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An infectious microbiologic disease of the teeth that results in the localized dissolution of the calcified tissues
Dental caries
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Multifactorial, transmissible, infectious oral disease caused primarily by the complex interaction of cariogenic oral flora, biofilm, with fermentable carbohydrates on the tooth surface over time
Dental caries
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consortium of microorganisms that stick to a tooth surface.
Dental biofilm
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The microorganisms are embedded in an
extracellular polymeric matrix.
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Filamentous microorganisms associated with the carious process
Denticolae
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Filamentous microorganisms called DENTICOLAE were associated with the carious process
Parasitic theory
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biofilm-mediated, diet-modulated, multifactorial, noncommunicable, dynamic disease resulting in net mineral loss of dental hard tissues.
Dental caries
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determined by biological, behavioral, psychosocial, and environmental factors. As a consequence of this process, a caries lesion develops.
Dental caries
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number of teeth/surfaces that have caries lesions (at a specified threshold), restorations, and/or are missing due to caries, accumulated by an individual, up to a designated point in time.
Caries experience
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Carieslesionscanbecategorizedaccordingto 4
anatomical location, severity, depth of penetration, activity status
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Toothdemineralizationasaresultofthe
Caries process
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Initial caries lesion is a frequently used term for
non- cavitated caries lesion
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refers to the stage of severity and does not inform about lesion activity
Initial Caries Lesion
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implies an early-stage lesion, the lesion could have been present in the mouth for a lifetime.
Initial Caries Lesion
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- induced demineralization is the white spot lesion
First clinical sign of caries
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First clinical sign of caries
White-SpotLesion=“WhiteSpot”
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isapopulartermfornon-cavitatedlesionsinthe past.
• White-SpotLesion=“WhiteSpot”
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White spot
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double cone appearance with apices towards the pulp
Smooth-surface caries
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Smooth-surface caries
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A caries lesion on a proximal surface.
Occlusal caries
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caries lesion on previously sound tooth surface A caries lesion not adjacent to an existing restoration or crown.
Primary caries
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adjacent to an existing restoration, crown, or sealant.
Secondary Caries
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Secondary Caries
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demineralized carious tissue left in place before a restoration is placed.
Residual caries
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Residual caries
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intact tooth surfaces
Primary caries lesions
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Recurrent caries adjacent to restorations
Secondary caries lesions
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Caries lesion left behind in the preparation or at the enamel margin of a preparation when a restoration is placed
Remaining caries lesions
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Hidden caries
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Enamel caries
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C1
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C2
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C3
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C4
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C5
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C6
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caries lesion that results in the breaking of the integrity of the tooth,
Cavitated Caries Lesion
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Also referred to as “white spot” lesions.
Non-Cavitated Caries Lesion
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lesion in which tooth demineralization is in frank activity at the time of examination
Active Caries Lesion
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tooth demineralization caused by caries may have happened in the past but has stopped and is currently stalled.
Inactive Caries Lesion
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Inactive Caries Lesion
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Arrested caries
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Arrested caries
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Rampant Caries
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diagnose SPL from RPL, consider the following surface characteristics of the lesion: 4
degree of cavitation, discoloration, consistency and wetness of the involved dentin, subjective symptoms such as pain and hypersensitivity
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ECC
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ECC
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ECC
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The most accepted theory that explains dental caries formation, the acid theory, was proposed by W.D. Miller.
False
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The loss of integrity of the tooth, the cavitation, is the earliest sign of dental caries.
False
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The configuration of dental caries on smooth surface assumes double cone appearance with the apices pointing to the pulp.
True
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A caries lesion adjacent to an existing restoration, crown, or sealant is a recurrent caries.
True
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A carious lesion that has mineralized due to exposure to minerals in the saliva is called arrested caries.
True
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Protective factors 3 dental caries
Saliva, Fluoride exposure, Oral hygiene
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Contributing factors 4 dental caries
Oral flora, Feeding and eating practices, Limited fluoride exposure, Decreased salivary flow
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net gain of mineral in previously demineralized tissue. The word remineralization can be misleading as it does not imply that the lesion has regained its original mineral content.
Remineralization
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loss of tooth mineral, due to acids. In dental caries, this process is biofilm-mediated, while in erosion, the acid comes from other sources
Demineralization
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CLASSIFICATION OF CARIES BASED ON SURFACE INVOLVED 2
Smooth-surface caries, Pit-and-fissure caries
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CLASSIFICATION OF CARIES BASED ON ITS LOCATION 4
Occlusal caries, Primary Caries, Secondary Caries, Residual Caries
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Active lesion
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Arrested lesion
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Acute (rampant) caries
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Chronic (Slowly progressing) Caries
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Arrested Caries
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Slowly progressing lesions
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Often painful or hypersensitive - soft, wet and light yellow - demineralization penetrates deep into dentin
Rapidly progressing lesions