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Updated: Jul 6, 2026

Systematic Approach to Identify Novel Antimicrobial and Antibiofilm Molecules from Plants' Extracts and Fractions to Prevent Dental Caries
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Published on: March 31, 2021

Optimal drinking water composition for caries control in populations.

M Bruvo1, K Ekstrand, E Arvin

  • 1Dental School of Copenhagen, University of Copenhagen, Nørre Alle 20, 2200 Copenhagen N, Denmark.

Journal of Dental Research
|March 26, 2008
PubMed
Summary

Calcium and fluoride in drinking water significantly reduce tooth decay (dental caries). This study found that these two minerals together explained 45% of variations in decayed, missing, and filled tooth surfaces in schoolchildren.

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Area of Science:

  • Dental Public Health
  • Environmental Chemistry
  • Epidemiology

Background:

  • Fluoride in drinking water is known to prevent dental caries.
  • The influence of other drinking water constituents on caries is less understood.
  • Oral ion interactions may affect fluoride's efficacy in caries prevention.

Purpose of the Study:

  • To investigate the role of various drinking water chemicals beyond fluoride in dental caries.
  • To identify specific ions that, in combination with fluoride, impact caries prevalence.
  • To explore the potential for optimizing drinking water composition for improved dental health.

Main Methods:

  • Analysis of 22 standard chemical variables in drinking water across 249 Danish municipalities.
  • Statistical analysis correlating water chemistry with dental caries data (decayed, missing, filled tooth surfaces - DMF-S) in 52,057 schoolchildren.
  • Iterative search and testing to identify significant predictors of DMF-S.

Main Results:

  • Calcium and fluoride together explained 45% of the variation in DMF-S.
  • Both calcium and fluoride demonstrated independent caries-reducing effects.
  • The combined effect of calcium and fluoride was significant in influencing dental caries levels.

Conclusions:

  • The impact of drinking water on dental caries is not solely attributable to fluoride.
  • Calcium, in conjunction with fluoride, plays a crucial role in caries prevention.
  • Drinking water composition, particularly calcium and fluoride levels, can be optimized for population-level caries control.