids diffuse into the
fluid-filled spaces within the
mineral crystals, this causes
subsurface demineralization and strengthening of the crystal structure.
Definition
False, it dissolves the structure
Term
Saliva acts as a _________
and provides _________
for remineralization
Definition
buffer, calcium and phosphate ions
Term
Remineralizaton occurs _____.
Definition
as the pH rises
Term
Larger apatite crystals containing
calcium phosphate and
fluoride are _____.
Definition
more resistant to acid attacks and breakdown.
Term
In-office topical fluorides are
available as _____.
Definition
gels, foams, rinses, and varnishes
Term
An application of fluoride
varnish contains more total
fluoride than contained in an
application of APF gel or foam
Definition
true
Term
Recently published ADA
recommendations suggest using
fluoride varnish up to four times
per year.
Definition
true (for high risk children)
Term
Slow dissolution over time of
calcium fluoride-like globules
results in _____.
Definition
a durable cariostatic effect
Term
Chlorhexidine gluconate or
povidone-iodine use for caries
prevention _____.
Definition
is an off-label use
Term
Amorphous calcium
phosphate (ACP) _____.
Definition
helps prevent caries progression, enhances enamel remineralization and consists of the same minerals
contained in hydroxyapatite crystals
Term
ACP can precipitate and grow
on the tooth surface
Definition
true
Term
The use of ACP in
sodium fluoride varnish
results in _____.
Definition
a threefold bioavailability of fluoride and increased uptake of fluoride
Term
Bioavailable forms of calcium
phosphate include _____.
Definition
ACP, Novamin, CPP-ACP
Term
Supersaturating the
intraoral environment with
calcium and phosphate ions
by using ACP _____.
Definition
aids remineralization, and enhances the effect of fluoride
Term
The maximum allowable fluoride in a NaF-containing (sodium and stannous fluorides)OTC dentifrice is ________ ppm
Definition
1150ppm
Term
NDAs are typically used for what?
Definition
new drug indications
Term
The ADA Seal of Acceptance program is a required process to market a fluoride dentifrice in
the US.
Definition
False, the ADA Seal of Acceptance program is a voluntary process to provide assurance to
consumers of the safety and efficacy of a product.
Term
Dental calculus control is considered to be what type of benefit?
Definition
It can be either cosmetic or therapeutic, depending on the product.
Term
The ISO standard specifies that dentifrices with an RDA of less than ________ are safe on
hard tissues
Definition
250
Term
Potassium nitrate is the most commonly used tubule-occluding agent used to treat dentinal
hypersensitivity.
Definition
true
Term
Dentifrice ingredients with antibacterial activity can help reduce all of the following EXCEPT
_______________.
a. gingivitis
b. intrinsic stain
c. oral malodor
d. plaque biofilm
Definition
intrinsic stain
Term
Triclosan is a broad-spectrum antibacterial agent
Definition
true
Term
What is the most common nerve depolarizing agent used in sensitivity dentifrice?
Definition
potassium nitrate
Term
Humectants allow dentifrices to retain moisture.
Definition
true
Term
What is the most common surfactant used in dentifrices?
Definition
Sodium Lauryl sulfate (SLS)
Term
Which of the following ingredients add opacity to a dentifrice?
Definition
titanium dioxide
Term
The active ingredient in the first dentifrice to receive the ADA Seal of Acceptance was
Definition
stannous fluoride
Term
The primary mechanism of action for fluoride includes _______________.
Definition
promotion of remineralization and inhibition of demineralization
Term
Three dentifrice ingredients (abrasive, humectants, and solvent) typically represent about
________ of the dentifrice ingredients.
Definition
95%
Term
Stannous fluoride is the only fluoride that delivers anticaries, antiplaque/gingivitis, enamel
protection and anti-hypersensitivity benefits from one ingredient.
