Podcast
Questions and Answers
What is dental caries?
What is dental caries?
What is dental plaque's role in dental caries?
What is dental plaque's role in dental caries?
What is the pH threshold for caries to occur?
What is the pH threshold for caries to occur?
What are the bacteria most associated with dental caries?
What are the bacteria most associated with dental caries?
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What are the four zones of enamel after sound enamel?
What are the four zones of enamel after sound enamel?
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What is the clinical application of the dark zone in enamel?
What is the clinical application of the dark zone in enamel?
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What is the difference between infected and affected dentin?
What is the difference between infected and affected dentin?
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What is nurse bottle caries?
What is nurse bottle caries?
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What is dental caries?
What is dental caries?
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What is dental plaque?
What is dental plaque?
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What is the pH threshold for caries to occur?
What is the pH threshold for caries to occur?
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Which bacteria are most associated with dental caries?
Which bacteria are most associated with dental caries?
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What is the pathogenesis of dental caries?
What is the pathogenesis of dental caries?
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What are the four zones of dentin caries?
What are the four zones of dentin caries?
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What is the clinical application of the dark zone in enamel caries?
What is the clinical application of the dark zone in enamel caries?
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What are early enamel lesions?
What are early enamel lesions?
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Study Notes
Understanding Dental Caries: Causes, Pathogenesis, and Histological Effects
- Dental caries is a multifactorial, transmissible, infectious oral disease caused by the interaction of cariogenic oral flora with fermentable carbohydrate on the tooth over time.
- Dental plaque, a thin film of bacterial species, food remnants, and epithelial cells, is an etiological factor, not a cause of dental caries, and acts in the presence of pathologic bacteria.
- Pathogenic bacteria are microorganisms that ferment carbohydrates and produce acids that demineralize tooth structure.
- The pathogenesis of dental caries involves the adsorption of an organic film called "acquired pellicle" to the tooth surface, followed by the invasion of specific highly adherent bacteria, which produce lactic acid and decrease the pH of the biofilm.
- When the pH drops below critical levels, the tooth demineralizes to buffer the acid by losing Ca++ and Ph+++ ions, leading to the destruction and dissolution of dental hard tissue.
- Dental caries varies according to diet, hygiene, time of exposure, and affects signs and symptoms.
- The pH threshold for caries to occur is 5.5, and the bacteria most associated with caries include Actinomyces, Streptococcus mutans, and Lactobacillus.
- Histologically, dental caries affects both enamel and dentin, with enamel showing four main zones after sound enamel: normal, lesion, translucent, and dark zone.
- The clinical application of the dark zone is important as it does not permit light, and transillumination can be used to detect caries.
- Dentin caries has four zones: normal, sub-transparent, transparent, and turbid zones, with the superficial "infected" zone characterized by complete decomposition of the dentin and significant bacterial infiltration.
- Infected dentin is invaded by bacteria and has a denatured collagen network, while affected dentin is demineralized but not invaded by bacteria and can be preserved.
- Early enamel lesions appear as white spots and may appear darkened after remineralization, while nurse bottle caries can occur in infants with prolonged exposure to fermentable carbohydrates.
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Description
Test your knowledge on dental caries with this informative quiz! Discover the causes, pathogenesis, and histological effects of this common oral disease, as well as the bacteria associated with it. Learn about the different zones of enamel and dentin affected by caries and find out how to detect caries through transillumination. Test your understanding of this multifactorial disease and gain valuable insights into its prevention and treatment.