scholarly journals Reversal of primary root caries lesions after daily intake of milk supplemented with fluoride and probiotic lactobacilli in older adults

BDJ ◽  
2012 ◽  
Vol 212 (5) ◽  
pp. 225-225
Keyword(s):  
Older Adults ◽  
Primary Root ◽  
Daily Intake ◽  
Root Caries ◽  
Probiotic Lactobacilli ◽  
Caries Lesions

Reversal of primary root caries lesions after daily intake of milk supplemented with fluoride and probiotic lactobacilli in older adults

2011 ◽  
Vol 69 (6) ◽  
pp. 321-327 ◽  
Author(s):  
Lars G. Petersson ◽  
Kerstin Magnusson ◽  
Ulf Hakestam ◽  
Amir Baigi ◽  
Svante Twetman
Keyword(s):  
Older Adults ◽  
Primary Root ◽  
Daily Intake ◽  
Root Caries ◽  
Probiotic Lactobacilli ◽  
Caries Lesions

scholarly journals How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement

2020 ◽  
Vol 54 (5-6) ◽  
pp. 459-465
Author(s):  
Sebastian Paris ◽  
Avijit Banerjee ◽  
Peter Bottenberg ◽  
Lorenzo Breschi ◽  
Guglielmo Campus ◽  
...  
Keyword(s):  
Older Adults ◽  
Antimicrobial Agents ◽  
Salivary Flow ◽  
Root Caries ◽  
Delphi Consensus ◽  
Restorative Treatment ◽  
Increased Risk ◽  
The Individual ◽  
Systemic Health ◽  
Caries Lesions

<b><i>Aim:</i></b> To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions. <b><i>Methods:</i></b> A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process. <b><i>Results:</i></b> Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Ageing is associated with a decline of intrinsic capacities and an increased risk of general diseases. As oral and systemic health are linked, bidirectional consequences of diseases and interventions need to be considered. Caries prevention and treatment in older adults must respond to the patient’s individual abilities for self-care and cooperation and often involves the support of caregivers. Systemic interventions may involve dietary counselling, oral hygiene instruction, the use of fluoridated toothpastes, and the stimulation of salivary flow. Local interventions to manage root lesions may comprise local biofilm control, application of highly fluoridated toothpastes or varnishes as well as antimicrobial agents. Restorative treatment is often compromised by the accessibility of such root caries lesions as well as the ability of the senior patient to cooperate. If optimum restorative treatment is impossible or inappropriate, long-term stabilization, e.g., by using glass-ionomer cements, and palliative treatments that aim to maintain oral function as long and as well as possible may be the treatment of choice for the individual.

Relationships between yeasts and primary root-caries lesions.

Gerodontology ◽  
1993 ◽  
Vol 10 (2) ◽  
pp. 105-108 ◽  
Author(s):  
David Beighton ◽  
Edward Lynch
Keyword(s):  
Primary Root ◽  
Root Caries ◽  
Caries Lesions

scholarly journals Silver diamine fluoride treatment of active root caries lesions in older adults: A case series

2021 ◽  
Vol 105 ◽  
pp. 103561
Author(s):  
Chelsea Mitchell ◽  
Andrew J Gross ◽  
Peter Milgrom ◽  
Lloyd Mancl ◽  
David B Prince
Keyword(s):  
Older Adults ◽  
Case Series ◽  
Root Caries ◽  
Silver Diamine Fluoride ◽  
Fluoride Treatment ◽  
Caries Lesions ◽  
Active Root

scholarly journals The accuracy of laser fluorescence (DIAGNOdent) in assessing caries lesion activity on root surfaces, around crown margins, and in furcations in older adults

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Chelsea Mitchell ◽  
Hiba Zaku ◽  
Peter Milgrom ◽  
Lloyd Mancl ◽  
David B. Prince
Keyword(s):  
Older Adults ◽  
Case Series ◽  
Laser Fluorescence ◽  
Root Caries ◽  
Single Center ◽  
Silver Diamine Fluoride ◽  
Caries Lesion ◽  
Caries Lesions ◽  
Root Surfaces ◽  
Active Root

