Sunday, August 2, 2009

Dental caries Causes

Dear Readers,

Tooth decay is a very common disease in both children and adults. Yes, however unbelievable it may sound - a caries is an oral disease and like any other illness, if not treated in time, leads to complications - not just related to the tooth itself and the oral cavity, but also to overall health.

Primary teeth are more prone to decay due to lower mineralization of the teeth structures compared to permanent teeth. On the other hand, after the eruption permanent teeth  are also very prone to decay, as their structures and especially the enamel are immature.

There is something important that I want to note here. 
The maturing of enamel and other dental tissues, also called mineralization, continues after the teeth have erupted and usually lasts for 4 years. In this period, the enamel is very fragile, like the rest of the tooth, and it is prone to decay. There is a great risk of caries and associated complications.

Mineralization is a process in which the enamel hardens and becomes a solid barrier against many factors that cause the opposite process in our mouth called demineralization.

Undeniable fact is that enamel is the highest mineralized tissue in our body.  It is stronger than the bones. It keeps the tooth from the infiltration of carious factors to the inside of the tooth. So, the enamel is a barrier, and when it is not mature, this barrier is not strong enough.
This is the first factor that favours the development of the carious process.

As I said above, the enamel is the strongest mineralized tissue in our body.

Then what factors influence the power and manage to destroy it? What Causes Caries Lesions?

There are several factors:

1. Food and bacteria

Bacteria that normally live in the oral cavity use fermenting carbohydrates from food and produce acids.
These acids begin to dissolve the enamel. Mostly children consume many of these fermenting carbohydrates in the form of sweet foods - biscuits, candies, ice cream, beverages, and snacks, chips. On the other hand, they have a lot of meals a day. Many adults do the same.

Please see my post- What foods cause dental decay easily

So, the frequency of consumption of these foods leads to the formation of more acids in the mouth and thus increases the risk of tooth decay.

2. Saliva

What is the role of saliva in the carious process?

Saliva has many features and one of them is to clean the mouth and wash the food particles after eating. Some people who have a small amount of saliva or it is dense have a greater number of caries.

There is a disease called "dry mouth or xerostomy," in which many carious lesions are observed. This type of caries is called rampant. So, the quantity and quality of saliva plays a major role in the carious process.

3. Oral hygiene

First, a dental plaque accumulates on the teeth after each meal. If you do not brush regularly and even for a short time its quantity increases. Plaque contains many bacteria. These bacteria produce acids and dissolve enamel. So, the more plaque you have left in your mouth, this leads to a lot of caries. The better the oral hygiene, the less likely the caries are.

As I always like to say, good oral hygiene is the key to healthy teeth and gums, as well as to the health of the surrounding tissues and mouth, of course, as well as the good general health. And, of course, Perfect Smile...........

Faitfully yours,
Dr. Trenkova

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