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79 Cards in this Set
- Front
- Back
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What inactivates CHX?
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fluoride
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What is the best product for a noncompliant patient?
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prevident 5000
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What household item is less abrasive than any toothpaste on the market?
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Baking Soda
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Who Came up with the Non-Specific Plaque Hypothesis?
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Dr. Keyes
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What is MMPT?
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Microbiologically Monitored Periodontal Therapy
-baking soda, brushing, flossing, scaling, hydrogen peroxide, water pik, tetracycline |
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CPP
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casien phosphate
-a protein |
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What is in MI paste?
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Fully phosphorylated serycluster motifs of calcium, fluoride and phosphate nanocomplexes
-CPP and ACP |
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ACP
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amorphous calcium phosphate
-calcium phosphate with a charge |
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What does CPP and ACP do?
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strengthen teeth when in charged form
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Foods high in Arginine:
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spinach, soy, nuts,seafood
-result in raised salivary pH |
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What are some good S. mutans found in lozenges?
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S. rattus
S.uberis S. oralis |
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What is the minimum of xylitol needed to have anymicrobial effects per day?
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6 g
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CHX
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cationic detergent
-positively charged ions attracted to S. mutans |
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How much fluoride does toothpaste have?
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1100 ppm
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How much fluoride does mouth rinses have?
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500 ppm
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Active ingredient for sensitivity?
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potassium nitrate
(combine w/stannous fluoride for best result) |
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Top 4 toothpaste companies:
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Crest
Colgate Arm&Hammer GSK |
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What may triclosan cause?
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antibiotic resistance
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What controls the integrity of mucosa?
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calcium in saliva
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What can hydrogen peroxide cause?
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black tongue over time
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What is "Colorado Brown Stain?"
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fluorisis
-too much in the water -Dr. McKay |
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What causes fluorosis?
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more than 0.02mg F/kg daily intake while teeth are developing
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NaF
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neutral fluoride
(good for caries) |
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APF
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acidulated fluoride
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SnF
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stannous fluoride
(good for gingivitis) |
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SMFP
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monofluorophosphate fluoride
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ACFP
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amouphous calciumfluoriophosphate
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What ppm in water has low fluorosis and low decay rates?
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1 ppm
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At what pH does hydroxyapaptite dissolve?
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5.5 pH
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When does fluoroappatite dessolve?
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at 4.5 pH
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When does carbonated apatite dissolve?
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above pH 5.5
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What are teeth composed of?
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impure carbonated apatite
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what does toxic mean?
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you'll feel sick
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lethal means:
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deadly
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The child's ALD is:
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36 mg/kg NaF (15 mg/kgF-)
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The adult ALD is:
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5-10 g NaF (2.5-5 g)
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The probable toxic dose (PTD) for fluoride is:
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5 mg/kg F-
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Where does fluoride get absorbed by the body?
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stomach and small intestine; also taken up by calcified tissue
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How does excess fluoride get extreted?
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through the kidneys
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Where is half of F filtered?
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renal tubules
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What is the ultimate goal of fluoride?
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to find calcium
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what was NaF originally used for?
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rat poison
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How does fluoride get onto/into the tooth
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by ADsorption (sticking to the tooth)
-not absorbed |
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What does 1 ppm improve?
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crystalline lattice solubility
-increases the solubility constant of calcium and phosphate within saliva |
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What is fluoride a catalyst for?
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remineralization
it shifts mineralization and remineralization balance |
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When is the best time for fluoride to be applied?
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right after eruption
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When is F firmly bound?
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systemic
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Whis is F loosely bound?
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topical
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What does F inhibit?
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enolase and proton transfer system
***shuts down glycolisis |
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what is ppm?
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mg/liter
1%= 10000 ppm 1 oz = 28.35 g 1.1% NaF= .55% = 5000 ppm |
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Is S. sanguis bad or good?
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GOOD
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is S. sobrinus good or bad?
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BAD
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Today's F varnish contains how much fluoride?
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5% NaF
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Should you put F on decaying teeth?
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NO
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What kind of F is the most stable?
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CaF2
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What should you put on a white spot lesion?
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CaPh
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What group of strep is good?
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mitus
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What does S. mutans eat first?
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glucose, sucrose and fructose
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what does MS metabolism result in ?
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lactic acid, formate, ethanol propanol
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What pH does MS maintain intercellularly?
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6 pH
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What is the acid tolerance based off?
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presence of membran-bound, acid stable proton traslocating FoF1, ATPase
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What is the pH of S. sanguis?
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7.5
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What does a high amount of lactobacilli mean?
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high carb/sugar diet
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Compare ATPase of non-aciduric bacteria to aciduric bacteria:
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non-aciduric has 50 times less than aciduric
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What does more ATPase mean?
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more acidic environment
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How does MS produce ATP?
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glycolosis resulting in lactic acid
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what does a low pH mean?
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many protons
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What do glucans act as?
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glue that stick bacteria on teeth
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What do glucosyltranserases do?
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turns sucros into glucans
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WHat is a glucan
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type of destran (water soluble)
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What are IPS?
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intracellular polysaccharides
-function of fuel reserves |
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What cause/involved with the initial attachment of MS to pellicle?
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antigen I/II SpaP
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whitlokite
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CaPh deficient hydroxyapatite
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What do matrix metalloprotienases (MMPs) do?
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help tooth handle diseases
-destroy collagen into peptides without helical conformation |
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What MMPs are involved with caries?
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1, 2, 8, 9, 13
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How do you stop MMPs?
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CHX
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Who found that germ free animals do not get decay?
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Dr. Keyes
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How do you stop MMPs?
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CHX
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Who found that germ free animals do not get decay?
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Dr. Keyes
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