Fluoride and Tooth Surface
45 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

How does fluoride affect the ability of bacteria to adhere to tooth surfaces?

  • It decreases the ability of enamel to push away proteins.
  • It increases the adhesion of bacteria to enamel.
  • It prevents plaque from hardening into tartar.
  • It reduces pellicle formation, which decreases bacterial adhesion. (correct)
  • What morphological changes might fluoride influence in developing teeth?

  • Creation of shallower pits. (correct)
  • Increase in cusp height.
  • Formation of deeper fissures.
  • Expansion of surface area.
  • What type of patients are more susceptible to root caries?

  • Patients undergoing orthodontic treatment.
  • Patients with excessive saliva.
  • Patients on a high-sugar diet.
  • Patients with xerostomia. (correct)
  • Which of the following methods describe how fluoride prevents root caries?

    <p>By incorporating into surfaces during remineralization. (D)</p> Signup and view all the answers

    What characteristic of dentin and cementum makes them more prone to decay?

    <p>Lower mineralization compared to enamel. (C)</p> Signup and view all the answers

    What is a potential consequence of gingival recession?

    <p>Exposure of less mineralized surfaces. (A)</p> Signup and view all the answers

    What statement best describes the effect of fluoride on enamel?

    <p>Fluoride decreases enamel solubility and enhances its stability. (D)</p> Signup and view all the answers

    What is the primary benefit of fluoride in caries prevention?

    <p>It enhances tooth resistance to demineralization. (A)</p> Signup and view all the answers

    During which stage is fluoride absorbed from systemic sources into developing tooth buds?

    <p>Pre-eruptive stage (B)</p> Signup and view all the answers

    What happens to the hydroxyapatite in teeth when fluoride is deposited?

    <p>It is replaced by fluoroapatite. (A)</p> Signup and view all the answers

    What is a potential negative effect of excess fluoride during enamel development?

    <p>Fluorosis. (A)</p> Signup and view all the answers

    How does fluoride continue to be deposited after the calcification stage?

    <p>From surrounding tissue fluid. (D)</p> Signup and view all the answers

    What is the term for the activity of enamel-forming cells affected by excess fluoride?

    <p>Ameloblast mottling. (A)</p> Signup and view all the answers

    Which of the following stages refers to fluoride absorption that occurs after eruption?

    <p>Post-eruptive stage (A)</p> Signup and view all the answers

    What does fluoride do to enhance resistance to caries?

    <p>Strengthens tooth enamel. (A)</p> Signup and view all the answers

    Which of the following is NOT a mechanism by which fluoride prevents caries?

    <p>By increasing enamel porosity. (C)</p> Signup and view all the answers

    What type of fluoride is described as absorbed from drinking water after tooth eruption?

    <p>Topical fluoride. (B)</p> Signup and view all the answers

    What triggers the drop in pH during the post-eruptive stage of tooth health?

    <p>Bacterial acid production (B)</p> Signup and view all the answers

    What is a primary consequence of demineralization in teeth?

    <p>Loss of calcium and phosphate (C)</p> Signup and view all the answers

    What process helps to restore minerals to an already demineralized tooth?

    <p>Remineralization (B)</p> Signup and view all the answers

    What role does saliva play in the remineralization process?

    <p>It adds calcium and phosphate to the tooth (C)</p> Signup and view all the answers

    What is hydroxyapatite?

    <p>A mineral component of teeth (B)</p> Signup and view all the answers

    What happens to pH levels when there is an increase in remineralization processes?

    <p>pH levels increase (D)</p> Signup and view all the answers

    Which element is directly involved in the chemical reforming of hydroxyapatite?

    <p>Calcium (B)</p> Signup and view all the answers

    What is one consequence of prolonged low pH in the oral environment?

    <p>Increased risk of demineralization (A)</p> Signup and view all the answers

    What can be formed during the remineralization process besides hydroxyapatite?

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

    Which process describes the loss of minerals from the tooth surface?

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

    What was determined to be the optimal level of fluoride for water fluoridation?

    <p>1 ppm (B)</p> Signup and view all the answers

    What did the Knox Report from 1985 conclude regarding fluoride and cancer?

    <p>There is no link between fluoride and cancer. (B)</p> Signup and view all the answers

    What percentage increase in children with no decay in deciduous teeth was observed due to fluoridation?

    <p>15% (B)</p> Signup and view all the answers

    According to the Cochrane Review in 2015, how much does fluoridated water reduce caries in children's permanent teeth?

    <p>26% (D)</p> Signup and view all the answers

    What is the chance of developing fluorosis with fluoridation at a level of 0.7 ppm?

    <p>12% (B)</p> Signup and view all the answers

    What significant benefit does water fluoridation provide for deciduous (baby) teeth?

