Description

In patients with advanced gingival recession or periodontal disease, the tooth roots become progressively more exposed as gums recede, increasing the vulnerability to caries.

Etiology

• •  In the presence of caries-causing bacteria and a diet high in sugars, caries can develop easily and progress rapidly.
  • Roots do not have protective enamel like crowns of teeth, so caries progresses rapidly in the roots.

Preventive Measures & Treatment

• • Regular dental visits to remove plaque accumulation and reinforce appropriate home care.
  • Lesions can be prevented or arrested using fluoride containing toothpaste, fluoride gels, varnish, or silver diamine fluoride.
  • Chlorhexidine-Thymol varnish 1:1 mixture of may be efficacious in prevention of root caries.
  • Sucrose-free chewing gum containing xylitol only or xylitol lozenges may be used as adjunctive therapy for adults at higher risk of caries.
  • Advanced lesions require restoration or extraction.