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Interproximal initial caries in a patient with high caries experience

  • E7
  • Dr. Giovanni Sammarco
  • Italy
  • Product: Curodont Repair
Before
  • Figure 1: Initial carious lesion on distal surface of 35​
After
  • Figure 2: The 7-month follow up showed arrest and reduction in radiolucency of the treated lesion​

Patient Presentation and examination: 

  • Personal information and dental history: 28-year-old female, with a history of high caries experience (DMFT-9)
  • Routine radiographic examination: A small radiolucent area on the distal surface of 35, adjoining a deeper radiolucency on the mesial surface of 36. There was an existing occlusal composite restoration on 36. (Figure 1)

Diagnosis: 

  • 35: Initial carious lesion extending to the inner half of enamel (E2) on the distal surface
  • 36: Moderate carious lesion, extending into dentin, approximating the existing occlusal restoration. 

Treatment: 

  • The lesion on 35 was treated with one application of Curodont Repair during the restorative appointment for 36.
  • Curodont Protect was prescribed to be used twice a week at home at bedtime at the treated site.

Follow-up: At the 7-month post-treatment follow-up, a bite-wing x-ray revealed arrest of the treated lesion and reduction in its radiolucency. (Figure 2) The oral hygiene instructions were reinforced.

Take-away: Patients with high caries experience are at a high risk for developing new carious lesions*. Such patients can be advised a regimen of frequent recalls to diagnose such lesions when they are non cavitated, which can then be treated with Curodont Repair. Supportive agents for topical application, such as Curodont Protect, can provide additional protection against demineralization and complement Curodont Repair in arresting and regressing the treated lesion.

* Caries risk assessment and management

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