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Module 5 exam > Restorative Mangement > Flashcards

Restorative Mangement Flashcards

1
Q

Why restore primary teeth?

A
  1. Dental health is intertwined with general health
  2. Dental infections have detrimental effect on general health
  3. Children with caries don’t thrive
  4. Restore form
  5. Restore aesthetics
  6. Restore function
  7. Maintain space
  8. Acclimatisation
  9. Avoid infection
  10. Avoid extraction
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2
Q

Characteristics of primary teeth?

A
  1. Smaller
  2. Thin enamel
  3. Pulp is RELATIVELY larger
  4. Pulp horn nearer surface
  5. Contact points wider and flatter
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3
Q

What is important about the anatomy and morphology of primary teeth in relation to caries?

A

Leads to faster progression of caries and makes identification of demineralisation more difficult

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4
Q

How many canals in upper and lower molars?

A

3

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5
Q

Where do canals sit in lower molars?

A

Mesial Buccal
Mesial Lingual
Distal

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6
Q

Where do canals sit upper molars?

A

Mesial Buccal
Distal Buccal
Palatal

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7
Q

Where do pulp horns sit within tooth?

A

High into crown mesially

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8
Q

What should be considered when treatment planning in children?

A
  1. Only work if achievable
  2. Correct diagnosis is fundamental
  3. Compliance and support
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9
Q

Stages of treatment plan?

A
  1. Relief of pain
  2. Prevention at home
  3. Professional prevention
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10
Q

Hierarchy of treatment?

A
  1. Start with simple pleasant procedures
  2. Reinforce prevention
  3. Positive reinforcement
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11
Q

Common causes of pain in children?

A
  1. Abscess
  2. Caries (sometimes)
  3. Trauma
  4. Tooth wear
  5. Soft tissue lesions
  6. Exfoliation
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12
Q

Reversible pulpits signs and symptoms?

A
  1. Pain stops when stimulus is removed
  2. Short duration of pain
  3. Occurs when eating
  4. Early caries lesion
  5. Caries into dentine (radiographs)
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13
Q

Irreversible pulpits signs and symptoms?

A
  1. Constant pain
  2. Relieved with painkiller
  3. Keeps patient awake at night
  4. Lymphadenopathy
  5. Raised temperature
  6. Marginal ridge destruction
  7. Intra oral swelling
  8. Caries close to pulp (radiograph)
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14
Q

Restore or extract?

A
  1. Depends on type of pulpits
  2. Quality over quantity of tooth
  3. Previous extractions and edentulous spaces
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15
Q

Restore when?

A
  1. Compliance
  2. Space maintenance
  3. Painless
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16
Q

Extract when?

A
  1. Non compliance
  2. No support
  3. Not regular attenders
  4. Balancing extractions
17
Q

What is the use of temporary filling?

A
  1. Effective in pain relief
  2. Effective until restoration or extraction
  3. Should have a good seal and not be detrimental to the pulp
18
Q

What should be done before restoring a tooth in a child?

A

Stabilisation

19
Q

What is stabilisation?

A
  1. Remove caries
  2. Dress cavity
  3. Buys time for improvement and cooperation
20
Q

Value of stabilisation?

A
  1. Prevents lesion progression
  2. If multiple lesions - arresting caries
  3. Prevents sensitivity in teeth close to tooth that needs restored
21
Q

When removing varies from primary teeth what is important?

A

Keeping cavity as minimal as possible

22
Q

How do you chose material for restoration?

A
  1. Those relating to the tooth
  2. Factors relating to the patient
23
Q

Example of tooth factors that would decide what material to chose for restoration?

A
  1. Extent of lesion
  2. Cavity shape after caries removal
24
Q

Examples of patient factors that decide what material to use when restoring tooth?

A
  1. Moisture control
  2. Caries rate
  3. Aesthetic appearance
25
Q

What is considered the definitive restoration for molar teeth in children?

A

Stainless steel crown

26
Q

How is a stainless steel crown held in place?

A

Cervical constriction and morphology of tooth

27
Q

How to select stainless steel crown?

A
  1. Marked with size and position
  2. Measure mesiodistal width of crown in the mouth
28
Q

How to place crown?

A
  1. Prep tooth
  2. Check size (do not seat fully)
  3. Cement crown
  4. Remove excess cement
  5. Check occlusion

Module 5 exam (11 decks)

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