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. 1988 Jun;34:1341–1347.

Dental Caries

Ralph C Burgess
PMCID: PMC2219115  PMID: 21253193

Abstract

Dental caries is one of the most prevalent diseases afflicting mankind. It reached a peak in the 1950s but has been declining drastically in recent years in children and young adults. This article describes the three contributing factors in dental caries: microbial plaque, tooth susceptibility, and diet, and discusses practical preventive measures which help to reduce caries incidence. Some of these, such as vaccines and antimicrobial varnishes, are still in the research stages, while others, such as sucrose substitutes, low-calorie sweeteners, and limitation of frequency of sugar snacks are well established and can be promoted by family physicians.

Keywords: dental caries, sugar substitutes, preventive dentistry

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. AST D. B., SMITH D. J., WACHS B., CANTWELL K. T. Newburgh-Kingston caries-fluorine study. XIV. Combined clinical and roentgenographic dental findings after ten years of fluoride experience. J Am Dent Assoc. 1956 Mar;52(3):314–325. doi: 10.14219/jada.archive.1956.0042. [DOI] [PubMed] [Google Scholar]
  2. Bohannan H. M. Caries distribution and the case for sealants. J Public Health Dent. 1983 Summer;43(3):200–204. doi: 10.1111/j.1752-7325.1983.tb01908.x. [DOI] [PubMed] [Google Scholar]
  3. Bowen W. H., Amsbaugh S. M., Monell-Torrens S., Brunelle J., Kuzmiak-Jones H., Cole M. F. A method to assess cariogenic potential of foodstuffs. J Am Dent Assoc. 1980 May;100(5):677–681. doi: 10.14219/jada.archive.1980.0211. [DOI] [PubMed] [Google Scholar]
  4. Carlsson J., Grahnén H., Jonsson G., Wikner S. Establishment of Streptococcus sanguis in the mouths of infants. Arch Oral Biol. 1970 Dec;15(12):1143–1148. doi: 10.1016/0003-9969(70)90005-1. [DOI] [PubMed] [Google Scholar]
  5. Carmichael C. L., French A. D., Rugg-Gunn A. J., Furness J. A. The relationship between social class and caries experience in five-year-old children in Newcastle and Northumberland after twelve years' fluoridation. Community Dent Health. 1984 Mar;1(1):47–54. [PubMed] [Google Scholar]
  6. DIRKS O. B., HOUWINK B., KWANT G. W. Some special features of the caries preventive effect of water-fluoridation. Arch Oral Biol. 1961 Aug;4:187–192. doi: 10.1016/0003-9969(61)90099-1. [DOI] [PubMed] [Google Scholar]
  7. Dreizen S., Brown L. R., Daly T. E., Drane J. B. Prevention of xerostomia-related dental caries in irradiated cancer patients. J Dent Res. 1977 Feb;56(2):99–104. doi: 10.1177/00220345770560022101. [DOI] [PubMed] [Google Scholar]
  8. Enwonwu C. O. Role of biochemistry and nutrition in preventive dentistry. J Am Soc Prev Dent. 1974 Sep-Oct;4(5):6-12, 14-5, 17. [PubMed] [Google Scholar]
  9. Feigal R. J., Jensen M. E., Mensing C. A. Dental caries potential of liquid medications. Pediatrics. 1981 Sep;68(3):416–419. [PubMed] [Google Scholar]
  10. GUSTAFSSON B. E., QUENSEL C. E., LANKE L. S., LUNDQVIST C., GRAHNEN H., BONOW B. E., KRASSE B. The Vipeholm dental caries study; the effect of different levels of carbohydrate intake on caries activity in 436 individuals observed for five years. Acta Odontol Scand. 1954 Sep;11(3-4):232–264. doi: 10.3109/00016355308993925. [DOI] [PubMed] [Google Scholar]
