Caries control & management

1. 1-Topical Fluoride Application

1.1. Professionally applied

1.1.1. Varnish

1.1.2. Silver diamine fluoride

1.1.3. Gel

1.2. Home-use

1.2.1. Mouth-rinses

1.2.2. Pastes

2. 4-Restorations

2.1. PRR: used to restore deep pit and fissure with incipient caries

2.2. Glass ionomor : used for restoring class v when esthetic not in concern

2.3. Tooth coloured restorations preffered by pt however more technique sensitive than amalgam , time consuming

3. 5-Oral Hygine

3.1. Brushing with fluoride toothpaste twice a day and cleaning between teeth daily.

4. 2-Sealants

4.1. Preventing and arresting pit-and-fissure occlusal caries lesions of primary and permanent molars

4.2. Inhibit the progression of non-cavitated caries lesions

4.3. -increasing salivary calcium and phosphate levels

5. 3-Diet control

5.1. Reduce the amount and frequency of carbohydrate consumption.

5.2. Chew sugar-free gum with xylitol

5.3. Healthy diet that limits added sugars and high-acid foods that can affect mineralization of enamel

5.4. Limit sugary snacks between meals

6. 6-CPP - ACP

6.1. special cow milk derived protein named casein phosphopeptide-amorphous calcium phosphate , can help to decrease dentin hypersensitivity and prevent caries

6.2. -reduce demineralization of the tooth structure and enhance remineralization.

6.3. do not use on patient with a milk protein or hydroxybenzoates allergy