Podcast
Questions and Answers
Which type of cavity involves two surfaces?
Which type of cavity involves two surfaces?
Which of the following is NOT a method for assessing pulp vitality?
Which of the following is NOT a method for assessing pulp vitality?
What is the normal adult pulse rate range?
What is the normal adult pulse rate range?
Which term describes a body temperature above 104°F?
Which term describes a body temperature above 104°F?
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What is the primary role of saliva in oral health?
What is the primary role of saliva in oral health?
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What is the main effect of fluoride during the post-eruptive stage of tooth development?
What is the main effect of fluoride during the post-eruptive stage of tooth development?
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How does fluoride enhance the remineralization process?
How does fluoride enhance the remineralization process?
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What percentage reduction in caries has water fluoridation achieved in adults?
What percentage reduction in caries has water fluoridation achieved in adults?
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Which fluoride source is not considered a natural source?
Which fluoride source is not considered a natural source?
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What is a significant safety consideration regarding fluoride treatments?
What is a significant safety consideration regarding fluoride treatments?
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Which type of stains forms a continuous 1mm wide line near the gingival margin and is more frequent in females?
Which type of stains forms a continuous 1mm wide line near the gingival margin and is more frequent in females?
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What condition is characterized by excessive fluoride during tooth development and results in mottled enamel?
What condition is characterized by excessive fluoride during tooth development and results in mottled enamel?
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What is the role of saliva in the demineralization and remineralization processes?
What is the role of saliva in the demineralization and remineralization processes?
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Which of the following is a primary characteristic of yellow, orange, and red stains?
Which of the following is a primary characteristic of yellow, orange, and red stains?
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Which fluoride treatment has the highest concentration and is typically used for caries arrest?
Which fluoride treatment has the highest concentration and is typically used for caries arrest?
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Which key bacteria is primarily associated with the development of caries?
Which key bacteria is primarily associated with the development of caries?
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What is one of the primary methods used to detect caries?
What is one of the primary methods used to detect caries?
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What is a primary component of saliva that aids in buffering acids?
What is a primary component of saliva that aids in buffering acids?
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What classification of temperatures indicates a fever?
What classification of temperatures indicates a fever?
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Which type of dental trauma involves complete displacement of a tooth?
Which type of dental trauma involves complete displacement of a tooth?
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Which factor can lead to a decrease in body temperature?
Which factor can lead to a decrease in body temperature?
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Which assessment tool is used for caries risk assessment?
Which assessment tool is used for caries risk assessment?
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What is the primary mineral change that occurs due to fluoride exposure in developing teeth?
What is the primary mineral change that occurs due to fluoride exposure in developing teeth?
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What is the optimal level of fluoride recommended for water fluoridation as of 2015?
What is the optimal level of fluoride recommended for water fluoridation as of 2015?
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Which fluoride treatment is specifically contraindicated for patients with silver allergies?
Which fluoride treatment is specifically contraindicated for patients with silver allergies?
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What mechanism does fluoride use to inhibit bacterial activity?
What mechanism does fluoride use to inhibit bacterial activity?
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Frequent exposure to which sugars is a risk factor for dental caries?
Frequent exposure to which sugars is a risk factor for dental caries?
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Which of the following stains cannot be removed through polishing?
Which of the following stains cannot be removed through polishing?
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What is the primary cause of fluorosis during tooth development?
What is the primary cause of fluorosis during tooth development?
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Which dental condition results in a V-shaped wedge on the buccal surface due to microfractures?
Which dental condition results in a V-shaped wedge on the buccal surface due to microfractures?
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Which of the following is a common characteristic of black line stains?
Which of the following is a common characteristic of black line stains?
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What type of dental stain is primarily caused by chromogenic bacteria and fungi?
What type of dental stain is primarily caused by chromogenic bacteria and fungi?
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Which intrinsic stain occurs due to tetracycline exposure during tooth development?
Which intrinsic stain occurs due to tetracycline exposure during tooth development?
