anterior teeth

Question 1

function

Answer 1

1) short lifespan (incisors)
- less functional change
2) longer life (canines)
- more functional change
3) physical proximity to permanent successors (do not save if there is primary tooth necrosis –> PA abscess affects perm tooth)

Question 2

preparations and restorations

Answer 2

1) conservative
2) adequate retention
3) resist occlusion
4) do not leave unsupported tooth structure
5) esthetics and longevity

Question 2

proximal stripping

Answer 2

1) minimal proximal caries and demin
2) open prox
3) apply fluoride varnish, monitor
4) SDF?
- esthetic acceptaility?

Question 3

first sign of decay in a child?

Answer 3

1) cervical areas of anterior
- thinner enamel

Question 4

interim therapeutic restorastion

Answer 4

1) minimal lesions
2) no local anesthesia, excavate caries, GI material
3) more in rural areas

Question 5

class III restoration

Answer 5

1) anterior restorations with rubber dam
2) ligature floss
3) direct ( accessible proximal)
- indirect (access affected embrasure)
4) matrix and wedge

Question 6

class IV

Answer 6

1) buccal and lingual dovetails oriented cervically
2) matrix and freehand

Question 7

extracoronal restorations

Answer 7

1) strip crowns
2) excessive caries, trauma, inadequate tooth for intracoronal restoration
3) 169L or tapered diamond, 35
4) remove caries
5) knife edge margins
6) reduce all surfaces to allow adequate retention
7) select crown form and vent

Question 8

anterior ssc

Answer 8

1) watch old lecture recordings