RESTORING THE CARIOUS PRIMARY DENTITION Flashcards
why restore teeth
1) avoid pain
2) avoid sepsis
3) avoid extraction
4) restore form
5) restore function inc eating and speech
6) maintain space
7) restore aesthetics
barriers to restoring young childrens teeth
1) pre-cooperative children
2) patient anxiety
3) skull/attitudes of the dental professional
4) parent view of materials
5) funding
what is not used to restore primary teeth
conventional GIC
what can be used to restore primary teeth
PMC
RMGIC
compomer
composite
conventiaonl PMC used for /indications
Occlusal, mesial and distal slice off
- large multi surface restorations
- pulp therapy
- fractures
- dental anomalies
- space maintainer
LA vs no LA
LA more successful
children more cooperative
hall technique
same indications
no LA
no removal caries
ad of hall
child freindly
quick
effective
cost effective
what can be used to arrest caries and dis
Silver diamine fluoride
Green – potassium iodide (used to stop the black)
dis
- when caries arrested goes black
ficiton trial consisted of comparision of
Conventional - LA and drilling Biological - no LA or drilling Prevention
results of ficiton trial
- prevention least expensive
- biological tooth sealing tx most cost effective way to avoid pain and/or infection
Diagnosing caries late is harder to tx
- use of radiographs
Choice of material - low use of hall PMC - high use of GIC!! Low use of LA in conventional arm (compromised restoration) care provided by dentist