DIET + DENTAL CARIES

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ORAL BIOLOGY Mind Map on DIET + DENTAL CARIES, created by aahughes on 24/04/2013.
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Mind Map by aahughes, updated more than 1 year ago
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Created by aahughes almost 12 years ago
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DIET + DENTAL CARIES
  1. MICRONICHE: susceptible areas ie just below contact point and fissures
    1. caries is fragile and vulnerable: can only proceed under certain conditions
      1. CARIOUS LESIONS are driven by the plaque biofilm
        1. Managing the biofilm can therefore arrest caries
    2. EVIDENCE
      1. 2 MAIN THEROIES about carious process
        1. Historical and epidemiological studies
          1. 2 main types of study
            1. cross-sectional:different groups at one point in time
              1. longitudinal:follows a group over along period of time
      2. TRISTAN DE CUHNA
        1. Isolated volcanic island in south atlantic
          1. community of 300 people, volcanic eruption1961 evacuated to england
            1. they were dentally examined in 1962 and after they returned to island
              1. 2 earlier studies by Sampson+Sognnaes shows no caries in 6'sof 6-9yr olds
                1. but by 1962 increased to 50% and to 80% 1966
                  1. in the 1950'sincreased communication with the outside world
                    1. Higher incomes altered diet with refined fermentable carbs
                      1. dramatic increase in caries as the result of an altered diet
        2. LONGITUDINAL/INTERVENTIONAL STUDY
          1. HOPEWOOD HOUSE
            1. Children were prohibited from eating sugary substances
              1. caries dropped dramatically
                1. study showed that the children had 16 times less decay than sydney
                  1. Sydney children on average had 9.5 DMF teeth
          2. VIPEHOLM STUDY
            1. could never be performed and shouldn't have in the first place
              1. Highly unethical
                1. Mental hosp segregated into blocks that didn't mix
                  1. 1 block given 0 toffees a day, the other 24 a day
                    1. discovered that sugar between meals increased caries prevelance
                      1. Sugar can be eaten up to x4 a day during meals with no significant drop in pH
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