Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Caries symposium 2 > Caries management for children and young people - strategies at the tooth level > Flashcards

Caries management for children and young people - strategies at the tooth level Flashcards

1
Q

what are the different management strategies for caries in primary teeth

A
  1. complete caries removal, and restoration
  2. partial caries removal, and restoration
  3. no caries removal, seal with restoration
  4. no caries removal, provide prevention alone or after first making the lesion self-cleansing
  5. extraction, or review with extraction if pain or sepsis develops
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the different ways of using a stainless steel crown

A
  1. completely removing caries and placing crown
  2. partially removing caries and placing crown
  3. not removing caries and placing crown (hall technique)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the options for occlusal, non-cavitated lesions

A
  • complete caries removal and restoration
  • partial caries removal and restoration
  • seal caries with fissure sealant
  • prevention alone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the options for occlusal, cavitated lesions?

A
  • complete caries removal and restoration
  • partial caries removal and restoration
  • seal caries with hall crown
  • prevention alone
  • make lesion self cleansing + prevention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the options for approximal, early dentinal lesions

A
  • complete caries removal and restoration
  • partial caries removal and restoration
  • seal caries with hall crown (her fav)
  • prevention alone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the options for anterior cavitated lesions

A
  • complete caries removal and restoration
  • partial caries removal and restoration
  • prevention alone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the options for grossly carious unrestorable tooth, without signs or symptoms of pain or sepsis

A
  • prevention alone

- extraction or review, with extraction if pain/sepsis develops

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

what do we need to balance when choosing management options

A

reduction in the risk of pain/sepsis from the tooth in the future and the child’s ability to accept treatment now

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

what should we avoid when choosing management options

A
  • operative interventions which involve LA until child can cope
  • using conventional glass ionomer for permanent restorations
  • leaving active caries in primary teeth unmanaged
  • leaving sepsis untreated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how do we manage a primary tooth that is associated with sepsis

A

either pulp therapy or extraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the signs that a primary tooth is associated with sepsis

A
  • signs/symptoms of abscess
  • sinus
  • inter-radicular radiolucency
  • non-physiological mobility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the minimata treaty

A

global environmental treaty aimed at reducing the release of mercury into the environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the rules with amalgam use

A
  • no amalgam in primary teeth
  • no amalgam in persons under 15 years old
  • no amalgam in pregnant and breastfeeding women
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the restorative options for primary molars

A
  • composite
  • compomer (composite and GIC hybrid)
  • stainless steel crowns
  • glass ionomer cement (temp restorations only)
  • resin modified glass ionomer)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how and when do you use compomer

A
  • light cure as only a small GIC content
  • must have good isolation
  • occlusal and 2 surface cavities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the indications for traditional preformed crowns

A
  • > 2 surfaces affected
  • extensive 2 surface lesions
  • pulpotomy/pulpectomy
  • developmental defects
  • fractured primary molars
  • excessive tooth surface loss
  • high caries
  • impaired OH
  • space maintainer
17
Q

why would we want to restore with a crown after a pulpotomy/pulpectomy

A

no longer any dentinal fluid movement so becomes brittle and could fracture so crown needed to keep tooth together

18
Q

how are preformed metal crowns placed

A
  • read re op skills manual
  • occlusal, approximal, peripherl reduction
  • NO BUCCAL OR LINGUAL REDUCTION
  • snap fit
  • measure contra-lateral tooth, flatten proximally if necesarry
  • GIC cement (reduced microleakage)
  • margins - clear excess cement, no overhangs, pull knotted floss through interproximal areas to clear cement
19
Q

what is the % 5 year survival or traditional preformed crowns

A

92%

20
Q

advantages of partial caries removal and restoration

A
  • evidence approach can be effective
  • reduced risk of pulp exposure
  • reduced time for cavity prep, less need for LA
21
Q

disadvantages for partial caries removal and restoration

A
  • marginal seal must be effective to prevent caries progression
  • no evidence for effectiveness in primary care
22
Q

how do we use glass ionomer as a fissure sealant

A
  • isolate tooth as best as possible

- GI then quickly vasaline

23
Q

what is the technique for making a lesion self cleansing

A

open up contact with separating bur, apply F varnish immediately

24
Q

what are indications for interproximal discing of primary anteriors

A
  • exfoliation time close
  • pre-cooperative
  • extensive superficial/minimal interproximal
25
Q

advantages for interproximal discing of primary anteriors

A
  • simple
  • quick
  • opens contacts
26
Q

disadvantages of interproximal discing of primary anteriors

A
  • pulp!
  • food impaction
  • space loss
  • poor aesthetics
27
Q

what is the technique for interproximal discing of primary anteriors

A
  • sand paper discs, tapered stone or diamond in slow speed
  • tapered crown - narrower incisally
  • round off proximal surfaces
  • polish and fluoride varnish
28
Q

indications for strip crowns for primary anteriors

A
  • enamel hypoplasia
  • dental anomalies
  • labial and interproximal caries
29
Q

technique for strip crowns for primary anteriors

A
  • LA and isolation
  • tapered prep (high speed diamond)
  • labial groove
    2mm incisal reducttion
  • cellulose acetate crown form and composite (using all avaliable enamel for bonding)
30
Q

How can we identify and arrest early enamel only lesions on1st and 2nd PMs

A
  • apply F varnish
  • moniter progression with bitewings
  • encourage parent to floss the 6/E contact 2-3 times a week
  • if carious distal E, manage with a restoration/ Hall crown/ slice preparation/ extraction of E
31
Q

How can we manage a suspicious fissure on an FPM

A
  • clean fissure
  • dry tooth
  • view with bright, direct light
  • take good radiographs
32
Q

How can we manage a carious fissure on an FPM

A

If there is:

  • micro-cavitation
  • shadowing under enamel
  • dentinal caries

remove caries and place composite restoration at site of caries and fissure seal the rest of the fissures

33
Q

How do we manage a stained fissure on an FPM

A

place fissure sealant and review at every recall visit

34
Q

if not able to see proximal surface what can we do

A

use separator and then remove it 5 days later

35
Q

at what age can you make an assessment of FPMs

A

8-9 years old

if prognosis is poor, consider planned loss

36
Q

when can you consider extraction of 6s with poor prognosis

A

bifurcation of 7s, ideally all premolars and 3rd molars present

37
Q

advantage of planned removal of poor prognosis FPMs

A

so a caries free dentition can develop without spacing

38
Q

disadvantage of planned removal of poor prognosis FPMs

A
  • demanding for child

- may need GA

Caries symposium 2 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions