Treatment of early smooth surface lesions (initial caries)

Date: 2015-10-07; view: 574.

Topicality.

Lecture 3. Treatment of dental caries in children.

Dental caries is still one of the most prevalent pathological conditions in the child population of most countries. Successful management of decay in very young children presents the dentist with a number of significant challenges. At the same time there are many peculiarities of treatment of caries in children. They are determined by morphologic features of child's teeth in different age periods and behavior peculiarities of little children. Thus it is necessary to be able to treat this disease correctly in different cases.

Objective: teach to treatment of dental caries of deciduous and permanent teeth in children.

Plan of lecture:

1. Treatment of early smooth surface lesions (initial caries).

2. Morphologic considerations

3. Restorative materials

4. Basic principles in the preparation of cavities in primary teeth

5. Cavity preparation in primary teeth

6. Alternative restorative treatment

7. Treatment of the deep carious lesion

The basic method of treatment of initial caries is remineralization. The rate of caries progression is usually slow but can be rapid in some individuals, particularly younger children. In general, the older the child is at diagnosis of a carious lesion, the slower the progress of the lesion is, assuming constancy of other risk factors. The remineralized tissue of early caries is less susceptible to further caries.

The remineralization sources available are:

- fluoride rinsing,

- fluoride varnishing,

- fluoride gels,

- remedies for deep fluorization (deep-penetration fluoride Tiefenfluorid^®
(Humanchemie)),

- gels with calcium (casein-phosphopeptide amorphous calcium phosphate Toothmousse (GC) and others),

- oral hygiene measures.

Treatment of superficial, medium and deep caries lesions need operative approach. The peculiarities of temporary and young permanent teeth must be taken into account.