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Root caries: The challenge in today’s cariologyToday, we call root caries “the revenge of conservative dentistry”. We preserve teeth so much longer than 30 years ago, however, root caries may destroy every success within years. Therefore, we urgently need appropriate concepts to fight against it.
Primary caries, i.e. coronal caries beginning with enamel lesions has not completely diminished in the haze of effective prevention programs, however, it was significantly reduced during the last 30 years. Simultaneously, keeping teeth longer in the mouth through prevention in Cariology and Periodontology, vulnerable root surfaces are more and more prone to decay, leading to increasing numbers of root caries lesions. These are terrible encounters for every dentist, because
- people are older and less compliant,
- elderly people tend to eat and drink more sugar due to less tasting quality, and
- the defects are extremely hard to access and even harder to restore.
The present webinar covers the aspects prevention, compromise and restoration.
Without effective preventive measures, root caries is not manageable. When we just focus on restoration, we will definitely fail. So prevention is No. 1, consisting of the right oral hygiene together with accompanying measures such as fluoride or calcium sources.
In many cases, compromises are standard in oral health care, and there is not too much of a difference between very young and very old patients. So also varnishes or silver diamine fluoride solutions may be applicable.
The restoration of root caries lesions is the last aspect in this cascade. Ultra-hard circumstances will lead to glass ionomer cements, somewhat better clinical conditions may allow to go the adhesive way with special matrice tricks and special restoratives such as injectable resin composites.
Learning Objectives:
- Intelligent treatment planning always starts with prevention
- Recognizing when compromises are the better option
- Managing root caries with glass ionomer cements
- Highly esthetic management using resin composites
Hand out:
Ask the Expert
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163 Comments
Danke und viele Grüße aus Meran /Südtirol
Georg „Schorsch“ Wenzel
Thank You!
Thanks from Cape Town
Thanks
Thanks
Thank you very much for the interesting webinar!
Thank you
Thank you
thank you very much
Thank you for the Webinar!
Thanks!
vielen herzlichen Dank.
ich bin über einen zweiten PC wieder hinzugetreten
which adhesive do you prefer?
Do you have a favourite instrument and equipment and materials list
The activation can be with a resina heater?
Do you worm up the composite before aplication?
have you ever used Biodentine to cover whole the cavity?
Which curing light do you use
Do you have any experience using Equia Forte Ht?
Wich Fuji GIC do You prefer?
Personally I like Fuji LC II but it has lower fluoride releasing capabilities.
Thank you very much!Such interesting cases!
Is it safe to air abrade near the pulp?
What do you mean by ‘activation of the resin composite’?
Can you use Riva self cure for the deep parts you cannot light cure?
which glass ionomer releases the most fluoride?
Is a cp-Treatment (Kerr life) a good idea at those large caveties?
Do you provide hands on courses?
Glass ionomer associated with composite flow resin is viable?
What would you do for root caries extending into pulp?
Any experience with caries in area of a root bifurcation
tooth with enamel/dent hypoplasie how you handle ?
Do you blast the enamel with 50my insteD of prep with diamond?
Is your technique used in USA?
you said you are roughing sclerotic dentin with a diamond bur, what do you think about roughening it with sandblasting?
When the filling marginaali are uudet gingiva margin jos can patient keep a good hygiine and how dentist/ hygienist can control filling leaking and secondary caries?
Thank you and greetings from Finland
does hypochlorite treatment of deep dentin lower adhesion?
You mentioned you do not etch with phosphoric acid for dentine. Dentine also contains hydroxyapatite mineral- what was the reason for not using it?
Could you please describe how you access those interdental root caries where the interdental enamel is still perfectly intact. Thank you.
What do you think about the prognosis of root caries in the posterior area, e.g. in the bifurcation?
What do you think about Biodentin?
Hi from Riyadh
Thank you for this informations
Please, in these cases, which generation of bonding type is used for the adhesives?
Which sonic scaler do you use. It was just diamant coated on one site?
What about MIP paste?
How long do you follow the restoration?
It is better to use sdf with potassium iodide
Vielen herzlichen Dank!
Great info, thank you.
Do you cut the tofflemire metal band by hand or do they come pre-made?
Have you tried to contour the metal matrix band to cervical area and using 2 wooden wedges for class V?
Which bonding system is now your golden standard?
How do you reverse reversible pulpits?
After sand blasting do you use Adhesive without Silan?
Time of eching is the same in caries lesion and thé érosion ?
do you use GIC resin modified with universal adhesive dentin only, selective etch or no etch?
Which matrix band did you use for cervical caries
Sonicsys can be used on any airpolisher device ??
How about Prmier’s Enamelon stannous fluoride .45%?
why doing a long restoration on the root than doing a restoration and a microsurgical intervention for elevating the gingiva?
what haemostat agent do you use?
What do you think about the use of hypochlorite as a decontaminant and deproteinizer?
What do you mean by ‘activation of the resin composite’?
What do you think about SDF? (Silver Diamine Fluoride) do you sue it in your practice?
Danke für den sehr guten Vortrag und die Tipos und Tricks beim Füllen.
Doch: Fluoride führen zu Knochenbrüche, Schmelzrissen. Wieso dann Silberfluorid? Wie soll es funktionieren?
