Restorative options

Question 1

What factors should be considered for caries management of a primary tooth

Answer 1

Coping ability of child
Time till exfoliation
Site and extent of lesion
Pain history

Question 2

What are some signs of dental abscess/infection (5)

Answer 2

Swelling (intraoral or extraoral)
Lymthadenopathy 
Pathological mobility 
Draining sinus  
Radiolucency at bifucration on radiograph

Question 3

Restorative options for a carious tooth near exfoliation

Answer 3

Site-specific prevention

Non-restorative cavity control

Question 4

Restorative options for any tooth with arrested caries

Answer 4

Site-specific prevention

Non-restorative cavity control

Question 5

Restorative options for initial occlusal lesion

Answer 5

Site-specific prevention

No caries removal and seal with fissure sealants

Question 6

Restorative options for advanced occlusal lesion

Answer 6

Selective caries removal and restoration

Question 7

Restorative options for initial proximal lesion

Answer 7

Site-specific prevention

Question 8

Restorative options for advanced proximal lesion

Answer 8

No caries removal and seal with SSC Hall technique

Question 9

Restorative options for initial anterior lesion

Answer 9

Site-specific prevention

Question 10

Restorative options for advanced anterior lesion

Answer 10

Selective caries removal and restoration

Complete caries removal and restoration

Question 11

Restorative options for carious lesion into the enamel or stained fissures

Answer 11

Apply topical fluoride varnish and fissure sealant

Question 12

Restorative options for carious lesion extending into the EDJ

Answer 12

Preventative resin restoration

Question 13

Restorative options for cavitated caries into dentine

Answer 13

Conventional restoration (GIC, RMGIC, Composite)

Question 14

Restorative options for proximal or 2 surface cavitated caries into dentine

Answer 14

RMGIC Restoration
GIC Restoration
Hall technique SSC

Question 15

Restorative options for cavitated caries into pulp with periradicular pathology

Answer 15

Extraction

Pulp therapy

Question 16

Restorative options for tooth with dental abscess and deep caries

Answer 16

Extraction

Question 17

Restorative options for approximal caries of anterior teeth

Answer 17

Build-ups using Composite/RMGIC/GIC

Question 18

Restorative options for anterior teeth caries where patient struggles with treatment and moisture control may be an issue

Answer 18

RMGIC/GIC restorations

Non-restorative cavity control

Question 19

Give 3 examples of site-specific prevention

Answer 19

Demonstrate effective brushing of lesion to child
Give dietary advice
Apply fluoride varnish to tooth 4 time per year

Question 20

What are some indications for applying fissure sealants (4)

Answer 20

Children with special needs
Children with extensive caries in primary dentition
Children with caries in permanent molars
Children with deep pits and fissures on new teeth

Question 21

At whar age do you switch from smear size to pea size toothpaste?

Answer 21

3 years old

Question 22

What is the recommended fluoride concentration in toothpaste for children of standard risk?

Answer 22

1000-1500ppm

Question 23

What is the recommended fluoride concentration in toothpaste for children of increased risk?

Answer 23

1350-1500ppm

Question 24

At what age can an increased fluoride concentration of 2800ppm be considered for a high-risk child?

Answer 24

10 years old

Question 25

When fissure sealing a lower 6 what else should be sealed on the tooth?

Answer 25

Buccal pits of the 6

Question 26

When fissure sealing an upper 6 what else should be sealed on the tooth?

Answer 26

Palatal fissures of the 6

Question 27

When would you use a GIC sealant over a resin fissure sealant?

Answer 27

On a partially erupted tooth An uncooperative child When moisture control is a challenge

Question 28

What is the technique for applying a GIC sealant?

Answer 28

Place a small amount of glass ionomer on a finger and petroleum jelly on the adjacent finger Wipe the tooth surface with a cotton roll Firmly apply glass ionomer to the tooth surface and hold for 2 minutes Rapidly switch to apply petroleum jelly onto the surface to minimise moisture contamination

Question 29

When would you consider a pulpotomy in a primary tooth?

Answer 29

Child in pain due to pulpitis in a vital primary tooth with irreversible symptoms and no evidence of dental abscess

Question 30

Why is pulpotomy considered?

Answer 30

Pulpotomy can preserve tooth instead of XLA