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Dentistry · Oral pathology: dental caries
Sample itemWhich bacterial feature most directly contributes to enamel caries after frequent sucrose exposure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Acid production lowering plaque pH
Cariogenic bacteria metabolize fermentable carbohydrate to acids, lowering plaque pH and promoting enamel demineralization. Frequency of sugar exposure is important because it repeatedly prolongs low-pH periods.
Option by option
A. Acid production lowering plaque pH (correct)
Correct. Acid-driven demineralization is central to caries formation.
B. Increased salivary buffering
Salivary buffering protects against, rather than promotes, caries.
C. Reduced bacterial adherence
Reduced adherence would lower, not raise, plaque cariogenicity.
D. Formation of tertiary dentin only
Tertiary dentin is a pulpal defensive response after injury.
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.
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