Etiology of Dental Caries Overview
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Questions and Answers

Which code indicates that no staining and plaque are present when evaluating the oral hygiene index according to Green-Vermillion?

  • Code 1
  • Code 0 (correct)
  • Code 3
  • Code 2
  • In the plaque index according to Silness and Löe, which statement is true regarding the examination process?

  • It measures gum sensitivity.
  • The gingival areas of the four surfaces of each tooth are examined. (correct)
  • It is primarily focused on the chewing surfaces of the molars.
  • The tip of the probe touches only the upper surface of the tooth.
  • Which factors significantly influence effective tooth cleaning?

  • Type of toothpaste flavor
  • Color of the toothbrush
  • Duration of brushing (correct)
  • Type of abrasive in the toothpaste (correct)
  • What is a notable characteristic of the profile of a toothbrush head that helps in cleaning interproximal spaces?

    <p>Concave shape</p> Signup and view all the answers

    Which of the following statements about artificial bristles of toothbrushes is true?

    <p>They are rounded to prevent damage to the gingiva and enamel.</p> Signup and view all the answers

    When evaluating plaque presence, which color dye is used in the Silness and Löe method?

    <p>Methylene blue</p> Signup and view all the answers

    Which statement accurately describes the coverage of stained plaque in Code 2 of the oral hygiene index?

    <p>Covers between 1/3 and 2/3 of the tooth surface</p> Signup and view all the answers

    What is the primary purpose of using a toothbrush with a convex shape?

    <p>To effectively clean the lingual surfaces</p> Signup and view all the answers

    What is the role of S. mutans in dental biofilm formation?

    <p>Ability for adhesion and colonization</p> Signup and view all the answers

    Which of the following best describes the acquired pellicle?

    <p>Non-cellular layer of salivary glycoproteins</p> Signup and view all the answers

    According to the environmental plaque hypothesis, what is dental caries a consequence of?

    <p>Changes in the balance of resident plaque microflora</p> Signup and view all the answers

    Which protein found in the acquired pellicle helps inhibit calcium and phosphate ion precipitation?

    <p>Acidic, proline-rich proteins</p> Signup and view all the answers

    What is a notable characteristic of biofilm formation stages?

    <p>Formation of the pellicle is the initial stage</p> Signup and view all the answers

    What is the primary role of the primary cuticle on the enamel surface?

    <p>It results from the action of ameloblasts</p> Signup and view all the answers

    What benefit does the biofilm provide to microorganisms?

    <p>Increases resistance to environmental changes and antimicrobials</p> Signup and view all the answers

    Which of the following is NOT a function of the acquired pellicle?

    <p>Facilitates the direct absorption of nutrients</p> Signup and view all the answers

    Which factors affect solubility?

    <p>Common ion effect</p> Signup and view all the answers

    What is the effect of low concentration F-ions on the formation of fluorohydroxyapatite?

    <p>Alkalization leads to their formation</p> Signup and view all the answers

    Which of the following conditions are valid for natural remineralization?

    <p>Sufficient amount of F-ions</p> Signup and view all the answers

    Which options accurately describe the components of hydroxyapatite?

    <p>w can be Na, Mg, K, Sr</p> Signup and view all the answers

    Which statements correctly describe the differences between types of enamel apatite?

    <p>Brushite is highly soluble</p> Signup and view all the answers

    What is a key characteristic of fluorapatite in enamel?

    <p>It contributes to acid resistance</p> Signup and view all the answers

    Which statement about hydroxyapatite is correct?

    <p>It is the most common type of apatite in enamel</p> Signup and view all the answers

    What occurs under acidification of the environment regarding F-ions?

    <p>Ions can still precipitate to FHA or FA</p> Signup and view all the answers

    Which statement about fluoride application is incorrect?

    <p>Professional oral hygiene is necessary before fluoride application.</p> Signup and view all the answers

    What is a major purpose of preventive fissure sealing?

    <p>To protect the tooth from cariogenic bacteria and carbohydrates.</p> Signup and view all the answers

    Which characteristic should NOT be present in an effective dental sealant?

    <p>Ability to dissolve in a moist environment.</p> Signup and view all the answers

    What anatomical factors contribute to the susceptibility of permanent teeth to carious lesions?

    <p>Lower degree of mineralization.</p> Signup and view all the answers

    Which type of shape is NOT used to classify fissures?

    <p>O-shaped.</p> Signup and view all the answers

    Which of the following is a contributing risk factor for occlusal carious lesions?

    <p>Morphology of the pit and fissure system.</p> Signup and view all the answers

    What should a sealant ideally do in relation to tooth color?

