Caries remineralization therapy: implications for dental readiness

Caries remineralization therapy can effectively arrest or reverse the progression of incipient proximal caries lesions. Remineralization of tooth structure is accomplished via a series of topical fluoride applications over time using a combination of both in-office and at-home fluoride agents. Remineralization therapy should be considered a viable noninvasive alternative to restoration for all caries lesions that do not exhibit frank cavitation of the proximal enamel surface (i.e., all lesions in enamel, as well as most lesions in the outer dentin). Combining a conservative restorative approach with an aggressive caries remineralization program may provide substantial therapeutic benefit and significantly reduce both costs and long-term restorative need among military patient populations.