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30 Cards in this Set

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  • Back

What is the optimum daily dose of xylitol?

6.88g/day

How can plaque have a positive effect on caries experience?

it can be a fluoride resevoir

CHX is effective on ___a___ bacteria, with a mechanism of ___B___, and also has the advantage that it is ____C___ so it can ____D___

A - g+ and g- bacteria


B - disrupting membrane and enzyme systems


C - positive charge


D - attach to pellicle, HA, mucous membrane, bacteria

MI paste has what active ingredient?

CPP-ACP

Who benefits from CPP-ACP, and who would not need it?

patients with reduce salivary flow, or ortho patients




In patients w normal salivary flow, you already have super-saturation of Ca and PO4 ions so not necessary, therefore could block fluoride effectiveness

Caries reduction in fluoridated toothpaste use vs 2x a year gels

identical, around 50%

500 mg fluoride vs 1000mg fluoride

1000mg 2x as effective (1:1 curve)

More effective NaF or SMFP? Why?

NaF - breaks into ion form immediately

Fluoride gel vs fluoride varnish...whic is more effective at caries reduction?

same

5% NaF = _____ppm F

22,500 ppm

What does having fluoride at the time of first molar eruption promote?

post-eruption maturation

what is the allergic concern w varnish?

pine nut is used as the carrier,

3 types of in office fluoride, and which is most effective?

2% NaF


8% Stannous F


1.23% acidulated phosphate F (APF)




all equal

T or F


Prophy prior to fluoride can help increase reduction of caries

F

80% vs 95%






Uptake:


1st minute of fluoride application vs 4 minutes into fluoride application




match these 4

80% in 1st minute




95% by 4 min

2 types of f - rinses and how effective are they?

Rx - 1x/week 0.2% NaF


OTC - 0.05% NaF (daily)




36-37%

prevident has what % NaF, mg of F ion



5000mg of F ion (1.1%)

which is more effective




bonding resin sealants


or micro abrasion prior to sealant

bonding

SDF FDA approved?

for desensitization, 2017 given title to be investigated for caries arrest

3 methods of action of SDF

inhibits biofilm


anti bacterial (silver)


reduces enamel solubility

ppm of F in SDF

45000

F supplement


what are the 3 categories of water levels

<.3 ppm, .3-.6 ppm, or >.6 ppm

f supplement


age categories

6mo - 3 year


3yr to 6 yr


6 to 16

F toxicity


probably toxic?

5mg/kg

F toxicity


certainly lethal?

15 mg/kg

F overdose - 2 levels, what to do

<8mg/kg - observe, ED if symptoms develop


>8mg/kg - ED




give Milk or Calciumcarbonate, milk of magnesium/antacid to slow absorptin

Radiographs: what film speed

E/F or digital

what type of radiographic collimation is best

rectangular - negates need for lead apron

when are radiographs recommended when contacts are closed

6-12 months if high risk


12-24 if low/med risk

when are radiographs recommended for adolescent/older pts

if high risk 6-12


if low/med 18-36