Podcast
Questions and Answers
What term describes a condition that results as a consequence of a previous disease or injury?
What term describes a condition that results as a consequence of a previous disease or injury?
- Prognosis
- Etiology
- Pathogenesis
- Sequelae (correct)
Which of the following is NOT typically associated with the progression of untreated dental caries?
Which of the following is NOT typically associated with the progression of untreated dental caries?
- White spot lesion
- Cavitation of the tooth surface
- Gross carious lesion
- Intact healthy enamel surface (correct)
Which of the following represents the earliest stage in the progression of dental caries, assuming the tooth initially had a healthy enamel surface?
Which of the following represents the earliest stage in the progression of dental caries, assuming the tooth initially had a healthy enamel surface?
- White spot lesion (correct)
- Gross carious lesion
- Cavitation and staining of tooth surface
- Early loss of enamel surface
Which of the following sequelae of dental caries would be considered the earliest in the progression of the disease?
Which of the following sequelae of dental caries would be considered the earliest in the progression of the disease?
Which of the following best describes reversible pulpitis?
Which of the following best describes reversible pulpitis?
Which characteristic is most indicative of irreversible pulpitis?
Which characteristic is most indicative of irreversible pulpitis?
In irreversible pulpitis, why might a patient find that heat exacerbates the pain?
In irreversible pulpitis, why might a patient find that heat exacerbates the pain?
What is the primary difference in the pulpal symptoms between reversible and irreversible pulpitis?
What is the primary difference in the pulpal symptoms between reversible and irreversible pulpitis?
Which of the following conditions is a dental emergency that involves bilateral swelling under the tongue and can compromise the patient's airway?
Which of the following conditions is a dental emergency that involves bilateral swelling under the tongue and can compromise the patient's airway?
Which of the following conditions represents an infection around the apex of the tooth root?
Which of the following conditions represents an infection around the apex of the tooth root?
Which of the following factors is likely to contribute to a patient's reduced self-esteem as a sequela of untreated dental caries?
Which of the following factors is likely to contribute to a patient's reduced self-esteem as a sequela of untreated dental caries?
In the context of dental caries, what does the 'restorative spiral' typically refer to?
In the context of dental caries, what does the 'restorative spiral' typically refer to?
What permanent tooth abnormality can result from a primary tooth infection affecting the development of its permanent successor?
What permanent tooth abnormality can result from a primary tooth infection affecting the development of its permanent successor?
Following the premature extraction of a primary molar due to caries, what is a likely consequence for the developing permanent dentition?
Following the premature extraction of a primary molar due to caries, what is a likely consequence for the developing permanent dentition?
What percentage of cases exhibit space closure after 12 months following the extraction of a primary tooth due to caries?
What percentage of cases exhibit space closure after 12 months following the extraction of a primary tooth due to caries?
Sensitivity in a tooth with dental caries primarily arises due to:
Sensitivity in a tooth with dental caries primarily arises due to:
What is the primary reason for the development of an acute apical abscess as a sequela of dental caries?
What is the primary reason for the development of an acute apical abscess as a sequela of dental caries?
Which situation often leads to an increased need for orthodontic treatment as a result of untreated dental caries in primary teeth?
Which situation often leads to an increased need for orthodontic treatment as a result of untreated dental caries in primary teeth?
What is a common psychological impact of visible untreated dental caries on a patient?
What is a common psychological impact of visible untreated dental caries on a patient?
Which of the following best describes the long-term consequences of the 'restorative spiral'?
Which of the following best describes the long-term consequences of the 'restorative spiral'?
Which of the following is a direct sequela of irreversible pulpitis if left untreated?
Which of the following is a direct sequela of irreversible pulpitis if left untreated?
Which outcome is most directly associated with cellulitis resulting from dental caries?
Which outcome is most directly associated with cellulitis resulting from dental caries?
What is the most likely treatment following a diagnosis of irreversible pulpitis?
What is the most likely treatment following a diagnosis of irreversible pulpitis?
What aspect of oral health is most affected by the premature loss of primary teeth due to caries?
What aspect of oral health is most affected by the premature loss of primary teeth due to caries?
Which of the following is the most significant long-term consequence of untreated dental caries if it progresses to tooth loss?
Which of the following is the most significant long-term consequence of untreated dental caries if it progresses to tooth loss?
Which of the following factors plays a critical role in the management and prevention of 'restorative spiral'?
Which of the following factors plays a critical role in the management and prevention of 'restorative spiral'?
Why is early intervention important in managing dental caries in primary teeth?
