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The Concept of MID
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Local Anesthesia in Dentistry
ortodoncia desmineralizacion
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INTRODUCTION Dental caries is an infectious disease caused by a bacterial biofilm which is expressed in a predominantly pathologic oral environment. Although acid
generating bacteria are the etiologic agents, dental caries has been thought as a multifactorial disease since it is influenced by dietary and host factors. Dental plaque is the biofilm found naturally on teeth. Dental plaque is implicated in dental caries, which is associated with shifts in the microbial balance of the biofilm resulting in increased proportions of acid producing [acidogenic] and acid tolerating bacteria [aciduric] , especially Mutans Streptococci and Lactobacilli. The frequent intake of fermentable dietary
sugars, or impaired saliva flow, produces persistent conditions of low pH wi the biofilm, which selects for these cariogenic bacteria. It is preferable to
prevent this disruption to the natural microbial balance of the biofilm, rathe than merely treating its consequences by restoring cavities. The pathogenicity of the dental biofilm is modified by salivary and dietary factors, as well as by the characteristics of the tooth structure. The
composition of the acquired pellicle can modify the mineral homeostasis of tooth surfaces and the attachment of bacteria for the development of the biofilm. The substitution substitution of sucrose from the diet by other less cariogenic
sugars and/or sugar substitutes can contribute to reducing the pathogenicit the biofilm.
In addition, the role of salivaScribd as a defence system against dental caries is we Master your semester with Read Free Foron 30this Days Sign up to vote title documented. These defence systems include clearance, buffering, & The New York Times Useful Not useful Cancel anytime.
agents and calcium and phosphate delivery for Special offer forantimicrobial students: Only $4.99/month.
remineralisati
Saliva clears, dilutes, neutralizes and buffers acids produced by the biofilm.
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A caries lesion refers to the clinical manifestation of the disease process. Dental caries is a site-specific disease that undergoes many cycles of demineralization and remineralisation during lesion development. At the beginning of the disease process, bacterial pathogen activity leads to a reversible demineralization of the hard tooth structure. At this point of the
disease process, the lesion is said to be sub clinical because it is not detecta
by typical diagnostic means (visual, tactile, and radiographic). Because of it
developmental characteristic dynamics, the caries lesion can be arrested an
even repaired at its early stages without operative intervention by increasin
the net mineral gain during the demineralization and remineralisation cycle
This result can be accomplished by reducing the effect of etiological factors
such as cariogenic biofilm and diet and increasing the efficacy of reminerali agents such as saliva and fluoride. If remineralisation does not occur, the disease process continues to an irreversible stage where tissue morbidity occurs.
Prevention, diagnosis, and treatment of the disease before or during the su You're Reading a Preview clinical stage should be the focus of our efforts. Many research efforts are Unlock full access with a free trial.
currently focusing on the development of new diagnostic tools for detecting Download Free Trial dental caries in the sub clinical stages.With Beyond the traditional diagnostic
methods, cutting-edge technology using electrical methods, optical method laser fluorescence (DIAGNOdent) and chemical dyes aid in t he detection of clinical caries.
Use of indices, like the International Caries Detection and Assessment Syste
Master your semester Scribdand assessment Using (ICDAS), can improvewith the detection of carious lesions. Read Free Foron 30this Days Sign up to vote title visualYork inspection, the clinician must decide about the presence, severity and & The New Times Useful Not useful Cancel anytime.
Special offer foractivity students: Only $4.99/month. of lesions. After this process, additional methods could a id the dent
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Local Anesthesia in Dentistry
ortodoncia desmineralizacion
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During the past few decades, changes have been observed not only in the prevalence of dental caries, but also in the distribution and pattern of the
disease in the population. It has been observed that the relative distribution dental caries and the rate of lesion progression on tooth surfaces have changed.
In order to make continued progress in eliminating this common disease, ne
strategies will be required to provide enhanced access for those who suffer
disproportionately from the disease; to provide prevention, risk assessmen
and early diagnosis and to create improved methods to arrest or reverse th non cavitated lesion while improving surgical management of the cavitated lesion. This library dissertation provides an overview of the current concepts in
cariology and highlits the importance of on-going need to update in this fiel
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With advances in technology and material science there is a paradigm shift f Download With Free Trial
the traditional surgical model (drill and fill) to the modern medical mode
care, involving caries risk assessment, alteration of cariogenic environm potential tissue remineralization and minimal tooth preparation.
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