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What percentage reduction in dental caries is attributed to community water fluoridation in primary teeth when used from birth?
What percentage reduction in dental caries is attributed to community water fluoridation in primary teeth when used from birth?
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Which of the following factors is classified as a non-modifiable risk factor for dental caries?
Which of the following factors is classified as a non-modifiable risk factor for dental caries?
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What dental condition is characterized by damages to ameloblasts due to excessive fluoride?
What dental condition is characterized by damages to ameloblasts due to excessive fluoride?
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Which characteristic is most associated with complex cavities?
Which characteristic is most associated with complex cavities?
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What role does saliva play in oral health aside from lubrication?
What role does saliva play in oral health aside from lubrication?
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Which method is NOT typically used for pulp vitality testing?
Which method is NOT typically used for pulp vitality testing?
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Which factor is least likely to influence body temperature?
Which factor is least likely to influence body temperature?
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What classification applies to a body temperature of 99.0°F?
What classification applies to a body temperature of 99.0°F?
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What is the primary mineral change that occurs when fluoride replaces hydroxyl ions in tooth enamel?
What is the primary mineral change that occurs when fluoride replaces hydroxyl ions in tooth enamel?
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Which of the following mechanisms is a protective effect of fluoride?
Which of the following mechanisms is a protective effect of fluoride?
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Which statement is true regarding the safety consideration of fluoride treatments?
Which statement is true regarding the safety consideration of fluoride treatments?
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What was the first year community water fluoridation began in the United States?
What was the first year community water fluoridation began in the United States?
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What is the primary role of silver diamine fluoride in dental treatments?
What is the primary role of silver diamine fluoride in dental treatments?
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What is the current recommended level of fluoride for community water fluoridation as updated in 2015?
What is the current recommended level of fluoride for community water fluoridation as updated in 2015?
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Which type of stain is associated with drinking tea, coffee, or Cola?
Which type of stain is associated with drinking tea, coffee, or Cola?
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What is the most effective method to reduce staining from beverages?
What is the most effective method to reduce staining from beverages?
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Which type of fluoride treatment is contraindicated for individuals with silver allergies?
Which type of fluoride treatment is contraindicated for individuals with silver allergies?
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What common dental condition is characterized by a V-shaped wedge on the buccal surface of teeth?
What common dental condition is characterized by a V-shaped wedge on the buccal surface of teeth?
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What is the nature of the disease known as dental caries?
What is the nature of the disease known as dental caries?
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What type of fluoride is typically used in mouth rinses and has varying strengths?
What type of fluoride is typically used in mouth rinses and has varying strengths?
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What is the primary purpose of saliva in maintaining oral health?
What is the primary purpose of saliva in maintaining oral health?
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Which tool is specifically mentioned for assessing caries risk in children?
Which tool is specifically mentioned for assessing caries risk in children?
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Which type of dental trauma involves the dislocation of a tooth?
Which type of dental trauma involves the dislocation of a tooth?
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What classification is given to a body temperature that is recorded at 95°F?
What classification is given to a body temperature that is recorded at 95°F?
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Which factor is least likely to affect body temperature significantly?
Which factor is least likely to affect body temperature significantly?
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What is the first permanent molar's initial phase of mineralization?
What is the first permanent molar's initial phase of mineralization?
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What is the primary effect of fluoride during the pre-eruptive stage of tooth development?
What is the primary effect of fluoride during the pre-eruptive stage of tooth development?
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What was the established optimal fluoride concentration for prevention in the 1930s?
What was the established optimal fluoride concentration for prevention in the 1930s?
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How does fluoride enhance the remineralization process in teeth?
How does fluoride enhance the remineralization process in teeth?
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What is the current recommended level of fluoride in drinking water as of 2015?
What is the current recommended level of fluoride in drinking water as of 2015?
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Which fluoride source is not classified as a manufactured source?
Which fluoride source is not classified as a manufactured source?
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What is a significant consequence of excessive fluoride exposure during tooth development?
