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Dental caries oral pathology notes

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These notes covers DENTAL caries reffered from book shafers 9th edition Shafers books

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Dental caries is an irreversible microbial disease of the c
of the teeth, characterized by demineralization of the in
and destruction of the organic substance of the tooth, w
leads to cavitation

acidogenic theory of Miller (Miller’s chemicoparasitic theo
proteolytic theory, and
proteolysis-chelation theory

Dental decay is a chemico-parasitic process consisting of
the decalcification of enamel and dentin as a preliminary
followed by dissolution of the so ened residue
The acid, which affects this primary decalcification, is deriv
fermentation of starches and sugar lodged in the retaining
the
Miller believed that caries was not caused by any single or
rather by a variety of microorganisms. He assigned an ess
three factors in the caries process: the oral microorganism
production and proteolysis, the carbohydrate substrate, an
which causes dissolution of tooth minerals
could not explain the predilection of specific sites on a too

,dietary carbohydrate varies with the frequency of ingesti
form, chemical composition, route of administration, and
of other food constituents

isolated a streptococcus species, Streptococcus mutans ,
that were found to be in the early stages of the disease
One or more organisms are implicated in the initiation of c
other distinctly different organisms may influence the prog
disease
Organisms such as lactobacilli ferment sugars, which prod
more lactic acid as the end product; such bacteria are calle
homofermentative. Heterofermentatives produce a mixtur

, Go lieb (1944) and Go lieb, Diamond, and Applebaum
been proposed that the organic or protein elements are t
pathways of invasion by
microorganisms. Enamel lamellae might be impo ant in th
dental caries
caries is essentially a proteolytic process: the microorgani
invade the organic pathways and destroy them in their a
The acid formation accompanies proteolysis and the yello
pigmentation characteristic of caries
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