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Root caries.

T Dérand1

  • 1School of Dentistry, University of Lund, Malmö, Sweden.

Current Opinion in Dentistry
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

Root caries affects 30-50% of elderly individuals, with active lesions requiring diagnosis in periodontal pockets. Remineralization and gram-positive bacteria are key factors, and treatments like chlorhexidine varnish show promise.

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Area of Science:

  • Dentistry
  • Geriatric Medicine
  • Microbiology

Background:

  • Root caries is a growing concern, particularly among the elderly.
  • Existing research has addressed diagnosis, epidemiology, histopathology, and treatment of root caries.
  • Accurate registration of active lesions, especially in periodontal pockets, is crucial.

Purpose of the Study:

  • To review current understanding and challenges in root caries.
  • To highlight diagnostic criteria and epidemiological findings.
  • To discuss structural changes, associated bacteria, and treatment options.

Main Methods:

  • Literature review of recent reports on root caries.
  • Analysis of structural histopathology findings.
  • Evaluation of epidemiological data and treatment outcomes.

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Main Results:

  • Root caries prevalence ranges from 30% to 50% in elderly populations globally.
  • Remineralization in root caries exhibits irregular crystal precipitation.
  • Plaque containing gram-positive bacteria is strongly associated with root caries development.
  • Chlorhexidine and thymol varnish demonstrated a potential reducing effect on root caries.

Conclusions:

  • Active root caries lesions need careful diagnosis, including examination of the periodontal pocket.
  • Understanding the structural and microbiological aspects is vital for effective management.
  • Further research is needed on operative treatment strategies for root caries.