On the physical chemistry of tooth enamel and the caries process. 1980

F C Driessens, and J W van Dijk, and J M Borggreven, and R M Verbeeck

A model is presented for the pathway of reactions of the mineral of tooth enamel during caries. It is based on a mathematical simulation of the caries process (van Dijk, Borggreven and Driessens, 1979) and knowledge about the variable solubility behaviour of calcium phosphates (Driessens, van Dijk and Borggreven, 1978). According to this model the surface of the crystals in the intact superficial layer of enamel will transform into a relatively pure fluor-hydroxyapatite; in the lesion a mineral with a brushite- or monetite-like composition will be formed, while at the bottom of the lesion an increasing amount of the original carbonatoapatite will be found. The experimental studies of Arends and Davidson (1975) and of Featherstone, Duncan and Cutress (1978) corroborate these results. The model also explains why demineralization take place at some distance under the enamel surface, and predicts that the intact superficial layer of enamel over a lesion becomes thicker with increasing pH of the plaque fluid and with its degree of saturation with respect to fluor- and hydroxyapatite (Larson, 1974 b). Sobel's finding (1960) that high-carbonate teeth are more susceptible to caries than low-carbonate teeth is consistent with the present model.

UI MeSH Term Description Entries
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D002130 Calcium Phosphates Calcium salts of phosphoric acid. These compounds are frequently used as calcium supplements. Phosphates, Calcium
D002254 Carbonates Salts or ions of the theoretical carbonic acid, containing the radical CO2(3-). Carbonates are readily decomposed by acids. The carbonates of the alkali metals are water-soluble; all others are insoluble. (From Grant & Hackh's Chemical Dictionary, 5th ed) Carbonate
D002627 Chemistry, Physical The study of CHEMICAL PHENOMENA and processes in terms of the underlying PHYSICAL PHENOMENA and processes. Physical Chemistry,Chemistries, Physical,Physical Chemistries
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D003747 Dental Enamel Solubility The susceptibility of the DENTAL ENAMEL to dissolution. Enamel Solubility, Dental,Solubility, Dental Enamel
D001031 Apatites A group of phosphate minerals that includes ten mineral species and has the general formula X5(YO4)3Z, where X is usually calcium or lead, Y is phosphorus or arsenic, and Z is chlorine, fluorine, or OH-. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Apatite
D012463 Saliva The clear, viscous fluid secreted by the SALIVARY GLANDS and mucous glands of the mouth. It contains MUCINS, water, organic salts, and ptylin. Salivas
D012964 Sodium A member of the alkali group of metals. It has the atomic symbol Na, atomic number 11, and atomic weight 23. Sodium Ion Level,Sodium-23,Ion Level, Sodium,Level, Sodium Ion,Sodium 23

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