Infant Feeding Practices and Dental Health
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Questions and Answers

What is the least cariogenic sugar among mono- and disaccharides?

Lactose

Which milk products may be considered safe for teeth if they do not have added sugars?

Cheese and yoghurt

What factor in milk helps protect against the demineralization of enamel?

Calcium phosphate & casein

Why is cow's milk considered non-cariogenic?

<p>Due to the sugar lactose</p> Signup and view all the answers

What types of oligosaccharides are potentially cariogenic according to studies?

<p>Fructo-oligosaccharides and maltodextrins</p> Signup and view all the answers

Why can milk products with added sugars not be considered protective against decay?

<p>Added sugars in milk products</p> Signup and view all the answers

What is the recommended age for infants to cease bottle feeding?

<p>One year old</p> Signup and view all the answers

Why is it advised not to give cow's milk to infants before the age of six months?

<p>Due to the risk of allergy and the high solute load</p> Signup and view all the answers

What are the main sources of milk recommended for infants after six months?

<p>Breast milk or formula</p> Signup and view all the answers

At what age can full-fat cow's milk be given to children?

<p>One year</p> Signup and view all the answers

What is dental erosion?

<p>The loss of dental hard tissue by a process that does not involve bacteria</p> Signup and view all the answers

What are some causes of erosion of tooth tissue?

<p>Acids in foods, intrinsic acids, environmental acids</p> Signup and view all the answers

What are the two main categories of sugars with different impact on dental health?

<p>Milk sugars and non-milk extrinsic sugars (NMES)</p> Signup and view all the answers

What is the maximum daily intake of non-milk extrinsic sugars (NMES) recommended?

<p>60 g/day</p> Signup and view all the answers

What are the main sources of sugars in the diets of boys and girls?

<p>Sugared, non-low-calorie soft drinks and confectionery</p> Signup and view all the answers

What is the impact of soft drinks and confectionery on dental health?

<p>They may contribute to dental decay and obesity.</p> Signup and view all the answers

What is the cariogenicity of raw starch compared to cooked or refined starch?

<p>Raw starch is of low cariogenicity.</p> Signup and view all the answers

What happens if cooked or refined starch is retained in the mouth long enough?

<p>It can lead to dental decay, especially if amylase digestion occurs.</p> Signup and view all the answers

What are the main mechanisms of clinical tooth surface loss (TSL) or tooth wear?

<p>Erosion (corrosion), attrition, and abrasion</p> Signup and view all the answers

How can co-factors like hyposalivation and hypomineralisation exacerbate tooth wear?

<p>They may exacerbate the effects of the primary causes of tooth wear.</p> Signup and view all the answers

What are the steps in the basic clinical approach to diagnose and manage TSL?

<p>Identify the mechanism(s), determine if it is active, tailor-make a preventive program, and prioritize minimum intervention.</p> Signup and view all the answers

How can asymmetric wear be identified in tooth surfaces?

<p>Asymmetric wear can be identified by observing uneven patterns of tooth wear on the surfaces.</p> Signup and view all the answers

Why is preserving tooth structure essential in the operative approach for TSL?

<p>Preserving tooth structure is essential to minimize intervention and maintain the structural integrity of the dentition.</p> Signup and view all the answers

How is a patient-specific preventive and monitoring program tailored in managing TSL?

<p>The program is tailored based on the identified mechanism(s) causing the wear and factors unique to the patient.</p> Signup and view all the answers

What are some specific strategies for preventing tooth wear in patients?

<p>Taking history to identify abrasive dentifrices, foods, foreign objects, or common habits, making the patient aware of the problem, and restoring a full complement of occluding teeth.</p> Signup and view all the answers

How can restoring a full complement of occluding teeth help reduce occlusal abrasion?

<p>It allows for a better distribution of load.</p> Signup and view all the answers

Which restorative materials have the lowest antagonistic wear rates?

<p>Amalgam, cast metal alloys, microfilled and nanofilled resin composites, and machined ceramics.</p> Signup and view all the answers

Why are conventional GIC and RMGIC more susceptible clinically to abrasive and erosive wear?

<p>They are more susceptible due to their material composition.</p> Signup and view all the answers

How does severe hyposalivation impact the effects of erosion on teeth?

<p>It may exacerbate the effects of erosion.</p> Signup and view all the answers

What can damage the surfaces of ceramic and resin composite materials that contain glass particles?

<p>Acidulated fluoride gels.</p> Signup and view all the answers

What are the contributing factors to enamel erosion in newly erupted teeth?

<p>High amounts of carbonated hydroxyapatite and lack of fluorapatite and other minerals</p> Signup and view all the answers

What is a specific prevention strategy for enamel erosion related to acidic aetiological agents?

<p>Identifying and eliminating the acidic agents, such as dietary soft drinks or pickled vegetables</p> Signup and view all the answers

How can GORD (Gastroesophageal Reflux Disease) contribute to enamel erosion and what intervention may be needed?

<p>GORD can expose the teeth to stomach acid, requiring confirmation/intervention by a medical practitioner</p> Signup and view all the answers

What are some examples of patient-specific prevention strategies for enamel erosion?

<p>Rinsing with water after acid exposure, using fluoridated mouth rinses, and using remineralizing products like CPP-ACP pastes</p> Signup and view all the answers

How does 1.23% Acidulated phosphate fluoride contribute to preventing enamel erosion?

<p>It provides ions for remineralization derived from the tooth surface</p> Signup and view all the answers

What role does Stannous fluoride play in protecting teeth from acids?

