Tooth decay in the context of "Psychostimulants"

A biofilm is a syntrophic community of microorganisms in which cells stick to each other and often also to a surface. These adherent cells become embedded within a slimy extracellular matrix that is composed of extracellular polymeric substances (EPSs). The cells within the biofilm produce the EPS components, which are typically a polymeric combination of extracellular polysaccharides, proteins, lipids and DNA. Because they have a three-dimensional structure and represent a community lifestyle for microorganisms, they have been metaphorically described as "cities for microbes".

Biofilms may form on living (biotic) or non-living (abiotic) surfaces and can be common in natural, industrial, and hospital settings. They may constitute a microbiome or be a portion of it. The microbial cells growing in a biofilm are physiologically distinct from planktonic cells of the same organism, which, by contrast, are single cells that may float or swim in a liquid medium. Biofilms can form on the teeth of most animals as dental plaque, where they may cause tooth decay and gum disease.

Sodium fluoride (NaF) is an inorganic compound with the formula NaF. It is a colorless or white solid that is readily soluble in water. It is used in trace amounts in the fluoridation of drinking water to prevent tooth decay, and in toothpastes and topical pharmaceuticals for the same purpose. In 2023, it was the 264th most commonly prescribed medication in the United States, with more than 1 million prescriptions. It is also used in metallurgy and in medical imaging.

Paranthropus robustus is a species of robust australopithecine from the Early and possibly Middle Pleistocene of the Cradle of Humankind, South Africa, about 2.27 to 0.87 (or, more conservatively, 2 to 1) million years ago. It has been identified in Kromdraai, Swartkrans, Sterkfontein, Gondolin, Cooper's, and Drimolen Caves. Discovered in 1938, it was among the first early hominins described, and became the type species for the genus Paranthropus. However, it has been argued by some that Paranthropus is an invalid grouping and synonymous with Australopithecus, so the species is also often classified as Australopithecus robustus.

Robust australopithecines—as opposed to gracile australopithecines—are characterised by heavily built skulls capable of producing high stresses and bite forces, as well as inflated cheek teeth (molars and premolars). Males had more heavily built skulls than females. P. robustus may have had a genetic susceptibility for pitting enamel hypoplasia on the teeth, and seems to have had a dental cavity rate similar to non-agricultural modern humans. The species is thought to have exhibited marked sexual dimorphism, with males substantially larger and more robust than females. Based on 3 specimens, males may have been 132 cm (4 ft 4 in) tall and females 110 cm (3 ft 7 in). Based on 4 specimens, males averaged 40 kg (88 lb) in weight and females 30 kg (66 lb). The brain volume of the specimen SK 1585 is estimated to have been 476 cc, and of DNH 155 about 450 cc (for comparison, the brain volume of contemporary Homo varied from 500 to 900 cc). P. robustus limb anatomy is similar to that of other australopithecines, which may indicate a less efficient walking ability than modern humans, and perhaps some degree of arboreality (movement in the trees).

The third molar, commonly called wisdom tooth, is the most posterior of the three molars in each quadrant of the human dentition. The age at which wisdom teeth come through (erupt) is variable, but this generally occurs between late teens and early twenties. Most adults have four wisdom teeth, one in each of the four quadrants, but it is possible to have none, fewer, or more, in which case the extras are called supernumerary teeth. Wisdom teeth may become stuck (impacted) and not erupt fully, if there is not enough space for them to come through normally. Impacted wisdom teeth are still sometimes removed for orthodontic treatment, believing that they move the other teeth and cause crowding, though this is disputed.

Impacted wisdom teeth may suffer from tooth decay if oral hygiene becomes more difficult. Wisdom teeth that are partially erupted through the gum may also cause inflammation and infection in the surrounding gum tissues, termed pericoronitis. More conservative treatments, such as operculectomies, may be appropriate for some cases. However, impacted wisdom teeth are commonly extracted to treat or prevent these problems. Some sources oppose the prophylactic removal of disease-free impacted wisdom teeth, including the National Institute for Health and Care Excellence in the UK.

In dentistry, amalgam is an alloy of mercury used to fill teeth cavities. It is made by mixing a combination of liquid mercury and particles of solid metals such as silver, copper or tin. The amalgam is mixed by the dentist just before use. It remains soft for a short while after mixing, which facilitates it being snugly packed into the cavity and shaped before it sets hard.

Dental amalgams were first documented in a Tang dynasty medical text written by Su Gong (苏恭) in 659, and appeared in Germany in 1528. In the 1800s, amalgam became the dental restorative material of choice due to its low cost, ease of application, strength, and durability.

Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of tooth structure lost due to decay (caries), trauma, or wear. Fillings may also be used to replace or seal tooth structure around dental implants or after more extensive procedures such as root-canal therapy. There are two broad categories of fillings: direct restorations, placed and shaped directly inside a cleaned cavity in a single dental visit, and indirect restorations (such as inlays or onlays), which are fabricated outside the mouth (often in a laboratory) and then cemented into the tooth. Materials for direct fillings commonly include amalgam (metal) or tooth-colored composite and glass-ionomer, while indirect restorations may use ceramics, metal alloys, or porcelain for greater durability and structural support.

Toothpaste is a paste or gel dentifrice that is used with a toothbrush to clean and maintain the aesthetics of teeth. Toothpaste is used to promote oral hygiene: it is an abrasive that aids in removing dental plaque and food from the teeth, assists in suppressing halitosis, and delivers active ingredients (most commonly fluoride) to help prevent tooth decay (dental caries) and gum disease (gingivitis). Due to variations in composition and fluoride content, not all toothpastes are equally effective in maintaining oral health. The decline of tooth decay during the 20th century has been attributed to the introduction and regular use of fluoride-containing toothpastes worldwide. Large amounts of swallowed toothpaste can be poisonous. Common colors for toothpaste include white (sometimes with colored stripes or green tint) and blue.

Water fluoridation is the controlled addition of fluoride to public water supplies to reduce tooth decay. Fluoridated water maintains fluoride levels effective for cavity prevention, achieved naturally or through supplementation. In the mouth, fluoride slows tooth enamel demineralization and enhances remineralization in early-stage cavities. Defluoridation is necessary when natural fluoride exceeds recommended limits. The World Health Organization (WHO) recommends fluoride levels of 0.5–1.5 mg/L, depending on climate and other factors. In the U.S., the recommended level has been 0.7 mg/L since 2015, lowered from 1.2 mg/L. Bottled water often has unknown fluoride levels.

Tooth decay affects 60–90% of schoolchildren worldwide. Fluoridation reduces cavities in children, with Cochrane reviews estimating reductions of 35% in baby teeth and 26% in permanent teeth when no other fluoride sources are available, though efficacy in adults is less clear. In Europe and other regions, declining decay rates are attributed to topical fluorides and alternatives like salt fluoridation and nano-hydroxyapatite.