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49 Cards in this Set
- Front
- Back
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What are the two main models to approaching caries control?
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surgical, medical
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The (surgical, medical) model is mostly restorative
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surgical
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The (surgical, medical) model is mostly preventive
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medical
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The (surgical, medical) model is mainly what we learn in dental school
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surgical
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What does CAMBRA stand for? (Hint: the C is not California!)
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Caries Management by Risk Assessment
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What is the goal of assessing caries risk rather than treating all caries right away?
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Some caries don't need to be treated and can be reversed, other caries are arrested and don't need a filling right away. Look at all possible outcomes and don't assume surgical options are always needed
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What does CAT stand for?
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Caries-risk assessement tool
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What does the CAT scrore help us define?
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what a risk is
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True or False, on a CAT score, higher scores means you need to be more aggressive in treatment planning and preventing
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True.
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Dr. Haney was a mediatric dentist for what organization? What city, state was he located?
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Indian Health Services. Gallup, NM
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Dr. Haney worked on an indian reservation of which tribe? How many people lived there?
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Navajo, 250,000
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What does ECC stand for in terms of dental health in children?
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Early Childhood Caries
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Early Childhood Caries is known informally as what?
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bottle or nursing caries
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Why is it bad that some parents pre-chew food for their kids?
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This is one way bacteria can be transferred
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What is a problem with giving lots of juice to kids? (Hint: juice like apple juice, not roids)
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It is very high in sugar
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True or False, poor dental IQ is not a main factor in why children often get rampant caries
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False, it's one of the biggest reasons!
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Why is it better to put a kid under when performing oral repairs?
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because kids are uncooperative
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True or False, facial infections are life threatening
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True.
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There are how many primary teeth?
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20
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On the reservation wher Dr. Haney worked, children needed on average how many pulpotomies or crowns? Extractions?
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8, 4
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About how many children on the reservation where Dr. Haney worked required 8 pulpotomies/crowns and 4 extractions? What's the total cost of this?
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40,00; $92mil
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True or False, it is much cheaper to just fix a tooth than prevent the disease in the first place
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False!!! Much cheaper to prevent it up front
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1 in every ?? Oklahoma children live in families that meet the federation definition of poverty
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2
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ITR and ART are essentially synonomous. What do they both stand for?
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Atraumatic Restorative Technique, Interim therepeutic restorations
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True or False, fluoride prescriptions are quite common
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False, not always easy to know what patient is getting in their own water
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Why should you not use APF (acidulated phosphate fluoride) onporcelain and composite restorations?
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Because it can etch them
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True or False, Sodium Fluoride is safe to use on everyone
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True. (perhaps not in some extreme cases, but if the patient can handle fluoride, this type will work)
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How long should a fluoride treatment with NaF be left in?
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4 minutes
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True or False, fluoride strengthens outter enamel
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True.
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Fluoride helps create fluor-hydroxy_____.
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apetite
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True or False, even with poor oral hygiene, fluoride is enough to reverse caries
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False! Not enough. Must maintain good health as well
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About how much (in mL) fluoride varnish is needed to treat maxillary incisors?
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1
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How quickly do fluoride varnishes dry?
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within a minute
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What is one thing you must make sure you do when applying fluoride varnishes?
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Mix completely
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True of False, fluoride varnish is approved in the US as a fluoride treatment
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False. (strangly enough.)
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What is the main benefit of the stickiness of fluoride varnish?
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It adheres to the tooth for many hours to allow fluoride to penetrate enamel
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What type of decay is the best candidate for fluoride varnish?
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incipient white lesion without enamel breakdown (also the patient should be a reliable recall)
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Caries control implies that you are doing what two major things?
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restoring carious tooth which decreases # of carious organisms; limiting spread of disease by other means when difinitive care is not immediately available
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How often should children be taken for "well baby checks" assuming Fife is not the father?
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every 3 months… Fife, I'm sure your kids are doing just fine.
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True or False, caries control technique is not definitive caries removal
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True.
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What is the goal in gross caries control?
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to have sufficient depth in cavity to insure retention of temporary restoration; decrease bacterial load and spread of disease
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What is the active component in Zinc Oxide Eugenol?
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Eugenol
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True or False, the ART technique is essentially the same as gross caries removal
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True.
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Who developed the ART technique and why?
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World Health Organization; pilot program to deliver dental care to SE Asia
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What was the original goal of the ART technique?
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to minimally train non-dental personnel to deal with gross caries and place glass ionomer restorations
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True or False, ART is used in the US
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True.
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In what state did congress allow use of ART?
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Alaska
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ART is considered a (preventive, restorative) method
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restorative
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Fluoride varnish is considered a (preventive, restorative) method
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preventive
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