Sensi

Question 1

challenges of patients with advanced carious lesions

Answer 1

• complicated and long treatment plans
• confusing to patients
• uncertain prognosis
• disease continues, no reduction
• multi-discipline treatment
• pulpal complications delay progress

Question 2

Carious Lesions control

Answer 2

• Aka Caries management; Caries control
• Temporary (sometimes permanent) restoration of multiple teeth
  
  • have advanced carious lesions

Question 3

Answers to give patients when they ask “Why are we doing temporary Restorations?”

Answer 3

• Need to get dental disease under control quickly and stabilize your oral health
• We can only tell so much about certain teeth with an x-ra and an examination of the surface. We need to remove the decay and evaluate what is left o

Question 4

ART

Answer 4

Atraumatic Restorative Treatment

• hand instruments only
• restore with Glass ionomer

Question 5

Glass Ionomer

Answer 5

• Bonds directly to tooth
  
  • no bonding agent required
• Bonds to moist tooth
• fluoride protection/remineralization
• Bacteriall reduciton within dentin/oral enviroment
• excellent marginal seal
  
  • no shrinkage
• Thermal expansion=tooth
• Biocompatable
  
  • ideal match for dentiin

Question 6

SMART

Answer 6

Silver Modified Atraumatic Restorative Treatment

• SDF is placed and immediately restored or sealed with Glass ionomer
• patient returns for subsequent dental treatment
• underserved populatioins or long wait times for hospital dentistry

Question 7

Selective removal to firm dentin?

Answer 7

• pulpal-remova until leathery or firm dentin
• periphery: clean to hard dentine

Question 8

Step Wise Removal

Answer 8

AKa: Indirect pulp capping; 2 step caries removal

• all carious dentin removed in periphery
• small amount of demineralized dentin is left over the pullp
• calcium hydroxide liner placed to cover demineralized dentin
• sealing liner/restoration placed to seal bacteria
  
  • resin modified glass ionomer

Question 9

Calcium Hydroxide

Answer 9

• Liner of choice
• excellent pulp compatability
• stimulates formation of reparative dentin
• antimicrobial
• Dycal=common brand
• requires placement of a base

Question 10

Resiin-Reinforced Glass Ionomer

Answer 10

• Liner/Base of choice
• bonds chemically t tooth
• fluoride release
  
  • anti cariogenic
• high elasticity
• improved resistance to acid solubility
• take in fluoride from adjacent tooth
• Vitrebond=common brand