<p>It forms a protective barrier against acids</p> Signup and view all the answers

How does rumination contribute to tooth erosion?

<p>The refluxate is chewed, leading to a more generalized erosive pattern that includes occlusal tooth surfaces.</p> Signup and view all the answers

What surfaces of the teeth are generally involved in eructation-induced erosion?

<p>Palatal surfaces of the maxillary teeth.</p> Signup and view all the answers

How does dietary acid affect tooth surfaces differently based on the type of food consumed?

<p>If the occlusal surfaces of mandibular teeth are more affected than maxillary teeth, the agent is usually a liquid. If both arches are equally affected, the agent is usually solid acidic food.</p> Signup and view all the answers

Explain the impact of swallowing on tooth erosion.

<p>The action of swallowing affects the palatal surfaces of the maxillary teeth.</p> Signup and view all the answers

How do liquids with low pH and high titratable acid affect tooth surfaces?

<p>They affect the palatal surfaces of the maxillary anterior and premolar teeth.</p> Signup and view all the answers

Which tooth surfaces are more affected by dietary agents in cases where occlusal surfaces of both arches are equally eroded?

<p>Palatal surfaces of the maxillary teeth.</p> Signup and view all the answers

What are some habits that can prevent erosion of the labial surfaces of anterior teeth?

<p>Using straw and avoiding sucking citrus fruits</p> Signup and view all the answers

How can practitioners identify erosion on teeth?

<p>Teeth lose their micro-anatomical enamel, develop a 'glazed' or 'silky' appearance, and lose their normal contours.</p> Signup and view all the answers

What is indicated by the presence of non-carious cervical lesions?

<p>Activity of erosion</p> Signup and view all the answers

What is the outcome of the severity of 'scooping' or 'cupping' on teeth?

<p>High enamel ridges surrounding the dentine</p> Signup and view all the answers

How can acidic sour-sweets or candies used by kids affect teeth?

<p>Affect the labial surfaces of the anterior teeth</p> Signup and view all the answers

What can drinking directly from a bottle or glass lead to in terms of erosion?

<p>Erosion variations on labial anteriors</p> Signup and view all the answers

What are the contributing factors specific to the patient that can direct the clinician towards eliminating the aetiological agents of enamel erosion?

<p>Reduced quality and quantity of saliva</p> Signup and view all the answers

How can high erosive activity be determined in a patient's dentition?

<p>By observing no evidence of plaque</p> Signup and view all the answers

What is the impact of active erosion on dentine hypersensitivity?

<p>It opens the dentinal tubules</p> Signup and view all the answers

What are the two methods used to determine activity in enamel erosion?

<p>Scratch test and serial color photographs</p> Signup and view all the answers

What is the process of abfraction that leads to non-carious cervical lesions?

<p>Flexing of teeth under load</p> Signup and view all the answers

How can tooth surfaces affected by erosion be described visually?

<p>They appear 'glazed' or 'silky'</p> Signup and view all the answers

What is the main difference between newly erupted enamel and matured enamel in terms of mineral composition?

<p>Newly erupted enamel contains high amounts of carbonated hydroxyapatite, while matured enamel has a higher percentage of fluorapatite and other minerals.</p> Signup and view all the answers

What are some patient-specific prevention strategies for enamel erosion?

<p>Identifying and eliminating acidic aetiological agents, rinsing with water after acid exposure, and using remineralizing products like fluorides and CPP-ACP pastes.</p> Signup and view all the answers

What are the recommended practices for preventing enamel erosion in patients?

<p>Using fluoridated mouth rinses, spreading a small bead of toothpaste in the mouth, and applying 1.23% Acidulated phosphate fluoride and Stannous fluoride for remineralization and acid protection.</p> Signup and view all the answers

How does acid exposure impact tooth enamel, and what measures can be taken to counteract its effects?

<p>Acid exposure can dissolve enamel, leading to erosion. Rinsing with water after exposure and using remineralizing products can help counteract the effects.</p> Signup and view all the answers

What is the role of CPP-ACP complexes in preventing enamel erosion?

<p>CPP-ACP complexes incorporate fluoride ions to aid in remineralization and protect enamel from acid dissolution.</p> Signup and view all the answers

How can GORD (Gastroesophageal Reflux Disease) contribute to enamel erosion, and what intervention may be necessary?

<p>GORD can expose teeth to stomach acid, leading to enamel erosion. Referral to a medical practitioner for confirmation/intervention may be necessary.</p> Signup and view all the answers

How can severe hyposalivation impact the effects of erosion on teeth?

<p>Severe hyposalivation may exacerbate the effects of erosion.</p> Signup and view all the answers

What materials have the lowest antagonistic wear rates when it comes to restorative materials?

<p>Amalgam and cast metal alloys, microfilled and nanofilled resin composites, and machined ceramics.</p> Signup and view all the answers

What index provides clinical guidance for the risk assessment and management of tooth erosion?

<p>Basic erosive wear examination (BEWE) index.</p> Signup and view all the answers

What should be done after the implementation of a preventive approach for tooth wear?

<p>Follow-up assessments should be made to see if the measures undertaken are successful.</p> Signup and view all the answers

What are some restorative materials that are more susceptible clinically to abrasive and erosive wear?

<p>Conventional GIC and RMGIC.</p> Signup and view all the answers

What can damage the surfaces of ceramic and resin composite materials that contain glass particles?

<p>Acidulated fluoride gels.</p> Signup and view all the answers

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