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Opening the Conversation: What is the recommended protocol for remineralizing incipient cervical carious lesions using Recaldent (MI paste)?

This question was submitted by a general dentist: What is the recommended protocol for remineralizing incipient cervical carious lesions using Recaldent (MI paste)?

The following is a “discussion-opener” response by a dentist:

Dr. Karen Black

I have been using MI Paste for many years and have send my patients home with a tube of the paste and the following written instructions.

  • M I Paste should not be used if you are allergic to milk proteins.
  • M I paste can be used if you are lactose intolerant.
  • M I paste is safe to swallow.
  • M I paste does not contain fluoride.

For remineralizaton, decay prevention, and desensitization:

Apply with finger-tip, toothbrush or Q-tip to areas of concern twice daily. Allow M I Paste to remain in place for at least 3 minutes, then spit out or swallow.

If home fluoride products have been recommended, you need to continue using them. Use the fluoride product first (rinse, gel or toothpaste), then follow with M I Paste.

We verbally tell the patient that they basically put it on and leave it on until it dissolves into their saliva, and that applying it as the last thing before bed is the best practice. I have had very good success with this protocol. It has even happened that lesions I had planned to restore are remineralized when the patient returns for the filling, and don’t need treatment.

I have an older practice, with many patients in their 80’s and 90’s, so root caries is a very real issue for me. Recalcification with MI paste has simplified the management of many of my patients!

 

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2 Comments

  1. Paul Hew August 20, 2013

    Can you post pictures of the remineralization in cervical lesions?

    Reply
    1. JCDA Oasis August 21, 2013

      Hello Paul.

      I will see what I can do for the pictures.
      JCDA Oasis Team

      Reply

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