Why is early intervention important in managing dental caries in primary teeth?
Considering the stages of caries progression, what would be the most appropriate initial treatment for a white spot lesion on a permanent tooth?
Considering the stages of caries progression, what would be the most appropriate initial treatment for a white spot lesion on a permanent tooth?
Which dental professional would be best suited to explain the role of sociological factors that can contribute to poor oral health?
Which dental professional would be best suited to explain the role of sociological factors that can contribute to poor oral health?
Which of the following is the most effective way a dental therapist can contribute to minimising the impact of untreated caries?
Which of the following is the most effective way a dental therapist can contribute to minimising the impact of untreated caries?
What is the intended goal of involving psychological considerations to a patients oral health assessment?
What is the intended goal of involving psychological considerations to a patients oral health assessment?
During a routine check-up, you notice a small area of demineralization on the enamel of a patient's tooth, representing a white spot lesion. What is the MOST appropriate initial step?
During a routine check-up, you notice a small area of demineralization on the enamel of a patient's tooth, representing a white spot lesion. What is the MOST appropriate initial step?
A patient presents with a primary molar that has a deep carious lesion extending into the pulp. There is radiographic evidence of periapical involvement. What is the most likely sequela in the permanent successor?
A patient presents with a primary molar that has a deep carious lesion extending into the pulp. There is radiographic evidence of periapical involvement. What is the most likely sequela in the permanent successor?
A patient reports experiencing sensitivity to cold that lingers for a few seconds after removing the stimulus. What condition is most likely indicated by these symptoms?
A patient reports experiencing sensitivity to cold that lingers for a few seconds after removing the stimulus. What condition is most likely indicated by these symptoms?
What is the primary concern regarding the premature loss of a primary second molar due to dental caries?
What is the primary concern regarding the premature loss of a primary second molar due to dental caries?
You are developing a care plan for a patient with high caries risk. Which of the following strategies would be most effective in preventing long-term sequelae of dental caries?
You are developing a care plan for a patient with high caries risk. Which of the following strategies would be most effective in preventing long-term sequelae of dental caries?
From the options below, select the example that best highlights a situation specific to the primary dentition?
From the options below, select the example that best highlights a situation specific to the primary dentition?
A patient reports throbbing pain in their lower left molar when exposed to heat. The pain lingers for an extended period, and they are unable to sleep as a result. What is the most likely diagnosis?
A patient reports throbbing pain in their lower left molar when exposed to heat. The pain lingers for an extended period, and they are unable to sleep as a result. What is the most likely diagnosis?
What is the correct order of caries progression?
What is the correct order of caries progression?
A patient reports experiencing short, sharp pain in a tooth that resolves quickly after removing a cold stimulus. Which condition is MOST likely causing these symptoms?
A patient reports experiencing short, sharp pain in a tooth that resolves quickly after removing a cold stimulus. Which condition is MOST likely causing these symptoms?
What is the MOST likely pulpal diagnosis for a tooth that presents with lingering pain after stimulus removal, keeps the patient awake at night, and is significantly worsened by heat?
What is the MOST likely pulpal diagnosis for a tooth that presents with lingering pain after stimulus removal, keeps the patient awake at night, and is significantly worsened by heat?
Which of the following is the MOST likely progression following irreversible pulpitis if left untreated?
Which of the following is the MOST likely progression following irreversible pulpitis if left untreated?
A child presents with a deeply carious primary molar. Following extraction, what is the MOST likely long-term consequence for the permanent dentition based on the information provided?
A child presents with a deeply carious primary molar. Following extraction, what is the MOST likely long-term consequence for the permanent dentition based on the information provided?
Why might the loss of surface enamel result in sensitivity?
Why might the loss of surface enamel result in sensitivity?
How can dental caries affect aesthetics?
How can dental caries affect aesthetics?
What happens if a primary tooth is extracted due to caries?
What happens if a primary tooth is extracted due to caries?
Sequelae is a condition which is a consequence from a previous disease or injury
Sequelae is a condition which is a consequence from a previous disease or injury
What are the key temperature related symptoms of irreversible pulpitis?
What are the key temperature related symptoms of irreversible pulpitis?
What is turners tooth and how does it occur?
What is turners tooth and how does it occur?
Flashcards
What does 'sequelae' mean?
What does 'sequelae' mean?
A condition that is the consequence of a previous disease or injury.
Caries progression
Caries progression
The progression of caries over time if left untreated, leading to total crown destruction.
