Question 123 (part 2) · LDEK · Caries treatment
18-year-old patient referred to the dental office. Medical history revealed last visit to be a year ago. The patient suffers from type 1 diabetes. Clinical examination revealed approximal caries on distal surface of tooth 24 and white spots in the cervical areas of teeth 11, 12 21 and 22, visible without drying the teeth surface. White spots in the cervical areas are hard, without visible defects of enamel. Radiologic examination (bitewing X ray) revealed: cavity on distal surface of tooth 24, involving whole enamel and more than 1/3rd of dentin. Also, cavity of proximal surface of tooth 25, involving whole enamel and less than 1/3rd of dentin. Choose true statements regarding conservative treatment:
- A. invasive treatment (cavities preparation) of all of the mentioned teeth (11,12,21,22,24,25) and restoration with composite material; control visit in 8 months, radiologic re-examination in 12 months.
- B. invasive treatment of tooth 24 and restoration with composite material; oral hygiene-dietary instruction and clinical/radiologic examination of carious lesions in 6 months.
- C. invasive treatment of teeth 24 and 25 and restoration with composite material; infiltrative treatment of white spots of teeth 11,12,21 and 22; oral hygiene-dietary instruction; control visit in 3 months; radiologic re-examination in 6 months.
- D. invasive treatment of all of the mentioned teeth (11,12,21,22,24,25); restoration of teeth 24 and 25 with composite material and cervical cavities of teeth 11,12,21,22 with glass-ionomer material.
- E. prophylactic treatment (oral hygiene-dietary instruction, clinical/radiologic examination of carious lesions in 6 months) due to patient’s young age.
Hint
First decide the patient's caries-risk category, then match each lesion (depth, cavitation, location) to operative, micro-invasive or non-operative care and recall timing.
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