Restorative & Materials · single question

Which statement is most accurate regarding salivation and remineralization of tooth enamel?

  1. Remineralization occurs through calcium and phosphate ions in saliva, driven by salivary flow and pH
  2. Salivation is a constant, unchanging process unaffected by food intake
  3. Salivation is completely independent of dietary habits
  4. Remineralization requires external fluoride supplements and cannot occur naturally through saliva
Show answer and explanation

Correct answer: A. Remineralization occurs through calcium and phosphate ions in saliva, driven by salivary flow and pH

Saliva plays a critical role in remineralization of early carious lesions. Saliva is supersaturated with calcium (Ca2+) and phosphate (HPO42-) ions relative to enamel hydroxyapatite. Following a cariogenic acid challenge, saliva neutralizes plaque acids (via bicarbonate buffering), and when pH rises above the critical pH (5.5 for enamel), Ca2+ and phosphate ions deposit back onto the enamel surface, reversing early demineralization. Fluoride enhances this process by forming fluorohydroxyapatite. Salivary flow rate is NOT constant — it is stimulated by food and decreases during sleep. Diet significantly affects salivary composition and pH.

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