Exam questionKROK 2Dentistry ยท 2019
A 20-year-old pregnant woman with the term of 22 weeks complains of thermal sensitivity of her upper front teeth. The sensitivity developed one month ago. She was diagnosed with acute initial caries of teeth 12, 11, 21, 22, Black class V Fedorov-Volodkina hygiene index is 1.8. What treatment tactics would be optimal in this case?
Answer options
- Remineralizing therapy and filling of 12, 11, 21, 22 teeth
- Professional teeth cleaning, remineralizing therapy and filling of 12, 11, 21, 22 teeth
- Postpone treatment until 30 weeks of gestation
- Professional teeth cleaning and remineralizing therapy
- Professional teeth cleaning and filling of 12, 11, 21, 22 teeth
Correct answer
Professional teeth cleaning and remineralizing therapy
Explanation
Solution algorithm: Pay attention to the diagnosis. In acute initial caries, subsurface demineralization occurs, without the formation of a defect in hard tissues.Note the GI = 1.8, which indicates satisfactory oral hygiene.Pay attention to the localization of the lesions. The lesions are located in the cervical region, which indicates the presence of Black Class V caries.
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