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301699
OCCLUSAL CARIES
Description
Restorative dentistry Mind Map on OCCLUSAL CARIES, created by aahughes on 24/10/2013.
No tags specified
restorative dentistry
restorative dentistry
Mind Map by
aahughes
, updated more than 1 year ago
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Created by
aahughes
almost 11 years ago
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Resource summary
OCCLUSAL CARIES
Obvious plaque stagnation area
difficult to detect as surface can appear fine
OCCULT CARIES (hidden)
bacteria enters fissure and spreads laterally at ADJ
DIAGNOSIS
Radiograph - most reliable
Radiolucent area show infected dentine
Lesions not visible - Fissure seal
BW's at regular intervals
Caries always under estimated on radiograph
TREATMENT
If in doubt - leave wait and watch
Apply Fluoride
Chlorohexidine
Fissure Sealants
Sealant Restoration - Preventitive restoration resin
Conventional Restoration
Improve OH
WHEN TO RESTORE
Obvious cavity
Caries into ADJ
When dentine is infected
PREVENTIVE RESIN RESTORATION
Used when part of fissure system becomes carious
restore carious part and FS rest of fissure
Prevents secondary caries
Resin comp used
SEALANT RESTORATION TECHNIQUE
Take occ registration
Outline form (minimal)
Remove caries and add lining if necessary
Etch prime bond and place comp
Etch remaining fs and apply sealant
CONVENTIONAL RESTORATION
When cavity involves all of fissure system
Amalgam previously used - now comp as preserves tooth sub
Occ reg and outline form - keep minimal
Remove caries - apply lining
Etch, prime, bond apply comp in 2mm increments
Oblique layering - comp touches only one wall of cavity
CONFIGURATION FACTOR - BONDED OVER UNBONDED SURFACES
As much sound tooth preserved as poss
undermined enamel can be supported by adhesive material
Place comp and cure at 2mm increments!
Occlusion checked and adjusted
AMALGAM no longer indicated for occ rest
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