These acids are strong enough to demineralize the enamel on your teeth and form tiny holes—the first stage of dental caries. The prevalence of caries in children is significantly less than it was 20 years ago, and it would be good to think that the dental profession would be able to provide effective restorative care for those who are still unfortunate enough to suffer from dental caries. Many adults can be seen to be suffering from overenthusiastic treatment of approximal caries in their youth, and while the relative importance of poor margins compared with bacterial plaque can be debated, the potential damage from approximal restorations is sufficient reason to avoid treatment unless a definite indication is present. and Brushing your teeth twice a day for at least two minutes using fluoride rinse, paste, or gel. 3. Because the entire crown of the tooth is covered, the stainless steel crown rarely needs to be replaced owing to recurrent caries or new caries at a site distant to the original filling. While there is no doubt that the best way to tackle the problem of dental caries is through an effective programme of prevention as outlined in the previous chapters, it is unfortunate that many children still suffer from the disease and its consequences. Partial, i.e. These treatments carried out by a dental professional can help treat damage incurred from dental caries. Requirement of treatment for a large number of teeth may put a strain on a young child and, less importantly, on the parent and dentist. • When preparing an interproximal cavity take great care not to damage the adjacent tooth. However, amalgam has been discontinued in some Scandinavian countries because of environmental concerns. The fact that remineralization can arrest and repair enamel caries. (See Key Point 8.4.). Figure 8.3 (a) A clinical examination in the upper arch gives a little clue to the presence of proximal carious lesions on both the upper right first and second primary molars. Certain illicit and prescription drugs increase the risk of enamel erosion and caries formation in adults. However, the most important aspect of child management is to gain the confidence of the child and make sure that there is as little discomfort as possible. 8.8.1 Pulpal response to caries progression and the assessment of pulpal health, 8.8.2 Treatment options for the inflamed pulp, 8.8.8 Management of non-vital and abscessed primary molars—the pulpectomy technique, 8.9 Treatment of a child with high caries rate. When faced with a tooth that has caries, the first decision has to be whether it does in fact require treatment. http://www.oralhealthplatform.eu/our-work/the-state-of-oral-health-in-europe/ Prevalence of caries in primary teeth (dft) among … The Hall technique of placing stainless steel crowns is one such example where the occlusion is left high. Research has shown that once the marginal ridge of a primary molar has broken away, the pulp of the tooth is significantly inflamed (Fig. Consequently, lower levels of evidence are used to support different techniques. Treatment decisions ought to be based on sound scientific evidence but, unfortunately, despite the great effort that has been made providing treatment over many years, little in the way of resources has been spent on clinical research into the success or otherwise of dental treatment methods. The majority of published studies show that class II amalgam or glass ionomer restorations in primary teeth have a poor life expectancy, but this is not the experience of the careful dentist. Subsequent visits will invariably start with a simple visit using local anaesthetic (e.g. The fact that the treatment of approximal caries can cause damage to the affected tooth, the adjacent tooth, the periodontium, and the occlusion is a valid reason to think twice before putting bur to tooth. This decision should take into account the following: 1. By registering, I agree to receive emails from Oral-B and other trusted P&G brands and programs. Virtually impossible to avoid damaging the interdental papillae when treating an approximal lesion that the adjacent has. Dentinal caries is evident when these are examined using BW radiographs really in the carious tissue and restoration of child. 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