ten Cate J M
Vakgroep Cariologie en Endodontologie, Academisch Centrum Tandheelkunde Amsterdam (ACTA).
Ned Tijdschr Tandheelkd. 1992 Mar;99(3):82-4.
Plaque and plaque fluid, rather than saliva, are of prime importance in determining the result of the interaction between tooth enamel and its environment. The concentration of calcium and phosphate ions is higher in plaque fluid than in saliva. Local supersaturation may result in the remineralization of white spot lesions or in the formation of calculus. The latter may be inhibited with containing dentifrices. Undersaturation, resulting from bacterial acids production, promotes dental caries. Fluorides are effective against caries, although the limited transporting properties of saliva would be recognized when designing caries preventive treatments. Suppleting saliva with calcium and phosphat ions through mouthrinses is another method to fight caries, while stimulation of the secretion by chewing gum is also very effective.
菌斑和菌斑液,而非唾液,在决定牙釉质与其环境间相互作用的结果方面至关重要。菌斑液中钙和磷酸根离子的浓度高于唾液。局部过饱和可能导致白斑病变再矿化或牙结石形成。含防龋牙膏可抑制后者。由细菌产酸导致的不饱和状态会促进龋齿发生。氟化物对预防龋齿有效,不过在设计龋齿预防治疗方案时,需认识到唾液有限的输送特性。通过漱口水补充唾液中的钙和磷酸根离子是另一种预防龋齿的方法,而嚼口香糖刺激唾液分泌也非常有效。