Definition
true
Term
Effective anticalculus agents work by chelating calcium and inhibiting plaque calcification
Definition
true
Term
Halitosis, or bad breath, can be caused by which of the following?
a. dry mouth
b. bacteria
c. oral debris
d. oral diseases
e. All of the above.
Definition
all of the above
Term
With fluoride treatment, a noncavitated lesion can be remineralized with fluorapatite and
have greater resistance to subsequent demineralization than hydroxyapatite.
Definition
true
Term
Sodium fluoride can be formulated with almost any of the available dentifrice abrasives.
Definition
False, only compatible abrasive systems can be used, due to the high reactivity of sodium
fluoride.
Term
The key therapeutic areas for dentifrices are
Definition
caries, gingivitis and sensitivity
Term
Without the binder, the toothpaste would separate into different phases, a liquid portion and
a solid-like portion, and would have to be stirred before each use.
Definition
true
Term
Which of the following reduces plaque and gingivitis?
a. stannous fluoride
b. potassium nitrate
c. triclosan
Definition
stannous fluoride and triclosan
Term
essential oils are in
Definition
listerine
Term
Cepacol, Scope, Advanced care Viadent contain
Definition
Cetylpyridnium chloride (Quaternery ammonium compounds)
Term
Colgate total, Actibrush, Plax contain
Definition
Triclosan
Term
ADA accepted
anticandida
proven efficacy
Definition
Chlorhexidine
Term
NOT ADA accepted
low anticandida
no proven efficacy
Definition
Cetylpyridnium chloride
Term
ADA accepted
moderate anticandida
proven efficacy
Definition
Essential Oils
Term
NOT ADA accepted
Not anticandidic
no proven efficacy
Definition
Stannous florude rinse, Hydrogen peroxide rinse
Term
ADA accepted
not anticandidic
proven efficacy
Definition
Triclosan
Term
there is NO evidence to support the hypothesis that alcohol containing mouthwash increases the risk of oral pharyngeal cancer
Definition
true
Term
prescription rinse
Definition
Peridex
Term
Peridex is the best mouthwash on market, but can
Definition
increase stain and calculus
Term
Peridex, listerine, Total
Definition
FDA and ADA approved rinses for gingivitis
Term
pro health rinse has no current approval for gingivitis
Definition
true
Term
GUM rincinol can be used as
Definition
a band-aid for stressed tissues
Term
listerine is not recommended for children because of
Definition
the high alcohol content
Term
ACT would be a good recommendation for
Definition
a high caries risk child
Term
the individual is not willing to change oral health habits on the next six months and may not even recognize there is a problem
Definition
Stage 1 precontemplation
Term
the individual is considering change and undergoing a process of evaluating the pros and cons of the problem behavior and the changes that need to take place. this person is open to collaboration with healthcare providers and is ready to change current behavior within 6 months
Definition
Stage 2 Contemplation
Term
the individual is ready to make a commitment to change oral health habits in the next 30 days and to set a target date
Definition
Stage 3 Preparation
Term
Change or modification of behaviors actually takes place
Definition
Stage 4 Action
Term
this individual has had 3 to 6 months of successful behavior change and is focusing on lifestyle modifications in order to avoid relapse and stabilize behavior change
Definition
Stage 5 Maintenance
Term
what active ingredients or products would you recommend to a sensitivity patient?
Definition
Potassium nitrate
Stannous fluoride
Argenine
Sensostat
Novamin
Term
what active ingredients or products would you recommend for a tartar control patient?
Definition
Pyrophosphates
Zinc citrate
Triclosan
Colgate total
there is no ADA seal for this!
Term
fluoride is the
Definition
number 1 theraputic agent
Term
what active ingredients or products would you recommend to a gingivitis patient?
Definition
colgate total - triclosan (antimicrobial)
crest prohealth - stannous fluoride (antimicrobial)
Term
Chemical antimicrobial agents that in dentistry are applied topically or subgingivally to mucous membranes to destroy microorganisms, inhibit their reproduction, or metabolism
Definition
Antiseptics
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