logging in or signing up CARIES DIAGNOSIS(D) sourab.birla Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 30 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 28, 2011 This Presentation is Public Favorites: 0 Presentation Description Diagnosis of caries in simple way Comments Posting comment... Premium member Presentation Transcript CARIES DIAGNOSIS: CARIES DIAGNOSIS RISK ASSESSMENT DETERMINING DISEASE STATE OF TOOTH PRIMARY GOAL: “Early detection of incipient caries and limitation of caries activity prior to significant tooth destruction”RISK ASSESSMENT: RISK ASSESSMENT MEDICAL HISTORY FACTORS age, gender, fluoride exposure, smoking, alcohol, general health, medication CLINICAL EXAMINATION FINDINGS general appearance, mental/ physical disability, mucosa, active caries, plaque, gingiva, restorationsCARIES DIAGNOSIS: CARIES DIAGNOSIS IDENTIFICATION OF SUBSURFACE DEMINERALISATION BACTERIAL TESTING ASSESSMENT OF ENVIRONMENTAL CONDITIONS (No single test is 100% predictive, thus concept of ‘caries risk’ used.)IDENTIFICATION OF SUBSURFACE LESIONS: IDENTIFICATION OF SUBSURFACE LESIONS Inspection/ radiographic/ dye uptake methods Visual Evidence – cavitation, surface roughness, opacification, discolouration Tactile Evidence – roughness, softness of tooth surface ( probe??) Pit & Fissure vs Smooth Surface vs Root Caries DiagnosisB) BACTERIAL TESTING: B) BACTERIAL TESTING Caries Activity Tests - Reliability ? Plaque Index Scores Krasse – Microbiological Testing + Analyses of diet and saliva (individual caries activity tests can be used to make decisions on control measures, recall appt. timing, restorative procedures & materials and determining prognosis)C) ASSESSMENT OF ENVIRONMENTAL CONDITIONS : C) ASSESSMENT OF ENVIRONMENTAL CONDITIONS Assessment of pH, salivary flow, saliva buffering capacity. Effects of medications, radiotherapy, systemic illness on oral environment Role of saliva in caries prevention - physical , chemicalCARIES PREVENTION: CARIES PREVENTION Designed to limit demineralisation by cariogenic bacteria - limiting pathogen growth & metabolism - increasing resistance of tooth surface Caries Control MethodsCARIES PREVENTION: CARIES PREVENTION Consider Host Resistance General Health Fluoride Immunisation Diet Oral Hygiene Pit & Fissure Sealants and RestorationsCARIES PREVENTION: CARIES PREVENTION Host Resistance - health status - immunological system - immunocompromised patients General Health - acute/ chronic illnesses - multiple medicationsCARIES PREVENTION: CARIES PREVENTION Fluoride Treatment - optimal levels ------ Fluorosis - anticaries effects - methods (systemic vs topical) - Topical Fluorides (types, concerntrations, indications,)CARIES PREVENTION: CARIES PREVENTION Immunization - anti-caries vaccine - potential side-effects - cost – effectiveness (cf fluoride) Diet - dietary sucrose (freq vs quantit) - dietary counsellingCARIES PREVENTION: CARIES PREVENTION Oral Hygiene - role of plaque(Specific vs Non-specific) - mechanical removal of plaque - brushing - flossing - interdental cleaning aids - professional tooth cleaningCARIES PREVENTION: CARIES PREVENTION Pit & Fissure Sealants - material composition - indications - technique Restorations - restorations defects - recurrent caries - replacement of restorations ? * Tooth Alignment You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
CARIES DIAGNOSIS(D) sourab.birla Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 30 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: November 28, 2011 This Presentation is Public Favorites: 0 Presentation Description Diagnosis of caries in simple way Comments Posting comment... Premium member Presentation Transcript CARIES DIAGNOSIS: CARIES DIAGNOSIS RISK ASSESSMENT DETERMINING DISEASE STATE OF TOOTH PRIMARY GOAL: “Early detection of incipient caries and limitation of caries activity prior to significant tooth destruction”RISK ASSESSMENT: RISK ASSESSMENT MEDICAL HISTORY FACTORS age, gender, fluoride exposure, smoking, alcohol, general health, medication CLINICAL EXAMINATION FINDINGS general appearance, mental/ physical disability, mucosa, active caries, plaque, gingiva, restorationsCARIES DIAGNOSIS: CARIES DIAGNOSIS IDENTIFICATION OF SUBSURFACE DEMINERALISATION BACTERIAL TESTING ASSESSMENT OF ENVIRONMENTAL CONDITIONS (No single test is 100% predictive, thus concept of ‘caries risk’ used.)IDENTIFICATION OF SUBSURFACE LESIONS: IDENTIFICATION OF SUBSURFACE LESIONS Inspection/ radiographic/ dye uptake methods Visual Evidence – cavitation, surface roughness, opacification, discolouration Tactile Evidence – roughness, softness of tooth surface ( probe??) Pit & Fissure vs Smooth Surface vs Root Caries DiagnosisB) BACTERIAL TESTING: B) BACTERIAL TESTING Caries Activity Tests - Reliability ? Plaque Index Scores Krasse – Microbiological Testing + Analyses of diet and saliva (individual caries activity tests can be used to make decisions on control measures, recall appt. timing, restorative procedures & materials and determining prognosis)C) ASSESSMENT OF ENVIRONMENTAL CONDITIONS : C) ASSESSMENT OF ENVIRONMENTAL CONDITIONS Assessment of pH, salivary flow, saliva buffering capacity. Effects of medications, radiotherapy, systemic illness on oral environment Role of saliva in caries prevention - physical , chemicalCARIES PREVENTION: CARIES PREVENTION Designed to limit demineralisation by cariogenic bacteria - limiting pathogen growth & metabolism - increasing resistance of tooth surface Caries Control MethodsCARIES PREVENTION: CARIES PREVENTION Consider Host Resistance General Health Fluoride Immunisation Diet Oral Hygiene Pit & Fissure Sealants and RestorationsCARIES PREVENTION: CARIES PREVENTION Host Resistance - health status - immunological system - immunocompromised patients General Health - acute/ chronic illnesses - multiple medicationsCARIES PREVENTION: CARIES PREVENTION Fluoride Treatment - optimal levels ------ Fluorosis - anticaries effects - methods (systemic vs topical) - Topical Fluorides (types, concerntrations, indications,)CARIES PREVENTION: CARIES PREVENTION Immunization - anti-caries vaccine - potential side-effects - cost – effectiveness (cf fluoride) Diet - dietary sucrose (freq vs quantit) - dietary counsellingCARIES PREVENTION: CARIES PREVENTION Oral Hygiene - role of plaque(Specific vs Non-specific) - mechanical removal of plaque - brushing - flossing - interdental cleaning aids - professional tooth cleaningCARIES PREVENTION: CARIES PREVENTION Pit & Fissure Sealants - material composition - indications - technique Restorations - restorations defects - recurrent caries - replacement of restorations ? * Tooth Alignment