Role of biodental engineering factors (BEF) in the etiology of root caries.

A preliminary study and hypothesis of the etiology of root caries is presented with appropriate data suggesting that biodental engineering factors (BEF) be introduced into the equation that is generally accepted in the formation of all caries. Principally, because of the rapid progression and location of root caries, BEF in addition to bacterial plaque and suitable substrate contribute to the development of these unique lesions. The dominant and most significant factors recognized by bioengineers are tooth flexure, stress concentration, stress corrosion, and piezo-electricity. All of these factors interplay during the dynamics of occlusal activity causing the loss of tooth substance. A new and revised model is being presented that provides a basis for the etiology of root caries.