Dental Caries Classification Quiz
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Questions and Answers

Which of the following factors does NOT contribute to the balance between net mineral loss or gain in the tooth surface?

  • Salivary secretion rate and composition (correct)
  • Diet
  • Fluoride ion concentration in the oral fluids
  • Composition and thickness of the biofilm

What is the primary cause of dental caries when the biofilm is only partly or rarely totally removed by toothbrushing?

  • Changes in the ecology of the biofilm leading to increased acid-producing bacteria (correct)
  • Increased salivary secretion rate
  • Increased mineral loss in the tooth surface
  • Increased mineral gain in the tooth surface

Which type of dental caries lesion develops adjacent to a filling?

  • Primary caries
  • Residual caries
  • Hidden caries
  • Secondary (recurrent) caries (correct)

Which anatomical site is most prone to the development of dental caries lesions?

<p>Pits and fissures (A)</p> Signup and view all the answers

What is the main reason why dental caries lesions may remain 'hidden' or undetected?

<p>They develop in areas that are difficult to inspect visually or with radiographs (A)</p> Signup and view all the answers

What is the main consequence of residual caries, where demineralized dentin is left behind before a filling is placed?

<p>Increased risk of secondary (recurrent) caries (A)</p> Signup and view all the answers

Which of the following factors is LEAST likely to contribute to the development of hidden caries lesions?

<p>Increased salivary secretion rate (D)</p> Signup and view all the answers

What is the main reason why dental caries lesions may develop on smooth tooth surfaces?

<p>Inadequate biofilm removal during toothbrushing (C)</p> Signup and view all the answers

Which type of dental caries lesion is characterized by demineralized dentin that has been left behind before a filling is placed?

<p>Residual caries (A)</p> Signup and view all the answers

What is the primary factor that contributes to the development of hidden caries lesions?

<p>Inadequate biofilm removal during toothbrushing (C)</p> Signup and view all the answers

Study Notes

Classification of Dental Caries

  • Dental lesions can be classified as cavitated (physical hole in the tooth) or non-cavitated.
  • Lesions should also be classified based on their activity level.
  • Active lesions are those that are progressively worsening, while inactive (or arrested) lesions have not changed for a significant period.

Early Signs of Dental Caries

  • White spot lesions are the initial signs of caries, visible on enamel, characterized by a white and opaque appearance.
  • An arrested white spot lesion might exist for years without progression, making its classification as "early" potentially misleading.

Types of Caries

  • Rampant caries refers to multiple active lesions in a single patient, often on surfaces not typically affected by caries (e.g., bottle or nursing caries in children).
  • Hidden caries are located in dentine, often undetected visually, but identifiable through radiographic examination due to significant demineralization.

Development of Caries Lesions

  • Caries can develop in protected areas such as pits, grooves, fissures on occlusal surfaces during tooth eruption, and areas along gingival margins.
  • Lesions often occur around foreign body insertions like fillings or orthodontic brackets, which shield them from mechanical cleaning influences.

Factors Influencing Caries Development

  • The rate of caries development can vary across different parts of the mouth.
  • Openings of major salivary glands contribute to increased buffering capacity, aiding in mineral balance.

Biological Mechanism of Caries

  • Caries result from an ecological shift within the dental biofilm, altering the balance between tooth minerals and biofilm fluid.
  • Enhanced acid production leads to demineralization when the biofilm pH drops below a critical threshold.
  • Conversely, remineralization occurs when the biofilm pH is elevated, highlighting the cyclical nature of the process.

Remineralization and Demineralization Cycle

  • The demineralization and remineralization processes occur multiple times daily.
  • Continuous fluctuations can disrupt the equilibrium between tooth mineral and biofilm fluid, contributing to the potential development of caries over time.

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Test your knowledge on classifying dental caries lesions based on cavitated and non-cavitated types, as well as activity levels. Explore the features and assessment criteria for determining the status of dental caries lesions.

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