DH119A Clinical II Final

  1. What are efforts to manage caries?
    • -Prevention
    • -arrestation
    • -remineralization
    • -restoration
  2. Methods of prevention of the caries lesion
    • -Systemic fluoride
    • -Topical fluoride
    • -Pit and Fissure sealants
    • -Nutrition
    • -Patient education
  3. Methods of arresting the caries lesion
    • -Topical fluorides
    • -Nutritional Assessment
    • -Oral hygiene modifications
  4. Methods of Remineralization
    • -Topical fluorides
    • -antimicrobials
    • -Gums and mineral replacement products
    • -Nutritional counseling
    • -Oral hygiene modifications
  5. Methods of Restoration on caries lesion that is no longer capable of remineralization
    • -Fillings
    • -Crowns
  6. What does CAMBRA stand for?
    Caries Management by Risk Assessment
  7. What does a white spot lesion look like?
    • -white spot appears on enamel
    • -on weakened areas
    • -appears white, opaque, and rough
    • - adherent biofilm and/or stain
  8. List the factors associated with an adult patient who has moderate caries risk?
    • Two or more of the following:
    • 1 Carious lesion within the past 24 months
    • Localized demineralization
    • Orthodontics Exposed root surfaces Decreased
    • salivary flow
    • Visible dental biofilm
    • Occasional between meal
    • fermentable carbohydrate exposure Inadequate fluoride exposure History
    • of irregular dental care
  9. List the factors associated with an adult patient who has a high caries risk?
    • Two or more of the following:
    • >2 Carious lesions within the past 12 months
    • Generalized demineralization and/or smooth surface lesions
    • Family history of dental caries
    • Past root caries
    • Visible dental biofilm
    • Frequent between meal fermentable carbohydrate exposure
    • Inadequate fluoride exposure
    • Inadequate salivary flow
    • Irregular dental care
  10. Describe caries assessment tools (process) associated with a young child ages 0-5.
    • Encourage visit by 1 years old
    • Use parent survey to evaluate risk
    • Perform a clinical dental exam
    • Perform a caries susceptibility on child and parent
    • Develop plan based on caries risk (low, medium, high)
    • Set management goals with caregiver
    • Plan for follow up
  11. Describe the characteristics of Chlorhexadine gluconate
    • Caries inhibitory effect-antibacterial effect (14 day regime has been shown to suppress S. Mutans from 12-26 week) Contraindicated in individual sensitive to alcohol containing products
    • Unpleasant taste
    • May cause staining
  12. What is Xylitol and it's benefits?
    • Natural form-Xylan-extracted from birch trees
    • 5 carbon sugar alcohol
    • 40 % less calories than sucrose, but equal to table sugar in sweetness
    • Has the ability to affect the metabolism of S. Mutans through the following: Accumulates within the cell wall of the bacteria; cannot be readily metabolized, causes S. Mutans strains to mutate and become less adherent to the tooth surface Inhibits enamel demineralizaiton
    • Capable of reversing incipient lesions
    • Reduces S. Mutans levels in plaque and saliva after 3 weeks of use
    • Promotes salivary flow in patients with drug induced xerostomia (may not be effective in individuals with salivary gland damage)
  13. List the process of applying fluoride varnish?
    • 1. Remove excess moisture with cotton roll (complete drying not critical, but helpful)
    • 2. Use unit does or place a small amount from tube into a dappen dish
    • 3. Apply varnish as a thin layer with bendable brush or cotton pellet
    • 4. Cover the entire surface evenly; avoiding the tissue as much as possible
    • 5. Patient can close immediately following application; saliva will help “set” the varnish 6. Instruct the patient to avoid hard foods, but can have fluids or soft food (for the next 4 hours)
    • 7. Instruct patient to not brush for 24 hours to enhance fluoride uptake
  14. Define ACP
    Amorphous Calcium Phosphate –made from a protein in cow’s milk and added to products to provide “bio-available” calcium and phosphorus and aid in the dental remineralization process.
  15. Risk assessment procedures for ages 6-adult
    • Review medical history
    • Review dental history
    • Assess dentition
    • Assess nutritional status
    • Determine patient’s caries risk
    • Perform salivary analysis
  16. Risk assessment procedures for ages 0-6
    • Encourage visit by age 1, use parent survey to evaluate caries risk indicators, clinical exam, caries susceptibility, develop plan based on caries risk, set management goals with caregiver, plan for follow up.
    • Caregiver Interview and exam
    • Caries risk
    • Caries activity tests
    • Caries Plan should include
    • Early childhood caries
  17. What is demineralization?
    • Acid production caused by cariogenic bacteria and fermentable carbohydrates
    • Caused by loss of minerals associated with the acid attack
  18. List the factors associated with a patient who has a low caries rate?
    • Healthy patient
    • No carious lesions within past 24 months
    • No demineralization
    • No visible biofilm
    • Low carb exposure
    • Optimal fluoride exposure
    • Regular dental care
  19. Why are Calcium and phosphorus essential?
    C and PH lost in caries process replaced can reverse demineralization
  20. What is the most commonly used instrument in plaque biofilm removal?
    A toothbrush
Card Set
DH119A Clinical II Final
Based on past ppt's and weekly study questions.