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1. categories of oral 1. dental caries and periodontal disease
disease - acquired
2. other acquired oral conditions
(opportunistic infections)
3. craniofacial disorders
- involve the cranium and face
- includes heredity, accidents
2. caries and peri- - pathogenic dental plaque (known as plaque diseases)
odontal disease
are caused by - considered transmissible diseases
- any infectious disease can only bein if the challenge organisms are in sufficient
numbers to overwhelm the combined manmade and body defenses and repair
capabilities
3. strategies to ar- - reducing # of challenging oral pathogens
rest, prevent or - building up the tooth resistance and maintaining healthy gingiva
reverse plaque - enhancing the individuals repair processes
disease
4. can dental caries yes if discovered at its early stages
be reversed
5. earliest visible white spot
sign of caries is - demineralized followed by incipient lesion (white) and then cavitation
usually a
, TCDHA PREVENTIVE MIDTERM
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6. earliest sign of gingival inflammation/bleeding
perio disease
7. caries and perio can be reversed
__ be reversed - not all white spots go on to become caries
- not do all inflammation become perio disease
- if both untreated, leads to cavity or bone lsoeeq
8. general strate- - mechanical
gies to prevent - chemical plaque control
oral disease - sugar discipline
- pit and fissure sealants
9. administrative 1. education and health promotion
strategies to
prevent oral 2. access to dental facilities becomes routine based on clients risk factors (diag-
disease nostic, restorative, preventive services)
- increased access to comprehensive oral health care, including preventive prac-
ticed based on assessment of risk for oral disease
10. challenges of - increased life span requires teeth longer
preventive dental
care - oral bacteria have been identified in other invasive diseases - heart, lungs,
diabetes
- many public health services have been cut
- high risk groups for dental disease often have other risk issues
11. strategies to pre- - plaque control- reduce # of responsible pathogens
vent plaque dis- - build up tooth resistance and maintain healthy gingiva
eases - enhance repair processes
, TCDHA PREVENTIVE MIDTERM
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- fluorides
- sugar and diet
- pit and fissure sealants
- public dental health education
- access to comprehensive dental care
12. plaque control composed of salivary proteins + bacteria and end-products of bacterial metabo-
lism
- supragingival - coronal caries
- subgingival - periodontal problems
13. plaque forma- - plaque immediately begins to reform after removal
tion - gingivitis occurs when metabolic end-products of the periodontal-pathogens
irritate gingival tissues
14. calculus forma- - Produces chemical environment for development of calculus
tion - Calculus harbors masses of periodontopathic plaque
Apposition of new layers of biofilm
-10 days- rapid calculus formers
-20 days- slow calculus formers
-From 10-20 days undisrupted oral biofilm changes to mineralized calculus,
although mineralization can occur within 24-48 hrs.
Influenced by: roughness of tooth, personal biofilm control
Source of Minerals:
- Supragingival Calculus: saliva
, TCDHA PREVENTIVE MIDTERM
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- Subgingival: the gingival sulcus fluid and the inflammatory exudates.
Heavy calculus formers have higher salivary levels of calcium and phosphorous
than do light calculus formers.
Light calculus formers have higher levels of parotid pyrophosphate, which is an
inhibitor of calcification and is used in anti-calculus toothpastes.
15. fluorides a mineral - can be naturally found
- lower concentrations applied more often yields better results
16. fluoride and wa- - water fluoridation results in approx 60-70% reduction in caries
ter fluroidation - in communities where there is no added or naturally occuring FL in the water,
often supplements are given
17. key actions of flu- 1. It enters the plaque and affects the bacteria by depressing their production of
oride acid to reduce the possibility of demineralization
2. It reacts with mineral elements on the tooth surface, creating a less-soluble
environment for the acid end-products of bacterial metabolism
3. It facilitates the repair (remineralization) of enamel surfaces that have been
affected by acid end-products
18. saliva contains calcium, phosphate and fluoride needed for remineralization*
minerals such as
*