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