Prep for finals

• List the possible causes of erosion (30 marks)

  • the dimin of tooth substance as a result of chemical action not caused by bacterial plaque
  • intrinsic - inside the body, gastro-oesophageal, reflux disease (hiatus hernia, cerebral palsy, chronic indigestion), eating disorders, pregnancy , chronic alcoholism
  • extrinsic - outside the body, beverages, food, medicament (aspirin, vit c, hydrogen peroxide), environmental (swimming pools with chlorine), holding/swishing drinks
• What is the age of the patient presenting with generalized erosion?

  15 years old
• What does the patient report sensitivity in?

  Upper anteriors
• What is the first step in managing this patient?

  Full patient history
• What should be identified during the patient history assessment?

  Risk factors and medication
• What type of diet assessment can be used for this patient?

  3-day diet sheet
• What should the diet assessment include?

  Identification of acid intake
• How can the patient reduce intake of acidic drinks?

  Drink through a straw
• When should the patient drink acidic beverages?

  At mealtimes in one go
• What is the aetiology of the sensitivity experienced by the patient?

  Exposed dentine tubules
• What topical treatment can be used for sensitivity?

  High fluoride Duraphat
• What is the fluoride concentration in Duraphat for patients over 10 years?

  2800 ppm
• What is the fluoride concentration in Duraphat for patients over 16 years?

  5000 ppm
• What should the patient do after applying fluoride treatment?

  Spit, don't rinse
• How often should the patient use fluoride mouthwash?

  Once daily
• What is the concentration of sodium fluoride in the mouthwash?

  0.05%
• When should the fluoride mouthwash be used?

  At a different time to brushing
• How often should Duraphat be applied?

  Twice annually
• What should be advised if the patient experiences reflux or vomiting?

  Rinse mouth after vomiting
• What treatment options should be considered for the patient?

  Dentine bonding and restorations
• What should be checked for early enamel caries?

  RAADS
• What monitoring tools should be used for this patient?

  BEWE, study models, photos
• How often should the patient be reviewed?

  Every 3 months
• How often should radiographs be taken for this patient?

  Every 6 months