Lec 4 - Cambra / Pits and Fissures Flashcards
cambra stands for
caries management by risk assessment
treatment goal in caries management
prevent new lesions from forming, detect lesions early
main components on minimally invasive dentistry
- assess disease risk
- external/internal remineralization
- use of other restorations
- use of surgical intervention only when required and after disease has been controlled
pit and fissure lesions occur in blank coalesces
enamel
over a specified time period, there is a net mineral loss
active caries lesion
a lesion not undergoing mineral loss nor progressing
arrested caries lesion
surface of enamel is whitish yellowish or opaque and chalky
active caries lesion
active caries lesion feel blank and is in a blank area
rough, plaque stagnation
three plaque stagnation areas
pits/fissures, near the gingiva, below proximal contact
arrested caries lesions are usually this color and shiny
white, brown, black
arrested lesions feel blank
hard/smooth
arrested lesions location
distant from gingival margin
non cavitated lesions should not be blank
restored or opened
two types of teeth that should be sealed
at risk teeth, teeth with cavitated lesions
interventions provided to avert the onset of caries
primary prevention
interventions to avert the progression of early caries to cavitation
secondary prevetention
blank sealants are currently more effective than blank
resin, glass ionomer
two types of sealants that are traditionally used
flowable composites, resin
one problem with flowable composite
shadows on teeth form which could confuse another dentist for a lesion
what is better about flowable composites
better wear resistance than resin
why do older people have aggressively restored amalgam restorations
gv black came up with extension for prevention to fill in entire groove pattern to prevent more caries from forming
how we treat a lesion on a tooth
drill to remove lesion, fill in remaining groove pattern with sealant
