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Stomatologija 2015; 17 (4): 107-12 222 KB

Biological approach of dental caries management

Rūta Grigalauskienė, Eglė Slabšinskienė, Ingrida Vasiliauskienė

Summary

Dental caries is a disease induced by dental plaque, which can be described as a community of microorganisms (biofilm). Because of genetic and environmental factors a number of changes in the oral microbiome takes place; in case of commensalism and mutualism between biofilm microorganisms and the host, homeostasis in oral microbiome is maintained. However, when a risk factor occurs parasitic relationship starts prevailing and activity of the pathogenic cariogenic microorganisms increases leading to a dental caries. According to the newest technologies of molecular microbiology new cariogenic microorganisms species have been determined. Each individual’s oral microbiome is as unique as his/her immune system; therefore, commonly taken caries prevention measures cannot be of the same effectiveness for all individuals. Each person has his own caries risk which is determined by the oral microbiome and immune system influenced by the environmental and genetic factors. Early caries diagnostic, risk assessment and individualized caries prevention plan will allow us to control the disease and achieve a desirable effect. For the dentist the most important thing is not to treat the consequences of the disease – cavities - but be aware of the dental caries as a biological phenomenon.

Key words: dental caries; oral microbiome; prevention; diagnosis.

Received: 15 07 2015

Accepted for publishing: 28 12 2015

*Department of Preventive and Pediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

Rūta Grigalauskienė* – D.D.S., assist.

Eglė Slabšinskienė* – D.D.S., PhD, assoc. prof.

Ingrida Vasiliauskienė* – D.D.S., PhD, assoc. prof.

Address correspondence to R. Grigalauskienė, Department of Preventive and Pediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, J. Lukšos-Daumanto 6, 50106 Kaunas, Lithuania.

E-mail address: rutastankunaite@gmail.com



	Baltic Dental and Maxillofacial Journal

December, 2015, Vol. 17, No. 4 CONTENTS REVIEWS Biological approach of dental caries management Rūta Grigalauskienė, Eglė Slabšinskienė, Ingrida Vasiliauskienė 107-112 SCIENTIFIC ARTICLES Temporomandibular joint arthrocentesis for the treatment of osteoarthritis Edvitar Leibur, Oksana Jagur, Ülle Voog-Oras 113-117 Connection of functional quality of partial removable dentures and the degree of patients’ phonetic adaptation Victoria Artjomenko, Aldis Vidzis, Guntis Zigurs 118-123 Upper airway obstuction in class II patients. Effects of Andresen activator on the anatomy of pharingeal airway passage. Cone beam evalution Cinzia Maspero, Lucia Giannini, Guido Galbiati, Laima Kairyte, Giampietro Farronato 124-130 CASE REPORTS A rare variant of calcifying odontogenic cyst with ameloblastoma presentation Supriya Bhat, Shishir Ram Shetty, Subhas G. Babu, Pushparaja Shetty, Fazil Ka 131-134 An unusual complication of genioglossus advancement surgery Metin Sencimen, Aydin Gulses, Gurkan Rasit Bayar, Timur Akcam 135-136 © 2015 Stomatologija		Stomatologija 2015; 17 (4): 107-12 222 KB Biological approach of dental caries management Rūta Grigalauskienė, Eglė Slabšinskienė, Ingrida Vasiliauskienė Summary Dental caries is a disease induced by dental plaque, which can be described as a community of microorganisms (biofilm). Because of genetic and environmental factors a number of changes in the oral microbiome takes place; in case of commensalism and mutualism between biofilm microorganisms and the host, homeostasis in oral microbiome is maintained. However, when a risk factor occurs parasitic relationship starts prevailing and activity of the pathogenic cariogenic microorganisms increases leading to a dental caries. According to the newest technologies of molecular microbiology new cariogenic microorganisms species have been determined. Each individual’s oral microbiome is as unique as his/her immune system; therefore, commonly taken caries prevention measures cannot be of the same effectiveness for all individuals. Each person has his own caries risk which is determined by the oral microbiome and immune system influenced by the environmental and genetic factors. Early caries diagnostic, risk assessment and individualized caries prevention plan will allow us to control the disease and achieve a desirable effect. For the dentist the most important thing is not to treat the consequences of the disease – cavities - but be aware of the dental caries as a biological phenomenon. Key words: dental caries; oral microbiome; prevention; diagnosis. Received: 15 07 2015 Accepted for publishing: 28 12 2015 Department of Preventive and Pediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania Rūta Grigalauskienė – D.D.S., assist. Eglė Slabšinskienė* – D.D.S., PhD, assoc. prof. Ingrida Vasiliauskienė* – D.D.S., PhD, assoc. prof. Address correspondence to R. Grigalauskienė, Department of Preventive and Pediatric Dentistry, Medical Academy, Lithuanian University of Health Sciences, J. Lukšos-Daumanto 6, 50106 Kaunas, Lithuania. E-mail address: rutastankunaite@gmail.com