Treatment options Flashcards
List the treatment options we have for toothwear
- Preventative advice
- Minimal intervention
- Simple reconstruction
- Complex reconstruction
What treatments make up preventative advice
- Monitor
2. Advice
What treatments make up minimal intervention
- Smooth sharp edges
- Place small amounts of composite over exposed dentine for protection
- Treat sensitivity
- Provide a splint
What treatments make up simple reconstruction
Simple changes to the occlusion that can be done free hand :
1. Composite caine risers
What treatments make up complex reconstruction
- Crown lengthening surgery
- Creating space for restorations/ reconstruction
- Overdentures and overlay dentures
Before deciding on a treatment path what do we need to consider
- Complexity of case
- Patient compliance
- Aftercare
- Cost
What are seen preventative strategies we can give patients
- Fluoride varnish
- Tooth mousse
- Lifestyle changes
Give examples of lifestyle changes we can recommend to the patient
- Avoid eating late at night
- Drink more water
- OHI
- Do not brush teeth straight after eating or vomiting
- Sleep with your head wet supported
What does tooth mousse contain
Calcium and phosphate
What does tooth mousse do
Promotes remineralisation
What are the aims of minimal intervention treatment
- Deal with the symptoms caused by toothwear without rebuilding the teeth to their original size
- Treat sensitivity
- Smooth out edges
- Do minimal treatment to limit the destruction of remaining teeth
- Composite over exposed dentine
Name the different types of splints
- Soft splints
2. Hard splints
what are soft splints also called
Night guards
What do night guards do
They protect teeth during parafunction like night grinding
Name the different types of hard splints
- Michigan splint
2. Tanner appliance
