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Root Caries Part 2: the Restorative Challenge

From Volume 47, Issue 3, March 2020 | Pages 199-212

Authors

Stephen Burrows

BDS(L'Pool), DGDP(UK), MClinDent(Pros), Dist(GKT) PGCLTCP(EHU), FHEA

General Dental Practitioner, St Helens, Merseyside, UK

Articles by Stephen Burrows

Abstract

With the increasing prevalence of root caries of varying complexity, clinicians will face challenges in deciding how best to manage such lesions. Non-operative caries control should be used whenever possible. In this paper factors that can affect success when restoring root caries are discussed.

CPD/Clinical Relevance: The restorative management of root caries can be challenging. Careful attention to detail when restoring root carious lesions is essential to optimize treatment outcome.

Article

Restoration of root caries can present a number of problems even for the most experienced clinician. It is well known that the failure rate of Class V root carious lesions (RCLs) can be high.1 In this article, difficulties in the restoration of root caries are discussed, factors affecting success are reviewed and treatment approaches with the aim of improving treatment success are considered.

Root surface caries has been defined as a soft progressive lesion that is found anywhere on the root surface that has lost connective tissue attachment and is exposed to the oral environment.2,3,4

Banting and Courtright have classified RCLs as round, elliptical or band-like.5 The band-like lesion has been described as the most invasive, usually involving more than one root surface. The majority of lesions are between 0.5 and 1 mm deep, but may range from slight surface etch to a 3 mm cavity, and discoloration is a prominent feature. Historically, a root surface has been diagnosed as carious when the following conditions are met:6

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