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The tooth surfaces are unique in that they are the only body part
not subject to metabolic turnover. Once formed, the teeth are,
under the correct conditions, essentially indestructible, as
witnessed by their importance in fossil records and forensic
medicine. Yet in the living individual, the integrity of the teeth
is assaulted by a microbial challenge so great that dental
infections rank as the most universal affliction of humankind. The
discomfort caused by these infections and their enormous cost
(dental infections rank third in medical costs, behind heart
disease and cancer, in the United States) gives dental diseases
prominence despite their non-life-threatening nature. This book
reviews the bacterial aspects of dental caries and suggests that,
in the future, treatment will be directed toward eliminating or
suppressing certain bacterial species that appear to be overt
pathogens in the dental plaque.
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