management of cervical caries Flashcards
What is the fist step re. Management of cervical caries
OHI
toothbrushing technique
Why does cervical caries occur?
Cervical area often missed by brushing
plaque retentive area
What is cervical caries a sign of ?
High risk caries
When do you intervene re. Cervical caries?
When pulp threatened
Cavity unsightly
Cavity hinders effective plaque control
Why does cervical cavity not always indicate restoration?
Cavity may be made self cleansing
Describe appropriate cavity design re. Cervical caries
Remove carious tissue only
No extra retention required
Describe clinical technique re cervical caries
Rubber dam - holds gingiva out of the way Cavity minimal Etch enamel margins Prime and bond Restore with composite resin
What problems may you find re. Restoring cervical caries ?
Access.. Buccal surfaces of uppers and lingual surfaces of lowers
Moisture control - so close to gingiva
Contouring filling to tooth
What group of patients of root surface caries common in?
The older generation
What is primary root surface caries?
Lesions on root surface below ACJ
No involvement of enamel or previous restoration
What is secondary root surface caries ?
Caries on the root surface developing adjacent to or around an existing restoration
What are the risk factors re root caries?
Xerostomia Partial denture wearing Poor OH high caries risk High salivary counts of s. Mutants and lactobacilli
Describe tx options re. Root caries
Prevention:
OHI
fluoride
Dietary advice
Describe restorative tx options re. Root caries
Shallow lesions: recontour and application of fluoride
Deeper lesions: remove caries and restore with GI or composite
How would you remove caries on a root surface lesion?
Hand excavate as pulp easily exposed
