Restorations and toothpaste

Question 1

State the evidence of why it is important to brush

Answer 1

• Brushing with a 1000 ppm reduces caries by 24%
• Each incidence of brushing further reduces caries by 14%
• Each addition of 1000 pm fluoride reduces caries by a further 8%

Question 2

Understand the lesion management for the permanent dentition when:
ICDAS: 1- 2

Answer 2

• Fluoride varnish to arrest lesion and remineralise, monitor

Question 3

Understand the lesion management for the permanent dentition when:
ICDAS: 3- 4

Answer 3

• Resin sealant

* If radiographic code 4 = UCSR

Question 4

Understand the lesion management for the permanent dentition when:
ICDAS: 5 - 6

Answer 4

• Code 5 = UCSR

* Code 6: Restore

Question 5

For the permanent dentition, state which radiographic codes would require fluoride varnish/ topical fluoride and monitor

Answer 5

Radiographic codes

1, 2, 3

Question 6

For the permanent dentition, state which radiographic codes would require a restoration only if;

• radiolucency extends fully 1/3 into dentine and interproximal restoration cannot be confirmed

Answer 6

Code 4

Definitely code 5

Question 7

Understand the lesion management for the primary dentition when:
ICDAS: 1- 2

Answer 7

Fluoride varnish to arrest lesion and remineralise

Question 8

Understand the lesion management for the primary dentition when:
ICDAS: 4- 6

Answer 8

Restore, given that:

• More than 12 months to exfoliation
• More than 1/2 of root remains
• Interproximal cavitation (confirmed via separators)

Question 9

For the primary dentition, state which radiographic codes would require fluoride varnish/ topical fluoride and monitor

Answer 9

Codes 1 and 2

Question 10

For the primary dentition, state which radiographic codes would require a restoration only if the tooth will not exfoliate soon/ more than 1/2 of the root remains

Answer 10

Code 3

Question 11

For the primary dentition, state which radiographic codes would require a restoration (if the tooth will not exfoliate soon)

Answer 11

Code 4 and code 5

Question 12

Understand the lesion management for the primary dentition when:
ICDAS: 3

Answer 12

• Restore only if bitewings is >C3

* Otherwise, sealant or GIC