Although dental caries destroys dental hard tissues, both demineralization as a destructive process and remineralization as a restorative process take place in carious lesions. These conflicting processes occur constantly either simultaneously or alternately. In crystallographic terms, demineralization is crystal dissolution, and remineralization is restoration of partially dissolved crystals, new crystal formation and growth of surviving crystals. In this review, we employ high-resolution transmission electron microscopy to demonstrate demineralization and remineralization of enamel crystals obtained from cross-cut sections of the c-axes of crystals from carious lesions.
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http://dx.doi.org/10.1093/jmicro/52.6.605 | DOI Listing |
Dental caries is one of the most common health issues worldwide arising from the complex interactions of bacteria. In response to harmful stimuli, desirable outcome for the tooth is the formation of tertiary dentin, a protective reparative process that generates new hard tissue. This reparative dentinogenesis is associated with significant inflammation, which triggers the recruitment and differentiation of dental pulp stem cells (DPSCs).
View Article and Find Full Text PDFJ Dent (Shiraz)
December 2024
Dept. of Prosthodotics, Faculty of Dentistry Sabzevar University of Medical Sciences, Sabzevar, Iran.
Statement Of The Problem: Antimicrobial photodynamic therapy (aPDT) is a protocol proposed for reduction of bacterial load in deep dentin caries in primary and permanent dentitions. However, considering the difference in the morphology of dentinal tubules in primary and permanent teeth, the effect of this treatment may be different on the two dentition types.
Purpose: This systematic review and meta-analysis aimed to assess the effect of type of dentition as a determinant of microbial load reduction by aPDT in deep dentin caries.
Cureus
November 2024
Dentistry, School of Dentistry, Autonomous University "Benito Juarez" of Oaxaca, Oaxaca, MEX.
Background Dental caries is identified as one of the most prevalent chronic pathologies among the pediatric population on a global scale, constituting a public health problem. Within the permanent dentition, the first molars play a fundamental and critical role both in masticatory functionality and in the development of occlusion and the overall oral health of the patient. Previous research has shown that permanent molars tend to show significantly high levels of caries incidence, and a correlation has been detected between the status of the first permanent molars and the overall caries rate.
View Article and Find Full Text PDFFront Pediatr
December 2024
Departments of Psychiatry, Neuroscience, and Obstetrics and Gynecology, University of Rochester, Rochester, NY, United States.
Objective: To examine the social determinants of early childhood caries (ECC), one of the greatest public health risks affecting children, and examine alternative pathways of influence.
Methods: A physically healthy, socio-demographically high-risk sample of initially caries-free children, aged 1-4 years, was prospectively studied for 2 years. At 6-month intervals, assessments were made of caries presence from a standard dental exam; oral microbiology was assayed from saliva samples; oral hygiene behaviors and psychological and psychosocial risk exposure were derived from interviews and questionnaires.
Spec Care Dentist
December 2024
Faculty of Dentistry, University of Hong Kong SAR China, Hong Kong, China.
Background: Unmet caries treatment needs are prevalent among people with disability, partly due to difficulties of cooperation during conventional dental treatment. This cohort study compared atraumatic restorative treatment (ART), silver modified atraumatic restorative treatment (SMART), and conventional restorative treatment (CRT), in terms of feasibility and acceptability in patients referred for special care dentistry in a specialized university clinic.
Methods: Patients referred for dental restorative care were treated using either ART, SMART, or CRT approach.
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