    <p>Reduces caries by 35% (D)</p> Signup and view all the answers

    What did the York Report in 2000 find regarding the association of fluoride with bone fractures?

    <p>No association found (C)</p> Signup and view all the answers

    Approximately what percentage of the UK population currently has fluoride in their water?

    <p>10% (A)</p> Signup and view all the answers

    What is the primary reason fluoride uptake is most effective during the post-eruption stage of teeth?

    <p>Enamel is more porous (C)</p> Signup and view all the answers

    How does fluoride help reduce the progression of caries once the process has started?

    <p>By forming fluoroapatite (C)</p> Signup and view all the answers

    What structural changes occur in teeth when fluoroapatite forms?

    <p>Improved hydrogen bonds and larger crystals (C)</p> Signup and view all the answers

    Why is fluoroapatite less soluble compared to other forms of calcium?

    <p>It has a lower critical pH (D)</p> Signup and view all the answers

    What is the role of fluoride during an acid attack on teeth?

    <p>It is released from CaF2 formed in saliva (C)</p> Signup and view all the answers

    How can regular fluoride supply be maintained for optimal caries prevention?

    <p>Regular use of high fluoride products (B)</p> Signup and view all the answers

    Which topical fluoride source has the highest fluoride level?

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

    What happens to the fluoride absorbed by the demineralized enamel?

    <p>It forms insoluble compounds (A)</p> Signup and view all the answers

    What is the role of saliva in relation to fluoride in caries prevention?

    <p>It provides a reservoir for fluoride (C)</p> Signup and view all the answers

    What is a consequence of using fluoride topically?

    <p>Fluoride only works superficially (A)</p> Signup and view all the answers

    Flashcards

    Fluoride in Drinking Water

    Adding fluoride to public water supplies to prevent tooth decay.

    Fluoride's Effect on Caries

    Fluoride reduces cavities, especially in children's teeth.

    Optimal Fluoride Level

    1ppm (parts per million) of fluoride in water is linked to most effective decay reduction.

    Fluorosis

    Tooth discoloration and/or staining caused by high fluoride levels during tooth development.

    Signup and view all the flashcards

    Knox Report

    A 1985 report that found no link between fluoride and cancer.

    Signup and view all the flashcards

    York Report (2000)

    A study that reviewed evidence and concluded fluoride in water was safe.

    Signup and view all the flashcards

    Fluoridated Water in UK

    Approximately only 10% of the UK population currently has fluoride in their drinking water.

    Signup and view all the flashcards

    Cochrane Review (2015)

    A review of various studies that further confirmed fluoride's role in preventing tooth decay.

    Signup and view all the flashcards

    Fluoride's Role in Caries Prevention

    Fluoride helps prevent cavities by incorporating into tooth enamel, making it more resistant to acid attacks caused by bacteria.

    Signup and view all the flashcards

    Fluoride Absorption: Systemic vs. Topical

    Fluoride is absorbed into the tooth during two stages: systemic (swallowed fluoride) and topical (applied directly).

    Signup and view all the flashcards

    Fluoride Absorption: Pre-eruptive Stage

    Fluoride absorbed from systemic sources during tooth development is incorporated into the enamel, making it stronger.

    Signup and view all the flashcards

    Fluoride Absorption: Post-eruptive Stage

    After teeth erupt, topical fluoride application strengthens the enamel by replacing some of the hydroxyapatite with fluorapatite.

    Signup and view all the flashcards

    Fluoride Absorption: Matrix Secretion Stage

    Fluoride travels from systemic sources to developing teeth via blood and tissue fluid, replacing hydroxyapatite with fluorapatite during enamel formation.

    Signup and view all the flashcards

    Fluoride Absorption: Maturation Stage

    After enamel calcification and before eruption, fluoride continues to be deposited on the enamel surface from surrounding tissue fluid, further strengthening the enamel.

    Signup and view all the flashcards

    Fluorosis: Excess Fluoride

    Excessive fluoride intake during tooth development can inhibit ameloblast activity, leading to enamel defects called fluorosis, which may cause discoloration.

    Signup and view all the flashcards

    Fluorapatite vs. Hydroxyapatite

    Fluorapatite is a more resistant form of enamel compared to hydroxyapatite, making teeth less prone to decay.

    Signup and view all the flashcards

    Fluoride and Dental Health

    Fluoride is an essential element that plays a key role in strengthening tooth enamel and preventing cavities.

    Signup and view all the flashcards

    Post-Eruptive Stage

    The period after a tooth erupts and emerges into the mouth, where it's susceptible to demineralization and remineralization processes.

    Signup and view all the flashcards

    Demineralization

    The process where tooth enamel loses calcium and phosphate, making it weaker and more prone to cavities.

