Cariology Flashcards
What is Dental Caries
Biofilm-mediated
Sugar-driven
Multifactorial
Dynamic Disease
4 CONTRIBUTING FACTORS TO THE DEVELOPMENT OF DENTAL CARIES
Host
Substrate
Presence of Oral Bacteria (In the biofilm)
Time
ETIOLOGY OF DENTAL CARIES
Worm Theory Chemical Theory Parasitic or Septic Theory Humoral Theory Vital Theory Chemico-Parasitic Theory Proteolytic Theory Protelysis Theory
PATHOLOGICAL FACTORS
Predominance cariogenic of bacteria in biofilm
Sub-normal saliva flow and/or functions
Frequent Eating/Drinking of Fermentable Carbohydrates
Poor Oral Hygiene
PROTECTIVE FACTORS
Predominance of non-cariogenic bacteria
Increased of saliva flow and composition
Frequent exposure to flouride
Good Oral Hygiene
WHAT IS CHEMICAL THEORY
Robertson 1834 - Dental caries was caused by chemical disintegration of the teeth.
- It was believed that putrefaction of protein led to formation of ammonia which was subsequently oxidized to nitric acid
WHAT IS WORM THEORY?
- Bore a hole through the teeth
- Hid beneath the surface
- Drank Blood of teeth
- Fed on the roots of the jaws
WHAT IS PARASITIC OR SEPTIC THEORY?
Erdl and Ficinus - said that filamentous microorganisms caused the decomposition of the teeth.
EARLY (EXOGENOUS THEORY)
- Legend of Worm or Worm Theory
- Chemical Theory
- Parasitic or Septic Theory
THEORIES (ENDOGENOUS THEORIES)
- Humoral Theory
- Vital Theory
WHAT IS HUMORAL THEORY?
- 4 Elemental Fluid (Body-blood, Phlegm, Black Bile, and Yellow bile)
- Imbalanced of the 4 humors determine the person’s physical and mental constituent
WHAT IS VITAL THEORY?
- Proposed by Hippocrates, Celsus, Galen, and Auicenna
- Postulated that tooth decay originated like bone gangrene from within the tooth itself.
WHAT IS CHEMICO-PARASITIC THEORY?
- Said that caries is caused by acid produce by oral bacteria following fermentation of sugar.
- Consist of 2 stages:
Decalcification of enamel, destruction of dentin (Preliminary Stage)
Dissolution of the softened residue of enamel and dentin (Subsequent stage)
ACIDOGENIC
Acid Environment or Acid Surrounding
ACIDOPHILIC
Acid Loving