1.Irreversible pulpitis with symptomatic apical periodontitis on tooth 12

2.ICDAS 03: 47(OB)

ICDAS 04: 14(D), 13(D), 21(M)

ICDAS 05:11 (M)

ICDAS 06:12 (M)

ICDAS 34:21 (D),22 (P),46 (L)

ICDAS 75: 45 (O)

ICDAS 02:

17(OB), 16(OB),13(M), 27(O),37(O),36(O),35(O),46(B)

Possible treatment options

1 a)RCT on tooth 12

b)Extraction

c)

2a)CR restoration

b) topical fluoride

c)

Treatment plan

1) ohi and diet counselling

2) scaling and polishing

3) topical fluoride

ICDAS 02:

17(OB), 16(OB),13(M), 27(O),37(O),36(O),35(O),46(B)

4) Refer RCT on tooth 12

5) Restoration

ICDAS 03: 47(OB)

ICDAS 04: 14(D), 13(D), 21(M)

ICDAS 05:11 (M)

ICDAS 06:12 (M)

ICDAS 34:21 (D),22 (P),46 (L)

ICDAS 75: 45 (O)

6) Review 3/12

1. Multiple carious lesion ICDAS 02 on tooth 13 (M), 16 (BO), 17 (BO), 27 (O), 35 (O), 36(O), 37 (O), 46 (B) , ICDAS 03 on tooth 47 (OB) , ICDAS 04 on tooth 14 (d) , 13 (d), 21 (d) , ICDAS 05 on tooth 11 (M) , ICDAS 06 on tooth 12 (M) , ICDAS 34 on tooth 21 (d), 22 (P) , 46 ( L) , ICDAS 75 on tooth 45 (o)

2. Irreversible pulpitis

3. Symptomatic apical periodontits

POSSIBLE TREATMENT OPTIONS

1. a) Topical fluoride for tooth with ICDAS 02

   b)

   c)

2. a)

   b)

   c)

3. a)

   b)

   c)

TREATMENT PLAN

1. OHI and Diet Counseling

2. Scaling and polishing

3. Topical Fluoride for ICDAS 02

4. RCT

5. Restoration for ICDAS 03,04,05 and 06

1. Generalized gingivitis

2. Caries with ICDAS 02 on 17(OB), 16(OB), 13(M), 27(O), 37(O), 36(O), 35(O), 46 (B)

3. Caries lesion with

   ICDAS 03 - 47 (OB)

   ICDAS 04 - 14, (D), 13 (D), 21 (M)

   ICDAS 34 - 21 (D), 22 (P), 46 (L)

   ICDAS 05 - 11 (M)

   ICDAS 75 - 45 (O)

   ICDAS 06 - 21 (M)

4. irreversible pulpitis on tooth 12

5. 
   

POSSIBLE TREATMENT OPTIONS

1. OHI, diet counseling

2. Topical fluoride or fissure sealant on tooth ICDAS 02

3. CR or Gic Restoration (depends)

4. RCT or extraction

TREATMENT PLAN

1. OHI & diet counselling

2. Scalling & Prohpylaxis

3. Topical Fluoride or fissure sealant on ICDAS 02 (depends)

4. Repair or replace secondary caries and broken restoration

5. RCT/extraction on 12 ( refer to senior/specialist )

6. Composite Restoration for tooth ICDAS 03 04

7. Review 3/12 - high caries risk

1. Irreversible pulpitis with symptomatic apical periodontitis on tooth 12

2. Multiple carious lesion

   ICDAS 02 - 13 (M), 16 (BO), 17 (BO), 27 (O), 35 (O), 36(O), 37 (O), 46 (B)

   ICDAS 03 - 47 (OB)

   ICDAS 04 - 14, (D), 13 (D), 21 (M)

   ICDAS 34 - 21 (D), 22 (P), 46 (L)

   ICDAS 05 - 11 (M)

   ICDAS 75 - 45 (O)

   ICDAS 06 - 12 (M)

3. 
   

POSSIBLE TREATMENT OPTIONS

1. a) RCT on tooth 12

   b) Extraction

   c)

2. a) CR restoration

   b) Topical fluoride and fissure sealant

   c)

3. a)

   b)

   c)

TREATMENT PLAN

1. OHI and diet counseling

2. Scaling and polishing

3. Restoration for ICDAS *5, *4 and ICDAS 03

4. Topical fluoride for ICDAS 02

5. RCT on tooth 12