27. Minimally invasive in Primary Teeth Flashcards
Basic elements of care
- deal with acute symptoms
- behaviour management
- prevention
- stabilisation and restoration
- extractions
- aesthetic work
- orthodontics
- review/recall
What are the pillars of prevention?
- oral hygeine
- fissure sealants
- fluoride
- diet
- dental recall
Appropriate advice for kids health
- technique
- suitability of brush
- type of toothpaste
- when to brush
- need or not for other aids
When do kids brush their own teeth ?
- shoelace tying age
- 7 or 8
Toothpaste for children 0-3
smear
at least 1000 ppm fluoride
Toothpaste for 3-6 yrs
pea sized amount
at least 1000ppm fluoride
Toothpaste for 0-6 giving concern
1350-1500 ppm fluoride
Toothpaste for children 7+
1350-1500 ppm fluoride
Recommendations for toothpaste
- not fancy or expensive
- flavoured if needed
- non-foaming
Prescription toothpaste has what fluoride?
- 2800 ppm for 10+ yrs
- 5000 ppm for 16+ yrs
When to brush for kids
twice a day
as soon as the first primary tooth erupts
Are other oral hygeine aids needed?
- interdental in ortho
- floss at 12+
- mouthwash at a different time to brushing (8+ as can spit it out)
In patients under 18 what’s the shortest recall?
3 months
In patients under 18, what’s the longest recall?
12 months
3 approaches to restoration
- prevention alone
- biological
- conventional
How to improve decision making
- history
- examination
- radiographs
- other special investigations
How to treatment plan
- caries process
- primary or perm?
- pulp status (not affected, reversible, irreversible, necrotic)
- other tooth factors
What is considered aside from tooth factors?
- medical
- social
- compliance
- location, clinician, support
4 choices for early caries and unaffected pulp
- leave and use prevention only approach
- seal of decay with a hermetic coronal seal
- remove some of all caries and restore
- extraction
Options for if caries have reversible pulpitis
- leave and use prevention only approach
- seal of decay with a hermetic coronal seal
- remove some or all caries and restore
- extraction
Why would you leave caries?
aims to arrest/delay progress of caries
Options if there is caries and irreversible pulpitis
- treat pulp, remove caries and restore
- extract
Options if caries progresses and there is necrosis
- remove pulp, remove caries and restore
- extract
When to remove caries and restore?
- difference in anatomy primary and perm (thinner enamel, smaller pulp cavity etc)
- restoration longevity
