Lenander-Lumikari M, Loimaranta V
Department of Cariology and Turku Immunology Centre, Institute of Dentistry, University of Turku, Finland.
Adv Dent Res. 2000 Dec;14:40-7. doi: 10.1177/08959374000140010601.
Caries is a unique multifactorial infectious disease. Our understanding of etiological factors, the progress of the disease, and the effectiveness of prophylactic procedures have led us to believe that we understand the disease. However, we still have too few answers to many questions: "Why can we not predict who will get the disease?" "Why do we not become immunized?" "How much saliva is enough?" or "Which salivary components are protective?" and "Which salivary components predispose for caries?" It is generally accepted, however, that saliva secretion and salivary components secreted in saliva are important for dental health. The final result, "caries to be or not to be", is a complex phenomenon involving internal defense factors, such as saliva, tooth surface morphology, general health, and nutritional and hormonal status, and a number of external factors-for example, diet, the microbial flora colonizing the teeth, oral hygiene, and fluoride availability. In this article, our aim is to focus on the effects of saliva and salivary constituents on cariogenic bacteria and the subsequent development of dental caries.
龋齿是一种独特的多因素感染性疾病。我们对病因、疾病进展以及预防措施效果的理解,使我们认为自己了解这种疾病。然而,对于许多问题我们仍知之甚少:“为什么我们无法预测谁会患病?”“为什么我们不会产生免疫?”“多少唾液量才足够?”“哪些唾液成分具有保护作用?”以及“哪些唾液成分易引发龋齿?”不过,人们普遍认为,唾液分泌以及唾液中分泌的唾液成分对牙齿健康至关重要。最终结果“患龋与否”是一个复杂的现象,涉及内部防御因素,如唾液、牙齿表面形态、总体健康状况以及营养和激素状况,还有一些外部因素,例如饮食、在牙齿上定植的微生物菌群、口腔卫生以及氟的可利用性。在本文中,我们的目的是聚焦于唾液和唾液成分对致龋菌以及随后龋齿发展的影响。