alternative caries tx Flashcards
What restoration is less likely to cause reduced risk to pulp?
Partial caries removal
cons of partial caries removal?
Marginal seal needs to be effective
Monitoring and evidence
Excellent record keeping
Pros of partial caries removal?
Reduced need for LA
Reduced prep time
Reduced risk of pulpal exposure
Pros of no caries removal and seal?
No LA
No prep
cons of no caries removal and seal?
Quality of seal/caries progression
Weak evidence
When would you consider no caries removal and seal?
in cases of pre compliant pts
Procedure of ‘no caries removal and seal’?
Vaseline on one finger and GIC on another finger
Cleanse area and remove debris
Place GIC to tooth directly from finger
Place Vaseline on top of
What is a hall crown?
pre-formed metal crown
Procedure to fit a hall crown?
prepare tooth
Remove caries
Fit crown
Pros of hall crown?
no LA
no prep
No iatrogenic damage
Cons on Hall crown?
partial fitting-leakage
Aesthetics
When should you not use a Hall PMC?
pulpal necrosis or caries very close to the pulp
How long to have orthodontic separators in?
3-5 days
How to fit Hall crown?
Fill with runny mix of GIC luting cement
Fill 3/4 full
Working time 1-2 mins
Squeeze over tooth
Apply pressure with thumbs
Pt to bite hard into dry cw roll
Crown squeezed between contacts
Excess cement wipes with damp cw rolls
If not seated fully, remove with excavator before cement sets
Now bite for a further 2-3 mins on dry cw roll
Excess cement removed
Contacts checked
Occlusion checked
When to extract teeth?
if tooth is not restorable
Abscessed or giving pain
Mobile, carious or heavily restored at the same visit under GA
