Fluoride modalities; pre-eruptive
sources; drinking water, food, tablets, drops, lozenges, topical containing products, mouth rinses, dental
materials
very effective for ages 6 months-14 years
Fluoride modalities; post-eruptive
Brainpower
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teeth involved in ECC
maxillary primary incisors
primary molars
mandibular primary incisors
mandibular primary incisors are usually spared (except with severe ecc) because of the protection of the
tongue and salivary cleansing action
ecc type 1
mild to moderate
, involves molars and incisors
2-5 years old
cause; combination of cariogenic semisolid/solid food and lack of oral hygiene
number of affected teeth usually increases as the cariogenic challenge persists
ecc type 2
moderate to severe
labiolingual carious lesions affecting maxillary incisors with or without molar caries
seen soon after 1st tooth eruption
cause; inappropriate use of feeding bottle, at will breast feeding or combination of both
ecc type 3
severe
carious lesions involving all teeth, including mandibular incisors
usually seen 3-5 years of age
cause; combination of factors and poor oral hygiene
rampant in nature, involves immune tooth surfaces
cause of ECC; plaque biofilm
mutans streptococcus (primary microbial culprit), potent producer of acid
produces large amounts of extracellular polysaccharide enzymes that promote biofilm formation
synthesize glucan from sugar and the combination of sugar and starches
glucans make up the bulk of plaque biofilm
the glucosyltransferases can also adhere to surfaces of other microorganisms and convert them into
glucan producers