RAMPANT AND RADIATION CARIES

Rapid carious attack involving several teeth including those surfaces that are usually caries-free (e.g. the smooth surface of a tooth)

Causes

  • Frequent ingestion of sugary foods and drinks in individuals with reduced saliva flow
  • Prolonged and frequent intake of sugar-based syrup medications
  • Untreated nursing caries
  • Radiation caries: Radiation for head and neck cancer may result in fibrosis of salivary glands and subsequent
    reduction in saliva flow. Patients often resort to sucking sweets to alleviate their dry mouth, which further
    exacerbates the problem

Management

  • Removal of causative factors as mentioned above
  • Education, fluoride treatment, tooth restoration, endodontic therapy, extractions