Recurrent caries is tooth decay that occurs under existing dental restorations, such as fillings, crowns, or onlays. It may be caused by poor oral hygiene, or by development of a microscopic pathway for leakage (micro leakage) past the dental restoration.
What is recurrent caries and how is it treated?
Recurrent caries is tooth decay that occurs under existing dental restorations, such as fillings, crowns, or onlays.
What is the difference between secondary and recurrent caries?
Although recurrent caries are located underneath dental restorations, secondary caries are new caries that occur at the margins of a restoration. These are most commonly found at the places where the dental restoration meets the gumline, as in the case of a crown or a fixed denture. What causes tooth decay under a filling?
Can you get recurrent caries from a tooth restoration?
Recurrent Caries And Tooth Decay. When you visit the dentist for treatment that includes dental restorations like crowns or fillings, you usually trust that the restoration has fixed the problem of caries (or cavities) in that tooth. This may not always be the case. Recurrent caries can occur after dental restoration.
What is recurrent caries in gold crowns?
Recurrent caries (tooth decay) at the margin of a gold crown. It is a potentially costly mistake to think that teeth which are covered with crowns cannot decay further. Recurrent caries is tooth decay that occurs under existing dental restorations, such as fillings, crowns, or onlays.
What is the cause of recurrent caries?
Recurrent caries is tooth decay that occurs under existing dental restorations, such as fillings, crowns, or onlays. It may be caused by poor oral hygiene, or by development of a microscopic pathway for leakage (micro leakage) past the dental restoration.
What is the difference between recurrent caries and secondary caries?
Secondary caries, otherwise known as recurrent caries (cavities) is tooth decay occurring underneath/surrounding existing dental restorations such as dental fillings, crowns or onlays.
What is secondary recurrent caries?
Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant.
How are recurrent caries diagnosed?
Recurrent caries at proximal or gingival locations in restorations can be diagnosed by radiography provided the X-rays are at an optimal angle in relation to the lesion. Because restorative materials are radiopaque, they may hide the lesion completely or partially (Figure 3, Figure 4).
What is the difference between primary and secondary caries?
Primary caries is the term used to describe caries lesions developing on intact, natural tooth surfaces, as opposed to secondary or recurrent caries, which develops next to an existing restoration [Fejerskov and Kidd, 2015].
Which stage is the earliest stage of dental caries?
Demineralization: The initial stage of tooth decay comes in the form of white or brown spots on the surface of the tooth. This occurs when enamel is weakened and is at risk of being stripped away. Reversing decay at this stage is possible with enamel-fortifying, remineralization toothpaste.
How are secondary caries treated?
In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement.
What is primary caries?
Primary caries is an initial lesions produced by direct extension from an external surface. Dental caries is called as tooth decay or a cavity is a disease in which bacterial processes changes carbohydrate to acid which than dematerializes the hard tooth structure like enamel, dentin and cementum.
What is backward caries?
A) forward caries B) backward caries. Numbers of tooth surface involved. - Simple, a caries involving only one tooth surface. - Compound, a caries involving two surfaces of tooth. - Complex, a caries that involves more than two surfaces of a tooth.
What is root surface caries?
Root caries, by definition, refers to tooth decay on the root of the tooth (Banting 2001). Root caries is not a 'new' condition (Ettinger 1999), but has been reported as increasing in prevalence due to people living longer and maintaining their natural teeth into old age (Curzon 2004; Lamster 2016; Takahashi 2016).
How do you treat incipient caries?
For an extra boost to heal incipient decay, your dentist may suggest topical treatments of acidulated phosphate fluoride gel or varnishes. Sealants. Sealants are applied to the chewing surface of molars to keep food and bacteria out of the deep grooves, while also allowing remineralization to take place.
What is primary caries?
Primary caries is an initial lesions produced by direct extension from an external surface. Dental caries is called as tooth decay or a cavity is a disease in which bacterial processes changes carbohydrate to acid which than dematerializes the hard tooth structure like enamel, dentin and cementum.
How is secondary dentin formed?
Secondary dentine forms after eruption, as the tooth develops with age. It develops from the odontoblasts living within the pulp and is laid down in layers within the pulp cavity. Reparative or tertiary dentine forms as a result of trauma to the odontoblasts; this can be thermal, chemical, bacterial or mechanical.
What is backward caries?
A) forward caries B) backward caries. Numbers of tooth surface involved. - Simple, a caries involving only one tooth surface. - Compound, a caries involving two surfaces of tooth. - Complex, a caries that involves more than two surfaces of a tooth.
What are recurrent caries?
Recurrent caries are caries (also commonly known as cavities) that occur underneath a dental restoration. In the case of a filling or a crown, this means that even if the previous decay that prompted the application of the crown (or filling) was removed, more decay occurred after the filling or crown.
How are recurrent caries diagnosed?
Your dentist can diagnose recurrent caries in one of three ways (or any combination of the three).
What is secondary caries?
Although recurrent caries are located underneath dental restorations, secondary caries are new caries that occur at the margins of a restoration.
Can X-rays show caries?
X-rays and other imaging devices. An X-ray can pick up recurrent caries that are not obvious from a visual or physical exam, specifically those that occur between teeth and under dental restorations. In many cases, this is the only way your dentist can diagnose recurrent caries.
Can dry mouth cause caries?
As with regular caries, poor dental hygiene is a common cause. Additionally, dry mouth can increase the chances of developing recurrent caries, as can cracked or failing dental restorations. Dental restorations that weren’t properly fitted in the first place can also lead to the development of recurrent caries.
