Dental Science Quiz on DLVO Theory and Oral Hygiene
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Questions and Answers

What result occurs when adding ions to the ionic solution in relation to the DLVO theory?

  • It destroys the double electrostatic layer.
  • It prevents any approach between microorganisms.
  • It reduces the acidity of the solution.
  • It causes electrostatic repulsion to decrease. (correct)

Which statement about demineralization is incorrect?

  • Demineralization and remineralization are independent processes. (correct)
  • Demineralization only occurs at low pH levels.
  • Demineralization is the process of enamel dissolution.
  • The rate of demineralization is influenced by apatite crystal composition.

What distinguishes caries from an erosive lesion?

  • Caries is caused by mechanical stress, erosive lesions by bacteria.
  • Caries affects only enamel, while erosive lesions affect all dental structures.
  • Caries is reversible, erosive lesions are irreversible.
  • Caries is a chemical dissolution caused by metabolic products, erosive lesions are from other sources. (correct)

Under what condition do demineralization and remineralization processes reach an equilibrium?

<p>At pH 5.5. (C)</p> Signup and view all the answers

Which statement is true regarding the solubility of different types of apatite?

<p>The Ca:P ratio in enamel apatite is 1.64. (B)</p> Signup and view all the answers

What is a key characteristic of salts in relation to their behavior as electrolytes?

<p>They dissociate into ions and therefore act as electrolytes. (B)</p> Signup and view all the answers

Which of the following statements about the relationship between Qsp and Ksp is correct?

<p>When Qsp = Ksp, the solution is saturated. (B)</p> Signup and view all the answers

What happens to microorganisms approaching a charged surface due to the DLVO theory?

<p>They are repulsed by overlapping double electrostatic layers. (D)</p> Signup and view all the answers

What is the primary purpose of tertiary dentin formation?

<p>To protect the pulp from external stimuli (D)</p> Signup and view all the answers

Which statement accurately represents a goal of plaque control?

<p>Promoting the remineralization of enamel (A)</p> Signup and view all the answers

What is not a direction of oral hygiene?

<p>Promoting periodontal inflammation (B)</p> Signup and view all the answers

How is oral hygiene status evaluated clinically?

<p>Using oral hygiene indices (D)</p> Signup and view all the answers

What is the main purpose of using a disclosing agent for dental plaque?

<p>To motivate patients to adhere to oral hygiene (C)</p> Signup and view all the answers

Which method is used to disclose dental plaque in children under three years old?

<p>Using a disclosing tablet (C)</p> Signup and view all the answers

What happens to the odontoblastic process after it dies?

<p>The protective mechanisms are exhausted (D)</p> Signup and view all the answers

Which of the following is FALSE regarding disclosing tablets used for plaque identification?

<p>They are intended for children of all ages (B)</p> Signup and view all the answers

How does endogenously taken fluoride reach the enamel during post-eruptive maturation?

<p>Through tissue fluid (B)</p> Signup and view all the answers

What is formed when a high concentration of fluoride ions (over 100 ppm) is added to hydroxyapatite in equilibrium?

<p>Fluorapatite (C)</p> Signup and view all the answers

What is the recommended fluoride content for toothpaste for children under 2 years old?

<p>0 ppm fluoride (C)</p> Signup and view all the answers

Which group of patients is highly recommended to rinse with fluoride solutions?

<p>Patients with rampant caries (A)</p> Signup and view all the answers

Which method of endogenous fluoride prevention is the most effective and cheapest?

<p>Fluoridation of drinking water (D)</p> Signup and view all the answers

What is the main characteristic of electric tooth cleaning devices?

<p>They are made up of a head and a handle. (B), They perform automatic vibrating or rotating movements. (C)</p> Signup and view all the answers

Which statements about professional local fluoride prevention are true?

<p>Performed solely in the dental office (A), Scheduled at regular intervals (D)</p> Signup and view all the answers

Which methods are used for building a motivational program for dental health?

<p>Education in oral hygiene methods. (B), Persuasion and stimulation for a new value system. (D)</p> Signup and view all the answers

Which of the following topical fluoride methods includes the use of fluoride toothpaste?

<p>Individual topical fluoride prevention (C)</p> Signup and view all the answers

Which statements about professional oral hygiene are accurate?

<p>It is carried out by a dentist or hygienist. (A), It follows a specific methodology and sequence in cleaning. (D)</p> Signup and view all the answers

What should the fluoride content be for toothpaste used by children aged 2 to 6 years?

<p>500 ppm fluoride, grain of rice amount (A)</p> Signup and view all the answers

What is the optimal fluoride concentration in drinking water for caries prevention?

<p>1 – 1.2 mg/l (A)</p> Signup and view all the answers

Which of the following is not a method of endogenous fluoride prevention?

