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  • Management of FPM On Chairside Based On Their Caries Risk and Caries Lesions and Activity

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    Nur Kamaliah
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    This document provides clinical management recommendations for dental caries based on patient risk level and lesion activity. For patients at high risk, it recommends placing sealants on all first molar pits and fissures as soon as eruption, checking sealant integrity at every visit, and applying fluoride varnish. For low risk patients, it also recommends sealants on molar pits and fissures after eruption with fluoride varnish. It further outlines caries lesion management based on extent and activity, ranging from sealants and fluoride for initial inactive lesions to more extensive treatment for active lesions.

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    Management of FPM

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    This document provides clinical management recommendations for dental caries based on patient risk level and lesion activity. For patients at high risk, it recommends placing sealants on all first molar pits and fissures as soon as eruption, checking sealant integrity at every visit, and applying fluoride varnish. For low risk patients, it also recommends sealants on molar pits and fissures after eruption with fluoride varnish. It further outlines caries lesion management based on extent and activity, ranging from sealants and fluoride for initial inactive lesions to more extensive treatment for active lesions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    11 views2 pages

    Management of FPM On Chairside Based On Their Caries Risk and Caries Lesions and Activity

    Uploaded by

    Nur Kamaliah
    This document provides clinical management recommendations for dental caries based on patient risk level and lesion activity. For patients at high risk, it recommends placing sealants on all first molar pits and fissures as soon as eruption, checking sealant integrity at every visit, and applying fluoride varnish. For low risk patients, it also recommends sealants on molar pits and fissures after eruption with fluoride varnish. It further outlines caries lesion management based on extent and activity, ranging from sealants and fluoride for initial inactive lesions to more extensive treatment for active lesions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Management of FPM on chairside based on their caries risk and caries lesions and

    activity

    Caries Risk Management

    Clinical approach:
    - Place sealant in all pits & fissure of first permanent
    molars as soon as tooth eruption (use GIC on
    uncooperative patient & ensure fluoride varnish
    application is optimal)
    - Check integrity of sealant every visit
    High - Top up worn out or damaged sealant
    - If unable to put sealant, ensure fluoride varnish
    application is optimal & attempt again as cooperation
    improved
    - Use GIC for partially erupted tooth
    - Fissure seal pits of upper lateral permanent incisor,
    occlusal & palatal surface of Ds, first & second
    permanent molars.

    Homecare approach:
    - Brush twice daily
    - Use toothpaste containing 1350-1500 ppm of fluoride

    Review every 3-6 months

    - Place sealant in all pits & fissure of first permanent


    molars as soon as tooth eruption, ensure buccal &
    palatal fissures are sealed. (use GIC on uncooperative
    Low patient & ensure fluoride varnish application is
    optimal)
    - Check integrity of sealant every visit
    - Top up worn out or damaged sealant

    Homecare approach:
    - Brush twice daily
    - Use toothpaste containing 1000-1500 ppm of fluoride

    Review every 6-12 months


    Caries lesion & activity by tooth Management
    surface

    Extensive active caries lesion - Stepwise caries removal


    - Temporise
    - Restore with permanent restoration & seal
    remaining fissures

    Moderate active caries lesion - Total/selective caries removal


    - Restore with permanent restoration & seal
    remaining fissures

    Initial active caries lesion - Fissure sealant


    - Topical fluoride application

    Extensive inactive caries lesion - Tooth preserving operative care if lesion is in


    plaque stagnation area

    Moderate inactive caries lesion - Tooth preserving operative care if lesion is in


    plaque stagnation area

    Initial inactive caries lesion - Fissure sealant

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