Caries control

By Dr. Vishaal Bhat on Saturday 19 April 2008 with 0 comments




  • Eliminate seeding lesions
    • gross excavation, indirect pulp caps, ZOE
    • replace questionable restorations
  • Use active/therapeutic restorations
    • fluoride releasing materials
    • antibacterial properties
  • Eliminate susceptible areas
    • seal remaining pits/fissures
  • Diet modification
    • reduce carbohydrate
    • xylitol products
  • Reduce oral flora
    • Chlorhexidine treatment
    • increase personal oral hygiene
    • high dose APF(1.23%)- office applied (bactericidal)
  • More frequent recall
  • Induce remineralization - low dose daily F- home applied; rinses, dentifrice
  • Saliva analysis
    • buffering capacity (phosphate, bicarbonate)
    • clearance (quantity)
    • viscosity (quality)
  • Peridex after completion of caries control (1/2 oz rinse b.i.d. for 16 days)
  • S. mutans, lactobacillus culture on completion and recall

Category: Conservative and Endodontics Notes

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