<p>Fluoride gel (A)</p> Signup and view all the answers

What are the recommended doses of fluoride supplements for children aged 3 to 6 years?

<p>0.25 mg/day (A), 0.5 mg/day (C), 1 mg/day (D)</p> Signup and view all the answers

What are the recommended doses of fluoride supplements for children under 3 years?

<p>0.25 mg/day (D)</p> Signup and view all the answers

What is important when presenting dental procedures to children with visual impairment?

<p>They see through touch. (B), Their hands are directed towards objects. (C), Understandable terms are used. (D)</p> Signup and view all the answers

Which of the following is true regarding communication with children with hearing impairment?

<p>Difficulty in acquiring new knowledge and skills is common. (A)</p> Signup and view all the answers

Which statements are true regarding dental procedures for children with hearing impairment?

<p>They should be short and efficient. (A), They exhibit poor tolerance for a slow treatment process. (D)</p> Signup and view all the answers

What strategies are effective in improving the behavior of children with hearing impairment?

<p>The modeling technique. (C), The 'show, do' technique. (D)</p> Signup and view all the answers

Which statements regarding the treatment of children with intellectual disabilities are true?

<p>Reducing sources of distraction is crucial. (C), Communication capabilities should be evaluated. (D)</p> Signup and view all the answers

Which behavioral problems are commonly observed in children with intellectual disabilities?

<p>Restlessness and hyperactivity. (A), Excessive attention to obsessive behavior. (D)</p> Signup and view all the answers

What statements about the influence of children with intellectual disabilities on oral health are true?

<p>Severe periodontal diseases can occur. (B), A greater number of dental fillings is observed. (C)</p> Signup and view all the answers

Which strategy is NOT effective for engaging children with hearing impairment during dental treatment?

<p>Ignoring their communication needs. (A)</p> Signup and view all the answers

What are the levels at which risk profiling can be conducted?

<p>Public or group level; individual level; topical level (A)</p> Signup and view all the answers

Which tooth surfaces are considered most at risk for developing carious lesions?

<p>Molars' occlusal surfaces post-eruption (B)</p> Signup and view all the answers

In Featherstone's ‘balanced caries’ concept, which of the following factors is classified as pathological?

<p>Dysfunctional salivary secretion (B)</p> Signup and view all the answers

What does a prognostic risk factor predict?

<p>A high probability of developing a disease (D)</p> Signup and view all the answers

Which indicators fall under the high risk category according to caries risk scoring?

<p>Appearance of carious teeth in the past year (A)</p> Signup and view all the answers

How is caries risk categorized as low, medium, or high?

<p>According to the presence of positive indicators (B)</p> Signup and view all the answers

What systemic factors are included in the risk assessment for periodontal disease at the patient level?

<p>Behavioral and genetic predispositions (C)</p> Signup and view all the answers

At what ages is the caries risk assessment aimed according to the specific demographic guidelines?

<p>1-2 years; 5-7 years; 11-14 years (B)</p> Signup and view all the answers

Flashcards

DLVO Theory

The phenomenon where negatively charged surfaces attract positively charged ions, creating a double electrostatic layer. In a physiological solution, microorganisms are repelled due to overlapping layers, preventing adhesion. Adding ions compresses the layers, allowing microorganisms to approach each other until Van der Waals forces outweigh repulsion, leading to adhesion.

Demineralization

The process of enamel dissolving as a result of acidic conditions.

Enamel Apatite

The mineral found in enamel that is less soluble than pure apatite and has a broader A-axis. This is because of the incorporation of other ions like carbonate and magnesium.

Neutralization Reaction

A chemical reaction that produces a salt and water. This reaction neutralizes both the acid and the base.

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Saturated Solution

A solution where the ionic product (Qsp) is equal to the solubility product (Ksp). In this scenario, the solution is saturated and no more solute can dissolve.

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Caries

The dissolution of tooth structures caused by bacterial metabolic products. This happens when bacteria ferment sugars, producing acids that attack enamel.

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Erosive Lesion

The dissolution of tooth structures caused by external factors OTHER than bacterial metabolic products. These can include acidic drinks, gastric reflux, or acidic foods.

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Solubility

The degree to which a substance dissolves in a solvent. This depends on factors like temperature, pressure, and the type of solvent.

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Tertiary Dentin Formation

A process where odontoblasts create a layer of dentin beneath the body of a lesion to protect the pulp.

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What is the purpose of Tertiary Dentin Formation?

The main goal is to keep the pulp alive and healthy, usually by forming a protective layer of dentin.

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How does Tertiary Dentin Formation impact the pulp?

The formation of tertiary dentin occurs at the expense of the pulp's space, which means the pulp chamber becomes smaller.

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What is the significance of Dead Tracks?

