According to the new paradigm, lesion progression may be arrested at ANY stage, including cavitation. True or False?

Prepare for the Cariology and Prevention 1 Test using flashcards and multiple choice questions, each with hints and explanations. Boost your exam readiness!

Multiple Choice

According to the new paradigm, lesion progression may be arrested at ANY stage, including cavitation. True or False?

Explanation:
The essential idea is that caries progression isn’t an unstoppable path once cavitation occurs. In the modern view, the disease is a dynamic balance between demineralization and remineralization, and this balance can shift in favor of healing at any stage—including after a cavity has formed. When risk factors are reduced and remineralization is promoted (through fluoride, proper oral hygiene, saliva flow, and sealing or sealing-in of the lesion), progression can halt and the lesion can become arrested. A cavitated lesion can remain inactive and not continue to worsen, even though the physical hole is present. This is why the statement is true: arrest at any stage, including cavitation, is consistent with the new paradigm.

The essential idea is that caries progression isn’t an unstoppable path once cavitation occurs. In the modern view, the disease is a dynamic balance between demineralization and remineralization, and this balance can shift in favor of healing at any stage—including after a cavity has formed. When risk factors are reduced and remineralization is promoted (through fluoride, proper oral hygiene, saliva flow, and sealing or sealing-in of the lesion), progression can halt and the lesion can become arrested. A cavitated lesion can remain inactive and not continue to worsen, even though the physical hole is present. This is why the statement is true: arrest at any stage, including cavitation, is consistent with the new paradigm.

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