what is the most important measure for prevention?
treatment of disease
when can treatment take place?
only after a diagnosis is made
3 objectives of caries management
- determine restorative treatment needs
- determine areas that require remineralization
- define steps for a remineralization program
what must be charted for restorative treatment needs? (4)
- existing restorations and sealants
- caries
- recurrent caries
- sealants in need of repair
what must be done for areas that require remineralization
- chart white spots and white cervical lines
2. outline appropriate strategies for the patient
what are the steps for remineralization program
- explain needs and corrective methods for patient understanding
- prepare and explain risk assessment for individual patient
- select and demonstrate procedures that must be followed
- plan for evaluation and re-evaluation at continuing maintenance appointments
what are the two different approaches to treatment?
- mechanical
2. preventative
what must be considered when taking the preventative approach?
- patients dental knowledge
- social status
- medical history
- biofilm control
- oral hygiene status
- fluoride exposure
- diet habits
the earlier the caries detected the _____ the restoration and greater outcomes
smaller
what pre-treatment decisions should be asked
- do you treat disease causing the decay?
2. do you restore the decay which is the result of the disease?
to treat the disease, the general approach recommended is to: (3 steps)
- identify the factors causing the disease and modify appropriately
- provide appropriate treatment modalties and make recommendations
- evaluate success through a recall
treating the disease will _____ or ______ the possibility of the disease from progressing. how can this be done?
reduce or eliminate
done by patient ed
when treating the decay, which is the result of disease what should be addressed?
- any symptomatic teeth-any tooth with caries is causing sensitivity and or carious lesion is near the pulp
what are the 3 levels of treatment
- primary
- secondary
- tertiary
characteristics and examples of primary treatment
- directed toward pre-pathogenisis stage
- services which prevent initiation of disease
- ex: sealant, fluoride, OHI
characteristics and examples of secondary treatment
- directed toward initial stages of disease pathogenesis
- intervene or prevent the progression and recurrence of disease
ex: small lesions (MO, MA, O) resotrations
characteristics and examples of tertiary treatment
- directed toward end result of disease pathogenesis
- provide rehabilitation
- ex: Root canal therapy, implants, and bridges
post-op recommendations
- get under control
- stabilize before reconstruction
- recommend decrease of risk factors
- replace fractures/overhangs
- extract unsalvagable teeth
- establish regular dental exam
define occlusal amalgam
one-surface restoration
define MOD amalgam
3 surface restoration
example of a 2 surface amalgam
MO or DO
define root surface amalgam
amalgam restoration on the cervical or root of tooth
define gold onlay
prepared cast restoration that is cemented in place by frictional and mechanical factors that covers one or more cusp tips
-less tooth surface is removed when comparing inlays to full cast crowns
define porcelin inlays
prepared cast restoration that is cemented in place by frictional and mechanical factors with in the occlusal surface
- doesn’t cover cusp tips
- less tooth surface is removed when comparing inlays to full cast crown
