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Thursday, September 23rd, 2021 Part 2 (Reading assignment)

Terms in this set (18)

True or False?

1.) Caries is caused by frequent acid production from the metabolism of dietary carbohydrates.

2.) When there is a balance between protective factors (for example, fluoride, calcium, phosphate, adequate salivary flow, composition) and pathologic factors (for example, cariogenic bacteria, fermentable carbohydrates), demineralization and remineralization of enamel are NOT relatively equal, and oral health is NOT maintained.
1.) True
2.) False, demineralization and remineralization of enamel are relatively equal and oral health is maintained.
Noncavitated caries lesions can be described as surfaces that appear macroscopically _____ and without clinical evidence of _____.
intact, cavitation
True or False?

1.) Noncavitated caries lesions are sometimes referred to as incipient, initial, early, or white-spot lesions (although these lesions can be white or brown).

2.) Studies found no evidence on the effect of silver nitrate or sealants for cavitated lesions on coronal tooth surfaces.
1.) True
2.) True
To arrest advanced cavitated caries lesions on any coronal surface of primary teeth, the expert panel recommends clinicians prioritize the use of _____% _____ solution (biannual application) over 5% NaF varnish (application once per week for 3 weeks). (Moderate-certainty evidence, strong recommendation.)
38% SDF
To arrest advanced cavitated caries lesions on any coronal surface of permanent teeth, the expert panel recommends clinicians prioritize the use of _____% _____ solution (biannual application) over 5% NaF varnish (application once per week for 3 weeks). (Low-certainty evidence, conditional recommendation.)
38% SDF
True or False?

Data suggest that SDF may be more effective on posterior teeth than on anterior teeth. One reason being that anterior teeth are easier to keep clean and technique related challenges for posterior teeth (easier to maintain a dry field in the anterior teeth).
False, SDF may be more effective on anterior teeth than on posterior teeth
Hardness of tooth surfaces on probing is an indication that a lesion is _____.
arrested
The color of the lesion (that is, black) is not an acceptable method to judge _____ of a lesion.
arrest
An adverse effect associated with SDF is _____ staining of the lesion, which may not be acceptable to some patients, parents, or caregivers.
black
True or False?

To arrest or reverse noncavitated caries lesions on occlusal surfaces of primary teeth, the expert panel recommends clinicians prioritize the use of sealants plus 5% NaF varnish (application every 3-6 months) or sealants alone over 5% NaF varnish alone (application every 3-6 months), 1.23% APF gel (application every 3-6 months), resin infiltration plus 5% NaF varnish alone (application every 3-6 months), or 0.2% NaF mouthrinse (once per week). (Moderate certainty evidence, strong recommendation).
True
True or False?

To arrest or reverse noncavitated caries lesions on occlusal surfaces of permanent teeth, the expert panel recommends clinicians prioritize the use of sealants plus 5% NaF varnish (application every 3-6 months) or sealants alone over 5% NaF varnish alone (application every 3-6 months), 1.23% APF gel (application every 3-6 months), or 0.2% NaF mouthrinse (once per week). (Moderate certainty evidence, strong recommendation).
True
Maintaining a dry field and using proper technique are essential for sealant effectiveness and retention. If maintaining a dry field is not possible, a _____ sealant material such as _____ _____ cement may be preferred over resin-based material.
hydrophilic, glass ionomer
To mitigate the risk of experiencing accidental ingestion of high doses of fluoride, _____% NaF mouthrinses are not appropriate for uncooperative children who cannot control swallowing.
0.2%
To arrest or reverse noncavitated carious lesions on approximal surfaces of primary or permanent teeth, the expert panel suggests clinicians use _____ NaF varnish (application every 3-6 months), resin infiltration alone, resin infiltration plus 5% NaF varnish (application every 3-6 months), or _____ alone. (Low- to very-low certainty evidence, conditional recommendation).
5%, sealants
To arrest or reverse noncavitated carious lesions on facial or lingual surfaces of primary and permanent teeth, the expert panel suggests clinicians use _____% APF gel (application every 3-6 months), or 5% _____ varnish (application every 3-6 months).
1.23%, NaF
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