What is a significant consequence of excessive fluoride exposure during tooth development?
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Which of the following statements best describes intrinsic stains?
Which of the following statements best describes intrinsic stains?
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Which mechanism does fluoride utilize to inhibit bacterial activity?
Which mechanism does fluoride utilize to inhibit bacterial activity?
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Which condition is characterized by a V-shaped wedge on the buccal surface?
Which condition is characterized by a V-shaped wedge on the buccal surface?
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Which type of stain is primarily caused by tobacco usage?
Which type of stain is primarily caused by tobacco usage?
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What is the primary role of professional treatments with silver diamine fluoride?
What is the primary role of professional treatments with silver diamine fluoride?
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What is a common consequence of black line stains?
What is a common consequence of black line stains?
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What is associated with chronic conditions affecting developing teeth?
What is associated with chronic conditions affecting developing teeth?
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Which type of dental trauma is characterized by tooth dislocation?
Which type of dental trauma is characterized by tooth dislocation?
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What method would least likely be used for evaluating a tooth's vitality?
What method would least likely be used for evaluating a tooth's vitality?
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Which factor is least likely to contribute to an increase in body temperature?
Which factor is least likely to contribute to an increase in body temperature?
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What is considered a normal adult pulse rate range?
What is considered a normal adult pulse rate range?
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Which of these classifications applies to a body temperature of 95°F?
Which of these classifications applies to a body temperature of 95°F?
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What causes intrinsic stains that cannot be polished off?
What causes intrinsic stains that cannot be polished off?
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Which mineral structure is formed when fluoride replaces hydroxyl ions in tooth enamel?
Which mineral structure is formed when fluoride replaces hydroxyl ions in tooth enamel?
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Which type of fluoride source is not considered manufactured?
Which type of fluoride source is not considered manufactured?
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What is a common risk factor for developing dental caries?
What is a common risk factor for developing dental caries?
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What is one of the effects of excessive fluoride during the tooth development stage?
What is one of the effects of excessive fluoride during the tooth development stage?
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Which fluoride treatment contains the highest concentration of fluoride?
Which fluoride treatment contains the highest concentration of fluoride?
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What is the primary risk associated with silver diamine fluoride treatment?
What is the primary risk associated with silver diamine fluoride treatment?
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Which of the following best describes the demineralization pH level for enamel?
Which of the following best describes the demineralization pH level for enamel?
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What is the recommended level of fluoride in community water fluoridation as of 2015?
What is the recommended level of fluoride in community water fluoridation as of 2015?
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Which type of stains is commonly associated with beverages like tea and coffee?
Which type of stains is commonly associated with beverages like tea and coffee?
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Which dental condition involves mechanical wear, often caused by brushing too aggressively?
Which dental condition involves mechanical wear, often caused by brushing too aggressively?
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Which statement about community water fluoridation is correct?
Which statement about community water fluoridation is correct?
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What is the primary reason to document all fluoride treatments?
What is the primary reason to document all fluoride treatments?
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What dental condition is characterized by tooth-to-tooth wear often associated with bruxism?
What dental condition is characterized by tooth-to-tooth wear often associated with bruxism?
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What is a common characteristic of simple cavities?
What is a common characteristic of simple cavities?
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Which of the following factors could contribute to hypothermia?
Which of the following factors could contribute to hypothermia?
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Which of these assessment tools is specifically designed for caries risk assessment?
Which of these assessment tools is specifically designed for caries risk assessment?
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What is an indicator of reversible pulpitis during pulp vitality testing?
What is an indicator of reversible pulpitis during pulp vitality testing?
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What temperature classification is indicated by a body temperature of 99.5°F?
What temperature classification is indicated by a body temperature of 99.5°F?
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What significant effect does fluoride have during the pre-eruptive stage of tooth development?
What significant effect does fluoride have during the pre-eruptive stage of tooth development?
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What method is primarily used to measure caries risk based on visual signs?
