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1.restorative complex index Following consultation with a wide range of clinicians and others, an outline framework for the index was developed and comprised three main components: 1. Patient identified need for treatment: the data from the patient perceived need questionnaire were inconclusive; 2. Complexity of

treatment (assessed by clinicians): this was found to be a practical tool capable of being used by a range of dentists. A booklet has been produced which describes the process of using the scoring system; 3. Priority for treatment (assessed by clinicians): three levels of priority were identified; the highest priority was assigned to patients with inherited or developmental defects that justify complex care (eg clefts of the lip and palate). The initial development of the index has had some success in a difficult area. The treatment complexity component

is the most developed and may allow both referrers and commissioners of

specialist restorative dentistry to determine appropriate use of skilled clinicians' expertise.refrence bdj 4.Stepwise excavationStepwise excavation differs from the classical excavation of caries . Only the necrotic layer of dentine is removed at the first visit and the remaining soft, infected dentine is covered with calcium hydroxide or zinc oxide and eugenol before placing a temporary restoration. After a period of weeks, cavities are reopened and further excavation carried out prior to a definitive restoration. The logic of this approach is that sealing the infected dentine from the mouth allows the pulp–dentine complex to lay down reparative dentine and tubular sclerosis to occur. On re-entry and further excavation, exposure is less likely. Where the stepwise approach has been compared to conventional complete excavation, controlled trials have shown more pulpal exposure in the latter group. This procedure should be considered where a tooth is vital, has no symptoms of irreversible pulpitis, and a pulp exposure seems likely after examination of the radiograph.refrence pickardregards khalil raziq From: anusha.mandadi@...Date: Mon, 28 May 2012 10:01:40 +0000Subject: part 1 feedback questions

1.restirative complex index???

2.which restoration is used in tooth with amalgam nayar core???

3.little cavity in mesial of upper first molar.how do you acess???

4.step wise excavation

thanks in advance

Anu

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Which is most abrassion resistence

Cement?

------------------------------

On Mon, May 28, 2012 03:01 PDT Anusha wrote:

>1.restirative complex index???

>2.which restoration is used in tooth with amalgam nayar core???

>3.little cavity in mesial of upper first molar.how do you acess???

>4.step wise excavation

>

>thanks in advance

>Anu

>

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What r the options for all d ques? If u have, pl post themSent from my iPhoneOn May 28, 2012, at 12:45 PM, salina aktar <salina_cmc@...> wrote:

Which is most abrassion resistence

Cement?

------------------------------

On Mon, May 28, 2012 03:01 PDT Anusha wrote:

>1.restirative complex index???

>2.which restoration is used in tooth with amalgam nayar core???

>3.little cavity in mesial of upper first molar.how do you acess???

>4.step wise excavation

>

>thanks in advance

>Anu

>

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Sorry anar

There is no option provided

.i got this in feedback qurstion.

Cheers

salina

------------------------------

On Mon, May 28, 2012 08:25 PDT Anar wrote:

>What r the options for all d ques? If u have, pl post them

>

>Sent from my iPhone

>

>On May 28, 2012, at 12:45 PM, salina aktar <salina_cmc@...> wrote:

>

>>

>>

>> Which is most abrassion resistence

>> Cement?

>>

>> ------------------------------

>> On Mon, May 28, 2012 03:01 PDT Anusha wrote:

>>

>> >1.restirative complex index???

>> >2.which restoration is used in tooth with amalgam nayar core???

>> >3.little cavity in mesial of upper first molar.how do you acess???

>> >4.step wise excavation

>> >

>> >thanks in advance

>> >Anu

>> >

>>

>>

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