Baltic Dental and Maxillofacial Journal | ||||||||||
June, 2014, Vol. 16, No. 2 CONTENTS REVIEWS Odontogenic maxillary sinusitis: A review SCIENTIFIC ARTICLES CASE REPORT © 2014 Stomatologija |
Stomatologija 2014; 16 (2): 44-52 239 KB Reducing dental plaque formation and caries development. A review of current methods and implications for novel pharmaceuticals Povilas Kalesinskas, Tomas Kačergius, Arvydas Ambrozaitis, Vytautė Pečiulienė, Dan Ericson Summary Dental caries is an oral disease, which has a high worldwide prevalence despite the availability of various prophylactic means, including the daily use of fluoride toothpastes, water fluoridation, dental sealants, oral health educational programs and various antiseptic mouth-rinses. One important reason for this is uncontrolled increase in consumption of foods containing considerable sucrose concentration, especially among children. Sucrose is easily metabolized by oral bacteria (mostly streptococci) to acids and, subsequently, causing tooth decay or dental caries. In the oral ecosystem, streptococci principally reside on tooth surfaces forming biofilm. Important structural and binding materials of biofilm are glucan polymers synthesized by several isoforms of glucosyltransferase enzyme present in certain species of oral bacteria, including mutans group streptococci – Streptococcus mutans and Streptococcus sobrinus, which preferably colonize humans. Thus, there is a constant need to develop the methods and chemotherapeutics for improving oral health care and decreasing teeth decay through the suppression of cariogenic biofilm formation in the oral cavity. The aim of this paper was to review literature related to the pathogenesis of dental caries as well as currently existing and experimental pharmaceutical substances used for prevention of this process. Key words: dental caries, biofilm, Streptococcus, glucosyltransferase, sucrose, glucan. Received: 28 01 2014 Accepted for publishing: 20 06 2014 1Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania 2Clinic of Infectious and Chest Diseases, Dermatovenereology and Allergology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania 3Department of Physiology, Biochemistry, Microbiology and Laboratory Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania 4Department of Cariology, Faculty of Odontology, Malmö University, Malmö, Sweden Povilas Kalesinskas1, 2 – D.D.S., assist. prof. Tomas Kačergius3 – D.D.S., PhD, assoc. prof. Arvydas Ambrozaitis2 – M.D., PhD, prof. Vytautė Pečiulienė1 – D.D.S., PhD, prof. Dan Ericson4 – D.D.S., PhD, prof. Address correspondence to Dr. Povilas Kalesinskas, Institute of Odontology, Faculty of Medicine, Vilnius University, Zalgirio str. 115, LT-08217 Vilnius, Lithuania. E-mail address: p.kalesinskas@gmail.com |
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