Recare Visits for a Chronic Xerostomia Patient

A visual exam should be supplemented by a bitewing radiographic exam with radiographs as needed, and the oral cavity should be examined for clinical signs of candidiasis.23 Disclosing agents are important to use along with regular monitoring of salivary S. mutans, and an alcohol-free chlorhexidine rinse should be prescribed again as needed. Recare visits should be shortened to three to four months depending on dental caries risk. When treatment planning, initially avoid subgingival and full coronal coverage for these patients. Subgingival margins are less accessible to topical fluoride, and they are the typical sites of recurrent dental caries activity. In addition, consider restoration of carious lesions with conservative intracoronal preparations and light-cured glass ionomer cements because they release fluoride and have been shown to be more resistant to marginal dental caries.23 If patient presents with demineralized areas, consider the use of remineralizing agents in addition to topical fluoride like CPP-ACP.24