Dental caries in an ecological perspective
Twetman, S.; Ekstrand, K.; Qvist, V.
Ugeskrift for Laeger 172(44): 3026-3029
2010
ISSN/ISBN: 1603-6824 PMID: 21044558 Document Number: 644940
Dental caries affects the majority of the Danish population. Its aetiology is multi-factorial, but a pH-induced change in the homeostasis of the oral biofilm leading to overgrowth of acid-tolerating bacteria is a key event. A non-invasive concept for prevention and management is emerging based on the common risk factor approach. There is strong evidence that tooth brushing twice a day with fluoridated toothpaste is the most cost-effective way to prevent and control caries development. Physicians need to consider that a number of drugs may affect the saliva flow rate, which increases the caries risk.