Restoring Carious Primary Dentition Flashcards
Why should they be restored?
Avoid pain/ sepsis/ XLA
Restore form, function and aesthetic
Maintain space
What is the impact of dental pain?
Difficulty eating Loss of sleep Time off school Problem w/ tooth-brushing Interference social activity
What is the impact of infection?
Lower weight - smaller than peers
6x more likely to have iron-deficiency anaemia
How many 5 year olds have experience dental sepsis?
5%
What type of studies are undertaken?
Retrospective
What did one study conclude about restorations? - child dental health survey
- Filled teeth less likely to be XLA than unfilled
- Teeth F- area survive longer
- Effect of tx is greater than effect of F-
What are barriers to restoring teeth?
Pre-cooperative children Pt anxiety Skills/ attitude DPC Parents views Funding
What materials are best to use out of those available for restoring?
PMC - 96% survival rate (see RVC rest)
PMC, amalgam, composite, GIC
GIC vs RMGIC?
GIC not recommended class II in Ds RMGIC can be used successfully in small-moderate size class II
What is a small-moderate lesion?
Proximal cavity less 1/3 bucco-lingual side tooth
Should amalgam be used?
From 2018- phased out
Not to be used in children under 15 (pregnant or breastfeeding women)
Only if deemed strictly necessary
How to undertake conventional PMC?
Remove distal and messiah slice
Reduce height 1mm
Remove all caires
Seat crown
When should conventional PMC be used?
Large multi-surface restoration, afer pulp therapy, fractures, dental anomalies, space maintenance
What are the adv of Hall Technique?
Child friendly Quick Effective Cost effective No high speed- no risk iatrogenic damage
What is the technique for Hall crown?
Place separators to gain space Remove separators and clean teeth Select crown - try for size but don't push down Ensure child understands Dry tooth and fill w/ GIC cement Get child bite cotton wool Wipe away GIC Bite will readjust and gingival blanching is normal
