Emerging Trends in Dental Caries: Insights into Etiology, Risk Factors, and Treatment Strategies

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Microbiology in Human Health and Disease".

Deadline for manuscript submissions: 31 August 2024 | Viewed by 2151

Special Issue Editor


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Guest Editor
Department of Dental Hygiene, Gachon University College of Medical Science, Incheon 21936, Republic of Korea
Interests: clinical outcomes; comprehensive care in oral health; geriatric considerations in dental hygiene; gerodontology; preventive strategies in oral health; remineralization and demineralization of early caries; technological advancements in dentistry
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Special Issue Information

Dear Colleagues,

We are excited to introduce this Special Issue on "Emerging Trends in Dental Caries: Insights into Etiology, Risk Factors, and Treatment Strategies." This edition seeks to explore the forefronts of research into dental caries, bridging the gaps between traditional concepts and innovative methodologies. We invite contributions that delve into the effects of antimicrobials on oral biofilm, the mechanisms of demineralization and remineralization, and the complex interactions within oral biofilms. By focusing on the early detection of dental caries, the pathogenicity of oral biofilms, and novel dental management approaches, this Special Issue aims to offer a comprehensive understanding of caries' multifactorial nature and their prevention. We encourage submissions that provide fresh perspectives on oral disease management, including original articles and comprehensive reviews.

Dr. Hee-Eun Kim
Guest Editor

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Keywords

  • antimicrobial effect
  • demineralization
  • dental caries
  • dental plaque
  • oral biofilm
  • oral disease
  • oral management
  • pathogenicity
  • prevention
  • remineralization

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Published Papers (3 papers)

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12 pages, 2201 KiB  
Article
Efficacy of F-ACP-Containing Dental Mousse in the Remineralization of White Spot Lesions after Fixed Orthodontic Therapy: A Randomized Clinical Trial
by Massimiliano Ciribè, Erika Cirillo, Martina Mammone, Giulia Vallogini, Paola Festa, Simone Piga, Gianmaria Fabrizio Ferrazzano and Angela Galeotti
Biomedicines 2024, 12(6), 1202; https://doi.org/10.3390/biomedicines12061202 - 29 May 2024
Viewed by 672
Abstract
Fixed appliance (FA) therapy predisposes patients to white spot lesions (WSLs). The F-ACP complex (amorphous calcium phosphate nanoparticles enriched with carbonate and fluorine and coated with citrate) has been effective for in vitro enamel remineralization. The aim of this study was to evaluate [...] Read more.
Fixed appliance (FA) therapy predisposes patients to white spot lesions (WSLs). The F-ACP complex (amorphous calcium phosphate nanoparticles enriched with carbonate and fluorine and coated with citrate) has been effective for in vitro enamel remineralization. The aim of this study was to evaluate the efficacy of the F-ACP complex in remineralizing WSLs after FA therapy. One hundred and six adolescents (aged 12–20 years) were randomized into study and control groups after FA therapy. Patients in the study group were advised to use dental mousse containing F-ACP applied within Essix retainers for six months. The presence of WSLs was recorded at baseline (T0), 3 months (T1), and 6 months (T2) according to the International Caries Detection and Assessment System (ICDAS). Visual Plaque Index (VPI) and Gingival Bleeding Index (GBI) were recorded. Among 106 study participants, 91 (52 and 39 in study and control groups, respectively) completed the study. The results showed that the ICDAS score was significantly lower (p < 0.001) in the study group than in the control group between T0 and T2. The application of mousse containing the F-ACP complex inside Essix retainers for six months is effective in remineralizing white spot lesions in patients after FA therapy without side effects. Full article
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11 pages, 4194 KiB  
Article
Influence of Biofilm Maturity on the Antibacterial Efficacy of Cold Atmospheric Plasma in Oral Microcosm Biofilms
by Hee-Eun Kim
Biomedicines 2024, 12(5), 1056; https://doi.org/10.3390/biomedicines12051056 - 10 May 2024
Cited by 1 | Viewed by 815
Abstract
As biofilms mature, biomass and extracellular polysaccharide (EPS) content increases, enhancing pathogenicity. Therefore, this study aimed to evaluate the antibacterial efficacy of cold atmospheric plasma (CAP) against oral microcosm biofilms and the influence of biofilm maturity on treatment. Oral microcosm biofilms were cultured [...] Read more.
As biofilms mature, biomass and extracellular polysaccharide (EPS) content increases, enhancing pathogenicity. Therefore, this study aimed to evaluate the antibacterial efficacy of cold atmospheric plasma (CAP) against oral microcosm biofilms and the influence of biofilm maturity on treatment. Oral microcosm biofilms were cultured on hydroxyapatite disks for 2 and 6 days. Based on the treatment and biofilm maturity, these were subsequently allocated into six groups (N = 19 each): Groups 1 and 2 were incubated with distilled water for 1 min; Groups 3 and 4 were treated with CAP for 2 min, and Groups 5 and 6 were treated with 0.12% chlorhexidine gluconate for 1 min. Groups 1, 3, and 5 represent 2-day biofilms, and Groups 2, 4, and 6 represent 6-day biofilms. Treatments were repeated daily for 5 days. Antibacterial efficacy was analyzed by measuring oral biofilms’ red fluorescence intensity (RatioR/G) and quantifying EPS content and bacterial viability. The RatioR/G was 1.089-fold and 1.104-fold higher in Groups 4 and 6 than in Groups 3 and 5 following antibacterial treatment, respectively (p < 0.001). EPS content increased by 1.71-fold in Group 6 than in Group 5 (p < 0.001). Bacterial survival rate was the lowest in Group 3 (p = 0.005). These findings underscore the relevance of CAP treatment in maintaining antibacterial efficacy regardless of the biofilm development stage, highlighting its potential utility in oral care. Full article
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13 pages, 863 KiB  
Systematic Review
Antimicrobial Efficacy of Chemomechanical Carie Removal Agents—A Systematic Integrative Review
by Adélaïde Janvier, Marie Maziere, Célia F. Rodrigues, Ana Paula Lobo and Paulo Rompante
Biomedicines 2024, 12(8), 1735; https://doi.org/10.3390/biomedicines12081735 - 2 Aug 2024
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Abstract
Background: Dental caries is the most common oral disease in the world. When treatable, the drilling method continues to be used. This technique has its disadvantages because it is invasive and nonspecific. Chemomechanical carious tissue removal agents (CCRAs) such as Carisolv™ or Papacarie [...] Read more.
Background: Dental caries is the most common oral disease in the world. When treatable, the drilling method continues to be used. This technique has its disadvantages because it is invasive and nonspecific. Chemomechanical carious tissue removal agents (CCRAs) such as Carisolv™ or Papacarie® are non-invasive products that allow for the specific elimination of infected dentin. On the other hand, cariogenic bacteria are largely responsible for the initiation and development of lesions. Objectives: The aim is to analyze whether CCRAs have a relevant antimicrobial effect on cariogenic bacteria. Methods: A bibliographic search strategy was carried out in online databases using PRISMA 2020. The evaluation of the antibacterial efficacy of CCRAs was carried out through the analysis of the reduction in CFUs of cariogenic bacteria, and the presence of bacterial deposits, TVC, SVC and LVC by comparison with conventional drilling methods. Results: The results showed that the percentage of reduction in TVC, SVC and LVC for each agent is mostly high, but not significantly different from mechanical methods. The best results were found with CCRAs when compared to polymeric drills. The results also showed that there is a lack of methodological standardization. Conclusions: CCRAs have been shown to have a relevant antimicrobial effect on cariogenic bacteria; however, more studies need to be carried out using standardized methodologies. Full article
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