Restorative Materials For The Primary Dentition Flashcards

1
Q

Why restore primary teeth?

A

To prevent pain
To repair or limit the damage of dental caries
To protect and preserve the pulp and remaining tooth structure
To ensure adequate function
To restore aesthetics
To provide ease in maintaining good OH
To maintain space

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2
Q

What general factors must we consider when choosing a restorative material?

A
Age of patient-how long must tooth last 
Co-operation 
Medical history 
Caries rate/risk 
Parental preference 
Anaesthesia used
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3
Q

What dental factors must be consider when choosing a restorative material?

A

Extent of lesion

OH

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4
Q

What different restorative material options are there?

A

Composite
Compomer
GI
SS crowns

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5
Q

What are the advantages of composite?

A

Adhesive
Aesthetic
Reasonable wear properties
Command set

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6
Q

What are the disadvantages of composite?

A

Technique sensitive
Ideally rubber dam used
Expensive
Shrinkage

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7
Q

When do we use composite?

A

Occlusal restorations
Small interproximal restorations
Anterior restorations

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8
Q

What is compomer?

A

Composite and GI

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9
Q

What are the advantages of conventional GI?

A

Adhesive
Tooth coloured
Fluoride leaching
Good for stabilisation of multiple carious teeth

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10
Q

What are the disadvantages of conventional GI?

A

Brittle

Susceptible to erosion and wear

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11
Q

What are the advantages of RMGI?

A
Adhesive 
Aesthetic 
Command set
Easy to handle 
Fluoride release
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12
Q

What are the disadvantages of RMGI?

A

Water absorption

Wear

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13
Q

When do you use RMGI?

A

Temporary restorations

In patients who have high caries rate (fluoride reservoir)

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14
Q

When do you use high viscosity GI?

A

Atraumatic restorative technique

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15
Q

What are the advantages of performed metal crowns?

A

Durable
Protect and support remaining tooth structure
Hall technique option

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16
Q

What are the disadvantages of performed metal crowns?

A

Conventional prep- extensive tooth preparation
Patient cooperation required
Unaesthetic

17
Q

When do you use performed metal crowns?

A
If there is caries present in over 2 surfaces 
Following pulpotomy or pulpectomy 
Fractured teeth 
Tooth surface loss 
High caries rate
Poor OH
18
Q

What is % chance of survival of preformed metal crowns after 5 years?

A

68%

19
Q

What is the % chance of survival of amalgam after 5 years?

A

60%

20
Q

What is the % chance of survival of composite after 5 years?

A

40%

21
Q

What is the % chance of survival of GIC after 5 years?

A

5%