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3.5 Alternatives to Restorative Care
Occasionally, restorative care should take a back seat to other approaches. One of these is disking of caries in anterior teeth. In situations where teeth are near exfoliation, when treatment is not possible, or for isolated lesions, disking can be quick and effective. A spaced dentition offers the ability to clean surfaces and thus reduce the likelihood of caries. The procedure is simple. Using a diamond or straight fissure bur, the contact is broken. The superficial carious enamel is removed, and access for toothbrushing is created. Remineralization is now possible, and the area can be covered with fluoride varnish if desired. Delaying Treatment It is important not to provide treatment that is more damaging than the disease being treated. The impact of treatment (including the emotional impact) on the child, family, and dental office staff must be taken into account. For example, if a very small carious lesion is detected using transillumination on an extremely anxious child with otherwise healthy teeth, it may be better to delay treatment. A clear explanation of the advantages and disadvantages of delaying treatment can lead to a decision that is in the best interests of everyone involved. Photo reproduced with permission from William L. Chambers, D.D.S. |
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