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?
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