    Signup and view all the flashcards

    Bacterial Acid

    Acids produced by bacteria in the mouth that attack enamel and cause demineralization.

    Signup and view all the flashcards

    Hydroxyapaptite

    The main mineral component of tooth enamel, responsible for its hardness and resistance to decay.

    Signup and view all the flashcards

    Remineralization

    The process where calcium and phosphate from saliva are deposited back into the tooth enamel, repairing weakened areas.

    Signup and view all the flashcards

    Fluoride's Role in Remineralization

    Fluoride in saliva helps strengthen enamel by incorporating itself into the tooth structure, making it more resistant to acid attacks.

    Signup and view all the flashcards

    Fluorapatite

    A stronger and more decay-resistant form of hydroxyapatite formed when fluoride replaces some of the hydroxide ions in enamel.

    Signup and view all the flashcards

    pH Drop

    A decrease in the pH level of the mouth due to bacterial acid production, creating an acidic environment that favors demineralization.

    Signup and view all the flashcards

    Saliva's Importance

    Saliva plays a crucial role in remineralization by providing calcium, phosphate, and fluoride, helping to repair damaged enamel and protect teeth.

    Signup and view all the flashcards

    Tooth Enamel's Dynamic Nature

    Tooth enamel is not static; it's constantly undergoing demineralization and remineralization processes, influenced by factors like diet, oral hygiene, and fluoride exposure.

    Signup and view all the flashcards

    Fluoride's effect on enamel

    Fluoride reduces the ability of enamel to absorb proteins, which in turn decreases the ability of bacteria to adhere to the surface of the tooth.

    Signup and view all the flashcards

    How does Fluoride reduce plaque formation?

    Fluoride decreases pellicle formation, which is a thin film that bacteria use to attach to teeth. This leads to less bacterial adhesion, therefore reducing plaque buildup.

    Signup and view all the flashcards

    Fluoride's effect on tooth morphology

    Fluoride can influence tooth development, potentially resulting in shallower pits, reduced fissure depth, and lower cusp height, making teeth easier to clean.

    Signup and view all the flashcards

    How does Fluoride protect root surfaces?

    Fluoride incorporates into the root surface during remineralization, reduces surface wettability, and has antibacterial effects, protecting against root caries.

    Signup and view all the flashcards

    Who's more susceptible to root caries?

    Patients with xerostomia (dry mouth) and those who have undergone radiotherapy are more prone to root caries due to reduced saliva production and compromised oral hygiene.

    Signup and view all the flashcards

    What is root caries?

    Root caries is tooth decay that affects the exposed root surface, primarily affecting individuals with gingival recession.

    Signup and view all the flashcards

    How does Fluoride help remineralization?

    Flourde helps remineralize teeth by incorporating into the tooth surface, making the enamel stronger and more resistant to decay.

    Signup and view all the flashcards

    Post-Eruptive Fluoride Uptake

    The majority of fluoride uptake occurs during the two to three years after a tooth emerges, due to the enamel's porous nature, facilitating fluoride absorption.

    Signup and view all the flashcards

    Why is Fluoride Uptake Greater after Eruption?

    Newly erupted teeth have more porous enamel, making them more susceptible to demineralization but also allowing higher fluoride uptake.

    Signup and view all the flashcards

    How does Topical Fluoride Work?

    Topical fluoride reacts with calcium, forming a protective layer on the tooth surface rather than penetrating deeply. This layer releases fluoride during acid attacks, aiding remineralization.

    Signup and view all the flashcards

    Fluorapatite: The Key to Stronger Enamel

    Fluorapatite is a modified form of enamel formed when fluoride replaces hydroxyl ions during remineralization. It's more resistant to acid attacks than hydroxyapatite.

    Signup and view all the flashcards

    Fluorapatite's Critical PH

    Fluorapatite has a lower critical pH compared to hydroxyapatite, making it more resistant to acid attacks and less likely to dissolve.

    Signup and view all the flashcards

    Fluoride Reservoir in Saliva

    Topical fluoride applications create a reservoir of fluoride in saliva. This fluoride binds to calcium in saliva, forming CaF2, which is released during acid attacks.

    Signup and view all the flashcards

    Regular Fluoride Supply: Key to Caries Prevention

    Maintaining a regular supply of fluoride helps replace lost ions and promotes enamel remineralization, effectively reducing caries risk.

    Signup and view all the flashcards

    Fluoride Sources for Optimal Protection

    Toothpaste, mouth rinses, and some restorative materials provide different levels of fluoride, offering various options for optimal protection.

    Signup and view all the flashcards

    Prescription Fluoride: When is it Needed?

