Share This Article:

New insights in understanding dental caries and periodontal disease: the avalanche model

Abstract Full-Text HTML Download Download as PDF (Size:1659KB) PP. 263-268
DOI: 10.4236/health.2009.14042    5,531 Downloads   10,613 Views   Citations

ABSTRACT

Biology is based on evolution; therefore, eu-kariotes like plants, animals and human beings are living in harmony with their procariote an-cestors. If this is obviously the normal way of life, then pathobiology follows the same basic principles. The highly complex harmony of the living world may be disrupted, and a punctuated disease starts which is different from the health equilibrium. To reflect this biological archetype on the main diseases in dentistry - caries and periodontitis - the avalanche model is being proposed based on scientific and clinical evi-dence. This way of argumentation does influ-ence the strategic planning of preventive and curative programmes in dental research as well as in daily practise.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Gaengler, P. , Markovic, L. , Norden, D. and A. Jordan, R. (2009) New insights in understanding dental caries and periodontal disease: the avalanche model. Health, 1, 263-268. doi: 10.4236/health.2009.14042.

References

[1] Diamond, J. C. (2005) How societies choose to fail or succeed. New York: Viking.
[2] Reichholf, J.H. (2008) Warum die Menschen sesshaft wurden. Frankfurt: S. Fischer Verlag GmbH.
[3] Chazel, J.C., Tramini, P., and Pélissier, B. (2005) Obser-vations on the severity of carious lesions throughout five periods of history. Caries Res., 39, 312.
[4] Bagramian, R.A., Garcia-Godoy, F., and Volpe, A.R. (2009) The global increase in dental caries: A pending public health crisis. Am J Dent., 22, 3-8.
[5] Arnold, W.H., Naumova, E.A., Koloda, V.V., and G?ngler, P. (2006) Tooth wear in two ancient populations of the Khazar Kaganat Region in the Ukraine. Int J Osteoar-chaeol., in press.
[6] G?ngler, P. (1986) Klinische und experimentelle Aspekte der vergleichenden Odontologie und Periodontologie. Nova Acta Leopoldina N. F., 58, 525-537.
[7] Ugur, Z.A., G?ngler, P., and Karababa, A.O. (2001) Zusammenhang zwischen Kariespr?valenz und attrition sowie abrasion bei einer türkischen population in Witten. Dtsch Zahn?rztl Z., 56, 172-176.
[8] G?ngler, P., Hoyer, I., Kosa, W., Metzler, E., and Schuder, S. (1988) Degeneration und regeneration des endodonts und periodonts als kopie phylogenetischer zahnentwick-lungsmuster. Zahn Mund Kieferheilkd Zentralbl, 76, 4-13.
[9] Socransky, S., Haffajee, A., Goodson, J., and Lindhe, J. (1984) New concepts of destructive periodontal diseases. J Clin Periodontol.,11, 21-32.
[10] Backer, D. O. (1966) Posteruptive changes in dental enamel. J Dent Res., 45, 503-511.
[11] Koulourides, T., Cueto, H., andPigman, W. (1961) Re-hardering of softened enamel surface of human teeth by solutions of calcium phosphates. Nature, 189, 26-227.
[12] G?ngler, P. (1985) Die pathogenese der zahnkaries und parodontalerkrankungen - das konzept von progression und stagnation. Zahn Mund Kieferheilkd Zentralbl., 73, 77-483.
[13] Eldredge, N. and Gould, S.J. (1972) Punctuated equilib-ria: An alternative to phyletic gradualism. In: Schopf TJ, editor. Models in Paleobiology. San Francisco: Freeman, Cooper & Company.
[14] Gould, S.J., Eldredge, N. (1993) Punctuated equilibrium comes of age. Nature, 366, 223-227.
[15] Metschnikoff II. (1884) Eine neue entzündungstheorie. Allg Wiener Med Ztg, 29, 307-332.
[16] Larmas, M. (2003) Dental caries seen from the pulpal side: A non-traditional approach. J Dent Res, 82, 253-256.
[17] Fejerskov, O. (1997) Concepts of dental caries and their consequences for understanding the disease. Community Dent Oral Epidemiol, 25, 5-12.
[18] Gilthorpe, M.S., Zamzuri, A.T., Griffiths, G.S., Maddick, I.H., Eaton, K.A., and Johnson, N.W. (2003) Unification of the “burst” and “linear” theories of periodontal disease progression: A multilevel manifestation of the same phe-nomen. J Dent Res, 82, 200-205.
[19] Kilian, M. (2005) Facing facts - Making sense of oral infections. Oral Biosciences and Medicine, 2, 163-165.
[20] Kilian, M., Poulsen, K., Blomqvist, T., Havarstein, L.S., Bek-Thomsen, M., Tettelin, H., et al. (2008) Evolution of streptococcus pneumoniae and its close commensal rela-tives. PLoS ONE, 3, e2683.
[21] G?ngler, P., Hoffmann, T., Willershausen, B., Schwenzer, N., and Ehrenfeld, M. (2005) Konservierende zahn- heilkunde und parodontologie. Stuttgart: Thieme.
[22] Ismail, A.I., Sohn, W., Tellez, M., Amaya, A., Sen, A., Hasson, H., et al. (2007) The International Caries Detec-tion and Assessment System (ICDAS): An integrated sys-tem for measuring dental caries. Community Dent Oral Epidemiol, 35, 170-178.
[23] Gaengler, P., Montag, R., and Hoyer, I. (1992) Assess-ment of caries progression by combined index system. J Dent Res, 72, 749.
[24] Bardow, A., Nyvad, B., and Nauntofte, B. (2001) Rela-tionships between medication intake, complaints o dry mouth, salivary low rate and composition, and the rate of tooth demineralization in situ. Arch Oral Biol, 46, 413-423.
[25] Rezwani-Kaminski, T., Kamann, W., and Gaengler, P. (2002) Secondary caries susceptibility of teeth with long-term performing composite restorations. J Oral Rehabil, 29, 1131-1138.
[26] Axelsson, P., Nystr?m, B., and Lindhe, J. (2004) The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Re-sults after 30 years of maintenance. J Clin Periodontol, 31, 749-757.
[27] Rodrigues, R.M., Gon?alves, C., Souto, R., Feres-Filho, E.J., Uzeda, M., and Colombo, A.P. (2004) Antibiotic re-sistance profile of the subgingival microbiota following systemic or local tetracycline therapy. J Clin Periodontol, 31, 420-427.
[28] Jordan, R.A., Raetzke, P., and G?ngler, P. (2007) Preva-lence of oral manifestations in HIV-seropositive patients undergoing highly-active antiretroviral therapy. Dtsch Zahn?rztl Z, 62, 376-385.

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.