AbstractThe authors conducted a case series to assess accuracy of DIAGNOdent (DD) in assessment of activity of dental caries lesions in root surfaces and in furcations and at crown margins. The study was a prospective, single center case series. The patients were 123 adults (age ≥ 55 years). To be included, a patient needed to have at least one active root caries lesion. The study was conducted at the Roseman College of Dental Medicine in South Jordan, Utah, USA and at area nursing homes. Lesions were rinsed and dried with air, and DD readings were obtained. Lesions were then isolated and 38% silver diamine fluoride was applied repeatedly for two minutes with a microbrush. DD readings and treatments were repeated every six months. Mean DD values were significantly different between active (unarrested) and inactive (arrested) caries for all comparisons, p-value < 0.0001. The optimal cut-off values for DD were between 20 and 35 except optimal cut-offs were higher for furcation and crown margin surfaces, particularly in the posterior (optimal cut-offs 40–45). This study demonstrates DD is a potentially valuable tool for assessing lesion activity in root surfaces, at restoration margins, and in furcations.

A Comparison of Primary Root Caries Lesions Classified According to Colour

1994 ◽  
Vol 28 (4) ◽  
pp. 233-239 ◽  
Author(s):  
E. Lynch ◽  
D. Beighton
Keyword(s):  
Primary Root ◽  
Root Caries ◽  
Caries Lesions

scholarly journals Reversal of Root Caries with Casein Phosphopeptide-Amorphous Calcium Phosphate and Fluoride Varnish in Xerostomia

2021 ◽  
pp. 1-10
Author(s):  
Ahmed Sleibi ◽  
Anwar R. Tappuni ◽  
Aylin Baysan
Keyword(s):  
Calcium Phosphate ◽  
Amorphous Calcium Phosphate ◽  
Primary Root ◽  
Severity Index ◽  
Salivary Flow ◽  
Root Caries ◽  
Carious Lesions ◽  
Group 2 ◽  
Casein Phosphopeptide ◽  
Group 1

Different formulas of topical fluoride have been used to manage root carious lesions. This clinical trial aimed to investigate the efficacy of a dental varnish containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and fluoride compared with fluoride alone in reversing/arresting root caries in xerostomic patients over 1 year. A total of 80 patients (age range 45–92 years) with primary root caries (<i>n</i> = 184 root carious lesions) and unstimulated salivary flow rate of &#x3c;0.2 mL/min were randomly allocated to receive either dental varnish containing CPP-ACP and 5% fluoride (group 1: MI varnish; GC, Japan) (<i>n</i> = 41, 83 lesions), or dental varnish with 5% fluoride alone (group 2: NUPRO White; Dentsply, USA) (<i>n</i> = 39, 101 lesions). Clinical assessments with Severity Index (SI) for root caries, DIAGNOdent measurements, and varnish application were carried out at baseline, 3, 6, and 12 months. Standard oral hygiene instructions with 1,450 ppm fluoride toothpastes were provided for both groups. After 3 months, 63.9% (<i>n</i> = 46) of root caries in group 1 became hard (SI: 0) compared with 39.3% (<i>n</i> = 35) in group 2 (<i>p</i> &#x3c; 0.01). After 6 and 12 months, the differences in SI were insignificant (group 1, <i>n</i> = 60, 83.3%) (group 2, <i>n</i> = 66, 74.2%) (<i>p</i> = 0.36), and (group 1, <i>n</i> = 60, 89.6%) (group 2, <i>n</i> = 67, 81.7%, <i>n</i> = 1 soft, 1.2%) (<i>p</i> = 0.29), respectively. In both groups, noncavitated leathery lesions were more likely to become hard when compared to the cavitated root caries. A significant decrease in plaque index, surface roughness, lesion dimension, and DIAGNOdent readings with a significant increase in lesion distance from the gingival margin was reported in both groups (<i>p</i> &#x3c; 0.05). This study has provided evidence that fluoride dental varnish either with or without calcium and phosphate has the potential to arrest/reverse root caries, especially noncavitated lesions for patients with xerostomia.

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