management of cervical caries Flashcards
1st step in preventing cervical caries?
OHI / TBI
cervical caries = what risk?
high risk
when to intervene with cervical caries?
when the pulp is threatened
unsightly cavity
cavity design for cervical caries?
limit to carious tissue removal only
no extra removal b/c chemically retained
what are problems with tx of cervical caries?
access, moisture control b/c near gingiva
contouring tooth to fill tooth surface
who are RSC commonly seen in?
the elderly
why do RSC start?
b/c of recession
how do RSC spread?
fast and into dentine
where to RSC often spread to?
often caries spreads around the entire circumference of the root
what are primary root surface caries?
a lesion on the root below the ECJ
no enamel invovement or adjacent restorations
what are secondary root surface caries?
caries that develop adjacent to or around an exisitng restoration
root surface caries risk factors?
xerostomia, repeated carbohydrate intake, partial denture wearing, poor OH, high caries risk
high salivary counts of S.mutans and lactobacilli
1st step in RSC treatment
OHI, prevention, fluoride, diet
management of shallow lesions?
recontour and apply F. self cleansing. restoration not necessary
management of deeper lesions
remove caries and restore with GI
