Paeds Session 1 Flashcards
When cutting a cavity on an upper 5 what should you aim to preserve
the transverse ridge
How do we preserve the transverse ridge on the upper 5
by creating two separate cavities
What is the shape of the distal occlusal cavity (following the fissure pattern) on the upper 5
banana shaped - quite straight
What is the shape of the mesial occlusal cavity (following the fissure pattern) on the upper 5
kidney shaped
When creating a conventional proximal cavity what should be seen
a clear step
How big should the floor of the box be
no wider than the width of the bur
with smooth line angles
What are the operator differences between children and adults
behaviour developing dentition operator access - little mouths tooth size and shape preventative care choice of restorations (no amalgam)
What are questions to ask a child when taking a history of pain
Where? What does the tooth feel like? How long has the tooth been painful? Does anything make it feel better or worse? Does it keep you awake? Is it spontaneous or precipitated? is it relieved with analgesics
What is the sequence of restorations
prevention fissure sealants preventive restorations simple filings fillings requiring LA but not into pulp (in cooperative children) pulpotomies
Which type of cavities may not require LA
minimal cavities that require hand excavation or limited removal with a slow speed hand piece
all other cavity preps DO REQUIRE LA
What should always be used before administering LA
topical anesthetics
How deep should the occlusal portion of a cavity be
1.5mm
When can the transverse ridge be removed
when undermined by caries
How big should the isthmus be in an inter proximal cavity
1/2 to 1/3 of the width of the occlusal surface
