Focus
La prevenzione della carie dentale: attualitŕ e prospettive
CARIES PREVENTION: RECENT ADVANCES AND THE FUTURE PROSPECTS
E. Brambilla, A. Malerba
Marzo 2000 - pagg. 156 -162
Abstract
Dental caries is a progressive, localized demineralization and dissolution of hard dental
tissue that occurs underneath a bacterial layer (dental plaque) adherent to enamel surfaces.
Acid metabolites released by plaque bacteria during fermentation of dietary carbohydrates
lower the surface pH, which falls under the critical value for enamel, starting the dissolution
of the tissue. In most cases, the word “dental caries” is used as a synonym of carious cavity.
Nevertheless it must be noted that carious cavity does not represent the disease itself,
that is primarily a microbial imbalance of dental plaque ecosystem. On this basis the paper
reviews the most recent acquisition of caries prevention, particularly in the fields of oral microbiology,
fluoride biochemistry and development of new restorative materials. Clinical
applications and operative protocols are also discussed.
Parole chiave
Classificazione MeSH
Bibliografia
1. Alaluusua S, Renkonen OV. Establishment
of Streptococcus mutans and dental caries experience
in children from 2 to 4 years. Scand
J Dent Res 1983;91:453-7.
2. Berkowiz RJ, Jones P. Transmission of the Bacterium Streptococcus mutans between mother and child. Archs Oral Biol 1985;30: 377-9.
3. Berkowiz RJ, Jordan HV: Similary of bacteriocins of Streptococcus mutans from mother and infant. Archs Oral Biol 1975;20:725-30.
4. Brambilla E, Strohmenger L, Meda M, Garattini G. Caratteristiche del genere Lactobacillus nello sviluppo della lesione cariosa. Mondo Odontostomatologico 1987;5:59-70.
5. Lau KA, Kral TA. Isolation and characterization of low-pH fluoride-resistant mutans of S. mutans. Oral Microbiol Immunol 1987; 2:136-8.
6. Pienhakkinen K, Gabris K. Longitudinal counts of Lactobacilli and yeast in saliva. Acta Odont Scand 1985;43:359-65.
7. Schaeken MJM. Relationship between dental plaque indexes and bacterial in dental plaque and those saliva. J Dent Res 1987; 66: 1499-562.
8. Sheiham A, Joffe M. Public strategies for controlling caries risk. In: Risk Markers for Oral Diseases, Vol.1 N.W. Johnson Ed, Press Syndicate of the University of Cambrige, 1991.
9. Brambilla E, Felloni A, Gagliani M, Malerba A, Garcia-Godoy F, Strohmenger L. Title caries prevention during pregnancy: results of a 30-month study. Journal of the American Dental Association 1998;129(7):871-7.
10. Brambilla E, Twetman S, Felloni A, Cagetti MG, Canegallo L, Garcia-Godoy F, Strohmenger L. Salivary mutans Streptococci and Lactobacilli in 9- and 13-year-old Italian schoolchildren and the relation to oral health. Clinical Oral Investigations 1999; 3(1):7-10.
11. Emilson CG, Gisselsson H, Birkhed D. Recolonization pattern of mutans Streptococci after suppression by three different modes of chlorhexidine gel application. European Journal of Oral Sciences 1999;107(3):170-5.
12. Gunay H, Dmoch-Bockhorn K, Gunay Y, Geurtsen W. Title effect on caries experience of a long-term preventive program for mothers and children starting during pregnancy. Clinical Oral Investigations 1998; 2(3):137-42.
13. Twetman S, Grindefjord M. Mutans Streptococci suppression by chlorhexidine gel in toddlers. American Journal of Dentistry 1999;12(2):89-91.
14. Twetman S, Petersson LG. Interdental caries incidence and progression in relation to mutans Streptococci suppression after chlorhexidine- thymol varnish treatments in schoolchildren. Acta Odontologica Scandinavica 1999;57(3):144-8.
2. Berkowiz RJ, Jones P. Transmission of the Bacterium Streptococcus mutans between mother and child. Archs Oral Biol 1985;30: 377-9.
3. Berkowiz RJ, Jordan HV: Similary of bacteriocins of Streptococcus mutans from mother and infant. Archs Oral Biol 1975;20:725-30.
4. Brambilla E, Strohmenger L, Meda M, Garattini G. Caratteristiche del genere Lactobacillus nello sviluppo della lesione cariosa. Mondo Odontostomatologico 1987;5:59-70.
5. Lau KA, Kral TA. Isolation and characterization of low-pH fluoride-resistant mutans of S. mutans. Oral Microbiol Immunol 1987; 2:136-8.
6. Pienhakkinen K, Gabris K. Longitudinal counts of Lactobacilli and yeast in saliva. Acta Odont Scand 1985;43:359-65.
7. Schaeken MJM. Relationship between dental plaque indexes and bacterial in dental plaque and those saliva. J Dent Res 1987; 66: 1499-562.
8. Sheiham A, Joffe M. Public strategies for controlling caries risk. In: Risk Markers for Oral Diseases, Vol.1 N.W. Johnson Ed, Press Syndicate of the University of Cambrige, 1991.
9. Brambilla E, Felloni A, Gagliani M, Malerba A, Garcia-Godoy F, Strohmenger L. Title caries prevention during pregnancy: results of a 30-month study. Journal of the American Dental Association 1998;129(7):871-7.
10. Brambilla E, Twetman S, Felloni A, Cagetti MG, Canegallo L, Garcia-Godoy F, Strohmenger L. Salivary mutans Streptococci and Lactobacilli in 9- and 13-year-old Italian schoolchildren and the relation to oral health. Clinical Oral Investigations 1999; 3(1):7-10.
11. Emilson CG, Gisselsson H, Birkhed D. Recolonization pattern of mutans Streptococci after suppression by three different modes of chlorhexidine gel application. European Journal of Oral Sciences 1999;107(3):170-5.
12. Gunay H, Dmoch-Bockhorn K, Gunay Y, Geurtsen W. Title effect on caries experience of a long-term preventive program for mothers and children starting during pregnancy. Clinical Oral Investigations 1998; 2(3):137-42.
13. Twetman S, Grindefjord M. Mutans Streptococci suppression by chlorhexidine gel in toddlers. American Journal of Dentistry 1999;12(2):89-91.
14. Twetman S, Petersson LG. Interdental caries incidence and progression in relation to mutans Streptococci suppression after chlorhexidine- thymol varnish treatments in schoolchildren. Acta Odontologica Scandinavica 1999;57(3):144-8.