How are recurrent caries diagnosed?

Recurrent caries at proximal or gingival locations in restorations can be diagnosed by radiography provided the X-rays are at an optimal angle in relation to the lesion. Because restorative materials are radiopaque, they may hide the lesion completely or partially (Figure 3, Figure 4).

Is secondary caries with composites a material based problem?

Objective: Secondary caries (SC) is one of the most important reasons for the failure of composite restorations, and thus has wide-reaching implications for the longevity of affected teeth and the health expenditure. Yet, it is currently not known whether secondary caries with composites is a material-based problem.

What is recurrent caries?

Recurrent caries is a primary caries lesion next to a pre-existing filling. It usually forms cervically and interproximally due to plaque stagnation. 3. Recurrent caries is potentially serious as once dentine is reached it can spread rapidly.

How do you handle recurrent caries?

The best recurrent caries treatment is prevention. Brushing well and flossing daily are the first line of defense against tooth decay that occurs underneath dental restorations. The next step is to work with a dentist who is trained and knowledgeable in dental restorations.

Why do secondary caries occur?

The proportion of secondary caries is very high after filling in permanent teeth or primary teeth. Secondary caries mainly occurs because of the formation of micro cracks after filling. When the micro crack width exceeds 50 microm, saliva will enter the micro cracks between the filling and tooth tissue.

What causes rampant caries?

Even with excellent oral hygiene, anyone can get dental caries (cavities) in their lifetime. However, rampant caries can stem from various factors, such as poor diet, mouth pH, root recession, and weakened enamel.

What is a Cavosurface margin?

1. Cavosurface (margin): it’s the junction between the wall of the cavity and the surface of the tooth . 2. Bevel: is the inclination that one line or surface makes with another when not at right angles .

Why do recurrent caries occur?

Recurrent caries is tooth decay that occurs under existing dental restorations, such as fillings, crowns, or onlays. It may be caused by poor oral hygiene, or by development of a microscopic pathway for leakage (micro leakage) past the dental restoration.

Can dental caries be reversed?

Can tooth decay be reversed? Yes, you can, but reversing the process is a life-long commitment – not a quick fix. To reverse tooth decay and prevent cavities, you need to brush at least twice a day, floss regularly, and be wary of what you eat and drink.

How do you manage secondary caries?

The prevention of secondary caries includes micro crack control, fluoride use, teeth cleaning, tooth decay and gum disease treatment, and regular checkups.

Can a composite filling cause a recurrent Carie?

Composite fillings are most often affected by this, but over time any type of filling or crown material will degrade. This can allow recurrent caries to form. People sometimes confuse recurrent caries with secondary caries.

What does it mean when you have recurrent caries?

What are recurrent caries? Recurrent caries are caries (also commonly known as cavities) that occur underneath a dental restoration. In the case of a filling or a crown, this means that even if the previous decay that prompted the application of the crown (or filling) was removed, more decay occurred after the filling or crown.

Where do you find recurrent caries in your teeth?

Although recurrent caries are located underneath dental restorations, secondary caries are new caries that occur at the margins of a restoration. These are most commonly found at the places where the dental restoration meets the gumline, as in the case of a crown or a fixed denture.

Which is site most susceptible to recurrent caries?

The site most susceptible to recurrent caries in class II resin composites is the gingival margin. If the gingival margin is close to the cementoenamel junction, the sides of the enamel rods and perpendicular dentin is the type of tooth substrate that is available for bonding.