Flashcards in Restorative management for caries in primary dentition Deck (24)
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1
What is the purpose of restoring caries in the primary dentition?
Eliminate disease
Restore health
Prevent pain
avoid infection
preserve space
maintain function
positive attitude to oral health
2
What percentage of 5 year olds suffer from pain due to caries? reference?
Slade et al 1996
12%
3
What percentage of 5 year olds suffer from sepsis due to caries? reference?
Pine et al 2006
2-11%
4
What percentage of 5 year olds suffer from problems in function due to caries? reference?
Nuttal et al 2006
22%
5
How many schooling hours are lost due to caries?
52million/yr
Mouradian 2000
6
How does caries affect growth and development of children?
Miller et al 1982
1/3rd below the 25th percentile
7
What features about the primary dentition make diagnosing and restoring caries difficult?
the broad contact points
thinner enamel and dentine so caries progresses quickly
8
By age 10, what percentage of caries is interproximal? reference?
60%
Armfield 2006
9
What is essential in diagnosing and detecting interproximal caries? reference?
Bitewings
18-71% lesions are detected clinically
40-470% of lesions detected radiographically
Kidd and Pitts 1990
10
Which three factors would influence your choice of material for restoring caries?
patient: general health, co-operation
tooth: location, pulp involvement, occlusal load
operator: moisture control, expertise, material properties
11
How do you manage caries confined to enamel?
Arrest the lesion
topical fluorides
12
How do you manage caries that is into dentine?
intracoronal restorations
extracoronal restorations
13
What are the advantages of amalgam?
cheap
easy to use
technique insensitive
familiarity
14
What are the disadvantages of amalgam?
not adhesive
not aesthetic
mechanical retention required
no fluoride
mecury
15
What are the advantages of composite?
Adhesive
Aesthetic
conservative
durable
setting under light cure
16
What are the disadvantages of composite?
technique sensitive
needs isolation
no fluoride
17
What is the main difference between RMGIC and Compomer?
RMGIC is more wear resistant
18
What is the main difference in tooth preparation when placing composite compared to RMGIC
Compomer needs to be etched
19
What is the life span of amalgam in class 2 cavities in primary teeth?
up to 7
Kilpatrick 2007 systematic review
20
what is the lifespan of RMGIC in class 2 cavities in primary teeth?
[Qvist et al., 2004
36% at 96 months
21
what is the lifespan of GIC in class 2 cavities in primary teeth?
Qvist et al. [1997]
42% at 36 months
22
According to ; Qvist et al., 2004 which material GIC or RMGIC is a better material?
RMGIC and its lifepsan is significantly improved by using conditioner
23
What is the FR of composite?
Vann et al 1984
12-17%
24
