caries management for young patients and children Flashcards
how may you treat an occlusal non cavitated lesion?
fully remove caries and restore
partial removal and restore
hall crown
prevention (if only allowed to do this from child)
how may you treat a cavitated occlusal region
fully remove
partial removable
hall crown
prevention*
make area self-cleansing plus prevention*
how may early interproximal caries be treated?
complete removal
partial removal
hall crown
prevention*
how may grossly carious lesions, unrestorable, no symptoms of pain or sepsis be treated
prevention
extraction
when is amalgam illegal to use? why?
under 15yrs old
pregnant
breastfeeding women
what may be used to restore primary molars
composite compomer GIC - temporary only stainless steel crown RMGIC
when would you use a traditional pre-formed metal crown? and what is it?
2+ surfaces affected
any pulpal therapy used
developmental defects
excessive tooth surface loss or fractures
high caries rate
impaired OH of child
maintain space with U loop
how do you place a PCM?
no lingual or buccal material removal
occlusal approximal and peripheral reduction
measure contralateral tooth for crown size
GIC to reduce microleakage and then when placed use floss to remove excess GIC and prevent ledges
when may partial caries removal be used
when occlusal, cavitated or interproximal caries detected
benefits of using partial removal?
no LA used
less cavity prep
less risk of pulpal exposure
how is a hall technique crown different from traditional PCM?
no tooth prep
no LA
no caries removed
how may anterior teeth be treated?
acid etch the whole tooth then
strip crowns
tooth build-up
when may a strip crown be used?
enamel hypoplasia
or dental abnormalities
labial or interproximal caries of anteriors
