Table 2: Conservative treatment in geriatric dentistry.
|
Beforehand Implementation of adapted ± assisted hygienic care Complete descaling |
||
| Stages of progression -clinical forms | ||
| Stages 0 and 1 | Stages 2 and 3 | |
| Aim of treatment | ||
|
To prevent the carious lesions Interruption and/or remineralization of early lesions |
To close carious lesions while preserving dental tissues as much as possible |
|
| Preventive care | Curative care | |
| Protocol-materials | ||
| Brushing twice a day Soft manual or electric toothbrush (20/100e) + Fluoride toothpaste 1,100 ppm to 5,000 ppm |
Cleaning and drying teeth + Application of varnish, gel or mouthwash Fluorine at 22,600 ppm or Amorphous Calcium Phosphate or Chlorhexidine: 0.12% mouthwash or 1 or 2% gel |
Removal of infected dentin with a manual (excavator) or rotary (low speed) instrument + Disinfection of the affected dentine with chlorhexidine 0.12% + Isolation of the tooth from the saliva with or without a surgical drape + Conditioning of the cavity with 10% polyacrylic acid for 10 seconds, rinsing, gentle drying + Activation of the capsule/mixing of the glass ionomer cement (GIC) + Filling with the GIC, rapid sculpting +/- photopolymerization |
| Follow-up | ||
| Every day | Follow-up in 3 months, then 6 months, then annually | Follow-up every 3 months, then every 6 month |
Note: Stage 4-Objective = prevention of pain and infection (bite, abscess) - Treatment = extraction(s) according to the patient’s general health status.