  11. Glass R. L. A two-year clinical trial of sorbitol chewing gum. Caries Res. 1983;17(4):365–368. doi: 10.1159/000260689. [DOI] [PubMed] [Google Scholar]
  12. Grad H., Grushka M., Yanover L. Drug induced xerostomia. The effects and treatment. J Can Dent Assoc. 1985 Apr;51(4):296–300. [PubMed] [Google Scholar]
  13. Havenaar R., Drost J. S., de Stoppelaar J. D., Huis in't Veld J. H., Dirks O. B. Potential cariogenicity of Lycasin 80/55 in comparison to starch, sucrose, xylitol, sorbitol and L-sorbose in rats. Caries Res. 1984;18(4):375–384. doi: 10.1159/000260790. [DOI] [PubMed] [Google Scholar]
  14. Hedin M. Measurement of fine structures in roentgenograms. III. Studies on root canals of teeth. Acta Odontol Scand. 1975;33(1):5–15. doi: 10.3109/00016357509004621. [DOI] [PubMed] [Google Scholar]
  15. Hefti A. Cariogenicity of topically applied sugar substitutes in rats under restricted feeding conditions. Caries Res. 1980;14(3):136–140. doi: 10.1159/000260448. [DOI] [PubMed] [Google Scholar]
  16. Holm A. K., Blomquist H. K., Crossner C. G., Grahnén H., Samuelson G. A comparative study of oral health as related to general health, food habits and socioeconomic conditions of 4-year-old Swedish children. Community Dent Oral Epidemiol. 1975 Feb;3(1):34–39. doi: 10.1111/j.1600-0528.1975.tb00276.x. [DOI] [PubMed] [Google Scholar]
  17. Holst K., Köhler L. Preventing dental caries in children: report of a swedish programme. Dev Med Child Neurol. 1975 Oct;17(5):602–604. doi: 10.1111/j.1469-8749.1975.tb03526.x. [DOI] [PubMed] [Google Scholar]
  18. Infante P. F., Gillespie G. M. Enamel hypoplasia in relation to caries in Guatemalan children. J Dent Res. 1977 May;56(5):493–498. doi: 10.1177/00220345770560050801. [DOI] [PubMed] [Google Scholar]
  19. Jackson D., James P. M., Thomas F. D. Fluoridation in Anglesey 1983: a clinical study of dental caries. Br Dent J. 1985 Jan 19;158(2):45–49. doi: 10.1038/sj.bdj.4805530. [DOI] [PubMed] [Google Scholar]
  20. Jensen M. E. Responses of interproximal plaque pH to snack foods and effect of chewing sorbitol-containing gum. J Am Dent Assoc. 1986 Aug;113(2):262–266. doi: 10.14219/jada.archive.1986.0187. [DOI] [PubMed] [Google Scholar]
  21. KITE O. W., SHAW J. H., SOGNNAES R. F. The prevention of experimental tooth decay by tube-feeding. J Nutr. 1950 Sep;42(1):89–105. doi: 10.1093/jn/42.1.89. [DOI] [PubMed] [Google Scholar]
  22. Klein S. P., Bohannan H. M., Bell R. M., Disney J. A., Foch C. B., Graves R. C. The cost and effectiveness of school-based preventive dental care. Am J Public Health. 1985 Apr;75(4):382–391. doi: 10.2105/ajph.75.4.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Köhler B., Andréen I., Jonsson B. The effect of caries-preventive measures in mothers on dental caries and the oral presence of the bacteria Streptococcus mutans and lactobacilli in their children. Arch Oral Biol. 1984;29(11):879–883. doi: 10.1016/0003-9969(84)90086-4. [DOI] [PubMed] [Google Scholar]
  24. Köhler B., Bratthall D. Intrafamilial levels of Streptococcus mutans and some aspects of the bacterial transmission. Scand J Dent Res. 1978 Jan;86(1):35–42. doi: 10.1111/j.1600-0722.1978.tb00605.x. [DOI] [PubMed] [Google Scholar]