Dead tracks are a defense mechanism used by the pulp to isolate itself from potentially harmful factors like infections or damage. They prevent the spread of these factors further into the pulp.

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What happens when the odontoblastic process dies?

The odontoblastic process, a part of the odontoblast cell, plays a crucial role in the formation of tertiary dentin. Once this process dies, the ability to form tertiary dentin and protect the pulp is lost.

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What are the goals of plaque control?

The goals of plaque control aim to limit the growth of harmful bacteria (like Streptococcus mutans), maintain a healthy pH in dental plaque, promote a balance of beneficial bacteria, and help remineralize tooth enamel.

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How are oral hygiene habits evaluated?

Oral hygiene habits are evaluated by collecting information from the patient or parent, and by observing the child's brushing and flossing techniques.

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How is oral hygiene status evaluated?

Oral hygiene status is assessed by measuring the amount of plaque and gingivitis present using specific indices.

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What is the main characteristic of electric toothbrushes?

Electrical toothbrushes that use a vibrating or rotating head to clean teeth. They provide a more thorough and effective cleaning than manual brushing.

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What are the methods for building a motivational program for oral health?

A program designed to motivate individuals to improve their oral hygiene habits, often utilizing various techniques like education, persuasion, and psychological strategies.

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What are the key characteristics of professional oral hygiene?

Professional cleaning of teeth by a dentist or hygienist that removes plaque, calculus, and stains, promotes oral health, and allows for early detection of dental problems.

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What is 'endogenous' fluoride prevention?

Delivery of fluoride to the body through sources like fluoridated water or salt, aiming to strengthen enamel and prevent cavities.

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What is the optimal fluoride concentration in drinking water?

The ideal range of fluoride concentration in drinking water that's effective for preventing tooth decay.

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What are fluoride supplements?

Fluoride supplements taken orally in the form of tablets or drops to increase fluoride intake, particularly important for children.

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Recommended fluoride dosage for children aged 3 to 6?

Recommended daily fluoride intake for children between the ages of 3 and 6.

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Recommended fluoride dosage for children under 3?

Recommended daily fluoride intake for children under 3 years old.

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Endogenous Fluoride Reaches Enamel

Fluoride taken in through food and water is absorbed into the bloodstream and then travels to the enamel through tissue fluid.

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Fluorapatite Formation

Fluoride ions react with hydroxyapatite in the enamel to form fluorapatite, making the enamel more resistant to acid attacks.

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Fluorohydroxyapatite Formation

A high concentration of fluoride ions reacts with hydroxyapatite to form fluorohydroxyapatite, making the enamel more acid-resistant. This happens in acidic conditions.

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Fluoride Toothpaste Recommendations

Children under two years old should use a tiny amount of toothpaste without fluoride, while children between two and six should use toothpaste with 500 ppm fluoride (pea-sized amount). Children over the age of six can use toothpaste with 1000 ppm fluoride.

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When to Use Fluoride Rinses

Rinsing with fluoride solutions is recommended for patients with dry mouth, braces, gum recession, rampant cavities, and those who have difficulty maintaining good oral hygiene.

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Water Fluoridation

Adding fluoride to the public water supply is the most effective and cost-efficient way to deliver fluoride to a large population.

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Professional Fluoride Prevention

Professional fluoride treatments are customized to the patient's individual needs and are applied in a dental office. This may include fluoride gels, varnishes, or foams.

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Individual Topical Fluoride Prevention

Topical fluoride prevention includes using fluoride toothpaste, mouthwashes, gels, and other products, which is done at home by individuals.

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Communicating with Visually Impaired Children

When communicating with visually impaired children, using clear, understandable language is crucial. Avoid complex medical terms and rely on tactile explanations instead. Help them explore the dental instruments by touch.

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Communication with Hearing-Impaired Children

When communicating with hearing-impaired children, it is essential to use a combination of visual aids, such as gestures, pictures, and written materials, to ensure clear understanding. Speak slowly, clearly, and face the child directly to facilitate lip reading. Avoid shouting; instead, use a normal speaking voice.

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Dental Procedures for Hearing-Impaired Children

Dental procedures for children with hearing impairment should be short, broken down into manageable steps. The use of gestures and visual aids can help the child understand the process and prevent anxiety. Parents, if present, can be instrumental in supporting and reassuring the child during the procedure.

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Treating Children with Intellectual Disabilities

Children with intellectual disabilities require a tailored approach that focuses on clear communication, simplification, and reducing distractions. The "say, show, do" technique is effective in explaining procedures. Visual aids, such as posters, drawings, and movies, can also be beneficial.

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Behavioral Challenges in Intellectual Disabilities

Children with intellectual disabilities may exhibit behavioral challenges, including restlessness, hyperactivity, and repetitive behaviors. These behaviors are often related to their individual needs and differences. It's crucial to understand and acknowledge these challenges and adapt the treatment plan accordingly.

