27. Minimally invasive in Primary Teeth Flashcards

1
Q

Basic elements of care

A
  • deal with acute symptoms
  • behaviour management
  • prevention
  • stabilisation and restoration
  • extractions
  • aesthetic work
  • orthodontics
  • review/recall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the pillars of prevention?

A
  • oral hygeine
  • fissure sealants
  • fluoride
  • diet
  • dental recall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Appropriate advice for kids health

A
  • technique
  • suitability of brush
  • type of toothpaste
  • when to brush
  • need or not for other aids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When do kids brush their own teeth ?

A
  • shoelace tying age
  • 7 or 8
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Toothpaste for children 0-3

A

smear
at least 1000 ppm fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Toothpaste for 3-6 yrs

A

pea sized amount
at least 1000ppm fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Toothpaste for 0-6 giving concern

A

1350-1500 ppm fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Toothpaste for children 7+

A

1350-1500 ppm fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Recommendations for toothpaste

A
  • not fancy or expensive
  • flavoured if needed
  • non-foaming
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Prescription toothpaste has what fluoride?

A
  • 2800 ppm for 10+ yrs
  • 5000 ppm for 16+ yrs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When to brush for kids

A

twice a day
as soon as the first primary tooth erupts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Are other oral hygeine aids needed?

A
  • interdental in ortho
  • floss at 12+
  • mouthwash at a different time to brushing (8+ as can spit it out)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In patients under 18 what’s the shortest recall?

A

3 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In patients under 18, what’s the longest recall?

A

12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

3 approaches to restoration

A
  • prevention alone
  • biological
  • conventional
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to improve decision making

A
  • history
  • examination
  • radiographs
  • other special investigations
17
Q

How to treatment plan

A
  • caries process
  • primary or perm?
  • pulp status (not affected, reversible, irreversible, necrotic)
  • other tooth factors
18
Q

What is considered aside from tooth factors?

A
  • medical
  • social
  • compliance
  • location, clinician, support
19
Q

4 choices for early caries and unaffected pulp

A
  • leave and use prevention only approach
  • seal of decay with a hermetic coronal seal
  • remove some of all caries and restore
  • extraction
20
Q

Options for if caries have reversible pulpitis

A
  • leave and use prevention only approach
  • seal of decay with a hermetic coronal seal
  • remove some or all caries and restore
  • extraction
21
Q

Why would you leave caries?

A

aims to arrest/delay progress of caries

22
Q

Options if there is caries and irreversible pulpitis

A
  • treat pulp, remove caries and restore
  • extract
23
Q

Options if caries progresses and there is necrosis

A
  • remove pulp, remove caries and restore
  • extract
24
Q

When to remove caries and restore?

A
  • difference in anatomy primary and perm (thinner enamel, smaller pulp cavity etc)
  • restoration longevity
25
Q

How do american differences in teeth impact cavity design?

A
  • buccal or labial
  • pit and fissure caries
  • approximately with pit and fissure caries
  • approximal with pit and fissure caries
26
Q

Filling materials

A
  • GIC
  • RMGIC
  • compomers
  • composites
27
Q

Changes from GIC to composites

A
  • fluoride release decreasing
  • increasing strength
  • decreasing roughness
  • increasing shrinkage
  • increasing aesthetics
  • decreasing ease
28
Q

What affects restoration longevity?

A
  • dental material used
  • patient related factors
  • time until exfoliation
  • compliance
  • adequate access
  • sensitivity of the material to moisture