Factors of oral sanitation and caries resistance of the teeth: A scientific review

Abstract

This study aimed to analyze social, clinical, and laboratory indicators that contribute to the maintenance of oral sanitation based on current literature. This article analyzed data from foreign and domestic studies indexed in PubMed, CyberLeninka, MEDLINE, Web of Science, Embase, and Scopus. Literature data from the last 15 years were used. Epidemiological data have shown that dental caries affects 90% of the adult populations in the Russian Federation and European countries. The most important role in maintaining oral health care is determined by the complex composition of the microbial community. To ensure caries-free oral cavity from childhood, individual oral hygiene, nature of nutrition, and mineralization of tooth enamel must be emphasized. Caries-specific markers can be saliva proteins. Caries resistance is also caused by differences in the composition of the crystal lattice of enamel apatites and is characterized by an increase in the degree of substitution of the PO4 3group by CO3 2. Maintaining oral hygiene and healthy teeth is influenced by a combination of factors such as the microbial composition of saliva, peculiarities of the metabolism in biofilm, genetic factors, structure of the crystal lattice of enamel apatites, nature of nutrition and peculiarities of individual oral hygiene, local use of fluorides, and educational level.