management of cervical caries

Question 1

what is cervical caries a sign of

Answer 1

high caries risk

Question 2

when should you intervene re. cervical caries?

Answer 2

pulp is threatened
cavity unsightly
cavity hinders effective plaque control

Question 3

how should cavity be designed for cervical caries?

Answer 3

remove carious tissues only

no retentive factors required

Question 4

what can be an aid re. cervical restorations?

Answer 4

rubber dam- keeps gingiva out of the way

Question 5

what can be problems re. cervical caries?

Answer 5

access
moisture control
contouring filling to tooth surface may be difficult

Question 6

who is root surface common in?

Answer 6

older generation

caries starts on root surface due to recesssion

Question 7

what is primary root caries?

Answer 7

lesions on root surface below ECJ

no involvement of enamel or adjacent restorations

Question 8

what is secondary root caries?

Answer 8

caries adjacent to an exsisting restoration

Question 9

what are risk factors for root caries

Answer 9

xerostomia
repeated carbohydrate intake
partial denture wearing
poor oh
high caries experience
high salivary counts of s. mutans and lactobacilli

Question 10

what is treatment for shallow root caries lesions?

Answer 10

recontour and apply fluoride so cavity can be self cleansing

Question 11

what treatment for deeper root caries lesions?

Answer 11

careful hand excavation to remove caries

restore with composite or GI