A literature review and hypothesis for the etiologies of cervical and root caries. Issue 3 (18th January 2018)

• Record Type: Journal Article
• Authors: Grippo, John O.; Coleman, Thomas A.; Messina, Antonello Maria; Oh, Daniel S.
• Is Part Of: Journal of esthetic and restorative dentistry. Volume 30:Issue 3(2018)
• Page Start: 187
• Page End: 192
• Publication Date: 2018-01-18
• Subjects: biocorrosion -- cervical caries -- root caries -- stress -- stress concentration; Prosthodontics -- Periodicals; 617.6
• DOI: 10.1111/jerd.12365
• Languages: English
• ISSNs: 1496-4155

Abstract

Abstract: The presence of endogenous acids from bacteria acting on a suitable substrate combined with sources of exogenous biocorrosives such as exogenous acids and proteolytic enzymes in areas of stress concentration are hypothesized to lead to the development and progression of cervical and root caries (RC). Quantifying the effects of each of the mechanisms (stress and biocorrosion) is a daunting task to investigate since so many factors are involved at various times in the etiology of noncarious cervical lesions (NCCLs), cervical caries (CC), and RC. Frictional action of the tongue has a cleansing effect and lingual serous saliva, which has a high flow rate buffering capacity from bicarbonates seem to account for the paucity of lingual NCCLs, cervical, and RC in these areas of teeth. Future studies are indicated to determine the effects of stress and biocorrosion and their factors in the etiology of CC and RC. Clinical significance: This manuscript presents hypothetical and literary information that the combined effects of stress concentration and biocorrosion contribute to the formation as well as progression of cervical and root caries.