This review of domiciliary professional oral care on root caries development and progression in care-dependent older adults included 4 RCTs. While all the included studies indicated a benefit the interventions and outcomes were veriable and none were considered to be at low risk of bias.
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This review of the effectiveness of professionally applied fluoride therapy in preventing and arresting dental caries in older adults aged 60 years or above included 7 studies. The findings suggest that 5% NaF varnish, 38% SDF solution, and 1.23% APF gel were effective in preventing root caries but the studies were varied in treatment protocols, intervention method and follow-up period so more research in needed.
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This review of the caries prevalence and experience of older adults globally included 39 studies published between 2016 and 2020. The prevalence of caries in older adults was still high in most countries around the globe with a median of mean prevalence for caries of 49%.
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This Cochrane review assessing the diagnostic test accuracy of index tests for the detection and diagnosis of root caries in adults included 4 studies and 4997 root surfaces. The studies were all at high risk of bias meaning the available evidence is of very low certainty
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This review of risk predictors of root caries was based on 16 cohorts. The findings suggest a number of risk predictors but only 4 of the included studies were considered to be of high quality.
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This randomised trial comparing 5000ppm fluoride tootpaste v 1450ppm paste in adults aged 60 and above demonstrated fewer new root canal lesions in the 5000ppm group at 2 years.
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This umbrella review of silver diamine fluoride (SDF) for the management of carious lesions in children and adults included 11 systematic reviews reporting on 30 unique primary studies. A consistent and growing body of research supports supports SDF’s effectiveness for arresting coronal carious lesions in the primary dentition and arresting and preventing root carious lesions in older adults.
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This review of atraumatic restorative treatment or conventional treatment for restoration of root caries lesions in older adults included 3 RCTs providing is insufficient data to clearly rule out whether differences between ART and CT exist.
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This review of the incidence and increment of root caries included 20 longitudinal studies that provided an overall estimate of incidence of 18.25% 1(95%CI; 13.22%-23–28%) and increment of 0.45 (95%CI; 0.37–0.53).
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15 RCTs were included in this Cochrane review of Atraumatic Restorative Treatment (ART) comparing with conventional treatment for managing dental caries lesions in the primary and permanent teeth provided low quality evidence that ART using H-GIC may have a higher risk of restoration failure in primary teeth.
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