Restoring the carious dentition

Question 1

Why restore teeth in the primary dentition?

Answer 1

Avoid pain
Avoid sepsis
Avoid extraction
Restore form
Restore function
Maintain space 
Restore aesthetics

Question 2

What is the % of 5 year olds and the % of 12 year olds in england have experienced toothache within last 6 months?

Answer 2

14% of 5 year olds

20% of 12 year olds

Question 3

What are the impacts of toot pain?

Answer 3

Difficulty eating 
Loss of sleep
Time off school
Problems with tooth brushing 
Interference with social activities

Question 4

What % of UK children have dental sepsis?

Answer 4

5%

Question 5

What are the impacts of infection?

Answer 5

severe early childhood caries can contribute to the failure to thrive
Preschool children with severe early childhood caried weigh less and are smaller than peers
Children with severe early childhood caries are 6x more likely to have iron deficiency anaemia than peers

Question 6

What % of GA’s are because of caries?

Answer 6

31%

Question 7

Restorations work in the primary dentition:

Answer 7

Stephendon et al 2010
Filled teeth less likely to be extracted
Teeth in fluoridated areas survive longer
Effect of treatment is greater than the effect of fluoridation status

Question 8

What are the potential barriers to restoring young children’s teeth?

Answer 8

Pre co-operative children
Patient anxiety
Skill/attitudes of the dental professional
Parent view of materials
Funding - dentist dont want to restore primary teeth

Question 9

What are the survival rates when restoring primary teeth?

Answer 9

Conventional PMC 96%
RMGIC 93%
Compomer 91%
Amalgam 82%

Question 10

From 1st july 2018, what was said about the use of amalgam?

Answer 10

Not to be used for the dental treatment of:
Pregnant or breastfeeding women
Children <15 years
Deciduous teeth - except if deemed strictly necessary by practitioner based on the medical needs of pt

Question 11

When do you use a conventional PMC

Answer 11

Large multi-surface restorations of bucco-lingual of tooth
Pulp therapy 
Fractures 
Dental anomalies 
Space maintainer

Question 12

Why are restorations placed with LA more successful?

Answer 12

Wont be feeling pain, more compliant

Question 13

What are the advantages of the hall technique?

Answer 13

Child friendly
Quick 2 per visit
Effective
Cost effective

Question 14

What is the Atraumatic restorative technique?

Answer 14

Caries removal where there is no electricity - remove the caries and place GIC

Question 15

How is carisolv used? What is the problem with it/

Answer 15

mix and stir into cavity - removes all the carious dentine

Need a cavity to begin with

Question 16

What is the non-restorative caries treatment?

Answer 16

Try to maintain contact
If necessary, make a chamfer margin
F varinsh and OHI
Make the cavity self-cleansing - so can brush and apply fluoride

Question 17

What is the conventional technique for restoring primary teeth?

Answer 17

LA, remove caries and place composite

Question 18

What are the different aesthetic crowns?

Answer 18

Metal based with veneers on them
more expensive 
lose veneer frequently 
or
Zirconia no flex, no hall technique, large destructive prep

Question 19

What is a summary of the fiction trial?

Answer 19

pt’s aged 3-7 with no pain or sepsis
Needed decay, no pain, no sepsis
Conventional - diet and F, OHI, LA, remove caries restore
Biological seal and leave caries in place
Prevention alone, no operative dentistry

Question 20

What does diagnosis rely on?

Answer 20

meticulous clinical exam

Radiographs