Meines Wissens gibt es keine Studie, die zeigt, daß Fluoride in Füllungsmaterialien vor Sekundärkaries schützen.
Thank you very much for this valuable information.
I would like to know your opinion about Waterpik for prevention for elder patients.
Congratulations, Dr. Frankenberger! Excellent presentation and clinic experience!!
GIC reinforced with Hydroxyapatite nanoparticles can do better in restoring the root various lesions?
Does GC injectable need the one bottle prime and bond of that company or can it used with a two bottle system from another company?
Some root caries are too deep, and biodentine seemed to have worked. So far, tooth is stable. Do you have any other tips?
Buenas tardes
How do you know, how to cut the matrices for subgingival use? Which form for which situation?
What is you favorite composite so far, for anterior and posterior? Tahnks!
welche Universal Bond benutzen Sie?
Kavitätentoilette (CHX) vor Universal Adhesive?
Could you repeat your Mylar technique with the drilled hole please?
does sclerotic dentin need special treatment for good adhesion ?
Does sand blasting change the sucess of restoration
Thank you for great lecture ..pleasure to attend from egypt
Vielen Dank.
Sehr informativ und praxisbezogen!
Schöne Grüsse!
thank you for this very nice presentation !
Hello! Is there an alternative to sandblasting intraorally?
Name of the polishing stone please
perfect tooth paste for adults and kidss
What grit size do you use for sandblasting the tooth?
When u bevel enamel ,u dont apply etch?
Thank you from Zürich Joseph guindy and Aleksandra Zueva Super
Vielen Dank!
Thank you. Very interesting and informative.
Trank you
Were these teeth not pulpally exposed due to carirs
Fantastic work
Grate thanks!
Thank you.
Could you please repeat your punctured mylar technique
Thank you for this great lecture!
How can we find a solution for sensitivity
Super, thanks 😊
What about ions release property from materials
Thanks
Thank you
evidence of oral flora diversity before and after suggest there are few changes in the oral bacterial flora–so calling it antimicrobial is aspirational but not realized
Which shade you use most? Only one in class V cavities?
what specifically is SDF´s advantage over normal fluoride
how do you use SDF for high DMFT in autistic child ? can you plz let me know the protocol as saliva isolation is tricky with these hypermobiel kids
perfect brushing technique to avoid cervical abrasions
Very interesting and good practical work. Mahesh, Orthodontist
Thank you.
Is it sonic scaler that you use to remove caries
What do you think about the prognosis of root caries in the posterior area, e.g. in the bifurcation?
Can you provide more information about the white stone but for adjustment and shaping?
Which camera you used to film the videos? Thanks for bringing them to your presentation.
GC should do a pink Injectable
Hello prof .
when we should to choose material like Composite or Glass ionomer cement for Geriatric patient with cognitive impairment condition? Thank you
what is your opinion of using SDF to arrest caries in these deep lesion and live with the adverse cosmetic affects
Hallo Prof. Frankenberger,Grüße aus Italien
dont you recommend copper matrix bands for DME? or regular matrix enough?
How do you apply the Metalmatrix vestibular without bleeding?
don’t you bring the edge of your cervikal filling under the gingiva with auto matrix?
What’s the benefit of a zirconia bur? Which company produces it?
what kind of sonic tip are You using for the subgingival excavation?
What kind of tipps for the sonicsys
In the German study you described, were changes in the oral flora analyzed in these smooth/root caries?
Wie ändere ich die aktive Zustand zu passiven??
What grit size and what pressure do you use for sandblasting the tooth?
In case of margin elevation: Do you use low flow injectable composite or high flow?
Sabine Bertzbach
Hello
Which powder do you use in sandblasted cleaning on root caries?
Hi from chihuahua Mexico
Does Ozone treatment help in arresting caries ?
What MIH stands for
Hello good evening
is there a difference in treating cervical caries and cervical resorption regarding approach and materials?
What is your opinion on electric tooth brushes regarding prevention of dental caries?
Do you use parapulp dentin posts?
Is high fluoride toothpaste better than gc mousse
Does teeth floridation help for elderly patients ?
what is your experience wit Toothpaste of Colgate 5000 ppm?
What about using toothpaste on tepe brushes, order fo water floss tepe and brushing? Is GC mousse effective?
What do you think of using Riva star aqua or silver diamine?
Hello to all of You!
The webinar will be made available in the on-demand section in a few days.
Hello everyone!
Is it necessary to prime the cavities.
Hallo aus Lauf an der Pegnitz
Hi everyone
Grüße aus Zell am See
Thanks Prof. Frankenberger for standing for the good practices in conservative Dentistry.
Grüße aus Saarland
Hello from Prague
Good evening everybody!
Hi every one
Will this lecture be recorded?
Greetings from Doha, Qatar
best fillings material for root caries treatment: composiet of Glasinomeer
Hello from Bern, Switzerland
guten Abend
Hi
Good evening. Thank you
hi
Viele Liebe Grüße aus Oxford! Bin gespannt…
Und schön, Dich zu sehen, Roland!
Thank you for joining today’s webinar! If you have any questions for Prof. Dr. Roland Frankenberger about today’s presentation, please write them in this chat box and they will be addressed during the Q&A session.
hi from San Diego, CA!
Ola
Good evening.
Thanks a lot
The postoperative sensitivity with composites?