Caries Management

Diagram

                                   Tooth

                                    Acid

                        Bacteria          Sugar

Types of Decay

Chewing surface grooves  --

can decay when bacteria are allowed to thrive in the natural grooves of the teeth. “Sealants can fill in those grooves eliminating this hiding place for bacteria

Smooth –

surface decay can occur on the sides and in between teeth where the toothbrush and floss can reach. Usually this kind of decay happens only when brushing habits are not thorough and daily

Root –

surface decay can occur when gum tissue recedes and exposes amore susceptible part of the tooth. Root is not covered by enamel. The “dentine” surface here is 7 times softer than enamel and therefore much more susceptible to decay.

What are the Risk Factors?

High levels of specific bacteria left on teeth

Dry mouth

Diet containing refined sugars (soda, sweet, juices, sport drinks)

• Deep pits and grooves in the enamel  -- genetically determined
• Fluoride exposure dependent

Defective enamel (outer layer)  -- Genetics

Exposed Root Surfaces – Aggression over brushing

Caries Prevention

 Exam and Diagnosis – If you have cavities, we know you have bacteria that cause decay. 

You are at risk for further breakdowns.

 Treatment Options 

Restorations

Sealants/Preventative Restorations

Antibacterial Rinses

Fluoride Vanishes