Restorative management for caries in primary dentition Flashcards Preview

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Flashcards in Restorative management for caries in primary dentition Deck (24):
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

GIC failure rate? paper?

6.6-60%
chadwick 2007