Academy of Dental Knowledge

  Clinical and Histological Features of Dental Caries Now we shall describes the clinical features of carious lesions on smooth, occlusal, and root surfaces.  We shall relate the clinical features to their histological features. We shall consider Enamel and Dentine together, the reasons being: As a clinician, you will see them in the same way. You can not understand changes in dentine during caries progression and caries arrest without considering the spread of the enamel lesion. Changes in Dentine occur before the enamel lesion cavitates. Removal of the biofilm will arrest the lesion in dentine as well as the lesion in enamel. The lesion, in both enamel and dentine, entirely reflects the activity of the bacterial biofilm. Before I start talking about the clinical and histological features of dental caries, You must know the  Basic Structure of Enamel Sound enamel consists of crystals of hydroxyapatite packed tightly together in an orderly arrangement which is known as en...