Physicochemical interactions between enamel and oral fluids
Jaime A. Cury, Antônio Pedro Ricomini-Filho, Cinthia P. M. Tabchoury
CAPÍTULO DE LIVRO
Inglês
Agradecimentos: Partially supported by CNPq and FAPESP, from whom, respectively, the first and second authors received research funds (grant 314765/2020-4 and 2020/15092-1)
Abstract: Despite all the current knowledge in cariology, research is still being carried out nowadays trying to make dental enamel resistant to dental caries. Since enamel is mainly composed by a mineral, efforts have been put together to make it more resistant to acids produced by dental biofilm...
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Abstract: Despite all the current knowledge in cariology, research is still being carried out nowadays trying to make dental enamel resistant to dental caries. Since enamel is mainly composed by a mineral, efforts have been put together to make it more resistant to acids produced by dental biofilm when exposed to dietary sugars. Fluoride was once thought to be a micronutrient that impacted caries resistance when incorporated in the tooth mineral, but we now know that the complex interactions at the mineral surface are most important. Every slightly soluble mineral, and enamel is no exception, has a behavior that is determined by the environment where it is located, and in the case of the dental crown, saliva and biofilm fluid play an important role. Enamel can keep in balance or lose its minerals, but it can gain them back. These processes, equilibrium, and loss or gain follow Le Chatelier's principle, and physicochemically, they are known as saturating, undersaturating, and supersaturating conditions, respectively. Saliva, and even the biofilm fluid, is supersaturated with calcium (Ca2+) and phosphate (PO43-) in relation to enamel solubility, and thus the natural tendency of enamel is to gain mineral, conferring saliva with a remineralizing property. However, the decrease in pH and the presence of free fluoride ion (F-) will determine what will happen to the enamel. While lowering the pH of the medium is an imbalance factor, fluoride at micromolar concentration reduces the acid impact. This chapter provides an updated, evidence-based understanding of the interactions between enamel and oral fluids
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FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP
2020/15092-1
CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ
314765/2020-4
Fechado
Physicochemical interactions between enamel and oral fluids
Jaime A. Cury, Antônio Pedro Ricomini-Filho, Cinthia P. M. Tabchoury
Physicochemical interactions between enamel and oral fluids
Jaime A. Cury, Antônio Pedro Ricomini-Filho, Cinthia P. M. Tabchoury
Fontes
Coronal caries: evolving evidence and clinical practice - Fonte avulsa) Basel : Karger, 2023. cap. 5.1, p. 50-61 |