Restorative Dentistry: Therapy and Recommendations

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Questions and Answers

What is the primary goal of restorative therapy in the context of the provided information?

To maintain tooth vitality and eliminate areas susceptible to caries, preventing pulpal complications. (correct)
To extract teeth with pulpal exposure to prevent further complications.
To use amalgam for all restorations, regardless of local regulations or clinical judgment.
To replace all carious teeth with preformed metal crowns.

In which scenario is the use of preformed metal crowns most strongly recommended, according to the guidelines?

As a routine restoration option for all children undergoing dental treatment.
Restoration of small occlusal caries in permanent molars.
Single surface restorations in primary anterior teeth.
High-risk children with multi-surface or large cavitated lesions on primary molars. (correct)

According to the information, what materials are suitable for single-surface restorations in primary posterior teeth?

Only preformed metal crowns.
Glass ionomer and resin-modified glass ionomer restorative materials. (correct)
Only high viscosity glass ionomer cements.
Only dental amalgam.

What factors should providers consider when deciding to use dental amalgam for restorations?

Local regulations, clinical judgement, and shared decision-making with the patient. (A) Signup and view all the answers

In cases of permanent teeth with large carious lesions, what type of restoration could be considered as a semi-permanent solution?

Preformed metal crowns. (A) Signup and view all the answers

What is the role of atraumatic restorative treatment (ART) or interim therapeutic restorations (ITR)?

To control caries in uncooperative children or manage multiple open carious lesions. (D) Signup and view all the answers

What is presented as an aesthetic alternative to preformed metal crowns for restoring teeth?

Zirconia crowns. (A) Signup and view all the answers

Which of the following represents the MOST comprehensive approach to contemporary caries management in children?

Risk assessment, understanding the disease process, preventive services, and restorative treatment when indicated. (C) Signup and view all the answers

What is the PRIMARY purpose of restorative dentistry in children?

To maintain tooth structure, prevent infection spread, and prevent tooth shifting. (C) Signup and view all the answers

What is the potential RISK associated with restorative dental treatment?

Increased risk of tooth fracture and reduced tooth longevity. (D) Signup and view all the answers

Based on the provided context, which of the following is NOT a direct goal of restorative dentistry in primary teeth?

Eliminating all bacteria from the oral cavity. (C) Signup and view all the answers

A dentist is evaluating two restoration options for a large carious lesion in a primary molar of a 5-year-old. Option A is a traditional amalgam restoration, while Option B is an atraumatic restorative treatment (ART) using glass ionomer cement. According to Frencken et al. (2021), what should the dentist consider regarding the survival estimates of these treatments?

The survival rates of ART and traditional restorative treatments should be carefully considered based on the specific clinical situation and patient factors. (B) Signup and view all the answers

A pediatric dentist is determining the appropriate restorative material for a young patient. Considering the findings of Peric et al. (2021) regarding the bonding of glass-ionomer restorative materials to primary teeth, which factor would be MOST important in ensuring successful restoration?

Ensuring proper isolation and moisture control during placement. (A) Signup and view all the answers

According to Ortiz-Ruiz et al. (2020), what is an important factor to consider when using tooth-colored direct restorations in primary teeth?

The success rate of proximal tooth-colored direct restorations in primary teeth should be evaluated over time, considering factors that may affect their longevity. (D) Signup and view all the answers

A dentist is deciding between using a stainless steel crown (SSC) and a direct composite restoration for a large carious lesion on a permanent molar in a 10-year-old patient with special needs. Based on Sigal et al. (2020), which of the following statements best reflects a relevant consideration?

SSCs can be a suitable restoration option for permanent posterior teeth in patients with special needs, especially when cooperation for complex procedures is a concern. (B) Signup and view all the answers

Flashcards

Restorative Therapy

Therapy focused on maintaining tooth vitality and removing lesions.

ART/ITR

High viscosity glass ionomer cements used in atraumatic restorative treatment or interim therapeutic restorations.

Glass Ionomer & RMGI

Restorative materials used for single surface restorations in primary and permanent posterior teeth.