Root caries

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Ore question about root caries diagnosis??

Thanks in advance

Balsam

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[Guest guest]

Active root caries lesions – are soft or

lethery in consistency and close to the gingival margin, less defined margins comparing to enamel carries. lesions spread laterally around the CDJ or more apically on the cementum. - Dentine

caries on the root of a tooth following gingival recession has a

number of characteristics which distinguish it from other types of

caries. It does not need to penetrate to enamel and often start over

a large area of the root. It is often circumferential and there may

be no difference between aproximal , buccal and lingual lesion. - They are more common in older people, may occur in younger group because of recession.Arrested root caries– harder,, smooth shiny and apparently left abandoned by receding gingival margin in patient with progressive periodontal disease and xerostomiaClinically - you can be both active

and slowly progressing or arrested lesion can be seen . lesion appear as a well defined discolored area. Smoothing

and polishing the softened root surface may sometimes assist plaque

control and favor lesion arrest - Arrested root caries don't need restoration

unless there is an aesthetic problem. However active lesion may

endanger the pulp, may be sensitive and may hinder plaque control.

In these cases restoration is needed.hope this helps! good luck!

From: Balsam Majid <balsam_majid@...> Sent: Wednesday, 25 January 2012, 23:30 Subject: Root caries

Ore question about root caries diagnosis??

Thanks in advance

Balsam

Sent from my iPad