Restorative Techniques in Paediatric Dentistry

Restorative Techniques in Paediatric Dentistry......Page 1
Contents......Page 3
Foreword......Page 4
Acknowledgements......Page 5
Quality care for children......Page 6
Philosophy of treatment planning......Page 8
Dental caries assessment......Page 9
Dental charting......Page 11
Radiographs......Page 12
Choice of restoration......Page 14
Rubber dam......Page 16
Heart conditions and immunosuppression......Page 17
Examples......Page 18
Introduction......Page 19
Armamentarium......Page 21
Preparation of the child for local analgesia......Page 22
Infiltration analgesia......Page 23
Maxillary molar block......Page 24
Intrapapillary injection......Page 26
Indirect palatal injection......Page 27
Inferior dental block......Page 29
Intraligamental techniques......Page 31
3 Rubber Dam......Page 33
Armamentarium......Page 34
Preparation of the child patient for rubber dam......Page 36
Single molar isolation......Page 37
Quadrant isolation: the trough technique......Page 41
Additional retention......Page 43
Upper incisor teeth......Page 44
A. THE PULPOTOMY TECHNIQUE......Page 49
Diagnosis......Page 50
Medical contraindications......Page 55
Step 1: Administer local analgesia with the use of a topical analgesic......Page 56
Step 4: Remove roof of pulp chamber......Page 57
Step 5: Remove coronal pulp with a large excavator or a large round bur......Page 58
Step 7: Remove formocresol pledget after four minutes and check that the haemorrhage has stopped......Page 59
Step 9: Restore the tooth with a stainless steel crown......Page 60
Follow-up......Page 61
Mechanism of action of formocresol......Page 62
Ferric sulphate......Page 63
Glutaraldehyde......Page 64
B. THE PULPECTOMY TECHNIQUE......Page 65
Indications for pulpectomy......Page 66
Root canal filling material for pulpectomy in primary teeth......Page 68
One-stage pulpectomy: step-by-step technique......Page 69
Step 2: Remove caries and identify exposure site......Page 70
Step 4: Take a diagnostic radiograph with files in the root canals......Page 71
Step 6: Dry root canals with paper points and place a pledget of formocresol in the pulp chamber for four minutes......Page 72
Step 8: Mix zinc oxide and eugenol as a slurry, and spin it into the root canals using the spiral root canal filler......Page 73
Follow-up......Page 74
Other examples of root fillings in primary molars......Page 76
Is a spiral root filler the best instrument for root filling?......Page 78
Stage I/Visit I: Emergency management of the acute abscess......Page 79
Reported success rates for primary tooth pulpectomies......Page 80
5 Stainless Steel Crowns for Primary Molars......Page 81
Indications for stainless steel crowns......Page 82
Step-by-step technique for fitting stainless steel crowns......Page 85
Step 1: Local analgesia and rubber dam......Page 86
Step 3: Reduction of mesial and distal proximal surfaces......Page 87
Step 4: Round-off sharp edges and make a final check of the preparation......Page 88
Step 5: Select a crown for a trial fit......Page 89
Step 6: Adjust the crown if required......Page 90
Step 7: Crimp the crown margins......Page 91
Step 8: Cement the crown on the tooth with polycarboxylate cement......Page 92
Step 10: Make a final check of completed restoration......Page 93
Loss of space......Page 94
Parents’ concern about aesthetics......Page 96
Success rates of stainless steel crowns compared with other restorations in primary molars......Page 97
Completing both pulpotomy and stainless steel crown in the same visit......Page 98
Materials......Page 101
Discussion......Page 108
7 Plastic Restorations for Primary Teeth......Page 109
Technique......Page 110
One-surface restorations......Page 111
Two-surface restorations......Page 114
A. RESTORATION OF PROXIMAL CARIES IN THE SECOND PRIMARY MOLAR......Page 116
B. RESTORATION OF PROXIMAL CARIES IN ADJACENT FIRST AND SECOND PRIMARY MOLARS......Page 120
LABIAL RESTORATIONS USING COMPOSITES AND COMPOMERS......Page 122
Past dental history......Page 124
Radiographic assessment......Page 125
Treatment plan......Page 126
Behaviour assessment......Page 130
Treatment plan......Page 132
Preventive assessment......Page 136
Treatment plan......Page 138
The pulpotomy technique......Page 142
The pulpectomy technique......Page 143
Stainless steel crowns for primary molars......Page 144
Plastic restorations for primary teeth......Page 145
Index......Page 146