An Extended Concept of Dental Caries and Update of Cariology Terminology

1
Ana María Aceved
Ana María Aceved
2
Alejandra Garcia-Quintana
Alejandra Garcia-Quintana
3
Annabella Frattaroli-Pericchi
Annabella Frattaroli-Pericchi
4
Sonia
Sonia
5
Feldman
Feldman
1 Universidad Central de Venezuela

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Recent terminology explains dental caries through an understanding of factors that interplay in its etiology; however, the focus is still overpowered by the disease at advanced stages. The aims: (1) extend the concept of dental caries, through the Dental Caries Integrated Ecological Hypothesis (DCIEH), to one that includes the complexity of the disease with its conjoint elements during development and progression, and (2) update cariology terminology. The term: dental caries corresponds to the disease, and dental caries lesion corresponds to the expression of the disease. Dental caries follows a sequence of progressive phases (mild to severe), characterized by microbiome dysbiosis of the dental biofilm, including the disturbance of the metabolic activity of its commensal microbiota, producing an acid-base imbalance. Dysbiosis is determined by the complex relationship of influential factors regulated by biological features, modulated by behavior, and conditioned by the environment. A severe chronic imbalance leads to complete oral homeostasis disruption echoed in a dynamic interaction between the tooth surface and the dental biofilm with subsequent mineral loss.

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No external funding was declared for this work.

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The authors declare no conflict of interest.

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No ethics committee approval was required for this article type.

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Not applicable for this article.

Ana María Aceved. 2026. \u201cAn Extended Concept of Dental Caries and Update of Cariology Terminology\u201d. Global Journal of Medical Research - J: Dentistry & Otolaryngology GJMR-J Volume 22 (GJMR Volume 22 Issue J2): .

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Dental_Caries_Update_Research.
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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-J Classification: DDC Code: E LCC Code: PN1997
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August 18, 2022

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English

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Recent terminology explains dental caries through an understanding of factors that interplay in its etiology; however, the focus is still overpowered by the disease at advanced stages. The aims: (1) extend the concept of dental caries, through the Dental Caries Integrated Ecological Hypothesis (DCIEH), to one that includes the complexity of the disease with its conjoint elements during development and progression, and (2) update cariology terminology. The term: dental caries corresponds to the disease, and dental caries lesion corresponds to the expression of the disease. Dental caries follows a sequence of progressive phases (mild to severe), characterized by microbiome dysbiosis of the dental biofilm, including the disturbance of the metabolic activity of its commensal microbiota, producing an acid-base imbalance. Dysbiosis is determined by the complex relationship of influential factors regulated by biological features, modulated by behavior, and conditioned by the environment. A severe chronic imbalance leads to complete oral homeostasis disruption echoed in a dynamic interaction between the tooth surface and the dental biofilm with subsequent mineral loss.

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An Extended Concept of Dental Caries and Update of Cariology Terminology

Ana María Aceved
Ana María Aceved Universidad Central de Venezuela
Alejandra Garcia-Quintana
Alejandra Garcia-Quintana
Annabella Frattaroli-Pericchi
Annabella Frattaroli-Pericchi
Sonia
Sonia
Feldman
Feldman

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