Severe ECC: Cavitations

Cavitations represent areas where loss of enamel has exposed underlying dentin.

Appearance & Symptoms

  • Anterior upper incisors are typically affected first.
  • Lesions are initially pale yellow and become progressively darker as they become stained with pigments from food.
  • Teeth may be sensitive to thermal changes and sweet or sour foods or drinks.
  • Children may be too young to articulate symptoms.

Treatment & Referral

  • Immediate dental referral should be arranged
  • Some cavities may be restored using fluoride releasing restorative materials.
  • Provide dietary and oral hygiene counseling.
  • Use of topical fluoride to prevent development of new lesions.

 

Cavitations represent areas of enamel loss exposing underlying dentin

Joanna Douglass, BDS, DDS
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Cavities on the lingual tooth surfaces are easily overlooked

Joanna Douglass, BDS, DDS
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