Treatment Planning Flashcards
should you do intracoronal composite restorations for kids?
“no thanks”
when should you preform the “scoop and fill” technique?
*interim therapeutic resotration
when traditional prep and resotration are not feasible
- very young
- uncooperative
- caries control
- erupting molars with isolation challenge
*should use RMGI!!!!
what are the indications for full-coverage restorations (“strip crowns”)
- multi-surface lesions
- incisal edge involved
- cervical decalcification
- pulp therapy indicated
- caries minor, but hygiene poor
- behavior affects moisture control
what are the requirements for easy strip crowns?
- space btw teeth
- overjet
- fractured teeth
- no pulp involvement
- coop pt!
what are the requirements for hard strip crowns?
- closed contacts
- crowding
- no overjet
- no tooth structure left
- pulpally involved
- uncoop pt!!!
for primary dentition, can you seal over a class I lesion?
yes
what are the indications for a class II resotation in the primary dentition
- SMALL interproximal lesions
- 2 surfaces only (no MODs)
- ability to maintain ideal prep
- “box only” prep
what are the contraindications for a class II restoration for the primary dentition?
- cant maintain ideal class II (SSC instead)
- tooth wont exfoliate for more than 2-3 years (SSC instead)
- mesial lesion on primary first molars (bc of pulp horns)
can you use amalgam for primary teeth?
yes
what are the indications for a SSC?
- large carious lesions
- pulpotomy/ectomy
- multiple interproximal lesions
- cusp/marginal ridge involvement
- developmental defects
when is space maintenance not needed?
1rst primary molars when 6s fully erupted
-ant teeth
when is space maintenance very critical?
2nd primary molars
when does tx need to be aggressive?
- young child
- high risk
- bad behavior
what is the goal of peds?
to treat a primary tooth ONCE in its lifetime
