Podcast
Questions and Answers
What is the primary cause of dental caries?
What is the primary cause of dental caries?
What is the most prevalent disease in the world, according to the World Health Organisation?
What is the most prevalent disease in the world, according to the World Health Organisation?
What does the term "demineralisation" refer to in relation to dental caries?
What does the term "demineralisation" refer to in relation to dental caries?
Which of the following statements accurately describes dental caries?
Which of the following statements accurately describes dental caries?
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What is the role of bacteria in the development of dental caries?
What is the role of bacteria in the development of dental caries?
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What is the significance of the "time" factor in dental caries development?
What is the significance of the "time" factor in dental caries development?
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Which of these is NOT a factor in the initiation of dental caries?
Which of these is NOT a factor in the initiation of dental caries?
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What is the estimated number of children worldwide who have dental caries in their deciduous teeth?
What is the estimated number of children worldwide who have dental caries in their deciduous teeth?
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What is defined as when carious lesions may 'heal' due to a favorable balance between demineralisation and remineralisation?
What is defined as when carious lesions may 'heal' due to a favorable balance between demineralisation and remineralisation?
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What percentage of 5-year-olds in the UK are reported to have experienced dental caries?
What percentage of 5-year-olds in the UK are reported to have experienced dental caries?
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Which of the following is NOT associated with the concept of arrested caries?
Which of the following is NOT associated with the concept of arrested caries?
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Which type of caries would be associated with a 'scar' on the tooth surface after healing?
Which type of caries would be associated with a 'scar' on the tooth surface after healing?
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What is a frequent consequence of severe caries in children?
What is a frequent consequence of severe caries in children?
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Which treatment is ideal for cavitated root caries when isolation is challenging?
Which treatment is ideal for cavitated root caries when isolation is challenging?
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What defines early childhood caries according to the ADA?
What defines early childhood caries according to the ADA?
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Which subgroup does not typically classify rampant caries?
Which subgroup does not typically classify rampant caries?
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When should restoration of root caries be considered?
When should restoration of root caries be considered?
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What is the primary treatment approach for patients with rampant caries?
What is the primary treatment approach for patients with rampant caries?
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What type of caries is characterized by lesions between teeth?
What type of caries is characterized by lesions between teeth?
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Which medication is mentioned as a treatment option for saliva substitutes?
Which medication is mentioned as a treatment option for saliva substitutes?
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Which restorative material is most effective for early intervention in cavitated lesions with enamel availability?
Which restorative material is most effective for early intervention in cavitated lesions with enamel availability?
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What characteristic distinguishes active enamel surface from inactive enamel surface?
What characteristic distinguishes active enamel surface from inactive enamel surface?
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Which treatment is NOT indicated for arrested/inactive caries?
Which treatment is NOT indicated for arrested/inactive caries?
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What initial condition leads to the development of root caries?
What initial condition leads to the development of root caries?
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What effect does xerostomia have on the risk of caries?
What effect does xerostomia have on the risk of caries?
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What is a common characteristic of dentine in active caries?
What is a common characteristic of dentine in active caries?
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Why is oral hygiene instruction particularly important for elderly patients at risk of root caries?
Why is oral hygiene instruction particularly important for elderly patients at risk of root caries?
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What is the primary tissue affected in root caries?
What is the primary tissue affected in root caries?
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What is a preventative measure for root caries?
What is a preventative measure for root caries?
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What is the location of Class I caries according to GV Blacks Classification?
What is the location of Class I caries according to GV Blacks Classification?
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What distinguishes Class III caries from Class IV caries?
What distinguishes Class III caries from Class IV caries?
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What is the definition of primary caries?
What is the definition of primary caries?
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Which type of caries occurs on the gingival third of the facial surface?
Which type of caries occurs on the gingival third of the facial surface?
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What does residual caries refer to?
What does residual caries refer to?
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What is the characteristic of incipient caries?
What is the characteristic of incipient caries?
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Class II caries are located on which surfaces?
Class II caries are located on which surfaces?
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What type of caries refers to previously treated surfaces?
What type of caries refers to previously treated surfaces?
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Flashcards
Dental Caries
Dental Caries
A common dental disease resulting in tooth decay.
Arrested Caries
Arrested Caries
Caries that has stopped progressing and may remineralize.
Primary Caries
Primary Caries
The initial stage of dental caries affecting untreated teeth.
