Dental Caries Quiz
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Questions and Answers

What is dental caries?

  • A disease caused by the interaction of cariogenic oral flora with fermentable carbohydrate on the tooth over time (correct)
  • A condition caused by excessive consumption of sugary foods
  • A genetic disorder that affects tooth enamel
  • A bacterial infection caused by poor oral hygiene
  • What is dental plaque's role in dental caries?

  • It is a symptom of dental caries
  • It is an etiological factor in dental caries (correct)
  • It is the cause of dental caries
  • It is not related to dental caries
  • What is the pH threshold for caries to occur?

  • 4.5
  • 5.5 (correct)
  • 6.0
  • 5.0
  • What are the bacteria most associated with dental caries?

    <p>Actinomyces, Streptococcus mutans, and Lactobacillus (D)</p> Signup and view all the answers

    What are the four zones of enamel after sound enamel?

    <p>Normal, lesion, translucent, and dark zone (B)</p> Signup and view all the answers

    What is the clinical application of the dark zone in enamel?

    <p>It can be used to detect caries through transillumination (A)</p> Signup and view all the answers

    What is the difference between infected and affected dentin?

    <p>Infected dentin is invaded by bacteria and has a denatured collagen network, while affected dentin is demineralized but not invaded by bacteria and can be preserved (A)</p> Signup and view all the answers

    What is nurse bottle caries?

    <p>A type of dental caries that occurs in infants with prolonged exposure to fermentable carbohydrates (D)</p> Signup and view all the answers

    What is dental caries?

    <p>A contagious disease caused by bacteria and carbohydrates on the tooth (A)</p> Signup and view all the answers

    What is dental plaque?

    <p>A thin film of bacterial species, food remnants, and epithelial cells (C)</p> Signup and view all the answers

    What is the pH threshold for caries to occur?

    <p>5.5 (D)</p> Signup and view all the answers

    Which bacteria are most associated with dental caries?

    <p>Actinomyces, Streptococcus mutans, and Lactobacillus (A)</p> Signup and view all the answers

    What is the pathogenesis of dental caries?

    <p>The adsorption of an organic film called 'acquired pellicle' to the tooth surface, followed by the invasion of specific highly adherent bacteria, which produce lactic acid and decrease the pH of the biofilm (C)</p> Signup and view all the answers

    What are the four zones of dentin caries?

    <p>Normal, affected, infected, and decomposed zones (B)</p> Signup and view all the answers

    What is the clinical application of the dark zone in enamel caries?

    <p>It does not permit light, and transillumination can be used to detect caries (B)</p> Signup and view all the answers

    What are early enamel lesions?

    <p>White spots that may appear darkened after remineralization (B)</p> Signup and view all the answers

    Flashcards

    Dental Caries

    A transmissible, infectious disease caused by bacteria interacting with sugars on teeth, leading to tooth decay.

    Dental Plaque

    A film of bacteria, food, and cells on teeth, it's an etiological factor, not the direct cause of caries.

    Pathogenic Bacteria

    Microorganisms that ferment carbohydrates and produce acids, demineralizing tooth structure.

    Acquired Pellicle

    An organic film that sticks to teeth, serving as a starting point for bacteria.

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    Lactic Acid

    Acid produced by bacteria, causing tooth demineralization.

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    Demineralization

    Loss of calcium and phosphate from tooth structure due to acid attack.

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    pH Threshold for Caries

    The critical pH level (5.5) below which tooth demineralization occurs.

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    Actinomyces, Streptococcus mutans, Lactobacillus

    Common bacteria linked to dental caries.

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    Enamel Caries Zones

    Four zones of enamel affected by caries: Normal, Lesion, Translucent, Dark.

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    Dark Zone (Enamel)

    A zone in enamel where light cannot pass, indicating advanced caries.

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    Dentin Caries Zones

    Four zones in dentin affected by caries: Normal, Sub-transparent, Transparent, Turbid.

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    Infected Dentin

    Dentin completely decomposed with bacteria present, not salvageable.

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    Affected Dentin

    Demineralized dentin without bacterial invasion, potentially salvageable.

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    White Spots

    Early enamel lesions, sometimes darkening with remineralization.

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    Nurse Bottle Caries

    Severe tooth decay in infants due to prolonged exposure to sugars.

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    Study Notes

    Understanding Dental Caries: Causes, Pathogenesis, and Histological Effects

    • Dental caries is a multifactorial, transmissible, infectious oral disease caused by the interaction of cariogenic oral flora with fermentable carbohydrate on the tooth over time.
    • Dental plaque, a thin film of bacterial species, food remnants, and epithelial cells, is an etiological factor, not a cause of dental caries, and acts in the presence of pathologic bacteria.
    • Pathogenic bacteria are microorganisms that ferment carbohydrates and produce acids that demineralize tooth structure.
    • The pathogenesis of dental caries involves the adsorption of an organic film called "acquired pellicle" to the tooth surface, followed by the invasion of specific highly adherent bacteria, which produce lactic acid and decrease the pH of the biofilm.
    • When the pH drops below critical levels, the tooth demineralizes to buffer the acid by losing Ca++ and Ph+++ ions, leading to the destruction and dissolution of dental hard tissue.
    • Dental caries varies according to diet, hygiene, time of exposure, and affects signs and symptoms.
    • The pH threshold for caries to occur is 5.5, and the bacteria most associated with caries include Actinomyces, Streptococcus mutans, and Lactobacillus.
    • Histologically, dental caries affects both enamel and dentin, with enamel showing four main zones after sound enamel: normal, lesion, translucent, and dark zone.
    • The clinical application of the dark zone is important as it does not permit light, and transillumination can be used to detect caries.
    • Dentin caries has four zones: normal, sub-transparent, transparent, and turbid zones, with the superficial "infected" zone characterized by complete decomposition of the dentin and significant bacterial infiltration.
    • Infected dentin is invaded by bacteria and has a denatured collagen network, while affected dentin is demineralized but not invaded by bacteria and can be preserved.
    • Early enamel lesions appear as white spots and may appear darkened after remineralization, while nurse bottle caries can occur in infants with prolonged exposure to fermentable carbohydrates.

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    Description

    Test your knowledge on dental caries with this informative quiz! Discover the causes, pathogenesis, and histological effects of this common oral disease, as well as the bacteria associated with it. Learn about the different zones of enamel and dentin affected by caries and find out how to detect caries through transillumination. Test your understanding of this multifactorial disease and gain valuable insights into its prevention and treatment.

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