Why do pit and fissure caries typically exhibit a cone-shaped pattern of penetration?

A The enamel rods are oriented converging towards the occlusal surface

B The dentinal tubules run parallel to the enamel surface

C The outer enamel layer is thicker at the base of the fissure

D Bacterial colonies spread uniformly beneath the enamel surface

Solution

Correct Answer: Option A

Pit and fissure caries exhibit a cone-shaped pattern of penetration because enamel rods in these areas are oriented obliquely and converge towards the occlusal surface. This structural arrangement creates a narrower entrance at the enamel surface but facilitates deeper bacterial progression towards the dentin beneath, resulting in a spreading lesion that widens as it approaches the dentinoenamel junction. Understanding this pattern is crucial for early detection and effective restorative intervention.

Reference: Sturdevant's Art and Science of Operative Dentistry, 7th Edition.

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