Term
| What was concluded in 2001 by the NHI consensus developmental conference? |
|
Definition
| that using sharp explorers in the detection of primary occlusion caries appears to add little diagnostic information to other modalities and may be detrimental |
|
|
Term
| What must you do before examining the hard tissue for caries? |
|
Definition
| all surfaces of the tooth must be clean and clear of plaque, then you can visually inspect the tooth surfaces |
|
|
Term
| What do you use to visually inspect the tooth surface? |
|
Definition
| use a mirror and air syringe to dry the tooth surface |
|
|
Term
| Can suspicious areas be explored? How should you do it? |
|
Definition
yes, with gentle pressure
-use force required to blanch a fingernail without causing pain or damage |
|
|
Term
| Does increased pressure increase the accuracy of caries detection? |
|
Definition
| No, studies show it does not |
|
|
Term
| What do you see with reoccurrent caries? |
|
Definition
| softness due to caries and defective margin, the tip of periodontal probe can enter the defect without resistance |
|
|
Term
| Do radiographs provide a definitive diagnosis of the presence of dental caries? |
|
Definition
|
|
Term
| How much percent of carious lesions can be detected in radiographs? |
|
Definition
|
|
Term
| However, studies do show that radiographs do help in the diagnosis of caries. How much percent do they improve diagnosis by? |
|
Definition
| improve diagnosis of caries 20%-40% than clinical exams alone |
|
|
Term
| What are the advantages of caries disclosing dyes? |
|
Definition
| ensures conservative caries removal by staining only infected carious tooth structure |
|
|
Term
| What are the disadvantages of caries disclosing dyes? |
|
Definition
| may stain noneffectd dentin resulting in excess tooth structural removal |
|
|
Term
| What do teeth that may be stained with CDDs that were unerupted look like? |
|
Definition
| pink or red all in occlusal lines |
|
|
Term
| What is another method for detecting caries? |
|
Definition
| -continued reliance on Dentist's visual cues(intrepretation) |
|
|
Term
| What are 2 techniques that are examples of this? |
|
Definition
1.Fiber-optic transillumination(FOTI)- high powered illumination to detect caries
2.Direct Digital imagiging |
|
|
Term
| What contrast is good for detection of caries? |
|
Definition
|
|
Term
| What are some methods that offer an "objective" assessment? |
|
Definition
1.laser florescence (Diagnodent)- instrument that gives # reading (10-20 good, 21+ possible caries)
2.computer analysis of digitized radiographic images |
|
|
Term
| What does the fiber Optic Transillumination(FOTI) show? |
|
Definition
| shows internal variations of color and morphology that would usually go undetected with normal light |
|
|
Term
| How much many more caries are detected by dentists using the fiber Optic Transillumination(FOTI)? |
|
Definition
-2x more caries on the inter-proximal surface
-4x more on the occlusal
-10x more on smooth surfaces |
|
|
Term
| What is enhanced digital radiography? What does this do? |
|
Definition
-ability to enhance and modify the original image
-enhances accuracy in caries diagnosis |
|
|
Term
| How does the laser fluorescence DIAGNOdent(Kavo) work? |
|
Definition
| -laser pulses into grooves, fissures, and cracks, and reflects fluorescent light of a specific wavelength |
|
|
Term
| How is this light measured? |
|
Definition
| by receptors, converted to an acoustic signal, evaluated electronically to reveal a value between 1 and 100 on the screen |
|
|
Term
| What does a reading of 10-20 indicate? |
|
Definition
| some enamel softening, pointing to a potential problems area that merits close monitoring/preventative aciton |
|
|
Term
| What does a reading of 21-100 indicate? |
|
Definition
| a definite area of decay requiring a filling |
|
|
Term
|
Definition
-demineralized, opaque, carious enamel in the opening of the fissures
-stained pits |
|
|
Term
| What are things we look for in a dental diagnosis? (5) |
|
Definition
1.pain symptoms
2.radiographic evidence-caries, fracture, radioluciencty at tooth apex
3.pulpal vitality test results
4.facial swelling
5.skin lesions |
|
|
Term
| How do we do pulp testing? |
|
Definition
| use electrical stimulation to create pain to which one could react(will feel if tooth is alive) |
|
|
Term
| What are the steps in pulp testing? (7) |
|
Definition
1.dry teeth to prevent passing current to gingiva
2.put toothpaste on pulp tester as a conductor
3.apply tester on opposite side tooth to elicit response
4.apply to middle 1/3 of crown
5.avoid contact with metal restorations(can transmit to adjacent tooth) and gingiva
6.Start at 0 and advance slowly but steadily
7.document findings |
|
|
Term
| What patients is pulp testing contraindicted on? |
|
Definition
| on patients with pacemakers |
|
|
Term
|
Definition
|
|
Term
| If you have pulpal inflammation what kind of response will you get? |
|
Definition
| varying degrees of response |
|
|
Term
| If you have had caries in the past 3 years what do you need? |
|
Definition
| you are at high risk for more caries and will need radiographs |
|
|
Term
|
Definition
| the probability that an event will occur |
|
|
Term
|
Definition
| those conditions or behaviors associated with risk occurrences (ex: age, genetics, culture, poor oral hygiene, knowledge level, medications, etc) |
|
|
Term
| What is a risk assessment? |
|
Definition
| knowledge of risk factors used to partially determine a course of therapy and to design self-care interventions as appropriate to given patient |
|
|
Term
| What are the two types of risk factors? |
|
Definition
| modifiable vs. non-modifiable |
|
|
Term
| What is a modifiable risk factor? |
|
Definition
| those that can be changed |
|
|
Term
| What is an non-modifiable risk factor? |
|
Definition
| those that cannot be changed |
|
|
Term
| What does CRA stand form? What about CABRA? |
|
Definition
CRA-caries risk assessment
CAMBRA- caries management by risk assessment |
|
|
Term
| How are caries viewed with CAMBRA? What do we use it for? |
|
Definition
-dental caries as an infectious disease
-gathering information on caries risk status
-planning intervention based on risk (ex-fluoride) |
|
|
Term
| What does the caries risk assessment form show? |
|
Definition
| high, moderate, and low risk patients |
|
|
Term
| What does the oral risk assessment steps do? |
|
Definition
helps us look at the big picture of patients health.
-helps us link oral and general health to the patient
-can be guide for clinician to provide appropriate prevention pr intervention |
|
|
Term
| What are the oral risk assessment steps? |
|
Definition
1.review
2.analyze oral risk concerns |
|
|
Term
|
Definition
1.medical and dental history questionnaire
2.clinical findings
3.radiographic findings |
|
|
Term
| What the steps for analyzing oral risk concerns? (2) |
|
Definition
1.what are they at risk for?
2.clinically evident |
|
|
Term
| What is the P and G risk assessment form? |
|
Definition
| looks for caries, cancer, periodontal disease risk |
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