“…Those include MMP activation with pH changes, dentine collagen degradation by activated dentinal or salivary enzymes, inhibition of dentinal and salivary MMPs by specific inhibitors, a significant increase in MMP and cathepsin levels and activities in caries-infected and -affected dentine, an increase in MMP-2, -9 and -20 in dentinal fluid in tubules under caries lesions, increased MMP levels in saliva of Sjögren syndrome patients, a strong correlation between caries lesions and salivary MMP-8, identification of MMPs among dental caries susceptibility genes, and MMP-2-related defence responses in the dentine-pulp border. In erosion, the most important role seems to be played by MMPs, as revealed by a recent in vitro study where MMP but not the specific cathepsin inhibitors reduced dentine loss [Hannas et al, 2014]. The direct evidence is still relatively limited, consisting of reduction in dentinal caries progression by MMP inhibitors in animal experiments, and partial or complete reduction of dentine erosion in situ [for details, see Buzalaf et al, 2012b;Tjäderhane et al, 2013bTjäderhane et al, , 2015Hedenbjörk-Lager et al, 2015].…”