Sequelae of dental caries
Sequelae of dental caries
Aesthetic concerns, Sensitivity, Reversible pulpitis, Irreversible pulpitis, Apical periodontitis, Acute dental abscess, Cellulitis, Root canal treatment/extraction
Aesthetic Concerns
Aesthetic Concerns
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Sensitivity
Sensitivity
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Reversible Pulpitis
Reversible Pulpitis
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Irreversible Pulpitis
Irreversible Pulpitis
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Apical periodontitis
Apical periodontitis
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Acute Apical Abscess
Acute Apical Abscess
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Turner's Tooth
Turner's Tooth
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Space Closure
Space Closure
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Study Notes
- Sequelae of Dental Caries covers oral and dental science.
- Caries progression, if untreated, leads to total crown destruction.
GDC Learning Outcomes
- Explain the etiology and pathogenesis of oral disease
- Recognize psychological and sociological factors affecting oral health, disease progression, and treatment success
- Discuss why each component of the patient assessment process matters
- Explain what a dental therapist does in restoring teeth
Intended Learning Outcomes
- Define sequelae
- List sequelae of dental caries
- Describe the 'restorative spiral'
- Recognize the consequences of untreated caries
- Describe pulp health stages as caries advances
Sequelae Definition
- Sequelae is a condition resulting from a previous disease or injury.
Dental Caries Progression
- Caries progresses over time, leading to total crown destruction if not treated.
- Stages include:
- Intact healthy enamel surface
- White spot lesion
- Early loss of enamel surface
- Cavitation and staining of the tooth surface
- Gross carious lesion
Sequelae of Dental Caries
- Aesthetic concerns can arise as sequalae of dental caries.
- Sensitivity in teeth can arise as sequalae of dental caries.
- Reversible pulpitis can arise as sequalae of dental caries.
- Irreversible pulpitis can arise as sequalae of dental caries.
- Apical periodontitis can arise as sequalae of dental caries.
- Acute dental abscess can arise as sequalae of dental caries.
- Cellulitis can arise as sequalae of dental caries.
- Root canal treatment/extraction can arise as sequalae of dental caries.
- Direct restoration may improve sequelae of dental caries.
- Cusp fracture may occur as sequelae of dental caries.
- Indirect restoration may improve sequelae of dental caries.
- Extraction may be required as sequelae of dental caries.
- Impaired function can arise as sequelae of dental caries.
Aesthetic Concerns
- As caries progresses, aesthetics worsen, potentially reducing self-esteem.
- Caries can become a barrier to employment.
- Caries can negatively affect quality of life.
Sensitivity
- Sensitivity occurs due to loss of enamel and exposure of dentinal tubules.
- Tubules may occlude in slow processes, reducing sensitivity.
- Sensitivity indicates reversible pulpitis.
Reversible Pulpitis
- Reversible pulpitis involves pulpal symptoms that resolve shortly after stimulus removal.
- Symptoms include short, sharp pain that doesn't keep the patient awake and isn't constant.
- It results from superficial pulp inflammation, often related to cold, hot, or sweet stimuli.
- Reversible pulpitis symptoms are reversible after tooth restoration but be cautious pulp exposure.
Irreversible Pulpitis
- Irreversible pulpitis features pulpal symptoms that persist long after stimulus removal.
- Symptoms include prolonged, throbbing pain that keeps the patient awake and is constant.
- It's due to irreversible pulp inflammation or necrosis.
- Heat worsens the pain (pulp swells), while cold may alleviate it (pulp shrinks).
- Tooth will require root canal treatment or extraction.
Further Consequences of Pulpal Damage
- Irreversible inflammation leads to pulp necrosis causing;
- Apical periodontitis (infection around root apices)
- Acute apical abscess (pus accumulation around root apices)
- Cellulitis (infection and inflammation of overlying skin)
- Ludwig's Angina (a dental emergency with swelling under the tongue restricting the airway)
Restorative Spiral
- Involves how dental caries are treated over time
- Fissure sealant is an early treatment against caries
- A restoration can be used to fill in a cavity from caries
- A Crown can be used in place of a restoration
- Extraction or an implant or bridge or dentures are required for an edentulous patient
Sequelae in Primary Dentition
- Sequelae are specific to the primary dentition.
Disorders of Development
- Deep caries and associated infections in primary teeth can affect permanent successors.
- Turner's Tooth is a permanent tooth with hypoplastic appearance from infection during development.
Space Closure
- If a primary tooth with caries needs extraction, 96% of cases show space closure after 12 months
- The upper second deciduous molar spaces close quickest.
- Can increase the need for orthodontic treatment if the permanent is affected.
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