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Related Experiment Video

Updated: Jul 14, 2026

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

Published on: May 24, 2022

Accessing and restoring root caries: a case report.

E W Turner1, Larry W Shook, Mark Lackey

  • 1Expanded Function Program at the University of Tennessee, College of Dentistry, USA.

The Journal of the Tennessee Dental Association
|June 2, 2007
PubMed
Summary

Addressing root caries requires improved access and visibility, often achieved through minor periodontal surgery. Utilizing advanced restorative materials like glass ionomers offers superior bonding and fluoride release for durable restorations.

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Area of Science:

  • Dentistry
  • Periodontology
  • Restorative Dentistry

Background:

  • Root caries presents challenges in access and visibility, potentially leading to residual decay and restoration defects.
  • Increasingly, adults maintain natural dentition, leading to more prevalent gingival recession and root exposure, thus increasing root caries risk.
  • The widespread use of medications affecting saliva flow contributes to a rise in root caries incidence.

Observation:

  • Minor periodontal procedures, including mini-flaps or conventional surgery, enhance visibility and access to root caries lesions.
  • Restorative materials like conventional or resin-modified glass ionomers offer chemical bonding, significant fluoride release/uptake, and caries inhibition.
  • Glass ionomers exhibit less sensitivity to moisture and reduced polymerization shrinkage compared to amalgam, composites, or compomers, improving marginal integrity.

Related Experiment Videos

Last Updated: Jul 14, 2026

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities
07:14

Guided Endodontics: Three-Dimensional Planning and Template-Aided Preparation of Endodontic Access Cavities

Published on: May 24, 2022

Findings:

  • Combined minor periodontal surgery and restorative techniques provide excellent preparation and restoration outcomes.
  • Glass ionomers demonstrate superior properties for root caries treatment, including chemical bonding, fluoride release, and moisture tolerance.
  • Clinical studies show glass ionomer restorations lasting ten years or more, even in xerostomic patients.

Implications:

  • Integrating periodontal access with appropriate restorative material selection is crucial for effective root caries management.
  • Glass ionomers are highly recommended for root caries due to their unique properties, offering better longevity and caries resistance.
  • Addressing xerostomia through appropriate management strategies is essential for preventing recurrent root caries.