MID

Question 1

Define MID

Answer 1

🧡Philosophy of professional care CONCERNED with
🧡1st occurrence, earliest detection, earliest possible cure of disease ON
🧡Micro molecular levels FOLLOWED by
🧡MI and patient friendly Tx
🧡Repair irreversible damage caused by such disease

Question 2

MOA of fluoride

Answer 2

• increases resistance of tooth to demineralization
• enhance remineralization
• reduce cariogenic potential of plaque

Question 3

Sources of fluoride

Answer 3

Systemic

• water fluoridation: tablets, drops and lozenges
• dietary: salt, milk, sugar

Topical

• professional application: varnish, gel
• home application: toothpaste, mouth rinse

Question 4

Indications ✅

Answer 4

6-12 years
Crowns of teeth exposed to oral cavity
Erupting posteriors with vulnerable fissures

Question 5

Flossing

Answer 5

• begin when teeth have IP contacts (3 years)
• 3-6 yrs cannot floss; place in supine position and use floss holder
• 8-10 yrs need assistance
• 25 cm floss

Question 6

Brushing techniques based on age

Answer 6

0-3 yrs👶🏾
Supine position
Mother brushes with wet and soft brush
No tooth paste improves visibility
Mommy assists child to brush with toothpaste at sink

3-5 yrs
Mother brushes in standing position until 5

6-10 yrs
Mother assist in hard to reach areas and checks

10-12 yrs
Spot checks

Question 7

Tooth Mousse

Answer 7

• CPP and ACP are the active ingredients
• 900ppm
• binds
• used in morning and evening after brushing and flossing
• hypersensitivity
• ortho Tx
• xerostomia
• erosion lesions
• special needs

Question 8

Varnish application

Answer 8

1. Remove gross plaque
2. Dry tooth surfaces
3. Open packet and mix well
4. Wipe clean teeth with dry gauze
5. Air dry teeth
6. Paint teeth with varnish
7. Instruct parents and child
   - do not brush teeth until next day
   - childs teeth might be slightly yellow or white until brushed
   - eat and drink after 30 minutes. Avoid hot stuff
8. Not used in patients with Asthma

Question 9

Clinpro varnish XT is used for?

Answer 9

• exposes root surface sensitivity
• it’s not a filling
• is RMGI properties
• newly or partially erupted teeth
• orthodontic brackets
• fluoride release

Question 10

Carisolv

Answer 10

0.5% sodium hypochlorite 
Amino acids are leucine and lysine
Coloring agent is erythrocin (pink)
pH 11
Gel
0.2-1 ml needed
5-15 minutes required