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January 31, 1948

Dental Caries: Its Etiology, Pathology, Clinical Aspects and Prophylaxis

JAMA. 1948;136(5):357. doi:10.1001/jama.1948.02890220067033

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This monograph on dental caries is based on the special pathology of the tissues concerned. The author rightly states, "A correct knowledge and understanding of normal structures is a fundamental requirement for the study of their pathological changes. If some error exists in the concept of the interpretation of normal conditions, then the concept of the interpretation of the pathology will be erroneous. The lines between normal structure, pathology, and clinical consideration should never be sharp and definite. The student of normalcy may easily overlook something. His mistake may appear in the clinical and pathological considerations, and be perpetuated and magnified there." In spite of this the author has advanced a highly theoretic and controversial opinion, indicating that Staphylococcus aureus produces dental caries because yellow pigmentation is frequently associated with dental caries. Naturally this is an assumption that will be contested by a majority of workers in this field.


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