口腔病理学（Oral pathology）.docVIP

口腔病理学（Oral pathology） I. brief description of the four etiological factors of caries 1. internal cause theory (1) phosphatase Theory: the phosphatase and protease in the blood reach the enamel through the pulp and communicate with saliva to maintain the balance of calcium and phosphorus. When the enzyme in the saliva is reduced, the tooth enamel provides phosphate and leads to the dissolution of the enamel. (2) structure theory: there are some defects in the dental structure. (3) glycogen said: eating too much sugar, the content of glycogen in the tooth tissue increases. 2. external causes theory (1) chemical bacteria Theory: Miller bacteria on the tooth surface and oral carbohydrates and sugar play a role in the fermentation of acid, so that the dissolution of inorganic substances in dental enamel and caries. 2 stages: hard tissue demineralization and organic matter disintegration. (2) protein solubility theory: the early damage of dental caries occurred first position in the organic matter of tooth enamel, the medical education network teaching | glaze plate finishing, enamel sheath, enamel tufts and dentin. The proteolytic enzymes produced by tooth surface microorganisms break down organic matter in these regions, break down crystals and disintegrate the structure, thus opening the channels of bacterial invasion, causing bacteria to invade, produce acid, and dissolve inorganic salts. (3) protein dissolution chelation Theory: tooth surface protein solubility of bacteria produced proteinase the enamel proteins and other organic components decomposition, its product including acid, anion, amine, amino acids, peptides, with chelating properties, the formation of local soluble chelates in the teeth, so teeth demineralization and dissolved. Therefore, the decalcification of teeth does not necessarily occur in an acid environment, and can occur in neutral and even alkaline environments. 3. modern theory (1) three factors: bacteria, food and host. (2) 4 factors: three fa