Fissure sealants 1. List the various types of fissure sealants.

(a) Conventional Glass ionomer (b) RMGI (c) Resin filled, unfilled

2. Describe the technique for fissure sealant placement.

Pulp 1. Discuss the diagnosis of different pulp states. 1. Class I [Assymptomatic, vital] 2. Class II [mild reversible pulpitis, caries or leking restorations] 3. Class III [severe irreversible pupitis, spontaneous pain at night, heta leads to pain increase] {IIIa- Normal bright red blood, IIIb-little to no blood} 4. Class IV [non-vital, necrotic pulp] 2. Discuss techniques and medications used in pulp therapy in primary and young permanent teeth. Primary teeth IPTVital class i/ii Very deep carious lesions 1. LA 2. Remove lateral caries 3. Remove caries at floor (leave affected dentine) 4. Apply SnF2 (optionall) 5. Ca(OH)2 6. Place GI restoration 7. No need to re-enter Permanent teeth IPCVital class i/ii Very deep carious lesions 1. LA 2. Remove lateral caries 3. Remove caries at floor (leave affected dentine) 4. Apply SnF2 (optionall) 5. Ca(OH)2 6. Temp 7. Leave for 6-8 weeks 8. Reassess and repeat if

necessary If dentine hard place permanent restoration DPC Non-symptomatic small traumatic pulp exposure that happened in a few hours Dycal, life, Ca(OH)2 over exposure areas Pulpotomy Indications ( Class I, II or IIIa pulp) Contraindications (Dark/no blood, gum boil, uncontrolled bleeding, swelling/ cellutiis, marked mobility and percussion sensitivity, immune compromised ptnt, internal resorbtion, pulp stones, radiolucency in furcation areas) Different techniques (devitalization- FC, electrocautery; preservation- FS, gluteraldehyde; Regenerative- CH, BMP, MTA, freeze dried bone) Basic technique 1. LA 2. Remove lateral caries 3. Remove entire contents of pulp chamber 4. Place medicament (FC, FS, ) 5. ZOE 6. Amalgam FS technique 1. LA 2. Remove lateral caries 3. Remove contents of pulp chamber and amputate pulp at stumps 4. Evaluate bleeding [bright red- pulpotomy; dark red/no blood- pulpectomy] 5. Bring bleeding under control with damp cotton

6. 7. 8. 9.

pellets Use astrigident with friction for 15 sec ZOE Permanent Ag Post op radiograph

2-visit devitilising pulpotomy used when (no time, cooperation, inadequate LA) Technique 1. 2. 3. 4. 5. Enlarge exposure as much as possible Place caustinerf over exposure Cotton pellet and temp Leave for 1 week (3-weeks max) Next visit coronal amputation

Pulpectomy Indications (Non-vital= Class III (b)/ IV, Gumboil, Mobile, Uncontrolled bleeding, Pathology on x-rays) Contra-Indications (Tooth cant be restored. > third of root lost, Caries penetrated floor of pulp Chamber, Crowding, Cellulitis (ABs NB), Immune comprom. pts, Uncooperative patient) Technique (2-visits) 1. Pre-op x-ray 2. Remove caries 3. Gain access to root canals 4. Length determination (2mm short of apex ) 5. File 6. Irrigate with Chx 7. Dry canals with paper points 8. Medicatment 9. Temp 2nd visit 1. Dry-canals ZOE with Ag 2. Moist canlas KRI (2%parachlorophenol, 5% camphor and 1% menthol ) 3. Ag restoration

2. Differentiate between pulp therapy for the primary dentition and pulp therapy for the permanent dentition. Anomalies 1. List and describe common hard tissue anomalies in children. 2. Discuss the management of these lesions. 3. Discuss the signs and symptoms of teething. Trauma 1. 2. 3. 4. Discuss the aetiology, classification, and treatment of trauma to primary teeth. Discuss the management of trauma in primary teeth. Discuss the aetiology, classification, and treatment of trauma to young permanent teeth. Discuss the management of trauma in young permanent teeth in the paediatric patient.

Clinical prevention (Fluoride) 1. Discuss mechanisms of action of the different fluoride preparations. 2. Discuss the selection of fluoride preparations for the different age groups. Sedation GA