Root Surface Caries Essay -- essays research papers

Root Surface CariesCaries piece of ass affect any draw near of the teeth. The most commonly seen enclosed space atomic number 18 ready on the crown of a tooth, above the cemento-enamel junction, it is as well as realistic for caries to go on the beginning get along, below the cemento-enamel junction. Dental fore caries has received a great get it on of attention in the past few decades. A variety of different patients are at risk for originle excavate caries. Dentists use several methods of treatment. Root go up caries are also called cemental caries, cervical caries, or radicular caries. (Wilkins) Root originate caries only involves the roots of teeth. The cementum and dentin located notwithstanding below the crown of the tooth is involved. No involvement of enamel is seen with root surface caries. Bone loss and corresponding gingival recession are the beginning symptoms to be seen in the caries process. These result in exposed root surfaces, which are to a greate r extent prone to forming caries because caries does not form in the root surface while periodontal fibers are unflurried attached. Clinically, the lesion starts on the root surface. It has been found that root caries spreads in a lateral or circumferential manner, and over time can bleed completely around the tooth, undermining the enamel. (Wilkins)In general, root caries turn in the equivalent etiology as coronal cavities. S. mutans, Lactobacilli, and sometimes, Actinomyces are involved and are found in high numbers in root caries, but there are two main differences between enamel and root surface caries. (Flaitz) These differences cause the lesion on a root surface to be more destructive than that in enamel. First, because the pH at which demineralization will kick the bucket is higher for root cementum (approx. pH 6.0) than for enamel (approx. pH 5.0).(Wilkins) Therefore, root cementum has effectiveness for demineralization at an earlier point in time than enamel does. S econdly, once the cementum is demineralized, the dentin contains dentinal tubules which, if present, are potential methods of entry for the pathogenic microbes as mentioned previously, such as S. mutans, Lactobacilli, and sometimes Actinomyces whereas, enamel consists of tightly-arranged crystal prisms, which founder a much lower chance for bacterial entry. The process of caries formation begins with colonization by acid-producing bacteria plaque. In the next step, Gram-positive bacteria invade the dentinal tubules, which leads to the ... ...at more tentatively, with fluoride gels and varnishes or a chlorhexidine varnish. Some dentists may restore root caries with amalgam restorations. another(prenominal) treatment option used by some dentists to restore root caries is Glass Ionomer Cements. Glass ionomer cements were first introduced in the early 1970s. They have good adherence to mineralized tooth tissue, which keeps the removal of tooth structure to a minimum. Glass ionomer cem ents also have the ability to leak and absorb fluoride into the tooth, which decreases the rate of secondary caries. These factors have increased the potential for glass ionomer cements to replace amalgam as a restorative material. (Hammel)Although the most common caries seen are coronal, root surface caries present just as much of a problem. erstwhile root caries are detected, the bacteria have already begun to demineralize the cementum or dentin and create a great deal of damage. There are several different ways that root caries may appear clinically. A variety of different patients are at risk for root surface caries. Different measures can be taken to prevent root surface caries. Methods of treatment differ among dentists, but there are several choices.