What method is primarily used to measure caries risk based on visual signs?
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Which of the following best describes the protective effect of fluoride?
Which of the following best describes the protective effect of fluoride?
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What percentage reduction in caries is achieved by water fluoridation in primary teeth when used from birth?
What percentage reduction in caries is achieved by water fluoridation in primary teeth when used from birth?
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Which of the following conditions can result from excessive fluoride exposure during tooth development?
Which of the following conditions can result from excessive fluoride exposure during tooth development?
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What is the consequence of fluoride's continuous uptake throughout a person's life?
What is the consequence of fluoride's continuous uptake throughout a person's life?
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What is the described effect of the remineralization process enhanced by fluoride?
What is the described effect of the remineralization process enhanced by fluoride?
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What is the current recommended level of fluoride for community water fluoridation?
What is the current recommended level of fluoride for community water fluoridation?
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Which type of fluoride varnish has the highest concentration?
Which type of fluoride varnish has the highest concentration?
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What is commonly associated with the intrinsic stains resulting from tetracycline exposure?
What is commonly associated with the intrinsic stains resulting from tetracycline exposure?
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Which of the following is a common dietary source of fluoride?
Which of the following is a common dietary source of fluoride?
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Which professional application contains a fluorine concentration of 12,300 ppm?
Which professional application contains a fluorine concentration of 12,300 ppm?
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What is the main effect of the demineralization process in relation to dental caries?
What is the main effect of the demineralization process in relation to dental caries?
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Study Notes
Dental Health
- Dr. Frederick McKay discovered brown stains and fewer cavities in Colorado Springs in the early 20th century. H.V. Churchill identified fluorine as the cause in 1931. Dr. H. Trendley Dean established optimal prevention levels at 1 ppm in the 1930s. First community water fluoridation began in 1945.
Fluoride and Tooth Development
- Pre-Eruptive Stage: Primary teeth formation begins in utero. First permanent molars begin mineralization at birth. Fluoride reaches developing teeth through circulation. Hydroxyapatite becomes fluorapatite. Contributes to shallow occlusal grooves.
- Post-Eruptive Stage: Rapid uptake on enamel surface in first years after eruption. Ongoing uptake continues throughout life due to surface exposure. Drinking water provides a continual topical source.
Mechanisms of Action
- Protective Effects: Inhibits demineralization. Enhances remineralization. Inhibits bacterial activity by blocking enolase enzyme. Natural constituent of enamel, dentin, and cementum.
- Remineralization Process: Saliva buffers and neutralizes acid. Calcium and phosphorous return to enamel. Fluoride enhances the process. Creates a more resistant fluorapatite structure.
Water Fluoridation
- Reduces caries by 27% in adults (excluding other fluoride sources). Reduces caries up to 40% in primary teeth when used from birth. Current recommended level is 0.7 ppm (updated 2015), previously varied from 0.7-1.2 ppm based on climate (1962).
Fluoride Sources
- Found naturally in meat, eggs, vegetables, cereals, fruits. Higher levels in tea and fish. Fluoridated salt available in Europe.
Additional Information
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Well water varies by location, and is found in manufactured sources like bottled water, infant formula, and dietary supplements. Professional applications include 2% Neutral Sodium Fluoride (9,050 ppm), APF (12,300 ppm), 5% Fluoride Varnish (22,600 ppm), and 38% Silver Diamine Fluoride.
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Self-applied fluorides such as mouth rinses are available in prescription and over-the-counter strengths.
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Types of stains are categorized as extrinsic (located on the external surface of the tooth) and intrinsic (located within the tooth structure) and can have causes such as tobacco, tea, coffee, cola, chlorhexidine, betel nut and red wine,.
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Description
Test your knowledge on dental health, specifically the role of fluoride in tooth development and its mechanisms of action. Learn about historical discoveries and the significance of fluoride during both pre-eruptive and post-eruptive stages of teeth. This quiz covers essential concepts for understanding dental care and preventive measures.