operative dentistry Flashcards
what is a direct restoration?
restoration completed in a single visit.
what is an indirect restoration?
restoration created outside the mouth and completed in 2 visits
why are teeth restored?
caries, aesthetics, NCTSL, failed restorations
what are the aims of restorations?
to restore: integrity, aesthetics, function and to remove disease
how would you treat a stained fissure with decalcified enamel
sealant restoration
how would you treat occlusal caries if no evidence of dentine involvement
monitor
in what circumstances do you always restore a tooth?
when cavitated unless cervical and self cleansing
if there is radiographic evidence of caries proximally into enamel how would you manage it?
monitor and prevent
if there is radiographic evidence of caries proximally at the ADJ l how would you manage it?
monitor and prevent
if caries is present in the outer 50% of dentine aproximally how would you manage it?
monitor and prevention
if caries is present in the inner 50% of dentine aproximally how would you manage it?
restore
management of sound and stained cervical enamel?
leave
management of stained and decalcified cervical enamel
arrestable? yes- monitor no - restore
describe micro-preparation techniques
handpieces and burs of reduced size, aids in keeping any preparation cavities to minimum, used with magnification
describe chemomechanical caries removal
application of sodium hypochlorite (0.5%) carisolv then blased handpieces to excavate
only use for visible carious dentine.
