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Interproximal initial carious lesion in a high caries risk patient

  • 18
  • Farina Jahan, RDH
  • USA
  • Product: Curodont Repair Fluoride Plus
Before
  • Figure 1: Initial carious lesion on #18 mesial, extending to inner half of enamel (E2)
After
  • Figure 2: At the 7 month follow up, reduction in lesion size to E1

Patient Presentation and examination: 

Personal information and relevant history: 62-year-old female, with a history of Sjogren’s syndrome

Routine radiographic examination: A small radiolucency was observed in the enamel of #18 (mesial). (Figure 1) 

Diagnosis: 

#18 : Initial caries extending to the inner half of enamel (E2) on the mesial surface

Treatment: 

  • The lesions was initially kept on a ‘watch’ after diagnosis.
  • After 15 months, the initial caries lesion was treated with one application of Curodont Repair Fluoride Plus, and followed up with an application of fluoride varnish (5% sodium fluoride).
  • Oral hygiene instructions were reinforced. 

Follow-up: At the 7-month follow-up post-treatment, the following observations were made: (Figure 2)

#18: Reduction in the size of the treated lesion to E1, indicative of remineralization.

Take-away: Conditions that present with low salivary flow, such as Sjogren’s syndrome, can lead to dry mouth, which increases the patients’ risk of developing caries.* It is recommended to have such patients to a strict follow up regimen to detect any incipient lesion and when detected, these can be treated non-invasively with Curodont Repair Fluoride Plus.

* Sjogren’s disease

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