Treatment Of Dental Root Caries

Treatments available for patients should depend on their classification into risk groups. Strategy for the treatment of root caries is entrusted to the clinical examination and discovery, and is determined by the size, type, extent and location of the lesion, aesthetic purposes and also the physical and mental condition of the patient.

The rate of clinical success depends on the degree of recession and damage. Since the exposure of root surfaces caused by gingival recession can be attributed to factors that cause cervical abrasion, root caries, and aesthetic sensitivity that is not expected, the soft tissue graft to treat this condition effectively.

Root caries lesions are difficult to repair because of its location, which is usually located on the subgingival. Access and adequate insulation is important for a good restoration. Access can be obtained with the use of retraction cord and proper clamps that caused the displacement of soft tissue and open lesions or by making a small flap. The decision to use a special retraction method depends on whether the expansion of the apical lesion located 2 mm above the alveolar crest. When clinical procedures performed, treatment should be done without disturbing the extreme width of the biological, if not, then the inflammation will occur.

Cavity preparation is largely dependent on the extent of the lesion. Surfaces should be cleaned with fluoride-free pumice to ensure the expenditure of plaque. Then the tissue decayed teeth excavated, and wall restoration were prepared. Design margins and retention depends on restorative materials used.

With a functional load in vivo is minimal on the root surface, the minimum retention teapi still needed. When the amalgam is the material of choice, where access and aesthetics are not addressed, the required retention groove on the occlusal and gingival. The materials used in adhesives require bevel on coronal margini mikromekanikal preparation to provide better retention.

Access and the right insulation for treating root caries is very important, and ideally involves the use of rubber dam if the lesion supragingival.akan However, this sometimes can not be obtained if the location of the lesion close to the gingival or subgingival margin. In that case, other methods for isolation like cotton rolls and retraction cords can be used. Care must be taken without the use of hemostatic agents that affect the bonding agent. If the lesion extends to the subgingival incomplete and can not be observed even with the use of retraction cord, incisions may be required to complete the restoration procedure.