1.10 - Introduction to Cariology Panariello

Cariogenesis is the process of producing ______; the mechanism of caries production

caries

Dental caries is a _____-mediated, diet modulated, multifactorial, non-communicable, dynamic disease resulting in net _____ loss of dental hard tissues

biofilm, mineral

Paradigm shift for caries management

Old: Extraction, drill, fill

New model: Preventive care, risk assessment, minimally invasive

The prevalence of dental caries is higher in ______ teeth

deciduous

early years of life

ECC (early childhood caries) is presence of one or more decayed, missingg, or filled tooth surfaces in primary tooth in child under age of ____

six

______ are the cells responsible for forming enamel. They are lost once tooth _____ resulting enamel to be nonvital and insensitive and cannot regenerate

Ameloblast, erupts

Enamel prisms are composed by long and parallel organized _______ cyrstals

hydroxyapatite

The tooth mineral apatites are vulnerable to an ____ environment.

When pH (saliva/plaque fluid) decreases the ______ of apatites increases dramatically

solubility

_____ are tissues that lies between enamel or cementum, and the pulp of the tooth

Consists of an organic matrix on which mineral salts are deposited

Dentin

4 Major factors of caries

Tooth, Sugar, Biofilm, Time

The Stephan curve explains the pH in mouth after consuming sugar. The pH decreases and becomes _____. The saliva take 10-20 for alkalinization by saliva buffers and clearance

acidic

The first sign of a carious lesion on enamel that can be detected with the naked eye is called a _____ _____ lesion.

white spot

Not initial but just first seen

Lesions detected clinally as enamel caries may have extended into the ______ histologically

dentin

Hidden caries are lesions in _____ that are missed on a visual examination but are large enough and demineralized enough to be detected ______

dentin, radiographically

Residual caries refers to carious tissue that was not completely excavated prior to placing a _____

Recurrent caries is lesion developing at tooth surface adjacent to filling. Etiology is _____ to primary caries

restoration

similar

A caries lesion that is biologically _____, meaning it is actively undergoing tooth demineralization at time of examination

Arrested caries, where the caries process has ceased, but clinical signs remain

active

Rampant caries are extensive and multiple cavitated and active caries lesion in same person.

3 types

Baby bottles caries

Radiation

Meth

Baby bottle caries are usually decay in the _____ tooth

upper