Restorative & Materials · single question

Which saliva composition is MOST cariogenic?

  1. Low pH, low viscosity, high flow, low buffer capacity
  2. Low pH, low viscosity, low flow, low buffer capacity
  3. High pH, low viscosity, high flow, high buffer capacity
  4. High pH, high viscosity, low flow, high buffer capacity
Show answer and explanation

Correct answer: B. Low pH, low viscosity, low flow, low buffer capacity

Cariogenic saliva has low pH, low viscosity, low flow, and low buffer capacity — the worst possible combination for caries protection.
  • A. High flow increases washing and buffering even with low pH, making this less cariogenic than option C (low flow).
  • B. CORRECT. Low pH = acidic environment; low viscosity = poor mucosal coating; low flow = reduced washing/buffering; low buffer capacity = inability to neutralize bacterial acids. This combination maximally favors caries development.
  • C. High pH, high flow, and high buffer are all protective factors. This saliva is caries-resistant.
  • D. High pH and high buffer capacity are protective — this saliva profile is caries-resistant, not cariogenic.

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