Should primary teeth be restored?

Properly restored primary teeth help to prevent the spread of infection and maintain space for the permanent dentition. Primary molars are important space maintainers and early loss of these teeth may lead to the permanent molar encroaching into the space and subsequent malocclusion.

What is selective caries removal?

Selective Caries Removal: The periphery of the cavity is cleaned to hard dentin, while pulpally as much carious tissue is removed while avoiding pulp exposure (leaving softened dentin if necessary) and removing enough tissue to place a durable restoration.

Does incomplete caries removal reduce strength of restored teeth?

The fracture strength of teeth restored over incomplete caries excavation was significantly reduced, possibly resulting in long-term clinical failure.

Are dentinal lesions reversible?

The mineral loss from dental hard tissues (enamel and dentine) caused by these bacteria is usually reversible, with mineral supply from dental saliva leading to remineralisation.

Why do we treat primary teeth?

Here are some of the most important reasons to treat and maintain primary teeth. Cavities can quickly spread through primary teeth because of their small size. Untreated, these issues can lead to infections or abscesses, which may damage the permanent teeth developing underneath.

What is partial caries removal?

‐ Partial caries removal ‐ the dentist removes part of the dentinal caries and seals what is left into the tooth permanently. ‐ No dentinal caries removal ‐ no dentinal caries is removed before sealing or restoring.

What is stepwise caries removal?

The stepwise caries removal is a two step procedure. The first step is similar to selective caries removal to soft dentin group. In the second step, after 6 months lesion will be re-entered to remove remaining carious tissue till firm dentin is encountered.

At what stage is caries reversible?

Stage 1: White Spots At this phase, tooth decay might still be reversible with the proper treatment––which should be discussed with your dental professional, such as using appropriate brushing technique, a fluoride toothpaste, and applying a topical fluoride treatment.

When do primary teeth fall out?

At what age do children start losing their baby teeth? Answer From Miao Xian (Cindy) Zhou, D.M.D., M.S. A child’s baby teeth (primary teeth) typically begin to loosen and fall out to make room for permanent teeth at about age 6. However, sometimes this can be delayed by as much as a year.

What is considered a primary tooth?

Primary teeth are the official dental term for baby teeth. Primary teeth can also be called milk teeth and deciduous teeth. These are the first set of teeth that come in for a child and are the precursors the permanent adult teeth that come in during a child’s teen years.

How long will a pediatric dentist continue?

Despite having an extensive background and education focused on children’s dentistry, a pediatric dentist can continue to serve your child even after their 18th birthday! In fact, some children choose to continue to see their childhood dentist throughout college.

How many caries removal approaches are there in primary teeth?

Clinical evaluation of three caries removal approaches in primary teeth: a randomised controlled trial. Community Dent Health 2012; 29: 173–178.

What happens when prevention of dental caries fails?

When prevention of dental caries fails, and a child is exposed to the risk of pain and infection, the disease must be managed to reduce this risk. There is growing evidence supporting more ‘biological’ and fewer ‘surgical’ approaches to managing dental caries in primary teeth.

Is Hall technique effective for treatment of tooth caries?

Hall Technique may be an effective treatment modality for caries in primary molars. J Evid Based Dent Pract 2012; 12: 110–112. Hashim Nainar S M, Success of Hall Technique Crowns Questioned. Paediatr Dent 2012; 34: 103. Engel R J . Chrome Steel as Used in Children’s Dentistry. Chronicle of the Omaha District Dental Society 1950; 13: 255–258.

What are the advantages of biological methods of caries removal?

An overview of clinical trials comparing these biological methods to complete caries removal shows that they perform as well as traditional methods and have the advantage of reducing the incidence of iatrogenic pulpal exposures.