How To Manage Carious Lesion By Site

Question 1

What is the advise for smooth surface caries?

Answer 1

Good OH

fluoride varnish

Make sure it’s cleansable

More advanced caries, treat/restore

Question 2

How would you treat fissure caries?

Answer 2

Improve OH (OHI)

Fluoride

Fissure sealant

Preventative resin restoration

Restore

Question 3

How would you treat proximal caries?

Answer 3

Good OH - interdental cleaning

Make cleansable

Restoration

Question 4

What are other form of caries removal?

Answer 4

Stepwise
Ultrasonic
ART (a traumatic restorative technique)

Question 5

What is the stepwise form of caries removal?

Answer 5

Atrial removal at first visit

To arrest lesion progression and formation of tertiary dentine before completion

High clinical success with low exposure

Question 6

What is ART form of caries removal?

Answer 6

Simple procedure

Basic operative conditions

Borderline cooperative patient

Treat without aerosol generating procedure

Hand excavate and restore with GIC

Question 7

What is chemo- mechanical caries removal?

Answer 7

Hypochlorite-based alkaline gel reacts with various dentine that has undergone proteolytic breakdown of collagen resulting in further breakdown and removal, with hand instruments

Often no LA required