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Dentistry · Dental caries
Sample itemWhat process initiates enamel caries in the presence of frequent fermentable carbohydrate exposure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Acid-mediated demineralization by plaque bacteria
Plaque bacteria metabolize fermentable carbohydrates into acids that lower local pH and dissolve enamel mineral; repeated episodes without adequate remineralization allow a carious lesion to progress.
Option by option
A. Acid-mediated demineralization by plaque bacteria (correct)
Correct: bacterial acid drives enamel demineralization.
B. Loss of blood supply to the tooth
Teeth do not develop caries from loss of their blood supply.
C. Excess fluoride incorporation
Appropriate fluoride promotes remineralization rather than causing caries.
D. Direct viral destruction of enamel
Viruses do not directly cause the usual process of dental caries.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.