Toothpaste questions Flashcards
what causes dental caries
cariogenic bacteria metabolizing carbohydrates on the tooth surface, producing organic acids as byproducts that lower the pH in the plaque biofilm
how does fluoride prevent tooth decay
making tooth enamel more resistant to acid attacks from bacteria in the mouth, aiding in the remineralization process where minerals are redeposited in demineralized areas of the enamel
what is the critical pH level for enamel and dentin demineralization
5.5 for enamel and 6.2 for dentin, below with the dissolution of tooth mineral occurs in a process called demineralization
what role does saliva play in tooth remineralization
saliva elevates pH and reintroduces minerals to the tooth through the process of remineralization, helping recover from acid-induced demineralization
how does fluoride enhance remineralization
incorporating into the tooth, forming fluorapatite rather than hydroxyapatite during the remineralization process, which increases the rate of remineralization
what is fluorapatite and why is it important
formed when fluoride ions replace hydroxyl groups in the formation of the apatite crystal lattice, making it less soluble than hydroxyapatite and more resistant to subsequent demineralization when acid-challenged
how does fluoride inhibit the growth of harmful oral bacteria
inhibits the ability of plaque bacteria to produce acid, the primary cause of tooth decay, by affecting the metabolic processes of bacteria and reducing their acid production
what are the common fluoride sources in toothpaste
stannous fluoride SnF2
sodium fluoride NaF
sodium monofluorophosphate Na2PO3F
what is unique about stannous fluoride in dental applications
stannous fluoride provides a dual action of chemical protection against tooth decay by forming a protective layer on the enamel and possesses antibacterial properties against oral pathogens
how is sodium monofluorophosphate (SMFP) activated to release bioavailable fluoride
SMFP requires enzymatic activation by a salivary enzyme (alkaline phosphatase) to release bioavailable fluoride, making it compatible with more abrasives than other fluoride sources
what is the role of potassium salts in the nerve stabilization approach to treat dentine sensitivity
potassium salts numb the nerves within the teeth by altering the cell’s electrical potential, which requires several weeks to take effect
how do bioglasses contribute to tubule occlusion in the treatment of Dentine Sensitivity
bioglasses contain SiO2, Na2O and P2O5 which promote the growth of calcium phosphate crystals on the tooth surface, leading to the occlusion of dentinal tubules
what mechanism allows strontium to treat Dentine Sensitivity differently from potassium
strontium can stabilize the nerve cell membrane without changing the cell’s potential and replace calcium in hydroxyapatite, which strengthens demineralized dentine
describe how arginine reduces Dentine Sensitivity
in conjunction with calcium carbonate and phosphate, forms a plug in the dentinal tubules that prevents fluid movement, reducing sensitivity by mimicking natural saliva’s protective effects
what is the significance of clinical trials in the development of new treatments for Dentine Sensitivity
clinical trials are essential for assessing the efficacy of treatments, guiding the development of new technologies like desensitizing mouthrinses, and ensuring their effectiveness and safety for managing Dentine Sensitivity