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Treating root-surface caries.

John O Burgess1, John R Gallo

  • 1Operative Dentistry and Biomaterials, 1100 Florida Avenue, New Orleans, LA 70179, USA. jburge@lsuhsc.edu

Dental Clinics of North America
|May 17, 2002
PubMed
Summary
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This study reviews restorative materials for root caries, offering tailored recommendations based on patient risk. Effective strategies include plaque control and fluoride for high-risk individuals.

Area of Science:

  • Dentistry
  • Cariology
  • Restorative Dentistry

Background:

  • Root caries is a significant dental issue, particularly in aging populations.
  • Effective management requires understanding restorative materials and caries risk assessment.

Purpose of the Study:

  • To summarize the efficacy of restorative materials for root surfaces.
  • To elucidate the mechanisms by which these materials inhibit caries progression.
  • To detail placement techniques for root-surface lesions.

Main Methods:

  • Review of current literature on restorative materials and root caries management.
  • Classification of patients into low, medium, and high caries risk groups.
  • Development of specific material recommendations tailored to each risk category.

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Main Results:

  • Restorative materials vary in effectiveness for root surface restoration.
  • Caries reduction mechanisms involve material properties and patient-specific interventions.
  • Tailored material selection and risk stratification improve treatment outcomes.

Conclusions:

  • Patient risk stratification is crucial for selecting appropriate restorative materials.
  • A combination of effective plaque control, xylitol, antimicrobials, and fluoride is essential for high-risk patients.
  • Fluoride-releasing materials and topical fluoride applications enhance protection against root caries.