Restoring Carious Primary Dentition Flashcards
Why restore?
Avoid pain Sepsis Extraction Form Fx Maintain space for permanent dentition Restore aesthetics
Impacts of primary caries
Difficulty eating Loss of sleep Time off school Problems with tooth brushing Interference with social activities
Impacts of infection
5% walking around with sepsis
Weigh less and smaller
Failure to thrive in later life
Children with severe early childhood caries are 6x more likely to have anaemia than peers
GA stats 2018
58000 admitted with caries
31% of alls GAs in children
Paper found that the survival cures indicate that
STEPHENSON 2010
Filled teeth less likely to be extracted than unfilled teeth
Teeth in fluoridated areas survive longer
Effect of tx is greater than effect of fluoridation
Barriers to primary tooth restoration
Pre-cooperative children Patient anxiety Skill/attitudes of dental professional Parent view of materials Funding
Survival rates for primary restorations
Conventional PMC is top with 96%
Conventional PMC
Large multi surface restorations Pulp therapy Fractures Dental anomalies Space maintainer
Local anaesthesia stats
More successful
Atraumatic restorative technique
lack of electricity - complete removal of decay and then overlay with GIC
Non restorative caries tx
Try and maintain contact when removing tissue
F varnish and OHI
Aesthetic crowns
Preformed metal crowns with veneer on buccal
Zirconia crowns which require heavy prep due to lack of prep
Diagnosis
Success relies on??
Diagnosis
Meticulous clinical exam
Radiographs
