Restorative & Materials · single question

What is the primary mechanism by which fluoride protects against dental caries?

  1. It promotes remineralization and decreases dissolution of calcium phosphate (enamel) at acidic pH
  2. It increases salivary flow rate
  3. It directly kills all oral bacteria on contact
  4. It mechanically seals pits and fissures
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Correct answer: A. It promotes remineralization and decreases dissolution of calcium phosphate (enamel) at acidic pH

Fluoride incorporates into enamel forming fluorapatite, which is more acid-resistant; it favors remineralization and reduces demineralization (dissolution of calcium phosphate), and at higher concentrations inhibits bacterial enzymes.Other options: Fluoride does not principally act by raising salivary flow or by sealing fissures (that is a sealant). It inhibits but does not indiscriminately kill all bacteria.Key exam takeaway: Fluoride's main anticaries action: enhance remineralization and inhibit demineralization by forming acid-resistant fluorapatite.

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