Lecture 6 Flashcards
What are the types of Carious Tissue Removal:
- Atraumatic Restorative Technique (ART)
- No Removal Fissure Sealant
- Hall Technique
- Non-restorative Cavity Control
- Selective Removal to Soft Dentin
- Selective Removal to firm Dentin
- Stepwise Removal
- Non-selective to Hard Dentin
This is a specific technique for carious lesion management using hand instruments only.
Autraumatic Restorative Technique (ART)
This is done to rural area, those dental clinics in a barangay setup, barangay setting.
Autraumatic Restorative Technique (ART)
No available handpiece.
Autraumatic Restorative Technique (ART)
Just excavate infected soft dentin, excavate pulpally to firm dentin in shallow lesions.
Autraumatic Restorative Technique (ART)
If you restore, you always have to make sure that there’s not history of pain at all, at present, last year, last last year, and at any given time because if there is a history of pain, then we can’t do this type of carious tissue removal.
Autraumatic Restorative Technique (ART)
In very deep and and there’s thermal pain, we need a little soft dentin around .5-1mm in between
deep lesions, assuming there is no pain.
Autraumatic Restorative Technique (ART)
After removal of infected dentin, you will be left with a clean dentin and restore it with glass
ionomer.
Autraumatic Restorative Technique (ART)
Done for both primary and permanent teeth preferably shallow to moderate dentin carious lesions.
Autraumatic Restorative Technique (ART)
Seal the other fissures which are potential areas for plaque accumulation to prevent formation of caries.
Autraumatic Restorative Technique (ART)
In very deep and and there’s ____, we need a little soft dentin around .5-1mm in between deep lesions, assuming there is no pain
thermal pain
In very deep and and there’s thermal pain, we need a little soft dentin around ____ in between deep lesions, assuming there is no pain.
.5-1mm
After removal of infected dentin, you will be left
with a ____ and restore it with glass ionomer.
clean dentin
After removal of infected dentin, you will be left with a clean dentin and restore it with ____.
Glass Ionomer
Just excavate ____.
infected soft dentin
excavate pulpally to firm dentin in ____.
shallow lesions
If you see very deep fissures, clean the surface, don’t do any dentin carious tissue removal, just put fissure cements or glass ionomer over intact enamel or enamel with signs of early breakdown.
No Removal Fissure Sealant
Very suitable when there is a microcavitation
No Removal Fissure Sealant
The material is considered to have adequate mechanical properties to bridge any enamel
bridges.
No Removal Fissure Sealant
Can do this to primary and permanent teeth, shallow and moderate carious lesions that appear non-cavitated clinically.
No Removal Fissure Sealant
Especially for kids who has not achieved yet consistent dexterity in hygiene and fond of eating
sweets without brushing.
No Removal Fissure Sealant
Some glass ionomers are used for some preventive restoration for fissures.
No Removal Fissure Sealant
Give the steps of Fissure Sealants:
- Tooth without sealant.
- Tooth cleaned and dried.
- Etching solution is applied.
- Liquid sealant is applied.
- Curing light hardens sealant.
- Final Sealant.
Shorter step for fissure sealant:
- Clean the surface
- etch
- put the sealant
- cure
- then the final sealant
Sealants are flowable composites and apply it directly to the fissures
No Removal Fissure Sealant
Are flowable composites and apply it directly to the fissures.
Sealants
Sealants are ____ and apply it directly to the fissures.
Flowable Composites
Done for primary teeth.
Hall Technique
Moderate and deep non cavitated and cavitated proximal carious lesions.
Hall Technique
Clear bond of dentin within carious lesions and pulp
Hall Technique
pulp is not yet involved
Hall Technique
What is done is that you put a preformed or stainless tooth crown, cement back over them primary teeth molar to seal dentin lesions
Hall Technique
In the books, cement it with glass ionomers, this will not communicate with the outside environment and dipped with sugar so it stops stroke to the pulp
Hall Technique
So you can clean the area, remove the plaque, excavate it and leave the dentin carious lesions as they are, remove all the plaque before you cement it and cover it with stainless form
Hall Technique
You just have to transform the cavitated dentin carious lesions and transform them to cleansible forms that can be cleaned by the patients or parents with a toothbrush.
Non-restorative Cavity Control
Non restorative caries treatment and prevention of slicing technique.
Non-restorative Cavity Control
Can be done in primary and permanent teeth
Transform the deep areas to more flexible areas.
Non-restorative Cavity Control
Deep pits and fissures, you recontour it so it will
be cleansible and not an area for plaque accumulation.
Non-restorative Cavity Control
The previous name is partial or incomplete or minimal invasive or instrainservative caries removal.
Selective Removal to Soft Dentin
Pulpally, you remove carious tissue until soft dentin is reached.
Selective Removal to Soft Dentin
Enough tissue is removed to place a durable restoration, avoiding cavity exposure.
Selective Removal to Soft Dentin
Done for primary and permanent teeth for deep caries lesions.
Selective Removal to Soft Dentin
Make sure that the surrounding periphery at the cavity is clean up to hard dentin.
If your caries reaches dentin, it will now have this kind of adherence.
Selective Removal to Soft Dentin
