of Dental Caries musofia龋齿穆索菲亚病理ppt课件.pptx

Histopathology of Dental CariesProf. d-r R.Kabaktchieva - 2014What is Dental Caries?It is a microbial disease of the calcified tissues of the teeth, characterized by demineralization of the inorganic portion and destruction of the organic substance of the tooth.A detail of a tooth - to the right is enamel Enamel is covered by plaque, which consists mainly of bacteria. Plaque is often found close to the gum, in between teeth, in fissures and at other hidden sites. Demineralization:When sugar and other fermentable carbohydrates reaches the bacteria, they form acids which start to dissolve the enamel- an early caries lesion occurs due to loss of Calcium and Phosphates Remineralization:When sugar consumption has ceased, saliva can wash away sugars and buffer the acids. Calcium and Phosphates can again enter the tooth. The process is strongly facilitated by fluorides A CAVITY occurs if the Demineralization wins over the Remineralization over time The first indication of tooth decay are white spots on the enamel caused by the loss of calcium. If the demineralization process outruns the natural remineralisation process, the lesion grows and a cavity is formed.? The bacteria may also produce an abscess, The bacteria may invade the pulp of the tooth,? and eventually the tooth may be extracted by the dentist. causing a consistent tooth pain, especially during the night. 32211A tooth surface without caries.The first signs of demineralization.The enamel surface has broken down.A filling has been made but the demineralization has not been stopped.The demineralization proceeds and undermines the tooth.The tooth has fractured. Terminology Primary Caries: lesions on unrestored tooth surface.Secondary (recurrent) caries: lesions that developed adjacent to a filling.Residual caries: demineralized tissue that has been left behind before a filling is placed.TerminologyActive caries lesion: a progressive carious lesion.Arrested (inactive) carious lesion: A lesion that may have fo