White Spot Lesions
White Spot Lesions
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Remineralisation
Remineralisation
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Caries
Caries
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Class I Caries
Class I Caries
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Class II Caries
Class II Caries
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Class III Caries
Class III Caries
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Class IV Caries
Class IV Caries
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Class V Caries
Class V Caries
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Residual Caries
Residual Caries
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Active Caries
Active Caries
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Inactive Caries
Inactive Caries
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Fluoride Application
Fluoride Application
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Root Caries
Root Caries
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Xerostomia
Xerostomia
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Salivary Flow Reduction
Salivary Flow Reduction
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Preventative Measures for Root Caries
Preventative Measures for Root Caries
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Oral Hygiene Challenges
Oral Hygiene Challenges
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Root Caries Treatment
Root Caries Treatment
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When to Restore Root Caries
When to Restore Root Caries
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Early Childhood Caries
Early Childhood Caries
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Rampant Caries
Rampant Caries
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Types of Rampant Caries
Types of Rampant Caries
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Treatment Prevention for Rampant Caries
Treatment Prevention for Rampant Caries
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Smooth Surface Caries
Smooth Surface Caries
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Interproximal Caries
Interproximal Caries
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Aetiology of Caries
Aetiology of Caries
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WHO Dental Caries Stat
WHO Dental Caries Stat
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Prevalence of Caries
Prevalence of Caries
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Causative Factors
Causative Factors
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Healthcare Budget Impact
Healthcare Budget Impact
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Study Notes
Describing Dental Caries
- Dental caries, also known as dental decay, is a dynamic process of demineralization and remineralization.
- It begins when bacteria in the mouth digest carbohydrates, producing acids.
- These acids break down tooth enamel and dentin, leading to tooth decay.
- Initially, the decay is reversible, but prolonged acid attack makes it irreversible.
Types of Dental Caries
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Arrested/Inactive Caries: When the balance between demineralization and remineralization favors remineralization, the decay may stop. A scar might remain. This can be caused by improved oral hygiene and other preventative measures. Treatment may involve fluoride application or composite/glass ionomer cement if discolouration needs correcting. Continued prevention remains important as the initial cause may return.
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Root Caries: Affects cementum, then dentin. Develops when the root surface is exposed due to gum recession, allowing bacteria colonization. Root caries progresses faster than enamel caries because cementum is softer. Factors influencing it include decreased saliva flow (xerostomia) which reduces mineral reservoir for remineralisation and issues associated with radiotherapy and trismus (limited jaw motion). Preventative measures include improved oral hygiene, dietary adjustments, fluoride use and potentially saliva substitutes and medication. Treatment includes restoring cavitated lesions, but isolation is sometimes challenging.
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Early Childhood Caries: Defined by the American Dental Association (ADA) as presence of one or more decayed, missing, or filled tooth surfaces in a preschool-aged child. Previously known as 'bottle caries' or 'nursing caries'. Defined as a child under 6 who experiences decay.
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Rampant Caries: An extensive form of caries affecting multiple teeth rapidly. This form is often more resistant to decay, for example, mandibular incisors. This can be early childhood related, or caused by conditions such as xerostomia or radiotherapy. Treatment of rampant caries requires comprehensive prevention, followed by stabilisation using temporary restorations to evaluate response prior to permanent restorations.
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Caries Based on Anatomical Position: This categorizes caries based on its location on the teeth:
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Class I: Pit and fissure caries in premolars, molars (occlusal 2/3 of buccal, lingual, and palatal surfaces of anterior teeth).
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Class II: Caries on proximal surfaces of premolars and molars.
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Class III: Caries on proximal surfaces of anterior teeth (incisors and canines) that do not include the incisal edge.
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Class IV: Caries on proximal surfaces of anterior teeth that also involve the incisal edge.
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Class V: Caries on the gingival third of facial, lingual, or palatal surfaces of all teeth.
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Class VI: Caries on incisal edges of anterior teeth or cusp tips of posterior teeth, without involving any other surface.
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Primary/Secondary: Primary refers to decay on surfaces not previously treated, secondary is decay on previously treated surfaces.
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Residual: This is decay left after restoration, may be intended (excavation, fissure seal) or unintentional (missing caries removal).
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White Spot Lesions/Incipient Caries: The earliest detectable evidence of decay, usually not reaching the dentin-enamel junction. These lesions can be remineralized with proper preventative care.
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Additional learning resources include lectures on detection and management of caries with a particular focus on prevention strategies.
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Description
This quiz delves into the process of dental caries, discussing how it develops through the actions of bacteria and acids that affect tooth structure. It covers different types of caries, such as arrested/inactive caries and root caries, examining their causes, effects, and potential treatments. Enhance your understanding of dental health and preventive measures!