Restorative management for caries in primary dentition Flashcards
What is the purpose of restoring caries in the primary dentition?
Eliminate disease Restore health Prevent pain avoid infection preserve space maintain function positive attitude to oral health
What percentage of 5 year olds suffer from pain due to caries? reference?
Slade et al 1996
12%
What percentage of 5 year olds suffer from sepsis due to caries? reference?
Pine et al 2006
2-11%
What percentage of 5 year olds suffer from problems in function due to caries? reference?
Nuttal et al 2006
22%
How many schooling hours are lost due to caries?
52million/yr
Mouradian 2000
How does caries affect growth and development of children?
Miller et al 1982
1/3rd below the 25th percentile
What features about the primary dentition make diagnosing and restoring caries difficult?
the broad contact points
thinner enamel and dentine so caries progresses quickly
By age 10, what percentage of caries is interproximal? reference?
60%
Armfield 2006
What is essential in diagnosing and detecting interproximal caries? reference?
Bitewings
18-71% lesions are detected clinically
40-470% of lesions detected radiographically
Kidd and Pitts 1990
Which three factors would influence your choice of material for restoring caries?
patient: general health, co-operation
tooth: location, pulp involvement, occlusal load
operator: moisture control, expertise, material properties
How do you manage caries confined to enamel?
Arrest the lesion
topical fluorides
How do you manage caries that is into dentine?
intracoronal restorations
extracoronal restorations
What are the advantages of amalgam?
cheap
easy to use
technique insensitive
familiarity
What are the disadvantages of amalgam?
not adhesive not aesthetic mechanical retention required no fluoride mecury
What are the advantages of composite?
Adhesive Aesthetic conservative durable setting under light cure
What are the disadvantages of composite?
technique sensitive
needs isolation
no fluoride
What is the main difference between RMGIC and Compomer?
RMGIC is more wear resistant
What is the main difference in tooth preparation when placing composite compared to RMGIC
Compomer needs to be etched
What is the life span of amalgam in class 2 cavities in primary teeth?
up to 7
Kilpatrick 2007 systematic review
what is the lifespan of RMGIC in class 2 cavities in primary teeth?
[Qvist et al., 2004
36% at 96 months
what is the lifespan of GIC in class 2 cavities in primary teeth?
Qvist et al. [1997]
42% at 36 months
According to ; Qvist et al., 2004 which material GIC or RMGIC is a better material?
RMGIC and its lifepsan is significantly improved by using conditioner
What is the FR of composite?
Vann et al 1984
12-17%
GIC failure rate? paper?
6.6-60%
chadwick 2007
