9.14 SUMMARY
- A full preventive programme, to attempt to treat the cause of the caries, must
accompany any restorative treatment. - Utilize rubber dam if at all possible prior to the restoration of all teeth.
- Early treatment of occlusal surface caries saves tooth tissue but with early
approximal lesions use remineralization wherever the lesion has not reached the
dentine. - Consideration should be given to pulp preservation in deep lesions in immature
permanent teeth. - Hypomineralized first molars deteriorate rapidly, can be extremely sensitive and
require early treatment - New materials and technologies constantly appear for evaluation. Treat with
caution until long-term clinical trial results verify the claims of the initial researchers.
9.15 FURTHER READING
Kidd, E. A. M., Smith, B. G. N., and Watson, T. F. (2003). Pickard's manual of
operative dentistry, (8th edn). Oxford Medical Publications, Oxford University Press,
Oxford. (A very full and informative guide to restoration of permanent teeth.)
Reid J. S., Challis, P. D., and Patterson, C. J. W. (1991). Rubber dam in clinical
practice. Quintessence, London. (This provides a guide to the simple use of rubber
dam.)
9.16 REFERENCES
Fayle, S. A. (2003). Molar Incisor Hypomineralisation: restorative management.
511HEuropean Journal of Paediatric Dentistry, 4 (3), 121-6.
Harley, K. E. and Ibbetson, R. J. (1993). Dental anomalies: are adhesive castings the
solution? 512HBritish Dental Journal, 174 , 15-22.
Nunn, J. H., Murray, J. J., and Smallridge, J. (2000). British Society of Paediatric
Dentistry: a policy document on fissure sealants in paediatric dentistry. 513HInternational
Journal Paediatric Dentistry, 10 (2), 174-7.
Pitts, N. B., Boyles, J., Nugent, Z. J., Thomas, N., Pine, C. M. (2004). The dental
caries experience of 14-year-old children in England and Wales. Surveys co-ordinated
by the British Association for the Study of Community Dentistry in 2002/2003.
514HCommunity Dental Health, 21 (1), 45-57.
Rugg-Gunn, A. J., Welbury, R. R., and Toumba, J. (2000). BSPD Policy Document:
A policy document on the use of amalgam in paediatric dentistry. International.
Journal of Paediatric Dentistry, 11 , 233-8.