Teeth for Life for Older Adults by P Finbarr Allen

Author:P Finbarr Allen
Language: deu
Format: epub
Publisher: Quintessence Publishing Co. Ltd.

Fig 5-3 Root caries on 35 and 36 prior to ART in the patient’s kitchen. (Courtesy of Dr C Dickinson)

Fig 5-4 Root caries lesions on 35 and 36 after ART in patient’s kitchen. (Courtesy of Dr C Dickinson)

Conventional caries removal: proximal and lingual lesions

Access to proximal lesions can present a challenge to the operator with respect to diagnosis and operative management, especially if the lesion lies in a furcal area. This may entail the removal of much healthy tissue to gain access to the lesion. Access may have to be gained via a buccal approach and it may be difficult to validate the efficacy of caries removal and restoration placement. This applies particularly for lower incisor teeth where removal of carious tissue from the approximal root surface has the potential to put the pulp at risk, the root dentine being very thin in this area.

Lingual lesions may also present an operative challenge owing to the presence of the tongue and the floor of the mouth (Fig 5-5). Such lesions can be associated in particular with poorly designed and maintained lower partial dentures (Fig 5-6).

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