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Four things are required for caries to form: a tooth surface (enamel or dentin), caries-causing bacteria, fermentable carbohydrates (such as sucrose), and time. [20] This involves adherence of food to the teeth and acid creation by the bacteria that makes up the dental plaque. [21]
Dental caries—Dental caries are known as cavities or tooth decay. Bacteria in the mouth use foods that contain sugar or starch to produce acids which eat away at the tooth’s structure causing destruction to the enamel of the teeth. Meanwhile, the minerals in saliva (calcium and phosphate) together with fluoride are repairing the enamel. [3]
Those microorganisms nearest the tooth surface typically obtain energy by fermenting dietary sucrose; during fermentation they begin to produce acids. The bacterial equilibrium position varies at different stages of formation. Below is a summary of the bacteria that may be present during the phases of plaque maturation:
The most common bacteria that causes mouth infections are Streptococcus species. [8] Poor dental hygiene promotes the accumulation of these bacteria at the tooth root, eventually causing a cavity or dental caries. The decaying tooth root provides bacteria with an enclosed environment with low oxygen content.
Other bacteria, including Streptococcus mutans, are able to grow in these colonies. Streptococcus mutans is important, because it is associated with dental caries. [5] These bacteria produce the enzyme glucosyltransferase. Glucosyl transferase converts sucrose into exopolysaccharides. These exopolysacharides create a sticky environment that ...
Back teeth showing fissure system. Dental caries is an upset of the balance between loss and gain of minerals from a tooth surface. [3] The loss of minerals from the teeth occurs from the bacteria within the mouth, fermenting foods and producing acids, whereas the tooth gains minerals from our saliva and fluoride that is present within the mouth. [3]
In dentistry, the smear layer is a layer found on root canal walls after root canal instrumentation. It consists of microcrystalline and organic particle debris. It was first described in 1975 and research has been performed since then to evaluate its importance in bacteria penetration into the dentinal tubules and its effects on endodontic treatment.
A 1930s poster from the Work Projects Administration promoting oral hygiene. Tooth decay is the most common global disease. [14] Over 80% of cavities occur inside fissures in teeth where brushing cannot reach food left trapped after eating and saliva and fluoride have no access to neutralize acid and remineralize demineralized teeth, unlike easy-to-clean parts of the tooth, where fewer ...