Caron Glickman DDS
General & Cosmetic Dental Spa, Modern Integrative Dentistry,
Duvall Dental & Smile Makeover
(425) 788-1551

Dental Caries

"Caries" is the scientific term for the bacterial infection that causes cavities

The first step in caries (cavity), management is realizing that it is totally different than previously believed; a surgical model of restorative treatment alone (drill & fill).
Restorative dentistry surgically repairs and replaces the damage from carious lesions (cavities), while caries management includes correcting the biofilm disease responsible for the lesions.
"Instead of patching the problem—we fix what causes the problem in the first place".

Treating the caries infection involves eliminating the current population of acid producig bacteria from the biofilm, and also altering the environment to ensure that they don’t return.
We apply therapy that will promote the regrowth of healthy bacteria, reestablishing the natural microflora of a healthymouth.

This process is two-fold; we use broad spectrum antimicrobial agents to treat the infection, and also use alkaline or basic products to increase the pH selection pressure that will ensure cariogenic bacteria cannot flourish, this promotes healthy bacterial growth.

  • Dr. Glickman can perform a"caries risk assessment", to evaluate what factors are contributing to the caries infection, and prescribe a personialized, specific treatment plan.
  • Limit not only sugar/carbohydrate containing items in your diet, but also acidic beverages (i.e. diet soda, coffee, tea, sparkling water, alcohol).
  • Consider the acidity (pH) of the dental products you are using.  Do they neutralize your mouth?  Know your pH.  Don't just brush and floss. . . neutralize!
  • Understand that fluoride can be important, and is used to remineralize your enamel and make it stronger.  Fluoride can help treat the symptoms (cavities), but fluoride's effectiveness at stopping the bacterial infection is limited.
  • Xylitol is a very effective agent for limiting the acids produced by bacteria and comes in a variety of gums, mints, rinses, toothpastes, etc.
  • Xylitol has been shown to make fluoride more effective.
  • Amorphous calcium phosphate (ACP or Recaldent ™), can also be extremly helpful in remineralizing white spot lesions and the incipient decay that may have resulted from the infection. This can be found in toothpastes & other products.