Incipient caries: an early intervention approach
Keywords:
Dental caries, Demineralization, RemineralizationAbstract
Dental caries is an irreversible microbial disease of the calcified tissues of the teeth, characterized by demineralization of the inorganic portion and destruction of the organic substance of the tooth, which often leads to cavitation (Shafer-1993). Organic acids produced as a by-product of fermentable carbohydrate metabolism plays a key role in the disease. The caries process is a continuous, involving various cycles of demineralization and remineralization. Demineralization begins at the atomic level on the crystal surface in enamel or dentine and can continue to cavitation. However currently there are many treatment modalities to intervene this continuing process, to arrest or reverse the progress of the lesion. Remineralization is the natural repair process for non-cavitated or incipient carious lesion.
References
Garcia-Godoy F, Hicks MJ. Maintaining the integrity of the enamel surface: the role of dental biofilm, saliva and preventive agents in enamel demineralization and remineralization. J Am Dent Assoc. 2008; 139(Suppl 2):25S-34S.
Featherstone JD. The caries balance: the basis for caries management risk assessment. Oral Health Prev Dent. 2004;2(Suppl):259-64.
Hicks J, Garcia-Godoy F, Flaitz C. Biological factors in dental caries: role of remineralization and fluoride in the dynamic process of demineralization and remineralization (part 3). J Clin Pediatr Dent. 2004;28:203-14.
Silverstone LM, Featherstone MJ, Hicks MJ. Dynamic factors affecting lesion initiation and progression in human dental enamel. Part I. The dynamic nature of enamel caries. Quintessence Int. 1988;19:683-711.
Silverstone LM, Wefel JS, Zimmerman BF, Clarkson BH, Featherstone MJ. Remineralization of natural and artificial lesions in human dental enamel in vitro. Effect of calcium concentration of the calcifying fluid. Caries Res. 1981;15:138-57.
Ten Cate JM. Remineralization of deep enamel dentine caries lesions. Aust Dent J. 2008;53:281-5.
Haugejorden O, Nord A. Caries incidence after topical application of varnishes containing different concentrations of sodium fluoride: 3-year results. Scand J Dent Res. 1991;99:295-300.
Chow LC, Takagi S, Vogel GL. Amorphous calcium phosphate: the contention of bone. J Dent Res. 1998;77:62-7.
Arun Balakrishnan, R. Jonathan, P. Benin, Arvind Kumar. Evaluation to determine the caries remineralization potential of three dentifrices: an in vitro study. J Conserv Dent. 2013;16(4):375-9.
Machale PS, Sahana Hegde. Incipient caries lesions. J Contem Dent. 2013;3(1);20-4.
Reynolds EC. Calcium phosphate-based remineralization systems: scientific evidence? Aust Dent J. 2008;53:268-73.
Reynolds EC, Cai F, Cochrane NJ, Shen P, Walker GD, Morgan MV, et al. Fluoride and casein phosphopeptide-amorphous calcium phosphate. J Dent Res. 2008;87:344-8.
M. Anjum Shah. Remineralization with calcium based therapies, Dimension of dental hygiene. Dimens Dent Hyg. 2013 Mar;11(3):30,32,35.
Peldyak J, Makinen KK. Xylitol for caries prevention. J Dent Hyg. 2002 Fall;76(4):276-85.
Carounanidy Usha, Sathyanarayanan R. Dental caries - a complete changeover (Part I). J Conserv Dent. 2009 Apr-Jun;12(2):46-54.
