How to stop a cavity from getting worse
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Summary
5 papers analyzed
These studies suggest that stopping a cavity from getting worse involves early treatment, improving oral hygiene, using fluoride varnish, and considering chlorhexidine for disinfection.
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How to Stop a Cavity from Getting Worse
Importance of Early Intervention in Cavity Management
Early intervention is crucial in preventing cavities from worsening. Sealing the cavity to exclude irritating matter can prevent inflammation and further decay, allowing individuals to manage the condition for years if addressed promptly. This method is effective only if implemented early, as significant damage to the tooth's interior can limit its efficacy.
Non-Restorative Cavity Control (NRCC)
Non-Restorative Cavity Control (NRCC) is a three-part treatment strategy for managing cavities, particularly in primary dentition and root carious lesions. The first step involves improving the patient's oral hygiene habits, ensuring that the exposed dentine is cleaned effectively. This may require exposing the cavity to make it accessible for brushing .
The second step involves using fluoride treatments, such as 38% silver diamine fluoride (SDF) or 5% sodium fluoride (NaF) varnish, to support the treatment and prevent further decay . NRCC is advantageous as it avoids the stress and fear associated with invasive procedures and emphasizes the patient's responsibility for their oral health through regular brushing and diet modification.
Cavity Disinfection Before Restorative Procedures
Disinfecting the cavity before any restorative procedure is essential to ensure the success of the treatment. Using antimicrobial agents like chlorhexidine can preserve the adhesion to dentin, making it a safe and effective option for cavity disinfection. Other agents like EDTA and ethanol have shown positive results but require further research for confirmation. Avoiding less proven disinfectants such as lasers, fluoridated agents, and sodium hypochlorite is recommended due to insufficient scientific evidence.
Conclusion
Preventing a cavity from worsening involves early intervention, effective oral hygiene, and appropriate use of fluoride treatments. Non-Restorative Cavity Control offers a less invasive approach, emphasizing patient responsibility and regular maintenance. Additionally, disinfecting the cavity before restorative procedures with proven agents like chlorhexidine can enhance treatment success. By following these strategies, individuals can manage cavities effectively and prevent further decay.
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