Tooth Surface Loss Associated With Oral Home Care Devices: A Case Report

Evidence from clinical research indicates that there is a significant relationship between microbial dental plaque and periodontal disease [1-3]. Epidemiologic data suggests the association of chronic gingivitis and bacterial plaque adhering to tooth surface [4-6]. Clinical and invivo studies have demonstrated the occurrence of metabolic events by the microbial dental plaque in the presence of dietary carbohydrates [5-11]. These events result in the fluctuation of plaque fluid pH that changes the dynamic equilibrium in-situ and leads to dissolution of enamel minerals, a precursor of dental caries formation [7-10]. It was also reported that caries failed to develop with frequent additions of sucrose to the diet in the absence of plaque [11]. These irrefutable findings provided in the literature have pointed out the causative relationship of bacterial dental plaque and both caries and periodontal disease [1-11]. These destructive dental diseases are respons ible for loss of teeth in populations in many modern societies as they have plagued the populations throughout the world, for centuries [12].