    <p>Not affect the color of the tooth.</p> Signup and view all the answers

    Which factor is NOT relevant to the effectiveness of fissure sealing?

    <p>Dissolution rate in saliva.</p> Signup and view all the answers

    Which of the following is a contraindication for the use of sealants?

    <p>Presence of occlusal caries lesion</p> Signup and view all the answers

    What is the purpose of isolating and drying the tooth before applying sealants?

    <p>To facilitate better adhesion of the sealant</p> Signup and view all the answers

    Which step is performed after applying the sealant?

    <p>Polymerize using a curing lamp</p> Signup and view all the answers

    What might cause sealant failure at the enamel-sealant interface?

    <p>Saliva contamination during the procedure</p> Signup and view all the answers

    Which statement accurately describes a step in the clinical protocol for applying sealants?

    <p>Acid etch the tooth surface with 35-37% phosphoric acid for 30 seconds</p> Signup and view all the answers

    Which of these is NOT a description associated with the follow-up of sealant application?

    <p>Remove and replace all existing sealants annually</p> Signup and view all the answers

    Which of the following options represents a non-operative preventive treatment?

    <p>Fluoride delivery followed by remineralization techniques</p> Signup and view all the answers

    Which statement regarding remineralizing agents is true?

    <p>They are effective in non caries-resistant dentition</p> Signup and view all the answers

    Which group of factors includes those that could be either protective or risk based on their characteristics?

    <p>Quantitative factors</p> Signup and view all the answers

    Which of the following levels is NOT involved in the assessment of the risk of periodontal disease?

    <p>Oral hygiene level</p> Signup and view all the answers

    Which of the following is considered a systemic risk factor for the development of periodontal disease?

    <p>Genetic risk factors</p> Signup and view all the answers

    What are the three types of periodontal disease risk assessment systems based on their application?

    <p>Public, individual, and in clinical settings</p> Signup and view all the answers

    Which of the following is NOT one of the levels where risk assessment of periodontal disease is estimated?

    <p>Microbial level</p> Signup and view all the answers

    Which of the following factors is considered a common risk factor in oral pathology?

    <p>Biofilm</p> Signup and view all the answers

    What leads to the occurrence of secondary risk factors when assessing the risk of periodontal diseases?

    <p>Initial damage to the gingiva sulcus</p> Signup and view all the answers

    According to WHO, which of the following should be part of a preventive program?

    <p>Patient education</p> Signup and view all the answers

    Study Notes

    Etiology of Dental Caries

    • Main factors involved in dental caries etiology: host qualities of enamel, microorganisms, fermentable carbohydrates, and time. Saliva also plays a role.
    • Enamel resistance depends on tooth morphology, age, fluoride intake, and internal/external factors, and nutrition during dental histogenesis.
    • Main etiological factors for caries: enamel as the host, disease-causing microorganisms, production of acids (fermentable carbohydrates), time, and saliva.

    Resistance of Enamel Structures

    • Factors contributing to high enamel resistance: tooth age, morphology, fluoride intake, nutrition during histogenesis, and local/systemic factors.

    Critical Period of Tooth Mineralization

    • The particularly critical period for tooth mineralization after eruption is the first 2 years.

    Molar Morphology

    • Molar morphology is characterized by pits, grooves, and fissures. These are areas of retention for microorganisms and food, with the fissure bottom having the lowest mineralization.

    Permanent Teeth After Eruption

    • Permanent teeth immediately following eruption have a lower degree of mineralization, smoother surfaces, larger crystals, smaller intercrystalline spaces, and narrower interprismatic zones.

    Cariogenic Microorganisms

    • Key qualities of cariogenic microorganisms: ability to adhere to tooth surfaces, survive in the oral environment, and multiply in sufficient numbers.
    • Aciduric microorganisms actively reproduce in acidic environments.
    • Important microorganisms for caries development are Streptococcus mutans, Streptococcus mitis, Streptococcus sobrinus, Streptococcus oralis, and Lactobacillus.

    Stephan's Curve and Caries

    • Factors in Stephan's curve linked to caries incidence and sugar intake include physical form of sugar, frequency of sugar intake, and quantity of sugar intake.

    Bacteria and Caries Development

    • Streptococcus mutans is highly cariogenic due to its affinity for enamel pellicle colonization, carbohydrate metabolism into acids, ability to live in acidic conditions, and links with sucrose.

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    Description

    This quiz explores the key factors involved in the etiology of dental caries, including the role of enamel and various microorganisms. Understand the relationships between fermentable carbohydrates, time, and saliva in caries formation. Additionally, learn about enamel resistance and the importance of molar morphology in dental health.

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