Combined CPP-ACP and photoactivated disinfection (PAD) therapy in arresting root surface caries: a case report

A 19-year-old male was referred to the School of Dentistry, University of Queensland for management and treatment of uncontrolled root caries. A total of 12 teeth had non-cavitated root carious lesions requiring treatment. The lesions were treated with a daily application of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP; GC Tooth Mousse) and in-surgery photo-activated disinfection (PAD). Laser fluorescence (KaVo Diagnodent) was used to monitor the changes in the carious lesions. The combination of CPP-ACP and PAD proved to be very effective and holds great potential as a recommended treatment for stabilising root surface caries in the clinical practice.