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Caries management strategies in primary molars
This document discusses strategies for managing caries in primary molars. It begins by defining caries and describing classifications. Diagnosis involves history, clinical examination including visual, palpation, percussion and mobility tests, and radiographs. Risk assessment considers plaque control, diet, fluoride use, saliva analysis and medical conditions. Objectives of managing caries are to prevent pain, local infection, injury to permanent teeth, and maintain mastication and aesthetics. Treatment options include prevention, restoration of enamel-dentine caries, and pulp therapy such as pulpotomy or pulpectomy. Preventive strategies emphasize plaque control, diet, fluoride and sealants. Restorative options and criteria for stainless steel crowns and space
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Caries management strategies in primary molars
- 1. CARIES MANAGEMENT STRATEGIES INPRIMARY MOLARS PRESENTED BY: DR FASAHAT AHMED BUTT
- 2. OBJECTIVES • WHAT ISCARIES?? • CLASSIFICATIONS OF CARIES • DIAGNOSIS • CARIES RISK ASSESSMENT • OBJECTIVES OF MANAGING CARIES IN PRIMARY MOLARS • TREATMENT
- 3. CARIES MICROBIAL DISEASE OFCALCIFIED TISSUES OF THE TEETH CHARACTERIZED BY DEMINERALIZATION OF INORGANIC PORTION & DESTRUCTION OF ORGANIC SUBSTANCE OF TOOTH
- 4. CLASSIFICATIONS G.V BLACK MOUNT’S SITE & SIZE
- 7. DIAGNOSIS HISTORY CLINICAL EXAMINATION VISUAL EXAMINATION PALPATION PERCUSSION MOBILITY BITE TEST
- 8.
- 9. RISK ASSESSMENT • PLAQUECONTROL • DIETARY HABITS • USE OF FLUORIDE • SALIVARY ANALYSIS • MULTIPLE CARIOUS LESIONS/RESTORATIONS • MEDICAL CONDITION
- 10. OBJECTIVES • PREVENT PAINAND DISCOMFORT • PREVENT LOCAL INFECTION • PREVENT INJURY TO PERMANENT DENTITION • PREVENT MALOCCLUSION • MAINTAINENCE OF GOOD MASTICATION & AESTHETIC
- 11. HISTORY, CLINICAL EXAM &RADIOGRAPH TREATMENT S/S OF ABSCESS FORMATION PULP THERAPY, RESTORED WITH PMC EXTRACT THE TOOTH TOOTH FREE FROM S/S OF SEPSIS TOOTH NEAR TO EXFOLIATION OR IS THERE ANY ORTHO REASON TO EXTRACT IT? CARIES ACTIVE? ENHANCED PREVENTION AND MONITOR TOOTH
- 12. TREATMENT • PREVENTIVE •RESTORATIVE INVOLVING ENAMEL- DENTINE INVOLVING PULP
- 13. PREVENTIVE • Plaque control& tooth brushing with fluoride toothpaste • Dietary advise • Use of fluoride • Fissure sealants • Regular dental check up
- 14. INVOLVING ENAMEL-DENTINE PITS ANDFISSURE CARIES APPROXIMAL CARIES
- 15.
- 16. VITAL PULP THERAPY NON-VITAL PULPOTOMY DEVITALIZATION PULPOTOMY PRESERVATION PULPOTOMY PULPECTOMY
- 17. DEVITALISATION PULPOTOMY • INTENTTO DESTROY VITAL PULP • TREATMENT WITH FORMOCRESOL OR LASER/ELECTROCAUTERY
- 21. PRESERVATION PULPOTOMY • INTENDEDTO MINIMALLY INSULT PULP TISSUE • DONE WITH GLUTARALDEHYDE OR FERRIC SULPHATE
- 22. INDICATIONS • INFLAMMATION ORINFECTION CONFINED TO CORONAL PULP • ABSENCE OF ABSCESS • TOOTH FREE FROM RADICULAR PULPITIS
- 23. CONTRAINDICATIONS • HISTORY OFSPONTANEOUS TOOTHACHE • NON-RESTORABLE TOOTH • TOOTH NEAR TO EXFOLIATION • PRESENCE OF PERIAPICAL PATHOSIS • NECROTIC PULP • UNCONTROLLABLE HAEMORRHAGE
- 24. FOLLOW-UP CLINICALLY: ABSENCE OFSYMPTOMS ABSENCE OF ANY ABSCESS OR DRAINING SINUS NO EXCESSIVE MOBILITY RADIOGRAPHICALLY: NO FURTHER BONE LOSS IN FURCATION REGION NO EVIDENCE OF INTERNAL RESORPTION
- 25.
- 32. INDICATIONS • IRREVERSIBLE PULPITISINVOLVING BOTH CORONAL AND RADICULAR PULP • ABSCESSED PRIMARY MOLARS • PRIMARY MOLARS WITH RADIOGRAPHIC EVIDENCE OF FURCATION PATHOLOGY • NON-VITAL PRIMARY MOLARS THAT NEED TO BE MAINTAINED IN THE ARCH
- 33. CONTRAINDICATIONS • UNRESTORABLE TOOTH •INTERNAL RESORPTION IN THE ROOTS • TEETH WITH MECHANICAL OR CARIOUS PERFORATION OF FLOOR OF PULP CHAMBER • EXCESSIVE PATHOLOGICAL LOSS OF BONE SUPPORT
- 34. FOLLOW UP CLINICALLY: ALLEVIATIONOF PAIN TOOTH FIRM IN ALVEOLUS RADIOGRAPHICALLY: NO CHANGES IN BONE CONDITIONS IN FURCATION REGION
- 35.
- 36. INDICATIONS • EXTENSIVE CARIES •PULPOTOMY/PULPECTOMY • SEVERE ATTRITION IN PRIMARY TEETH • RESTORATION OF PRIMARY MOLARS IN CHILDREN WITH RAMPANT CARIES • FRACTURED PRIMARY MOLAR
- 37. CONTRAINDICATIONS • AESTHETICS • TEETHNEAR TO EXFOLIATION
- 38.
- 39. REFERENCES • PAEDIATRIC DENTISTRYBY RICHARD WELBURY • COHEN’S POP • GOOGLE FOR PICTURES