Toothwear 3 Flashcards
why is dental demolition in tooth wear common
heavily restored teeth
previous failure
small teeth
high occlusal loads
what factors are considered when deciding whether to demolish the existing restoration
benefits and risks
clarity and honesty about longevity
dental health risk assessment
health and aesthetic objectives
valid consent
learn to say no or refer
what is needed for operator safety when demolishing restorations
adequate eye protection
surgical gloves sometimes
when assessing the material under crowns what do you consider
if cores are sound
is there caries
how do you cut off an indirect restoration
cut up the buccal surface and use a chisel
what is the procedure if you are removing an old indirect restoration
plan with patient
pre-op impression for temp
vertical cutting to keep as intact as possible
critically appraise cores
what do you consider when planning to remove an indirect restoration
do you need temp denture
what can you keep
what teeth are uncertain
what teeth are unrestorable
what material has low failure rates
gold
what are the keys to success when managing failing dentition
comprehensive history and examination
planning
seek advice
prevention
avoid overambitious treatment
effective communication
decision-making and treatment planning
keep simple
have effective management strategy
regularly reassess situation
what is included in individualised prevention given to wear cases
OHI
diet
fluoride regime
habit advice and management to other services
information provision and documentation
what model is used to deliver bad news
SPIKES
what is the SPIKES model for breaking bad news
set up interview
perception (assess what they know)
invitation (how much they want to know)
knowledge (facts)
emotion (respond to patient)
strategy and summary (follow-up steps)
