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Questions and Answers
What is the critical pH of the tooth surface for demineralisation to begin?
What is the critical pH of the tooth surface for demineralisation to begin?
5.5
Define dental caries.
Define dental caries.
A bacterial disease of the calcified tissues of the tooth characterized by demineralization of the inorganic matrix and destruction of the organic substance of the tooth.
What are the aims of 'Key Clinical Skills: Pathology of Caries'?
What are the aims of 'Key Clinical Skills: Pathology of Caries'?
To provide students with an understanding of the pathological changes that characterise dental caries and relate the pathogenesis to the principles of treatment.
What are the objectives of 'Key Clinical Skills: Pathology of Caries'?
What are the objectives of 'Key Clinical Skills: Pathology of Caries'?
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What are the four classifications of dental caries based on the rate of progress?
What are the four classifications of dental caries based on the rate of progress?
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What are the three types of enamel caries based on histopathogenesis?
What are the three types of enamel caries based on histopathogenesis?
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What are the main characteristics of the translucent zone in enamel caries?
What are the main characteristics of the translucent zone in enamel caries?
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What are the main characteristics of the dark zone in enamel caries?
What are the main characteristics of the dark zone in enamel caries?
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What are the main characteristics of the body of the lesion in enamel caries?
What are the main characteristics of the body of the lesion in enamel caries?
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What are the main characteristics of the surface zone in enamel caries?
What are the main characteristics of the surface zone in enamel caries?
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What are the main characteristics of fissure caries?
What are the main characteristics of fissure caries?
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What are the main characteristics of the zone of sclerosis in dentine caries?
What are the main characteristics of the zone of sclerosis in dentine caries?
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What is the histopathogenesis of dentine caries?
What is the histopathogenesis of dentine caries?
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What are the main characteristics of the zone of demineralisation in dentine caries?
What are the main characteristics of the zone of demineralisation in dentine caries?
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What are the main characteristics of the zone of destruction in dentine caries?
What are the main characteristics of the zone of destruction in dentine caries?
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What is tertiary dentine in dentine caries?
What is tertiary dentine in dentine caries?
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Study Notes
Dental Caries
- The critical pH of the tooth surface for demineralization to begin is 5.5.
Definition of Dental Caries
- Dental caries is a bacterial infection that causes demineralization of the tooth enamel, leading to the formation of cavities.
Key Clinical Skills: Pathology of Caries
Aims
- Understand the pathogenesis of dental caries
- Recognize the clinical and radiographic features of dental caries
Objectives
- Describe the histopathogenesis of enamel and dentine caries
- Explain the classification of dental caries based on the rate of progress
- Identify the characteristics of different zones in enamel and dentine caries
Classification of Dental Caries
- The four classifications of dental caries based on the rate of progress are: Slow, Moderate, Rapid, and Rampant.
Enamel Caries
Types
- The three types of enamel caries based on histopathogenesis are:
- Incipient Lesions
- Advanced Lesions
- Cavitated Lesions
Characteristics of Zones
- Translucent Zone: The outermost zone of the lesion, characterized by minimal mineral loss and increased light transmission
- Dark Zone: The zone of increased pigmentation due to the diffusion of chromogenic ions
- Body of the Lesion: The zone of active demineralization, characterized by a significant loss of minerals
- Surface Zone: The zone of re-mineralization, characterized by the deposition of minerals
Fissure Caries
- Characteristics include:
- Narrow, wedge-shaped lesions that form in the fissures of teeth
- Often difficult to diagnose due to the location
Dentine Caries
Zone of Sclerosis
- Characteristics include:
- Narrow, darker zone of sclerosis at the advancing front of the lesion
- Formation of tertiary dentine
Histopathogenesis
- Caused by the diffusion of bacterial toxins and acids through the dentine tubules
Zones
- Zone of Demineralization: The zone of demineralization, characterized by a significant loss of minerals
- Zone of Destruction: The zone of complete destruction of the dentine, characterized by cavitation
Tertiary Dentine
- Formed in response to caries, characterized by the deposition of new dentine
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Description
Test your knowledge of the pathological changes characterizing dental caries and how they relate to the principles of treatment. Topics include pathogenesis of enamel and dentine caries, features of root caries, and prevention and treatment methods.