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Oral Health in Intellectual Disabilities

Children with intellectual disabilities may have heightened susceptibility to oral health issues, leading to a higher risk of cavities, fillings, and tooth wear. This can be attributed to factors like difficulty maintaining oral hygiene and potentially challenging dietary patterns.

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Cultural Considerations in Dentistry

When working with children from diverse cultural backgrounds, it's vital to adapt the approach to address language barriers, cultural beliefs, and potential dietary differences. Cultural sensitivity and understanding are essential for fostering trust and building a positive relationship.

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Study Notes

Dental Caries Etiology and Prevention

  • Etiology of Dental Caries: Main factors include microorganisms, fermentable carbohydrates, tooth morphology, tooth age, fluoride intake, nutrition during dental histogenesis, and time. Saliva plays a role.

  • Enamel Resistance Factors: Tooth morphology, tooth age, fluoride intake, nutrition during dental histogenesis, genetic and systemic factors.

  • Critical Period for Tooth Mineralization: The first 2 years after eruption, particularly critical for molars with pits, grooves, and fissures.

  • Molar Morphology: Molars have pits, grooves, and fissures, which can trap food and microorganisms and lower the enamel mineralisation in these areas.

  • Permanent Tooth Characteristics: Permanent teeth right after eruption have a lower degree of mineralization, smoother surfaces, smaller intercrystalline spaces, and narrower interprismatic zones.

  • Cariogenic Microorganisms: Key qualities include adherence to the tooth surface, resistance to removal mechanisms, and potential for sufficient numbers to multiply. Aciduric microorganisms are capable of division and reproduction under acidic conditions. Important microorganisms include Str. Mutans,Str. Mitis, and Lactobacillus.

  • Caries Pathogenesis Stages: Acid degradation of the inorganic enamel component, chelation demineralization, acid decomposition of acid-soluble organic matter, and proteolysis of acid-insoluble organic matter.

  • Stephan Curve Factors: The factors associated with caries incidence and sugar intake and relationship, includes sugar intake quantity and frequency.

  • Fluoride Importance: Fluoride intake and concentration contribute to the prevention of dental caries, as well as remineralization, through the formation of fluorohydroxyapatite or fluorapatite.

  • Saliva's Protective Role: Saliva's buffering systems, flow, and remineralizing effects help maintain the pH balance and protect against caries.

Dental Caries Development

  • Microorganisms in Biofilms: microorganisms in biofilm have a nutritional and survival advantage as they are shielded from the host's immune system and environmental stresses. Intracellular and extracellular polysaccharides play major roles that promote aggregation for caries development.

  • Acquired Pellicle: The formation of the acquired pellicle starts within moments of tooth exposure to the oral environment with the binding of precursor pellicle proteins. This pellicle is a thin, primarily organic layer that provides a base surface for microbial adhesion.

Oral Hygiene

  • Goals of Plaque Control: Preventing and limiting the number of cariogenic microorganisms and maintaining a low pH in the dental plaque, allowing for appropriate remineralization.

Prevention and Treatment

  • Professional Fluoride Prevention: Includes fluoridation of toothpaste, drinking water, varnishes, and mouthwashes.
  • Remineralizing Agents: Methods used to restore or strengthen the minerals in the tooth's structure.
  • Preventive Sealants: Materials used to cover fissures and pits on teeth, protecting them from bacteria and acids.

Risk Assessment

  • Systemic Risk Factors: Genetic predisposition, certain medical conditions, metabolic factors, lifestyle and behaviors all play a key role in developing oral diseases and caries.
  • Individual Risk Factors: Factors like the type of biofilm and the presence of certain microorganisms and their interactions. Local factors such as tooth morphology, presence of dental plaque and caries lesions.
  • Levels of Risk Profiling: Factors that are specific to the individual, factors related to population, such as diet, oral environment, and levels of tooth and group of teeth.

Methods of Treatment

  • Non-Operative Treatment:Includes assessment of the oral health status and patient education, oral hygiene management, and prevention of further dental deterioration.
  • Operative Treatment: Includes treatment of carious lesions and procedures to prevent further breakdown and disease.

Communication Considerations

  • Communicating and Treating Patients with Disabilities: Dentists should communicate with diverse patient populations clearly, using patient-centered approaches, in a way that is respectful and accessible. This includes patients with visual or hearing impairments, intellectual disabilities, or other conditions.

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Test your knowledge on dental science concepts including DLVO theory, caries, demineralization, and oral hygiene practices. This quiz covers key principles related to electrolyte behavior, plaque control, and dental health assessments. Delve into critical topics that shape our understanding of oral care.

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