Despite significant progress in the management of oral health, tooth decay remains stubbornly widespread and resilient. Complicating this further, there remain gaps in clinical use and knowledge involving fluoride and remineralization therapies. To help address these problems, Demin/Remin in Preventive Dentistry explores demineralization and remineralization processes by synthesizing a variety of data and research to produce a fresh perspective from one who has devoted significant effort to improving remineralization therapies in preventive dentistry.
The source material for this book is fairly diverse, with more than 900 references called forth from various fields of study, including medicine, dentistry, chemistry, biology, materials science, food science, along with reports and articles from journalists, and nonprofit and government organizations. Divided into 10 distinct chapters, the topics discussed include oral bacteria, foods and drinks, acids, p H, sound and demineralized enamel structure, dental therapeutics used throughout history, fluoride and various fluoride formats (including toothpastes, varnishes and more), calcium phosphate systems, remineralization processes, and perspectives related to minimally invasive dentistry.
Global tooth decay remains a major socioeconomic burden, commanding the need for improved oral health strategies. Demin/Remin in Preventive Dentistry provides a fresh look at an old (and largely preventable!) problem by reviewing known information, as well as aspects not addressed in other dentistry books. Demin/Remin in Preventive Dentistry will appeal especially to those with a ‘prevention-first’ mindset, as well as researchers and clinicians passionate about delivering or improving oral health benefits for those of us both young and young at heart.
Зміст
Table of Figures xiii
List of Tables & Short Captions xxi
Foreword xxiii
Chapter 1 Tooth Decay is Still Problematic 1
Chapter 2 Key Components in the Mouth: Teeth, Bacteria and Bacterial Acids, and Saliva 9
Chapter 3 Ultrastructural Characteristics of Healthy (Sound) Enamel 37
Chapter 4 Demineralization of Enamel Structure 43
Chapter 5 On the Nature of Demineralizing Acids 65
Chapter 6 Acids and p H: Demineralization Risks of Foods, Drinks, and Other Comestibles 85
Chapter 7 A Glimpse into the Past: Pre-Fluoride Preventives 163
Chapter 8 Fluoride: Thwarting Demineralization and Accelerating Remineralization 193
Chapter 9 Remineralization 235
Chapter 10 Put it to Practice 275
Bibliography 291
Index 397
Acknowledgments 407
About the Author 409
Про автора
A Principal Investigator whose research has been supported by a variety of funding mechanisms, including multiple awards from the National Institutes of Health, Dr. Robert L. Karlinsey holds a BS in Physics and Ph D in Chemical Physics. Inspired by his own tooth decay, he created patented tooth-strengthening technologies found in several 3M Oral Care dental products. By infusing historical successes (and failures) with today’s prevention-focused innovations, his knowledge of and research in preventive dentistry forms a compelling, enlightened perspective beneficial to clinicians, researchers, and laypeople alike.
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