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Mechanisms of Fluoride Varnishes in Tooth Protection
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Mechanisms of Fluoride Varnishes in Tooth Protection

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Questions and Answers

What effect does long-term exposure to CHX have on S. mutans?

  • Decrease in hydrophobicity
  • Increase in sensitivity to antimicrobials
  • Development of resistance to CHX (correct)
  • Enhanced competitive ability with commensal oral streptococci
  • Which genes were found to be upregulated in the CHX-resistant strain of S. mutans?

  • triclosan and fluoride
  • dltC and dltD (correct)
  • rsV and SM-Cs
  • HA and MIC
  • What was the main component of enamel mentioned in the text?

  • Daptomycin
  • Hydroxyapatite (correct)
  • Triclosan
  • Clindamycin
  • What impact did exposure to CHX have on the minimum inhibitory concentration (MIC) of the four S. mutans strains?

    <p>Increased MIC</p> Signup and view all the answers

    How did RSVs react to daptomycin and clindamycin, according to the text?

    <p>Increased resistance</p> Signup and view all the answers

    What was the fitness cost associated with increased tolerance to CHX in strains that develop resistance?

    <p>Decreased competitiveness with commensal oral streptococci</p> Signup and view all the answers

    What is the primary cariostatic effect of F-varnish believed to be?

    <p>Conversion of enamel to fluoroapatite</p> Signup and view all the answers

    Why is the oft-cited mechanism of calcium fluoride precipitates not sufficient to explain the long period of efficacy of F-varnishes?

    <p>Calcium fluoride precipitates are not long-lasting reservoirs</p> Signup and view all the answers

    What is the unknown factor regarding the NaF concentration in F-varnish related to optimal fluoride enamel uptake and anticaries efficacy?

    <p>Its optimal concentration for efficacy</p> Signup and view all the answers

    Which bacteria are known to be effectively targeted by Chlorhexidine (CHX) mouthwash?

    <p>Both Gram-positive and Gram-negative</p> Signup and view all the answers

    How does Chlorhexidine (CHX) act on bacterial cell walls?

    <p>Alters cell membrane permeability</p> Signup and view all the answers

    Which of the following is NOT a known mechanism of action of Chlorhexidine (CHX)?

    <p>Inhibition of DNA synthesis</p> Signup and view all the answers

    Why is the conversion of enamel to fluoroapatite considered an important aspect for the cariostatic effect of F-varnishes?

    <p>Fluoroapatite is less susceptible to acid attacks than enamel</p> Signup and view all the answers

    What has been reported about the effect of F-varnish on S. mutans levels in saliva or dental plaque?

    <p><strong>No significant change</strong> in S. mutans levels</p> Signup and view all the answers

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