Caries management for children and young people- strategies at the tooth level Flashcards
What treatment is given to a primary tooth that is associated with sepsis?
pulp therapy or an extraction (do not leave sepsis untreated)
Where should conventional gi not be used?
permanent restorations
class 2 (interproximal)
high failure rate
What are the restorative options for primary molars?
5
- Composite
- Compomer
- Stainless Steel Crowns
- Glass Ionomer Cement (temporary restorations only)
- Resin modified glass ionomer
What is compomer and how does it set?
where can it be used?
- Polyacid modified composites
- Occlusal and 2 surface cavities
- Can’t set in the dark as only
small GIC content. Must be light cured. - Must have good isolation (moisture control)
What are the indications for traditional preformed crowns?
- > 2 surfaces affected
- Extensive 2 surface lesions
- Pulpotomy / pulpectomy
- Developmental defects (mih)
- Fractured primary molars
- Excessive tooth surface loss
- High caries
- Impaired OH
- Space maintainer
What type of preformed crowns are best?
stainless steel crowns
What are advantages of partial caries removal?
- Evidence largely from secondary care and private practice, this approach can be effective.
- Reduced risk of pulp exposure
- Reduced time for cavity prep, less need for LA
What are disadvantages of partial caries removal?
*As caries is left in the cavity, the marginal seal must be effective to prevent caries progression
*No evidence, as yet, that this approach is effective in primary care
What non-surgical method can be used with non cavitated pit or fissure caries?
fissure sealant
What can be used if no moisture control can be obtained in fissure sealants?
press finger technique with GI
How is a lesion self-cleansing?
removal of undermined enamel to allow surface of lesion accessible to toothbrushing
What is interproximal discing?
using a disc to create space between interproximal contacts to aid in cleaning
What are the steps for strip crowns for primary anteriors?
– LA & isolation
– Tapered prep - high speed diamond
– Labial groove
– 2mm incisal reduction
– Cellulose acetate crown form & composite- using all available enamel for bonding
What should be done if the following is found in radiographs?
- micro-cavitation
- shadowing under enamel
- dentinal caries
remove caries and then place a conventional composite restoration limited to the site of the caries and fissure seal the remaining fissure system.
What ages is planned FPM loss good?
8-9 years
ideal when there is the start of calcification of the bifurcation of the unerupted lower second molars. Ideally all premolars and 3rd molars should be present to allow no spacing
