Caries Disease Indications: - ✔Low socioeconomic status, development problems,
presence of cavities, white spots, and restorations placed in the past 3 years,
, Caries risk factors - ✔type and quantity of Mutans Streptococci (MS) and
lactobacilli (LB), visible plaque, exposed roots, saliva reducing factors and inadequate
saliva flow, frequent snacks, deep pits and fissures, and orthodontic appliances.
Caries protective Factors - ✔systemic and topical fluoride sources, adequate saliva
flow, and regular use of chlorhexidine, xylitol, and calcium and phosphate paste.
Clinical Examination - ✔Presence of white spots, decalcfications, restorations,
and plaque, and bacterial culture and saliva flow tests.
Chlorhexidine Gluconate Oral rinse - ✔~0/12%
-it is an antiseptic and antimicrobial oral rinse.
-Destroys a wide variety of bacteria by binding to the bacteria cell walls.
Side effects: Staining, supragingival calculus, altered sense of taste, and oral
mucosal irritation.
-Chlorhexidine has high substantivity.
Desensitizing toothpaste - ✔-Works by either occluding exposed dentinal tubles or
by desensitizing the nerve endings in the dentinal tubles with potassium ions.
-clinical studies show that potassium nitrate progressively reduced the pain of
sensitivity over a period of weeks.
Oraqix - ✔-2.5% lidocaine and 2.5% prilocaine (1.7g gel- 1 cartridge)
-Duration: 30 seconds
-Mean duration: 17 to 20 minutes
-waiting longer than 30 seconds does NOT increase the anesthesia
-MAX DOSE: 5 cartridges (about 8.5 g gel)
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