Dental Health—Ion Needed for Caries Resistance Which ion is specifically required to develop strong teeth with increased resistance to dental caries (tooth decay)?

Difficulty: Easy

Correct Answer: Fluoride ion

Explanation:


Introduction / Context:
Dental caries resistance is influenced by enamel composition. Fluoride incorporation into hydroxyapatite forms fluorapatite, which is less soluble in acid and more resistant to demineralization during bacterial fermentation in dental plaque. Public health programs leverage this chemistry to prevent decay.


Given Data / Assumptions:

  • Focus is on ionic requirement for enamel strength and caries resistance.
  • Systemic (water) and topical (toothpaste) fluoride exposures are considered beneficial within recommended limits.
  • Other common ions (Na+, Cl−, Mg2+, K+) lack this specific anti-caries effect.


Concept / Approach:
Fluoride promotes remineralization and inhibits demineralization. It can also reduce bacterial acid production by inhibiting enolase in glycolysis at higher local concentrations. The net effect is fewer and shallower lesions over time, particularly when exposure occurs during enamel maturation and via daily topical contact.


Step-by-Step Solution:

Identify the ion known to convert hydroxyapatite to a less acid-soluble form.Recognize fluoride's dual role in enamel chemistry and plaque metabolism.Select fluoride ion as the correct choice.


Verification / Alternative check:
Epidemiological studies show lower caries prevalence with optimally fluoridated water and fluoride toothpaste use, confirming the protective mechanism.


Why Other Options Are Wrong:

  • Sodium, chloride, magnesium, potassium ions do not impart specific caries resistance through enamel crystal substitution like fluoride does.


Common Pitfalls:
Assuming more fluoride is always better; excess leads to fluorosis. The benefit hinges on appropriate dosing.


Final Answer:
Fluoride ion

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