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Interproximal initial caries treated with Curodont Repair and Curodont Protect

Before
After

This case is a part of a retrospective cohort study to evaluate the remineralization potential of Curodont Repair through before-and-after radiographs of initial interproximal lesions on posterior teeth in 219 children (age: 10-19 years), with a total of 405 lesions treated during this study. (Godenzi D et al. J Am Dent Assoc. 2023;154:885-896.e9)

Patient Presentation and examination: 

  • Routine radiographic examination (June 2016): Small radiolucent areas observed on the mesial surface of 46 and distal surface of 45. (Figure 1)

Diagnosis: 

  • 45 and 46: Initial carious lesions extending to the inner half of enamel (E2) on the distal and mesial surfaces, respectively

Treatment: 

  • The lesions were treated with one application of Curodont Repair.
  • Curodont Protect was prescribed to be used once a week at home at the treated site.

Follow-up: 

  • At the 6-month post-treatment follow-up (December 2016), a bite-wing x-ray revealed regression of the lesions to E1. (Figure 2)

Take-away: Routine bite-wing x-rays serve as a good opportunity to detect initial lesions that are often asymptomatic and are often not the ‘chief complaint’ of the patient. Once diagnosed, early intervention as soon as possible with Curodont Repair can help progression into cavities by arresting and regressing these lesions.