Dentist must strongly emphasize on oral hygiene, educating the patients about measures
to minimize the effects of dry mouth and establishing a tight recall system.
"Debug the mouth with chlorhexidine mouthwashes for two weeks followed by daily
long term topical fluoridation."This is the rule of thumb in home care preventive
Immediately after caries control, when all carious lesions are removed and teeth
filled by temporary or permanent restorations, the above mentioned preventive approach
should be followed.
- Teeth that cannot be restrained or restored should be extracted.
A programme of caries prevention should be added to the Oral Hygiene Protocol.
Reduction of Oral Microbiota is achieved by two weeks of night mouthwashes with
solution of Chlorhexidine1.2% followed by application of fluoride gel with toothbrush
on the teeth, just before bedtime.
- The excess is expectorated without washing the mouth, drinking or eating thereafter.
Instruct the patient to leave some of the gels in contact with the teeth overnight.
The flouride gel should be used every night thereafter.
- Initially 3 month recalls are recommended.
After 3 visits when the oral cavity is stable with good oral hygiene the period
between visits can be extended to 6 months.
- Bitewing X-rays would be necessary if any new or recurrent caries occur.