  25. Köhler B., Bratthall D., Krasse B. Preventive measures in mothers influence the establishment of the bacterium Streptococcus mutans in their infants. Arch Oral Biol. 1983;28(3):225–231. doi: 10.1016/0003-9969(83)90151-6. [DOI] [PubMed] [Google Scholar]
  26. König K. G., Schmid P., Schmid R. An apparatus for frequency-controlled feeding of small rodents and its use in dental caries experiments. Arch Oral Biol. 1968 Jan;13(1):13–26. doi: 10.1016/0003-9969(68)90034-4. [DOI] [PubMed] [Google Scholar]
  27. Menaker L., Navia J. M. Effect of undernutrition during the perinatal period on caries development in the rat. 11. Caries susceptibility in underfed rats supplemented with protein or caloric additions during the suckling period. J Dent Res. 1973 Jul-Aug;52(4):680–687. doi: 10.1177/00220345730520040701. [DOI] [PubMed] [Google Scholar]
  28. National Institutes of Health Consensus Development conference Statement. Dental sealants in the prevention of tooth decay. J Dent Educ. 1984 Feb;48(2 Suppl):126–131. [PubMed] [Google Scholar]
  29. Navia J. M., Di Orio L. P., Menaker L., Miller S. Effect of undernutrition during the perinatal period on caries development in the rat. J Dent Res. 1970 Sep-Oct;49(5):1091–1098. doi: 10.1177/00220345700490051601. [DOI] [PubMed] [Google Scholar]
  30. Neff D. Acid production from different carbohydrate sources in human plaque in situ. Caries Res. 1967;1(1):78–87. doi: 10.1159/000259502. [DOI] [PubMed] [Google Scholar]
  31. Rugg-Gunn A. J., Edgar W. M., Geddes D. A., Jenkins G. N. The effect of different meal patterns upon plaque pH in human subjects. Br Dent J. 1975 Nov 4;139(9):351–356. doi: 10.1038/sj.bdj.4803614. [DOI] [PubMed] [Google Scholar]
  32. Sandham H. J., Brown J., Phillips H. I., Chan K. H. A preliminary report of long-term elimination of detectable mutans streptococci in man. J Dent Res. 1988 Jan;67(1):9–14. doi: 10.1177/00220345880670011801. [DOI] [PubMed] [Google Scholar]
  33. Shaw J. H., Krumins I., Gibbons R. J. Comparison of sucrose, lactose, maltose and glucose in the causation of experimental oral diseases. Arch Oral Biol. 1967 Jun;12(6):755–768. doi: 10.1016/0003-9969(67)90211-7. [DOI] [PubMed] [Google Scholar]
  34. Silva M. F., Burgess R. C., Sandham H. J. Effects of cheese extract and its fractions on enamel demineralization in vitro and in vivo in humans. J Dent Res. 1987 Oct;66(10):1527–1532. doi: 10.1177/00220345870660100301. [DOI] [PubMed] [Google Scholar]
  35. Silva M. F., Burgess R. C., Sandham H. J., Jenkins G. N. Effects of water-soluble components of cheese on experimental caries in humans. J Dent Res. 1987 Jan;66(1):38–41. doi: 10.1177/00220345870660010801. [DOI] [PubMed] [Google Scholar]
  36. Sreebny L. M. Sugar availability, sugar consumption and dental caries. Community Dent Oral Epidemiol. 1982 Feb;10(1):1–7. doi: 10.1111/j.1600-0528.1982.tb00352.x. [DOI] [PubMed] [Google Scholar]
  37. Von der Fehr F. R., Löe H., Theilade E. Experimental caries in man. Caries Res. 1970;4(2):131–148. doi: 10.1159/000259635. [DOI] [PubMed] [Google Scholar]
  38. Wescott W. B., Starcke E. N., Shannon I. L. Chemical protection against postirradiation dental caries. Oral Surg Oral Med Oral Pathol. 1975 Dec;40(6):709–719. doi: 10.1016/0030-4220(75)90437-5. [DOI] [PubMed] [Google Scholar]

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