Akademik Veri Yönetim Sistemi
MDS & Friends Symposium 2025, Florence, İtalya, 13 - 15 Şubat 2025, (Yayınlanmadı)
Objective: The root surfaces of teeth are more susceptible to caries because they are composed of dentin and cementum with lower mineral content compared to enamel. In this case report, the early healing results of the temporary restoration of the root caries of tooth number 21 under the free gingival margin with periodontal access flap and permanent restoration after healing are reported.
Materials and Methods: A systemically healthy 22-year-old male patient was referred to our clinic with the complaint of discolouration in the collar region of tooth number 21. Clinical examination revealed a root surface irregularity in the subgingival region of the patient's tooth number 21 with a probable pocket depth of 5 mm and bleeding on probing. Root caries in the subgingival region was suspected and the patient was consulted with the restorative dental specialists of the faculty. Non-surgical periodontal treatment was completed in the first stage of the case diagnosed with subgingival root caries and oral care education was given. Following the initial treatment, the periodontal access flap was removed from the region of the related teeth for the treatment of the root caries in tooth number 21, the carious area on the root surface was cleaned under rubber-dam isolation and the restoration of the root surface was completed with GC EverX Flow(c) flowable composite. Following the successful completion of the restoration, the access flap was fixed with 6-0 Trofilen sutures. Two months after the operation, the construction of the permanent restoration was started. The probable pocket depth, which was initially measured as 5 mm in tooth 21, decreased to 3 mm at 2 months and no bleeding was observed on probing.
Conclusion: This case demonstrated a restorative approach to the treatment of subgingival root caries using a periodontal access flap. Temporary composite restoration was applied as a critical intermediate step to improve the success of the restorative procedures, followed by permanent restoration of the crown. This treatment protocol demonstrated that an acceptable success can be achieved by both the patient and the physician by preserving the health of the periodontal tissues and providing aesthetic and functional results. This restorative approach in combination with periodontal flap can be recommended as an effective method especially in the treatment of complicated root caries.