Management of gross caries

Question 1

Why do we manage and remove caries

Answer 1

To preserve remaining healthy and remineralisable tissue
To maintain pulpal health
To maximise restoration success

Question 2

What are the initial steps to dealing with gross caries

Answer 2

1. Assess reasons for caries
2. Address oral environment
3. Restore if necessary
   -tissue removal
   -restoration placement

Question 3

What is the theory of partial caries removal and the stepwise technique

Answer 3

Access cavity (you need to see)​

Remove caries at periphery and ADJ​

Remove infected dentine (if you can)​

Maximise cavity for longevity

Question 4

When is a direct pulp cap used

Answer 4

If pulp is exposed and it is
-Vital
-Not hyperaemic
-No pain or transient

Question 5

What materials can be used for a direct pulp cap

Answer 5

MTA​

RMGI​

CaOH

Question 6

Which is better PCR or stepwise

Answer 6

Depends on the patient and variables however PCR only requires 1 visit and has a 96% chance of having vitality after 3 years. Failure rate of each process is equal