CERVICAL CARIES

CERVICAL CARIES

1. area often missed by brushing

2. Plaque retentive area

3. 1st step should be OH

4. Sign of high caries risk - prevention before any restorative work

5. WHEN TO INTERVENE

   • Cavitation does not always require rest
     • May be self cleansing
   • Intervene if the pulp is threatened
     • Cavity is unsighlty and hinders plaque control

6. CAVITY DESIGN

   • No retentive features - adhesive materials
   • Keep minimal - remove carious tissue only

7. CLINICAL TECHNIQUE

   • Rubber dam for isolation and retraction of gingivae
   • Keep cavity min - etch, prime and bond
   • Restore with comp resin
   • PROBLEMS THAT MAY ARISE
   • access, isolation and moisture control

8. ROOST SURFACE CARIES

   • Common in elderly patients
   • RS exposed due to recession
   • Can spread rapidly as its straight into dentine
   • Elderly keeping teeth longer - common

9. PRIMARY RS CARIES

   • Lesions on RS before ECJ
   • No involvement with enamel or adjacent rest
   • SECONDARY RS CARIES
     • Caries adjacent to or around exsisting rest

10. RISK FACTORS