Caries Management - Science and Clinical Practice. Группа авторов

ions derived from the oral fluids (remineralization). Caries lesions progress when demineralization outweighs remineralization and ultimately break down to form cavities, with consequently impaired tooth function. The rate of progress is influenced by the plaque flora, diet, salivary biochemistry, oral hygiene, and numerous behavioral and socioeconomic factors. Fluoride is perhaps the most important factor, because it both reduces demineralization and enhances remineralization. Fluoride reduces solubility of tooth mineral through reactions at the crystal surfaces. It is thus considered that topical application to maintain low but effective fluoride concentrations in the tooth environment is more effective than systematic routes of fluoride delivery. Dental erosion is less localized than caries, is caused by more severe acid challenges, and poses difficult problems of prevention.

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