cervical caries Flashcards
how to prevent cervical caries?
OHI
what is cervical caries a sign of?
high risk
when should you intervene with cervical caries?
when pulp threatened or cavity unsightly
how does the design of a cavity for cerivcal caries differ
only carious tissue is removed
problems with restoring cervical caries?
access, moisture, contouring
what patient commonly has root caries?
elderly
how do root caries spread?
around the circumference of the root.
what are primary root surface caries?
lesion on the root surface below ACJ with no enamel involvement or adjacent restorations
what are secondary root surface caries?
caries that develop adjacent to or around an existing restoration
what are the risk factors for root surface caries?
xerostomia, carbohydrate intake, dentures, poor OH, high caries experience, increased s.mutans/lactobacilli
how can root surface caries be prevented?
OHI,fluoride, diet
how would you manage a shallow root surface lesion?
recontour and apply fluoride, if self cleansing restoration isnt necessary
how would you manage a deep root surface lesion?
remove caries and restore with GI
why would you hand excavate?
pulp exposure
