News for dentistry professionals
15 Jun 2015
Caries is an infectious disease of microbial origin located in the dental hard tissues. Certain bacteria in the oral cavity (Streptococcus mutans, etc.) ferment dietary carbohydrates, transforming these into acids (mainly lactic acid) thereby causing the pH of the oral cavity to drop.
When pH drops below 5.5, hydroxyapatite crystals in the enamel begin to dissolve, resulting in enamel demineralisation (1,2). Enamel can also be weakened by erosion caused by acidic foods and beverages, which promotes the cariogenic process by oral bacteria.
This process occurs on the tooth and is part of a dynamic balance between demineralisation and remineralisation. Eating promotes remineralisation of the enamel due to saliva's buffering effect. This is because it is rich in bicarbonates, phosphates and proteins, which neutralise the drop in pH and cause dissolved calcium and phosphate ions to precipitate again on the enamel surface, forming new hydroxyapatite crystals.
Fluoride, which is also present in saliva at very low concentrations, plays a fundamental role in remineralisation, and when it combines with hydroxyapatite crystals it forms fluorapatite, increasing the hardness of enamel and its resistance to acids. This means that if the many factors involved in the onset of caries can be controlled, it may be possible to prevent the progression of the disease and even reverse it in the early stages.
Maintenance of proper oral hygiene is essential, and should be done using toothpastes and mouthrinses that are specifically formulated to prevent the onset of caries and to protect the enamel from dental erosion, and should be complemented using interproximal cleaning tools such as dental floss and tape, interproximal brushes and oral irrigators.
Diet also plays an important role, as it provides the main substrate on which dental plaque feeds: carbohydrates. For this reason, it is recommended to limit daily sugar intake, avoid eating sticky or retentive foods and cut down on snacking.
Lastly, the best advice is oral hygiene monitoring once or twice per year by a dentist or hygienist.
DENTAID is proud to present its all new VITIS® anticaries product line, containing the revolutionary DENTAID nanorepair® technology and offering toothpaste and mouthwash formulas which repair tooth enamel and produce a protective coat that is resistant to acid attack.
The VITIS® anticaries range prevents the onset of caries and protects against dental erosion thanks to three important ingredients: hydroxyapatite nanoparticles, fluoride and xylitol.
Because of their nanometric size and similarity to the apatite in tooth enamel, hydroxyapatite nanoparticles form a stable and natural bond to the tooth enamel.
Therefore, they repair grooves, cracks and imperfections deep down in the damaged surface, they strengthen the demineralised enamel and form a protective layer that is resistant to acid pH (4,5,6,7,8,9). Together with the fluoride, these nanoparticles also promote the formation of fluorapatite and remineralisation of the enamel, giving it greater strength against demineralisation (1,2,7,10).
Meanwhile, because it is a non-cariogenic sugar, xylitol, which is contained VITIS® anticaries products, helps to reduce dental biofilm formation and to cut down on acid production. Also, by increasing saliva flow, it enhances the neutralisation of acid pH in the mouth and promotes enamel remineralisation (1,2,11,12).
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