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Raising the Standard in Paediatric Dentistry: Isolation and Caries Removal Strategies

58 minutes 0.75 hrs CPD/CE

Dr Anna Macurová shows why absolute rubber dam isolation and selective caries removal are the foundation of predictable restorations in primary teeth. She adapts biomimetic protocols to the smaller safe zone and reduced bond strength of the paediatric dentition.

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Lecture preview A short clip from the full 58 minutes lecture
About this lecture

Raising the Standard in Paediatric Dentistry: Isolation and Caries Removal Strategies

Dr Anna Macurová presents a practical guide to the two foundations of high-quality restorations in primary teeth: absolute isolation and caries removal. She works through rubber dam setup in detail, from sheet and clamp selection to ligature placement, then demonstrates isolation across various scenarios, from split-dam and single-tooth approaches to multitooth isolation with individual perforations and full-arch isolation. She then compares the caries removal options and explains how to divide the cavity into a peripheral seal zone and a pulpal zone while distinguishing caries-infected from caries-affected dentin. Throughout, Dr Macurová highlights what makes primary teeth different from permanent teeth, and how biomimetic protocols can be adapted to respect these differences.

What you'll learn

Learning Aims & Objectives

Recognise why absolute isolation with rubber dam is essential for predictable adhesive bonding in primary teeth, and select the appropriate sheet, clamp and ligature setup for the paediatric patient.
Apply rubber dam isolation across the full range of clinical scenarios, including split-dam, single-tooth, multitooth with individual perforations, and full-arch isolation in both the anterior and posterior regions.
Understand the indications for non-selective and selective caries removal, and choose between them based on lesion depth, pulp status and radiographic findings.
Apply selective caries removal in primary teeth, distinguishing caries-infected from caries-affected dentin and respecting the smaller safe zone and reduced bond strength of the primary dentition.
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Your lecturer

Meet Dr Anna Macurová

Dr Anna Macurová

Dr Anna Macurová

Slovakia

Dr Anna Macurová graduated from the Faculty of Medicine at Palacký University Olomouc in 2016. In 2019, she completed certification in dentoalveolar surgery at the Jessenius Faculty of Medicine, Comenius University in Bratislava, where she continues her postgraduate studies. She previously worked as a Clinical Lecturer in Restorative and Paediatric Dentistry at the same institution. Currently, she practices at a…

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