When to intervene

Question 1

What is residual caries?

Answer 1

Caries that has been purposefully left in a cavity

Question 2

What are the three ingredients for caries?

Answer 2

1. Substrate
2. Time
   3, Diet

Question 3

How can we treat primary caries?

Answer 3

1. Prevent the disease (fluoride, dietary advice, cleaning)
2. Watchful waiting (frequent recall)
3. Filling without drilling
4. Surgical intervention
5. Referral

Question 4

What is ‘filing without drilling’?

Answer 4

Injecting a caries lesion so that it has the potential to remineralise

Question 5

What are white things on a radiograph?

Answer 5

Fillings eg composite, crowns, amalgam

Question 6

Why might restorations fail?

Answer 6

1. Development of recurrent caries
2. Failure of restoration itself due to technical or material failure
3. Tooth failure

Question 7

Name there there types of tooth wear

Answer 7

1, Erosion

2. Abrasion
3. Attrition

Question 8

When looking at a patient with tooth wear what is on really important thing we should note?

Answer 8

The patients AGE as older patients will have tooth wear but if a younger patient has tooth wear could indicate a serious issue

Question 9

What is common in patients over 65?

Answer 9

Attrition and mild chipping

Question 10

If a patent comes in with severe dental and facial trauma what test should you do?

Answer 10

Hold the maxilla and see if you can move it to see if the maxilla has been dislodged
If it has been dislodged the patent should go to hospital

Question 11

Name some developmental conditions that requires intervention?

Answer 11

Amelogenesis imperfecta

Dentinogenesis imperfecta

Question 12

When should you ask for help or think about referring?

Answer 12

1. WHen a diagnosed dental problem is beyond your level of clinical ability
2. When there is difficulty at diagnosus
3. If the patient has a suspected systemic disease