Manangment

Question 1

What’s Standard care (patient-led, non-operative)
Inactive/controlled, low-risk patient ?

Answer 1

1. Plaque control (toothbrush and toothpaste, flossing)
2. Use of fluoride (toothpaste, water)
3. Dietary modification
4. Continued patient motivation paramount to prevent onset of disease

Question 2

Active care (dentist-led, operative/non-operative)
Active/uncontrolled, high-risk patient ?

Answer 2

** STANDARD CARE +: **
1. Decontamination procedures (PMTC, transitional restorations, chlorhexidine)

2. Remineralization procedures:
   • Fluoride (high-concentration toothpaste, mouthwashes, topical varnishes)
   • Remineralizing pastes/solutions (e.g. CPP-ACP, bioactive glasses)
3. Managing hyposalivation (medications, saliva substitutes)
4. Fissure sealant restorations

Question 3

Who is Caries inactive/caries controlled/low risk ?

Answer 3

1. no active lesions
2. no history of recurrent active restorations in the past 2 to 3 years.
3. A level of control (maintenance) is still required to remain in this sta-
   ble condition.

Question 4

Who is Caries active/modifiable risk factors/moderate risk ?

Answer 4

(plaquecontrol, fluoride, diet) effective
1. presence of active lesions and a yearly incre-ment of more than two new/progressing/filled lesions in the pre-ceding 2 to 3 years.
2. Caries control may be achieved by changing/modifying risk factors.

Question 5

Who is Caries active/unmodifiable or unidentifiable risk factors/
high risk (dry mouth, medications) ?

Answer 5

1. this category will always be high risk, although it may still be possible to control caries by opti-mmal moderation of such risk factors.
2. Presence of active lesions and a yearly increment of more than two new/progressing/filled lesions in the preceding 2 years.

Question 6

PREVENTIVE treatment for which cases ?

Answer 6

•- incipient caries
•-reversible, not cavitated Lesion

Question 7

•RESTORATIVE treatment for which cases?

Answer 7

•-caries superficialis
•-caries media
•-caries profunda
•-irreversible, cavitated Lesion

Question 8

What’s the indications for preperation ?

Answer 8

1. carious lesions.
   • 2. Replacement / repair of restorations with serious defects such as improper proximal contacts, gingival excess, poor esthetics
   •3. Restoration of proper form and function of fractured teeth.
   • 4. Restoration of form and function as a result of congenital malformations
   •5. To fulfill the esthetic demands
   •6. Restoration for preventive measures

Question 9

What’s cavity preperation principles ?

Answer 9

1. Gain access to caries
   •.Removal of all the defects and give the necessary protection to the pulp.
   • Cut away all significantly unsupported enamel but Location of margins of the preparation as conservative as possible.
   •Extend the margins so that they are accessible for instrumentation and Cleaning.
   • Form the cavity so that under forces of mastication the tooth or the restoration or both will not fracture and the restoration will not be displaced.