Question 1
Question
Which of these mechanisms allow fluoride to increase the resistance of teeth to acid attack?
Answer
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Reduce/inhibit enamel dissolving
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Promoting remineralisation
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Changing plaque ecology
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Reducing plaque acid production
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Increased enamel dissolution
Question 2
Question
What is the acute lethal dose of fluoride?
Question 3
Question
What is the toxic dose for fluoride?
Question 4
Question
What are some clinical symptoms of fluoride poisoning?
Answer
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Nausea
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Diarrhoea
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Convulsions
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Cardiac arrhythmias
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Conjunctivitis
Question 5
Question
Why might acute fluoride poisoning lead to cardiac dysrhythymia?
Answer
-
Hypocalcemia / Hyperkalemia
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Hypercalcemia / Hypokalemia
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Hypernatremia / Hyperkalemia
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Hypercalcemia / Hyponatremia
Question 6
Question
Skeletal fluorosis is sometimes mistaken for...
Answer
-
Arthritis
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Osteoporosis
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Parkinson's
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Huntington's
Question 7
Question
How does fluoride impair enamel formation?
Answer
-
Interferes with the ameloblasts in the early maturation phase leading to imperfect crystals / prisms
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Interferes with the ameloblasts in the late maturation phase leading to imperfect crystals / prisms
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Leads to imperfect collagen deposition by the ameloblasts leading to imperfect crystals / prisms
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Leads to imperfect hydroxyapatite deposition by the odontoblasts leading to imperfect enamel crystals / prisms
Question 8
Question
How does fluoride impair dentin formation?
Answer
-
Leads to impaired random collagen and hydroxyapatite deposition which is more susceptible to caries
-
Leads to impaired random hydroxyapatite deposition which is more susceptible to caries
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Leads to impaired random collagen deposition which is more susceptible to caries
Question 9
Question
Fluoride _________ mineralisation of bone, leading to heavy irregular mineralisation of bone.
Question 10
Question
75-90% of fluoride is absorbed in the
Question 11
Question
Fluoride is mostly absorbed by...
Answer
-
Passive diffusion
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Active transport
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Facilitated diffusion
Question 12
Question
Maternal and Foetal blood fluoride levels tend to be..
Answer
-
Similar, therefore related.
-
Completely different, therefore unrelated.
Question 13
Question
The three phases of fluoride transport are:
1. Tissue fluid / soft tissue eq[blank_start]uilibration[blank_end] and dilution
2. Hard tissue deposition in tissues with high F [blank_start]affin.[blank_end]
3. [blank_start]Renal[blank_end] clearance of F which not deposited in skeleton
Answer
-
uilibration
-
affinity
-
Renal
Question 14
Question
Fluoride accumulates in the soft tissues.
Question 15
Question
Saliva and Tissue fluid have similar fluoride levels to blood plasma.
Question 16
Question
Why does fluoride have such a high affinity for bone?
Answer
-
It has a high affinity for hydroxyapatite in bone, preferentially forming fluorapatite.
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It has a high affinity for collagen in bone, preferentially forming fluoridated collagen.
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It has a high affinity for receptors in bone marrow which allow it to bind readily
Question 17
Question
What is the half life of fluoride in someone who is not frequently exposed to F?
Answer
-
24 hrs
-
2 years
-
12 hrs
-
1 hr
Question 18
Question
What factors might impact on renal clearance of fluoride?
Answer
-
Dose of fluoride
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Previous exposure
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Fluid intake
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Cirrhosis
-
Half life of fluoride
Question 19
Question
Fluoride interferes with acid production by bacteria. How does it inhibit it?
Answer
-
Inhibits the enolase enzyme involved in glycolysis (which ultimately produces lactic acid)
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Inhibits the alpha-ketoglutarate enzyme involved in glycolysis (which ultimately produces lactic acid)
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Inhibits the hexokinase enzyme involved in glycolysis (which ultimately produces lactic acid)
Question 20
Question
Fluoride interferes with extracellular polysaccharide formation
Question 21
Question
Fluoride decreases bacterial intracellular polysaccharide formation and glucose uptake.
Question 22
Question
Fluoride does not affect cariogenicity but does decrease the amount of plaque formation.