学习龋病学需要了解的人74.ppt

Dental Caries;岳松龄王满恩史俊南刘正樊明文;;凌均棨;Introduction;Photos of dental caries;Photos of dental caries;Photos of dental caries;Caries is Latin for rot or rotten. Dental caries means rotten teeth. Caries is the noun which names the disease Carious is the adjective, not a caries‘, a carious area or an area of caries. ;Dental caries can be defined as;Dental caries;The carious process ;Basic pathological changes;;Prevalence rate（患病率）： is the proportion of a population affected by a disease of a condition at one point time. Incidence（发病率）： is a mesurement of the rate at which a disease progresses the increase or decrease in the number of new cases occurring in a population within the same time period;DMF index;Frequency distribution of dental caries according to various tooth location;Deciduous dentition;distribution of dental caries according to tooth surface;Caries is world wide in its distribution ; Prevalence of dental caries (1995)，special for 12-18Y age groupsis increased significantly （20-40%） In recent 10 years, prevalence of dental caries in primary dentition is increased significantly than the permanent ;Why has caries prevalence decreased in modern population?;;原发性釉护膜 (primary enamel cuticle) 残余釉上皮 （reduced enamel epithelium) 获得性膜 （acquired pellicle） 食物碎片 （food debris, material alba） 牙菌斑（dental plaque） 牙结石（calculus, tartar）;four factors is essential for the initiation of dental caries, namely:;;;;Definition:;Classification of Dental plaque;STRUCTURE OF DENTAL PLAQUE;Composition of Dental plaque;;MECHANISMS OF PLAQUE FORMATION;Several distinct processes can be recognized ; Irreversible adhesion can occur if specific inter-molecular interactions take place between adhesions on the cell surface and receptors in the acquired pellicle. ;;FORMATION AND DEVELOPMENT OF DENTAL PLAQUE;Development ;Salivary glycoproterns Carbohydrates Lipid a lesser extent components from the gingival crevicular fluid(龈沟液);Because of its selec