Restorative

Question 1

Toothache - pt on warfarin - why we may not be able to do anything today?

Answer 1

Avoid jargon

• take history
• identify needs XLA
• ask about INR, when was it last done? Ideally within 24hrs
• ask to see INR book

If INR greater than 4 in 24hrs then no

if stable values consistently for 3 months, and within 72hrs then ok

Options
- extirpate and analgesia

Question 2

What do we cement in using NX3 nexus

Answer 2

Fibre post

Veneer

Composite inlay / onlay

Porcelain inlay

Question 3

What cement in using aquacem GIC?

Answer 3

MCC

Cast metal post

Zirconia crown

Gold restoration

Question 4

What do you cement with panavia anaerobic cement?

Answer 4

RBB

Question 5

What are stages of treatment planning and some tx in them?

Answer 5

Immediate
- pain, pericoronitis, abscess etc
- XLA hopeless teeth if replaced by crown and bridge later

Initial
- stabilise OH
- pmpr, OHI, diet advice, smoking and alcohol cessation
- fillings

Re-evaluation
- perio evaluation

Reconstructive
- crown and bridge, denture construction, XLA of hopeless teeth for immediate dentures