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Related Experiment Videos

Clinical decision-making for caries management in root surfaces.

J L Leake1

  • 1Department of Diagnostic and Biological Sciences, Faculty of Dentistry, University of Toronto, Canada. james.leake@utoronto.ca

Journal of Dental Education
|November 9, 2001
PubMed
Summary
This summary is machine-generated.

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Root caries prevalence increases with age, affecting approximately 20-22% of adults over 30. While fluoride aids remineralization, evidence for other treatments like chlorhexidine varnish and restoration is limited.

Area of Science:

  • Dentistry
  • Gerodontology
  • Epidemiology

Background:

  • Root caries is a significant oral health concern, particularly in aging populations.
  • Understanding its natural history, prevalence, and effective treatments is crucial for dental practitioners.

Purpose of the Study:

  • To synthesize the best available evidence on root caries.
  • To inform clinical practice regarding diagnosis and treatment strategies.

Main Methods:

  • An evidence-based approach was employed, involving extensive literature searches of electronic databases.
  • A systematic review of 161 selected references was conducted.

Main Results:

  • Prevalence of root caries in adults over 30 is approximately 20-22% less than their age.

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  • Lesion severity increases with age, with about 8% of the population acquiring new lesions annually.
  • Fluoride demonstrates efficacy in remineralization; chlorhexidine varnish shows promise, but evidence for restoration is tentative.

    • Conclusions:

    • Current data on root caries progression and diagnostic accuracy is limited.
    • Fluoride is a recommended treatment for root caries remineralization.
    • Further research with robust study designs is needed to confirm the efficacy of other interventions.