Cariology (Current concepts in caries control)

the action of stopping something from happening or arising

define prevention

one on one basis

what is the most beneficial dental health education within the dental setting?

always done in a large group which is less effective then one on one basis

what is the current dental health education problem?

opportunity to education

When you have a patient use it as an [?]

oral hygiene
healthy eating advice
increasing fluoride availability
placement of fissure fluorides

what are the four main principles to prevent dental caries

good oral hygiene

oral hygiene = remind your patients always that they have more [?] to prevent caries by practicing [?]

ability or power to decide or strongly influence the particular way in which something will happen

define control

prevention
control
tooth loss
population
individual

Control:
[?] and [?] of dental caries and periodontal diseases and the prevention of ultimate [?] is a LIFELONG COMMITMENT employing [?] and [?] BASED interventions

population based intervention

In the Philippines, what is NOT the common based intervention for control?

treatment intended to relieve or heal a disorder

Define therapy

minimally invasive approach
operative therapy

what are the two approaches of therapy?

there was no material available

Minimally invasive approach was not being done several years ago because [?]

process of renewing or restoring something especially after it has been damaged or lost

define regeneration?

oral cavity
unique features
scar free healing
regenerative dentistry

Topic: Regeneration

Teeth exist in the context of the [?] that includes soft tissues and cells with important [?]
- such as [?]
- Understanding of these is clearly part of what we can consider as [?]

inner tooth dentin
healthy dental pulp tissue

Topic: Regeneration

Regenerative dental approaches of the [?] can only be obtained if there is [?]

bacterial contamination
reparative dentin

Topic: Regeneration

Having a healthy dental pulp tissue will prevent [?] and induce formation of [?]

regeneration processes
periodontium
tooth loss

Topic: Regeneration

When damage to the tooth is EXTENSIVE, spontaneous [?] of the dental pulp or [?] are often inadequate, resulting in [?]

stem cell biology
tissue engineering

Topic: Regeneration

To overcome these barriers such as extensive tooth damage, new approaches have emerged recently from the fields of [?] and [?]

to create therapies to restore lost, damaged, or aging tissues

Topic: Regeneration

What is the goal of regenerative dentistry?

engineered
regenerate
autologous cells

Topic: Regeneration

Goal of regenerative dentistry is to create therapies to restore lost, damaged, or aging tissues by using [?] or [?] products from donor (from others) or [?] cells (obtained from same individual)

Mechanical/Chemical removal of plaque (oral hygiene)
Chemical (antimicrobial) modification of plaque
Use of Fluoride
Dietary composition
Salivary composition and stimulation

What are the 5 non operative therapy?

toothbrushing

Example of Mechanical/Chemical removal of plaque

size and bristle

what are the two things to consider or requirements for toothbrush?

access to the surface of your teeth

the size of the toothbrush should allow easy [?]

width: hallf inch
length: 1 inch

size of the tooth brush?

because if the patient cannot hold the toothbrush, this patient will not brush

why does it having comfortable handle for picking a toothbrush important?

hard medium solf

what are the three types of bristles?

soft bristle that has rounded tips

what is the safest and comfortable choice for bristle?

cervical third has the thinnest amount of enamel, using hard bristles results to toothbrush abrasion which exposes dentin

why is hard bristle not recommended?

sensitivity

toothbrush abrasion can cause [?]

false

true or false

electric and manual toothbrush has significant differences?

remove plaque
gum disease

electric and manual toothbrush has no significanat differences between their ability to [?] and prevent [?]

rotation oscillation toothbrush

what toothbrush is.more effective than manual toothbrush?

limited mobility

Electric toothbrush is easier to use for people with [?] (arthritis, children)

vibrating feeling
timer feature

What is the feature that people likes regarding electric toothbrush

Horizontal reciprocating motion
Vibratory motion
Rotary motion technique
Roll stroke brushing technique

What are the 4 toothbrushing technique?

Stillman’s brushing method
Bass brushing method
Charter’s brushing method

What are the 3 brushing method under vibratory motion?

Fones or circular or scrub brushing method

what is the other term for Rotary motion technique

horizontal reciprocating motion

What type of toothbrushing technique placing the toothbrush either on left or right side of the teeth and moved along the side of the dentition to the back region and pull towards the front region

occlusal surface

Horizontal reciprocating motion is most effective in the [?]

plaque is pushed further towards the proximal and you also have tendency to abrade cervical region

Horizontal reciprocating motion can’t be used in facial aspect because?

back region
pull towards

Horizontal reciprocating motion

Toothbrush is moved along the side of the dentition to the [?] and [?] the front region

vibratory motion (stillman’s brushing motion)

what type brushing technique is when bristles are held at a 45 DEGREE ANGLE toward the gum line

45 degree angle
gum line

Stillman’s brushing motion, bristles are held at a [?] toward the [?]