Can caries cause sensitivity to cold?
Sensitivity to hot and cold: Even if the dental restoration is a crown, recurrent caries can cause sensitivity to hot or cold food and drink. Some patients even experience sensitivity to food that is high in sugar. Bad breath: Bad breath is another clear sign that unhealthy bacteria is present in the mouth.
Why does caries recurring occur?
caries recurring in an area due to inadequate removal of the initial decay, usually beneath a restoration or new decay at a site where caries has previously occurred.
Why do caries return to an area?
Caries returning to an area due to inadequate removal of initial decay, usually around or beneath a restoration or new decay at a site where caries has previously occurred.
What is dry caries?
dry caries ( caries sic´ca) a form of tuberculous caries of the joints and ends of bones. early childhood caries severe dental caries that are promoted by the sugars, acids, and sometimes Streptococcus mutans in a bottle of milk or juice left in contact with a child's primary teeth; this can also occur from contact with breast milk left in ...
What is recurrent caries?
Recurrent caries are decay processes that occur underneath existing dental restorations. More simply stated, another cavity has occurred in the tooth where there was a filling or restoration. Some of the causes are as follows:
What is a carious lesion?
Depending on its location, a carious lesion is designated as either a pit and fissure type or a smooth surface type. Pit and fissure caries develop in depressions of teeth surfaces that are hard to keep clean of food debris and plaque.
Is caries a preventable disease?
Dental caries is a preventable disease , but most patients eat caries-promoting foods and do not accomplish oral hygiene adequately. The result is recurrent, or what I call continuing, caries on composites, amalgams, and crowns. Careful clinical techniques help to reduce continuing caries. Use of glutaraldehyde disinfecting and desensitizing products before restoring tooth preparations is highly advised. Using conventional glass ionomer as a dentin-replacement material in deep preparations is advised. Using high-fluoride-containing preventive products postoperatively on a routine basis is suggested for patients with high caries activity. Patients deserve our best restorative dental treatment, and the procedures described in this article will help to achieve that goal.
Is dental caries preventable?
Dental caries is a preventable disease, but most patients eat caries-promoting foods and do not accomplish oral hygiene adequately. The result is recurrent, or what I call continuing, caries on composites, amalgams, and crowns. Careful clinical techniques help to reduce continuing caries.
ABSTRACT
The clinical diagnosis of recurrent caries is the most common reason for replacement of all types of restorations in general dental practice. Marked variations in the diagnosis of the lesions have been reported. The prevention of recurrent lesions by the use of fluoride-releasing restorative materials has not been successful.
Key Words
The term “recurrent caries” denotes caries of the tooth at the margin of restorations. The phenomenon has been known since the early days of restorative dentistry,
FREQUENCY OF DIAGNOSED RECURRENT CARIES
Ever since the G.V. Black period, the clinical diagnosis of recurrent caries has been shown in studies from many countries, including the United States, to be the most common reason by far for replacement of all types of restorations in permanent and primary teeth.
LOCATION OF CLINICALLY DIAGNOSED RECURRENT CARIES
Studies have been conducted in which general practitioners were asked to indicate where recurrent carious lesions were located on diagrams of teeth, with outlines of the extent of the restorations examined.
BACTERIOLOGY OF RECURRENT CARIES
Little attention has been paid to the microbiology of recurrent caries. Kidd and colleagues
DIAGNOSIS OF RECURRENT CARIES
Recurrent caries at proximal or gingival locations in restorations can be diagnosed by radiography provided the X-rays are at an optimal angle in relation to the lesion. Because restorative materials are radiopaque, they may hide the lesion completely or partially ( Figure 3, Figure 4 ).
THE TREATMENT OF RECURRENT CARIES
The clinical diagnosis of recurrent caries invariably has resulted in the replacement of the restoration affected. But this clinical approach to the problem has been challenged.
How long does caries last?
The infection can develop asymptomatically for several months or even years, it can go from an acute stage to a chronic one and lead to serious complications.
How many types of caries are there?
There are 2 types of caries, depending on the course of the process: acute; chronic. There is a classification of caries according to the localization of the cavities. Using this criterion, the following types of processes can be distinguished: Fissure is one of the most common types of caries.
What causes caries in teeth?
Causes of dental caries. To understand how caries appears and develops, you need to know what a tooth consists of. The main building material of teeth is dentin. From above it is covered with durable enamel, which protects the dentin from external factors. Bacteria are the culprits of carious tooth decay.
How long does it take for caries to spread?
the rapid spread of infection (from the moment of damage to the enamel in one area to the expansion of the focus of caries along the entire circumference of the tooth, it may take only a few days);
Where does caries develop?
The infection develops in the depressions of the contact surface of the chewing teeth, where food debris usually accumulates. Caries between teeth (lateral surfaces) – with this type of caries, two adjacent teeth are often affected at once.
Can you diagnose caries on your own?
Caries at the initial stage proceeds without any symptoms. It is very difficult to diagnose it on your own, but an experienced specialist using modern diagnostic equipment can detect signs of pathology at any stage, even at the stage of the appearance of a spot without damaging the enamel.
Can milk teeth cause caries?
in order to protect the rudiments of permanent teeth from infection – in the absence of timely treatment, various complications of caries develop, in which the roots of milk teeth and even periodontal tissue are affected, which can lead to damage to permanent teeth even before they erupt.
