Restorative management for caries in primary dentition

Question 1

What is the purpose of restoring caries in the primary dentition?

Answer 1

Eliminate disease
Restore health
Prevent pain
avoid infection
preserve space
maintain function
positive attitude to oral health

Question 2

What percentage of 5 year olds suffer from pain due to caries? reference?

Answer 2

Slade et al 1996

12%

Question 3

What percentage of 5 year olds suffer from sepsis due to caries? reference?

Answer 3

Pine et al 2006

2-11%

Question 4

What percentage of 5 year olds suffer from problems in function due to caries? reference?

Answer 4

Nuttal et al 2006

22%

Question 5

How many schooling hours are lost due to caries?

Answer 5

52million/yr

Mouradian 2000

Question 6

How does caries affect growth and development of children?

Answer 6

Miller et al 1982

1/3rd below the 25th percentile

Question 7

What features about the primary dentition make diagnosing and restoring caries difficult?

Answer 7

the broad contact points

thinner enamel and dentine so caries progresses quickly

Question 8

By age 10, what percentage of caries is interproximal? reference?

Answer 8

60%

Armfield 2006

Question 9

What is essential in diagnosing and detecting interproximal caries? reference?

Answer 9

Bitewings

18-71% lesions are detected clinically
40-470% of lesions detected radiographically

Kidd and Pitts 1990

Question 10

Which three factors would influence your choice of material for restoring caries?

Answer 10

patient: general health, co-operation
tooth: location, pulp involvement, occlusal load
operator: moisture control, expertise, material properties

Question 11

How do you manage caries confined to enamel?

Answer 11

Arrest the lesion

topical fluorides

Question 12

How do you manage caries that is into dentine?

Answer 12

intracoronal restorations

extracoronal restorations

Question 13

What are the advantages of amalgam?

Answer 13

cheap
easy to use
technique insensitive
familiarity

Question 14

What are the disadvantages of amalgam?

Answer 14

not adhesive
not aesthetic
mechanical retention required
no fluoride
mecury

Question 15

What are the advantages of composite?

Answer 15

Adhesive
Aesthetic
conservative
durable
setting under light cure

Question 16

What are the disadvantages of composite?

Answer 16

technique sensitive
needs isolation
no fluoride

Question 17

What is the main difference between RMGIC and Compomer?

Answer 17

RMGIC is more wear resistant

Question 18

What is the main difference in tooth preparation when placing composite compared to RMGIC

Answer 18

Compomer needs to be etched

Question 19

What is the life span of amalgam in class 2 cavities in primary teeth?

Answer 19

up to 7

Kilpatrick 2007 systematic review

Question 20

what is the lifespan of RMGIC in class 2 cavities in primary teeth?

Answer 20

[Qvist et al., 2004

36% at 96 months

Question 21

what is the lifespan of GIC in class 2 cavities in primary teeth?

Answer 21

Qvist et al. [1997]

42% at 36 months

Question 22

According to ; Qvist et al., 2004 which material GIC or RMGIC is a better material?

Answer 22

RMGIC and its lifepsan is significantly improved by using conditioner

Question 23

What is the FR of composite?

Answer 23

Vann et al 1984

12-17%

Question 24

GIC failure rate? paper?

Answer 24

6.6-60%

chadwick 2007