Deciduous Teeth
Meaning: Latin, to fall off or are shed
Nick names
Milk teeth, temporary teeth
70 Year-Old Person
91% life chewing on permanent teeth
6% life chewing on primary teeth
Primary Teeth
Incisors: Functional ~5 years
Molars: Functional ~9 years
Prevent:
Maintain:
Good mastication
Aesthetics
Overall well-being
Cost
Patient co-operation/behaviour
Moisture control & haemostasis
Lack of restorative options for mandibular
incisors
Lack of scientific literature concerning
success rates
Pulp:
larger, higher pulp horns
Increased risk of pulpal exposure during preparation or
carious excavation
Dentin
Decreased etching time recommended (15 sec)
Enamel
Prismless layer resists etching, remove with diamond
Increase surface area with dovetails & bevels
Prevention
Cornerstone of good dental caries management
History Taking
Fundamental to execution of restorative care
Communication Skills
Essential in obtaining childs cooperation
1.
2.
Caries-risk assessment
3.
4.
5.
6.
Best Restore
Most durable?
Most conservative?
Least technique sensitive?
Most esthetic?
Intracoronal Restoration
Class V
Class III
Other
Disking
ART
Composite Resins:
Best strength, wear resistance, esthetics, colour
Most technique-sensitive, intolerant of moisture
and/or hemorrhage
Compomers:
Similar characteristics to composite and esthetics
Some fluoride release, little more moisture
tolerant
Glass ionomers
Self curing, high Fl- release
Chemical bond, somewhat tolerant of moisture
Class V
Prep: beyond cervical decalcifiactions, undercuts
Class III
Prep: conservative in depth, attention to detail
Small, slot preps not adequate
Mand incisorssmall, location of pulp chamber
Better option: disking
Advantage:
quick & successful with little tooth structure
place in presence of blood, saliva
crimp margin
Disadvantage: esthetics
Parents: may prefer extraction vs SSCs
Resin-veneered SSCs
Composite resins/thermoplastics bonded to SSCs
More esthetically pleasing, less chair-time
Disking
Conservative, early stages of decay
Excellent option for mandibular incisors
usually no LA required
Fluoride application when complete
material
Clinicians:
Inform and motivate parents/guardians to
Resin-based composites:
GI or RMGIs:
Full-coverage crowns