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Routine dental care and caries prophylaxis in patients with salivary hypofunction

Mild caries risk*	Moderate caries risk^¶	High caries risk^Δ
Brush two times per day Floss at least once a day Daily over-the-counter fluoride rinse (ACT, Fluorigard, etc) Dental visits every six months	Brush two times per day Floss at least once a day Daily use of 1.1% sodium fluoride gel (or an equivalent supplemental fluoride preparation prescribed by a dentist) Dental visits every four to six months Annual bite-wing radiographs	Brush two times per day Floss at least once a day Use of 1.1% sodium fluoride gel each day and professionally administered fluoride varnishes every three to six months Dental visits every three to four months Bite-wing radiographs every six months

* A patient with symptomatic dry mouth but without clinical signs of dry mouth and without recent active or recurrent decay.
¶ A patient with clinical signs of dry mouth but no new carious lesions and no other risk factors.
Δ A patient with clinical signs of dry mouth and/or salivary hypofunction (eg, whole unstimulated saliva flow <0.1 mL/minute) who has developed any new carious lesions.

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