Caries Control & Management

1. Saliva

1.1. Stimulated Flow Rate

1.1.1. Normal > 1 mL/min

1.1.2. Low < 0.7 ml/min

1.2. PH

1.2.1. Critical: 5.5

1.3. Bacterial Count

1.4. Stimulation

1.4.1. Mechanical

1.4.1.1. Sugarless gums

2. Antimicrobials

2.1. chlorhexidine rinse

2.1.1. 0.12% daily for 30s every 1st week of the month: decreases S. count

2.2. Xylitol

3. Diet Control

3.1. Frequency

3.1.1. Most important factor

3.2. Consistency

3.2.1. Sticky

3.3. Type

3.3.1. End the meal with a cheese

3.3.2. Decrease carbs intake (sucrose)

3.3.3. Increase protiens and fat

4. Fluoride Therapy

4.1. Tooth paste

4.1.1. 1000 PPM

4.1.2. Prescribed: 5,000 PPM

4.2. Gel

4.3. Varnish

4.3.1. Highest concentration: 22,500 PPM

5. Restorations

5.1. Preventive

5.1.1. Pits & fissure sealants

5.1.1.1. Composite (retention)

5.1.1.2. Glass ionomer (F+ release)

5.1.2. PRR

5.2. Treatment

5.2.1. GIR

6. Plaque Control

6.1. Brushing (2 x/d)

6.2. Flossing (1x/d)