Pathology of Dental Caries Quiz
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Questions and Answers

What is the critical pH of the tooth surface for demineralisation to begin?

5.5

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'?

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'?

<p>Give an account of the pathogenesis of enamel and dentine caries, describe the features of root caries, and relate the pathological features to the prevention and treatment of caries.</p> Signup and view all the answers

What are the four classifications of dental caries based on the rate of progress?

<p>Acute (Rampant) caries, Chronic caries, Arrested caries, Secondary (recurrent) caries</p> Signup and view all the answers

What are the three types of enamel caries based on histopathogenesis?

<p>Translucent zone, Dark zone, Body of the lesion</p> Signup and view all the answers

What are the main characteristics of the translucent zone in enamel caries?

<p>Loss of Striae of Retzius, More porous than normal enamel, Increased pore volume, Larger pores, Mineral dissolution, Loss of magnesium and carbonate rich material</p> Signup and view all the answers

What are the main characteristics of the dark zone in enamel caries?

<p>Brown, opaque, structureless, Pore volume 2 - 4%, Mixture of small and large pores, Re-precipitation of mineral - dynamic process</p> Signup and view all the answers

What are the main characteristics of the body of the lesion in enamel caries?

<p>Enhanced Striae of Retzius, Pore volume 5 - 25%, Large pores, Demineralisation, Mineral replaced by water and some organic material</p> Signup and view all the answers

What are the main characteristics of the surface zone in enamel caries?

<p>Intact enamel (40µm), Increased mineralisation, Remineralisation from oral environment</p> Signup and view all the answers

What are the main characteristics of fissure caries?

<p>Starts in walls of fissure, Cone-shaped lesion, Pin-point undermined pit, Spread along ADJ, Dentine becomes involved</p> Signup and view all the answers

What are the main characteristics of the zone of sclerosis in dentine caries?

<p>Odontoblast response to irritation, Increased deposition of peritubular dentine, Calcification of the odontoblast process, Dead tracts run through zone of sclerosis</p> Signup and view all the answers

What is the histopathogenesis of dentine caries?

<p>Destruction, Bacterial invasion, Demineralisation, Sclerosis, Tertiary dentine</p> Signup and view all the answers

What are the main characteristics of the zone of demineralisation in dentine caries?

<p>Loss of mineral from dentine caused by diffusion of acid produced by bacteria located in the zone of bacterial invasion</p> Signup and view all the answers

What are the main characteristics of the zone of destruction in dentine caries?

<p>Increase in size of liquefaction foci, Transverse clefts containing bacteria and necrotic tissue at right angles to the dentinal tubules, Progressive loss of dentine architecture, Bacteria colonization of demineralized peritubular and intertubular dentine</p> Signup and view all the answers

What is tertiary dentine in dentine caries?

<p>Pulpal response to irritation, Protective mechanism, Layer of dentine formed on the surface of the pulp chamber deep to dentine caries</p> Signup and view all the answers

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.

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