gums
tooth surface

Stillman’s brushing motion:
- Half of the bristles should be COVERING THE [?]
- Other half should be on the [?]

short and light horizontal movements

what type of movement in the Stillman’s brushing motion removes plaque from above the gum line?

remove plaque
stimulate gums

Short and horizontal movement under Stillman’s brushing motion help [?] and [?]

small groups of teeth

Stillman’s brushing motion can only be done at [?]

bass brushing method

what type of brushing technique places the toothbrush PARALLEL to your teeth with the bristles TOWARD THE GINGIVA

parallel
gingiva

Bass brushing method places the toothbrush [?] to your teeth with the bristles toward the [?]

firm
pressure
gingival tissue

Bass brushing method uses and [?] and gentle [?] while maintaining the bristles under the [?]

small circular motion
15-20

Bass brushing method, WIGGLE/VIBRATE the brush back and forth or use a [?] [?] TIMES, before moving to the next area

two
three

Bass brushing method, should cover [?] or [?] teeth at a time

vertical
toe
gum tissue

Bass brushing method,

Brush the entire FACIAL surface of the teeth, then continue the same technique on the lingual

- To brush the lingual side of front teeth, hold the toothbrush in a [?] POSITION and use the bristles on the [?] of the brush, but make sure they are getting under the [?]

charter’s brushing method

what type of brushing technique places the bristles on the gumline at a 45-DEGREE ANGLE pointing TOWARD THE OCCLUSAL surface or crown of the tooth (opposite of bass and stillman)

45 degree angle
occlusal

Charter’s brushing method places the bristles on the gumline at a [?] pointing TOWARD THE [?] surface or crown of the tooth

15-20
shorter circular strokes
back and forth

Charter’s brushing method

GENTLY VIBRATE the brush for [?] COUNTS, using [?] or SMALL [?] motions, then reposition the brush to the next area

Rotary motion technique (circular or fones brushing method)

what is the simplest way for tooth brushing in children

pressing
4-5

Rotary motion technique places the toothbrush on a set of teeth then activate the bristles by SLIGHTLY [?] against the teeth [?] TIMES on each set of teeth then move to the next

gum line
small light circular
overlapping

Rotary motion technique, bristles are held at a 45 DEGREE ANGLE toward the [?] and Make [?] shaped brush strokes [?] each tooth surface until all surfaces are reached

roll stroke brushing technique

what brushing method does not need practicing?

apical
gingival margin

Roll stroke brushing technique, bristles are POINTED [?] towards the root and placed on [?]

occlusally
interproximal
one stroke

Roll stroke brushing technique, stroke is given to the roll brush [?], cleaning [?] areas and the tooth surface in [?]

chewing
scrubbing
damage

Toothbrushing

All these brushing methods, continue to brush the [?] surfaces, as well as the back of the bottom and front teeth, and the tongue by LIGHTLY [?] UP AND DOWN, being careful NOT TO [?] any of the tissues

Fluoride exposure
Sugary Foods and drinks
Eligible for government program
Caries experience of mother, caregiver, and or other sublings
Dental Home

What can be seen int the contributing condition of caries risk assessment form for 0-6 years old

Special health care needs

What can be seen int the general health condition of caries risk assessment form for 0-6 years old

Visual or radiographically evident restorations/Cavitated carious lesion
Non-cavitated carious lesion
Teeth Missing due to caries
Visible Plaque
Dental/Orthodontic Appliances present
Salivary flow

What can be seen int the clinical condition of caries risk assessment form for 0-6 years old

Visual caries classification
Lesion severity and activity are determined as one score
These criteria are applied to plaque covered teeth
A sharp probe is used

Topic: Caries Classification Methods

Nyvad

Visual caries classification
Severity score and activity assessment are provided as two separate scores
These criteria are initiated on cleaned teeth
The use of ball-ended probe is recommended
Detects the seeverity and level of activity of dental caries as early as possible
Coding system

Topic: Caries Classification Methods

International caries detection and assessment system (ICDAS)

Identification of carious lesion according to its location on the tooth surface
6 classification
Classification covers only the crown of the teeth
Most utilized classification system with reference to the mode of treatment of dental caries

Topic: Caries Classification Methods

GV black classification of dental caries

Determine the severity of the dental caries and how deep the disease
Use of radiograph
4 Classifications

Topic: Caries Classification Methods

Classification according to severity

Identification of cause of caries and management
Done by interview
Goal to prevent caris
Evaluation of the etiologic and protective factors and the establishment of the risk for future disease, followed by the development of a patient centered evidence based caries management plan

Topic: Caries Classification Methods

Caries management by risk assessment

Diagnostic preventive and restorative decision necessary to preserve tooth structure and restore
Follows 4 steps (Determine, Detects, Decide, Do)

Topic: Caries Classification Methods

International caries classification and management system (ICCMS)