Paeds S6

Question 1

What is a stained fissure?

Answer 1

discoloured, brown or block
or area of white/opaque enamel but no cavitation

Question 2

What are the tests to diagnosis the stained fissure?

Answer 2

• Visual (dry tooth)
• Probe/explorer
• Bitewing radiographs
• Electronic
• Fibre optic transillumination
• CO2 laser
• Air abrasion

Question 3

If the lesion is small but extends to dentine, what should be done?

Answer 3

preventive resin restoration (PRR) or sealant restoration (SR) can be provided- this is where the defect is filled with a small amount of composite then sealed over the top with a fissure sealant.

Question 4

If the lesion is large, what should be done?

Answer 4

conventional composite restoration

Question 5

What can the extraction of the FPM at the right time allow?

Answer 5

allow the development of a caries free dentition in the adolescent, without spacing.

bifurcation of 7 happens at 8 years (ensures 7 will erupt and close space)

Question 6

What if the child is not the ideal age for extractions and has teeth of poor prognosis, what should be done?

Answer 6

preformed metal crowns (PFMC) can be placed
an provide a chance at keeping them symptom free until the ideal extraction time