CARIES MANAGEMENT STRATEGIES IN PRIMARY MOLARS PRESENTED BY: DR FASAHAT AHMED BUTT

OBJECTIVES WHAT IS CARIES?? CLASSIFICATIONS OF CARIES DIAGNOSIS CARIES RISK ASSESSMENT OBJECTIVES OF MANAGING CARIES IN PRIMARY MOLARS TREATMENT

CARIES MICROBIAL DISEASE OF CALCIFIED TISSUES OF THE TEETH CHARACTERIZED BY DEMINERALIZATION OF INORGANIC PORTION & DESTRUCTION OF ORGANIC SUBSTANCE OF TOOTH

CLASSIFICATIONS  G.V BLACK  MOUNT’S SITE & SIZE

DIAGNOSIS  HISTORY  CLINICAL EXAMINATION  VISUAL EXAMINATION  PALPATION  PERCUSSION  MOBILITY  BITE TEST

 RADIOGRAPH  BITEWING  PERIAPICAL

RISK ASSESSMENT PLAQUE CONTROL DIETARY HABITS USE OF FLUORIDE SALIVARY ANALYSIS MULTIPLE CARIOUS LESIONS/RESTORATIONS MEDICAL CONDITION

OBJECTIVES PREVENT PAIN AND DISCOMFORT PREVENT LOCAL INFECTION PREVENT INJURY TO PERMANENT DENTITION PREVENT MALOCCLUSION MAINTAINENCE OF GOOD MASTICATION & AESTHETIC

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

TREATMENT PREVENTIVE RESTORATIVE INVOLVING ENAMEL- DENTINE INVOLVING PULP

PREVENTIVE Plaque control & tooth brushing with fluoride toothpaste Dietary advise Use of fluoride Fissure sealants Regular dental check up

INVOLVING ENAMEL-DENTINE PITS AND FISSURE CARIES APPROXIMAL CARIES

PULPAL INVOLVEMENT

VITAL PULP THERAPY NON-VITAL PULPOTOMY  DEVITALIZATION PULPOTOMY  PRESERVATION PULPOTOMY PULPECTOMY

DEVITALISATION PULPOTOMY INTENT TO DESTROY VITAL PULP TREATMENT WITH FORMOCRESOL OR LASER/ELECTROCAUTERY

PRESERVATION PULPOTOMY INTENDED TO MINIMALLY INSULT PULP TISSUE DONE WITH GLUTARALDEHYDE OR FERRIC SULPHATE

INDICATIONS INFLAMMATION OR INFECTION CONFINED TO CORONAL PULP ABSENCE OF ABSCESS TOOTH FREE FROM RADICULAR PULPITIS

CONTRAINDICATIONS HISTORY OF SPONTANEOUS TOOTHACHE NON-RESTORABLE TOOTH TOOTH NEAR TO EXFOLIATION PRESENCE OF PERIAPICAL PATHOSIS NECROTIC PULP UNCONTROLLABLE HAEMORRHAGE

FOLLOW-UP CLINICALLY: ABSENCE OF SYMPTOMS ABSENCE OF ANY ABSCESS OR DRAINING SINUS NO EXCESSIVE MOBILITY RADIOGRAPHICALLY: NO FURTHER BONE LOSS IN FURCATION REGION NO EVIDENCE OF INTERNAL RESORPTION

PULPECTOMY

INDICATIONS IRREVERSIBLE PULPITIS INVOLVING 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

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

FOLLOW UP CLINICALLY: ALLEVIATION OF PAIN TOOTH FIRM IN ALVEOLUS RADIOGRAPHICALLY: NO CHANGES IN BONE CONDITIONS IN FURCATION REGION

STAINLESS STEEL CROWNS

INDICATIONS EXTENSIVE CARIES PULPOTOMY/PULPECTOMY SEVERE ATTRITION IN PRIMARY TEETH RESTORATION OF PRIMARY MOLARS IN CHILDREN WITH RAMPANT CARIES FRACTURED PRIMARY MOLAR

CONTRAINDICATIONS AESTHETICS TEETH NEAR TO EXFOLIATION

SPACE MAINTAINERS

REFERENCES PAEDIATRIC DENTISTRY BY RICHARD WELBURY COHEN’S POP GOOGLE FOR PICTURES