|
A 36 years old, male, Malay
Complaint: Food stuck on the lower right posterior tooth associated with no pain Pulp test: Normal response Diagnosis: ICDAS code 5 with risk of pulp exposure
|
A 14 years old, Malay, boy
Complaint: Cavitated lesion on lower right posterior tooth (47) associated with no pain Pulp test: Normal respond Diagnosis: ICDAS code 5 with risk of pulp exposure
|
An 8 years old, Malay, girl
Complaint: Uncomfortable during eating on lower right posterior tooth (84) Pulp test: Normal response Diagnosis: ICDAS code 5 with risk of pulp exposure
|
| Based on the case, what would be your treatment option? |
Percentage (%) |
Frequency |
Percentage (%) |
Frequency |
Percentage (%) |
Frequency |
| Total caries removal ≥ pulp exposure ≥ pulp extirpation ≥ permanent restoration |
0.9 |
3 |
3.6 |
11 |
3.6 |
11 |
| Total caries removal ≥ pulp exposure ≥ pulp extirpation ≥ temporary restoration |
8.5 |
26 |
4.9 |
15 |
1.6 |
5 |
| Total caries removal ≥ pulp exposure ≥ direct pulp capping ≥ permanent restoration |
31.6 |
96 |
25.4 |
77 |
7.5 |
23 |
| Total caries removal ≥ pulp exposure≥ direct pulp capping ≥ temporary restoration |
0 |
0 |
10.5 |
32 |
6.9 |
21 |
| Total caries removal ≥ pulp exposure ≥ pulpotomy ≥ permanent restoration |
1.6 |
5 |
5.9 |
18 |
30.6 |
93 |
| Total caries removal ≥ pulp exposure ≥ pulpotomy ≥ temporary restoration |
3.9 |
12 |
4.9 |
15 |
14.8 |
45 |
| Stepwise excavation ≥ indirect pulp capping ≥ temporary restoration ≥ finish the caries removal a few weeks or months later |
33 |
100 |
26.7 |
81 |
8.5 |
26 |
| Partial caries removal ≥ indirect pulp capping ≥ permanent restoration |
19.8 |
60 |
17.4 |
53 |
10.5 |
32 |
| Seal with a crown using Hall technique without removing caries |
0 |
0 |
0.3 |
1 |
10.8 |
33 |
| Nonrestorative cavity control ≥ apply fluoride |
0.3 |
1 |
0 |
0 |
0.9 |
3 |
| Extraction or review with extraction if pain or infection |
0 |
0 |
0 |
0 |
3.6 |
11 |
| Material preferred in deep caries management |
Percentage (%) |
Frequency |
| Amalgam |
6.6 |
20 |
| Cavit |
1.7 |
5 |
| Compomer |
1.0 |
2 |
| Composite |
41.7 |
127 |
| Glass Ionomer cement |
23.3 |
71 |
| Giomer |
0.4 |
1 |
| Intermediate restorative material |
7.6 |
23 |
| Resin modified glass ionomer cement |
4.7 |
14 |
| Zinc-oxide eugenol |
13.1 |
40 |
