restorative management of caries in the primary dentition Flashcards
7 reasons to restore primary teeth
- eliminate disease
- restore health
- prevent pain
- avoid infection (3.2%5yo had sepsis)
- maintain function
- positive attitude to oral health
- preserve space (primary teeth exfoliation guides permanent teeth in to position)
how many school hours missed/yr due to caries
52million
what % of 5yo have caries
30%
problems in treating caries in kids
a. general 6
b. oral 4
a. general 6: cooperation, concentration, understanding, motivation, fear, parent
b. oral 4: access, moisture control, dental anatomy, transient dentition
what % of caries is interproximal at age 10
60%
order of tx planning for caries in children
- deal with pain
- plan prevention
- manage caries
what is operative management of caries based on 5
- childs ability to cope
- family support for prevention
- presence of infection
- number/ size lesions
- time to exfoliation
3 factors influencing choice of restorative material
- pt factors (caries status, general health, parafunction, age, diet, cooperation)
- tooth factors (tooth location, cavity design, pulp involvement, dentition, occlusal load, tooth quality)
- operator factors (material quality, quality of finish, moisture control, expertise, anaesthesia)
management of interproximal surface caries:
a. confined to enamel 3
b. in to dentine 2
a. confined to enamel 3: encourage to arrest (topical fluoride, preventive advice, monitor)
b. in to dentine 2: restore (intracoronal and extracoronal restorations)
2 differences in intracoronal cavity prep in primary teeth compared to permanent teeth
- reduction in size of occlusal lock
- can omit dovetail
LEARN TABLE
2 materials to use as temp restoration in caries in kids
conventional GIC
triage (fuji II)
options for intracoronal permanent restoration in kids
- rubber dam –> composites
- no rubber dam –> RMGIC (fuji II), compomer
trade name for
a. composite anteriors
b. composite posteriors
c. self cure resin modified GIC
d. light cure resin modified GIC
e. compomer
f. GIC
a. composite anteriors: spectrum
b. composite posteriors: herculite
c. self cure resin modified GIC: fuji IX
d. light cure resin modified GIC: fuji II LC, triage/ fuji II
e. compomer: dyract
f. GIC: chemfil
what is interproximal discing and when is it used
removal of mesial edges of deciduous centrals to remove the caries
explain the press finger technique and when it is used
to apply GIC to tooth when child cannot tolerate resin sealant procedure
GIC placed on dentists finger then applied directly to the tooth
