L4. ICCMS 1

"What does ICCMS stand for?

International Caries Classification and Management System"

"What is dental caries according to ICCMS?

A disease involving cycles of demineralization and remineralization"

"What happens during demineralization?

Loss of calcium and phosphate from tooth structure"

"What happens during remineralization?

Repair of tooth structure through mineral gain"

"Can early caries lesions be reversed?

Yes through remineralization"

"What is the earliest clinical sign of caries?

White spot lesion"

"Why can't early caries always be detected visually?

Micro porosity must reach a level that alters refractive index"

"Can explorers detect early caries?

No they may damage enamel and cannot detect early lesions"

"What happens if demineralization continues?

Enamel surface collapses leading to cavitation"

"What is cavitated caries?

Breakdown of enamel surface with loss of structure"

"Should non cavitated lesions be restored?

No they should be managed non surgically"

"What is non surgical caries management?

Fluoride oral hygiene and dietary modification"

"What is the goal of ICCMS?

Prevent disease progression and preserve tooth structure"

"What is caries risk assessment?

Evaluation of likelihood of developing caries"

"Why is caries risk assessment important?

Guides treatment and prevention strategies"

"How does risk level affect treatment?

Higher risk requires more aggressive prevention"

"Does restoring a tooth eliminate caries disease?

No disease process can still continue"

"What is the main philosophy of ICCMS?

Prevention over surgical intervention"

"What are the three goals of caries management?

Prevent new lesions stop progression restore cavitated lesions"

"What type of lesions require restoration?

Cavitated lesions"

"What determines treatment planning in ICCMS?

Caries risk and lesion activity"

"What is lesion activity?

Whether lesion is progressing or arrested"

"What is an active lesion?

Currently undergoing demineralization"

"What is an arrested lesion?

Lesion that is no longer progressing"

"How can active lesions be managed?

Fluoride improved hygiene dietary changes"

"What is the role of personalized care in ICCMS?

Tailors treatment based on patient risk"

"Why is prevention emphasized?

Restorations do not cure disease"

"What happens if early lesions are restored unnecessarily?

Tooth is weakened and disease risk remains"

"What is the importance of monitoring lesions?

To track progression or arrest"

"What are expected outcomes of caries management?

No new lesions arrest of existing lesions proper restoration when needed"

"What is the role of fluoride in ICCMS?

Enhances remineralization and prevents demineralization"

"Why is behavioral modification important?

Diet and hygiene influence caries risk"