    Prescription fluoride is primarily recommended for individuals with high caries risk or when using toothpastes with higher fluoride concentrations (2800 or 5000 ppm).

    Signup and view all the flashcards

    Study Notes

    Fluoride and Tooth Surface

    • Fluoride, a compound of fluorine, is crucial in dentistry.
    • Normal enamel is primarily made up of hydroxyapatite (96%).
    • Hydroxyapatite is a lattice structure made of phosphate and calcium ions (Ca10(PO4)6(OH)2).
    • The critical pH for hydroxyapatite is 5.5.
    • When the pH drops below 5.5, tooth surfaces demineralize, breaking down into component ions (Ca2+, PO43-, and OH-).
    • Infrequent acid attacks lead to less demineralization and caries risk.
    • Frequent attacks increase demineralization and caries risk.
    • Fluoride is absorbed into the tooth surface, making it more resistant to demineralization.

    Stages of Fluoride Deposition

    • Pre-eruption stage (systemic fluoride): Fluoride is absorbed during tooth development.
    • Matrix secretion stage (systemic fluoride): Fluoride is deposited into the tooth during enamel formation as fluoroapatite.
    • Post-eruption stage (topical fluoride): Fluoride continues to be absorbed at the enamel surface from the tissue fluid around the tooth. When the pH drops, fluoride ions are released.

    Fluoride History

    • 1874: Dr Erhardt's research.
    • 1892: Sir James Crichton-Browne's studies.
    • 1901: Frederick McKay's observation of Colorado Stain on teeth.
    • 1902: Sale of fluorine compound.
    • 1909: Investigation of Colorado Stain.
    • 1912: McKay investigates similar staining in Naples.
    • 1916: McKay documents Colorado Stain.
    • 1930-1940: Shoe leather/21-cities studies by Dr H Trendley Dean link water fluoride with mottling, and caries reduction. Showed 1ppm fluoride was optimal.
    • 1931: Water sampling study by McKay and others on fluoride levels, and water source and mottling.
    • 1932: McKay's research on fluoride and caries reduction, determining fluoride can lessen decaying of teeth.
    • 1940: Birmingham fluoridation.
    • 1945: First experiment on artificial water fluoridation.
    • 1955: Artificial water fluoridation trial in the UK.
    • 1976: Royal College of Physicians inquiry into water fluoridation.
    • 1980: Mrs McColl's opposition to water fluoridation
    • 1985: Knox Report - no link found between fluoride and cancer.
    • 1995: More information about Colorado Stain
    • 2000: York Report - no link found between water fluoridation and bone fractures, or cancer.
    • 2015: Cochrane Review - fluoridation reduces caries in children's permanent teeth by 26% and deciduous teeth by 15%.

    Fluorosis

    • Fluorosis occurs due to excess fluoride ingestion.
    • It's characterized by changes in tooth enamel, ranging from white opacities to brown-yellow mottling.
    • The severity depends on the absorbed fluoride dose, duration of exposure, and the patient's age.
    • Enamel defects are not limited to fluorosis and other causes can occur, including trauma, disease, medications, and genetic factors.

    Action of Fluoride

    • Fluoride strengthens enamel against demineralization and promotes remineralization by forming fluoroapatite (more resistant to acid than hydroxyapatite).
    • Fluoride reduces bacterial action. At high concentration, it can inhibit bacteria (e.g., Streptococcus mutans) and their ability to metabolize sugars.
    • Fluoride inhibits bacterial plaque formation and accumulation of bacteria.
    • Fluoride reduces the surface energy of the teeth, reducing wettability. This lessens the ability of bacteria to adhere.

    Modern Dental Fluoride Applications

    • Topical applications of fluoride create a reservoir of fluoride in saliva, which is essential to provide a continuous fluoride supply.
    • Fluoride is absorbed and carried into the tooth during remineralization.
    • Toothpastes, mouth rinses, restorative materials, fluoride varnishes, and water fluoridation provide regular levels of fluoride, leading to effective caries prevention.

    Areas of Application

    • Different areas of the tooth (enamel, dentin, cementum) respond differentially to fluoride.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Explore the vital role of fluoride in dental health, specifically its interaction with tooth enamel. Understand the chemistry of hydroxyapatite, the impact of pH on demineralization, and the stages of fluoride deposition in teeth. This quiz covers essential concepts for students in dental studies.

    More Like This

    Tooth Enamel: Structure and Decay
    10 questions
    Fluoride: Importance and History Quiz
    26 questions
    Fluoride and Tooth Surface medium
    45 questions
    Fluoride and the Tooth surface
    47 questions

    Fluoride and the Tooth surface

    UserFriendlySagacity4401 avatar
    UserFriendlySagacity4401
    Use Quizgecko on...
    Browser
    Browser