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ds4101 > W3 - ART - Mani > Flashcards

W3 - ART - Mani Flashcards

1
Q

Describe minimal intervention (MI)

A

Maximum preservation of natural tooth structure to maintain strength and integrity

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2
Q

What are the parts of Risk Assessment (5)

A

Medical Hx

Social Hx

Dental Hx

OH + Diet

Lifestyle

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3
Q

What is ART?

A

Atraumatic Restorative Technique

  • Conservative method of managing caries using only hand instruments when conventional means are not practical, viable, or possible (no rotary instruments, electricity)
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4
Q

Principles of ART (5)

(common exam question)

A

Hand excavation of caries and cavity preparation

Incomplete caries removal

Minimal removal of tooth structure

AgF application (sometimes)

GIC or IRM applied as restorative material

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5
Q

Indications of ART (7)

A
  1. General dentistry
  2. Treatment camps
  3. School dental health program
  4. Disabilites
  5. Elderly or home-bound patients
  6. Non-cooperative patients
  7. As a temporary solution (waiting for GA)
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6
Q

What is IRM?

A

Intermediate Restorative Material

  • Used in ART
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7
Q

Contraindications of ART (4)

A

Swelling

Abscess / fistula

Severe/prolonged toothache

Cavity inaccessible (Class II)

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8
Q

How to treat Class 2 lesions without breaking marginal ridge

A

Tunnel

  • Most class 2’s fail bc once the natural marginal ridge is gone, strength is greatly reduced
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9
Q

Advantages of ART (4)

A
  1. Conservative of tooth structure
  2. Painless - good for anxious children (no LA)
  3. Infection control simplified (no aerosols)
  4. Cost effective
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10
Q

Armamentarium (tools) of ART (7)

A
  • Mirror
  • Explorer
  • Tweezer
  • Spoon excavators
  • Hatchet
  • Applier/carver (resto)
  • Mixing pad and spatula
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11
Q

ART materials (6)

A

Cotton rolls/pellets

Vasoline

Mylar strip

Wedges

GIC / Comp / Compomer

AgF

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12
Q

Material of choice in ART + why (3)

A

GIC

Good chemical bondage with tooth structure

Non-irritant

Fluoride release

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13
Q

Advantages of Silver Fluoride (5)

A
  • Antimicrobial
  • Promotes remineralisation
  • Cheap
  • Non-invasive
  • Can be administed by therapists, hygienists
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14
Q

How to use AgF

A
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15
Q

How close can AgF be to pulp?

A

1.0 mm minimum

If 0.5 mm, do not proceed

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16
Q

How to differentiate AgF from caries

A

AgF will be hard

17
Q

What does it mean if AgF is lightening / changing colour from black / fading

A

Caries are progressing

18
Q

How do you know if AgF has worked?

A

If stannous fluoride has been applied, arrested caries will turn black

ds4101 (43 decks)

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