R Thaper, RL Karlinsey. Clinical observations on the remineralization of stage 1 caries enamel lesions using a tray-based protocol: a pilot study. International Journal of Dentistry and Oral Health 1(8), (2015).
Abstract
Aim: To demonstrate that stage 1 caries lesions in a moderate-to-high-risk young adult can be successfully remineralized with a customized protocol. Background: While some clinicians respond immediately to demineralized enamel with surgical procedures (e.g. sealants, microabrasion, restorations), holistic or minimally invasive approaches preserve tooth structure while achieving remineralization of such lesions. Case description: We report on the application of a tray-based protocol that prolongs contact between a multi-mineral NaF dentifrice and the teeth of a young adult manifesting stage 1 caries lesions. Conclusion: Instead of invoking procedures that generate tissue loss (no matter how minimal), reversible conditions of a moderate-to-high-risk patient demonstrating stage 1 caries can be addressed via creative, minimally invasive approaches, such as delivery of a multi-mineral dentifrice via mouth trays. Clinical significance: The minimal interventional approach we used required patience and creativity, and produced remineralization of incipient caries lesions in a moderate-to-high-risk patient. Importantly, this case study also demonstrates the importance of understanding the psychology of the patient, acquiring a detailed history of habits, and devising a customized, preventive-focused protocol to match the patient’s needs.
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Dr. Robert L. Karlinsey earned a BS in Physics and PhD in Chemical Physics, holds several patents, and has published in multiple fields including dentistry, chemistry, and materials science. His lifelong struggles with his own dental decay ultimately inspired him to investigate the remineralization of teeth.