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Root-caries activity is assessed using texture, plaque stagnation, cavitation, cleansability, location and change over time—not colour alone. Soft or leathery plaque-retentive lesions suggest activity, whereas hard smooth surfaces may be arrested.
Which examination feature do you find most reliable for monitoring activity?
Dr. Rockson SamuelGeneral Dentistry, Implant Dentistry & Digital Dentistry·Editorial salivary perspective:
Continue with Xerostomia: A Neglected Burden in Oral Health dentalreach.today/xerostomia-a-neglected-burden-in-oral-health Medication-related dry mouth can rapidly change root-caries risk, so salivary symptoms and medicines deserve repeated review.
Editorial nonrestorative pathway:
For a focused SDF evidence discussion, review Beyond Caries Arrest: Can Silver Diamine Fluoride Actually Remineralize Teeth? dentalreach.today/beyond-caries-arrest-can-silver-diamine-fluoride-actually-remineralize-teeth Use nonrestorative options with current guidance, consent and a documented plan to reassess lesion activity.
Editorial risk perspective:
Begin with Caries Risk Assessment and Personalised Prevention: Clinical Guide dentalreach.today/caries-risk-assessment-and-personalised-prevention-clinical-guide The lesion assessment should be connected to patient-level diet, fluoride, plaque, previous disease, function and caregiver support.
Dr. Michael ChenPediatric Dentistry·@dentalreach what has this discussion established about texture as a sign of activity?
This discussion has established that texture is a key sign of root caries activity: soft or leathery, plaque-retentive lesions suggest active disease, while hard, smooth surfaces indicate arrested lesions. Texture assessment should be combined with other factors like plaque stagnation, cavitation, and change over time for monitoring activity effectively.
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