aesthetic management

Question 1

what causes pink tooth discolouration

Answer 1

internal root resorption or cervical resorption

Question 2

what causes dark grey tooth discolouration

Answer 2

RCT, pulp necrosis

Question 3

what causes dark yellow tooth discolouration

Answer 3

reactionary dentine

Question 4

how is tooth discolouration treated?

Answer 4

remove gutta percha above ACJ

internal bleaching >18yrs

replace dark restorative material

ceramic veneer

composite camouflage

Question 5

how is a fractured tooth treated

Answer 5

composite restoration
veneer
crown

Question 6

how is a missing tooth managed?

Answer 6

maintain the space
allow the space to close

seek an orthodontic opinion

Question 7

remember

Space closure
- Non-invasive txt that prevents restorative intervention
- Useful for mandibular incisors
- Factors to consider: hypodontia, aesthetics, prognosis of other teeth
- Will the space close spontaneously or need orthodontic txt

Question 8

remember
Space maintenance
- Temporise the space until pt reached skeletal maturity
- Acrylic denture or a retainer to temporise
- Resin retained bridge can be done if pt can’t tolerate the above, it can also be the definitive restoration
- Pt needs to clean the space maintainer, remove it and be compliant

Question 9

remember
Definitive txt for space when the pt is older
- Keep removable appliance if happy
- Resin retained bridge
- Conventional bridge
- Implant - good OH, no smoking

Question 10

remember Don’t try to fix things in the mixed dentition

Question 11

remember

Writing a referral letter
- Who would u want to see the pt
- What ur concern is
- What you think the prognosis is
- What you think will need to be done