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Preventive Dentistry By Lisette Hilton
Definition Preventive dentistry is the area of dentistry that focuses on those procedures and life practices that help people to prevent the beginning or progression of oral disease. It includes at-home dental care performed by patients, as well as dental care and education by professional dental staff in the office or clinic. Purpose Preventive dentistry includes two aspects of dental care, both performed to help patients avoid dental disease or to catch it in its early, more treatable stages. In part, it is the oral hygiene care performed by the patient at home. Preventive dentistry also encompasses what is done by the dental staff in their offices to help patients maintain healthy teeth and gums. In either case, the objective is to stop the development of oral disease or to find it at an early stage. Dental health professionals most often look for early signs of periodontal disease, dental decay, and other changes in the soft tissue of the mouth that could lead to oral cancer. Precautions Preventive dentistry should always be prescribed and not harm patients when done correctly. At times, dentists do need to take precautions when someone has a medical condition that would be affected by some of the procedures. Dentists need to be aware of certain medical conditions, such as mitral valve prolapse, which need to be treated with prophylactic antibiotics. Allergies to any of the medications or materials used in preventive dentistry are rare. Description Preventive care in a dental office includes prophylaxis, or the cleaning of the teeth, which removes accumulations of calculus. It includes examination of the teeth and soft tissue, using visual and tactile exams, radiographic examination, such as x rays, and oral cancer screening. Newer techniques to diagnose periodontal, or gum disease, include computerized measurement devices that measure the bacterial content in the mouth. Sometimes, dentists prescribe medications to help prevent dental disease. These include anti-inflammatory mouthwashes to prevent periodontal problems. Preventive procedures often performed by dentists for children include the use of fluoride supplements and applications. Dentists apply dental sealants to children's teeth, forming a barrier between tooth crevasses and bacteria to help ward off dental decay. Dental health professionals also look for malocclusions, and might refer patients to a dental specialist, such as an orthodontist, to correct a patient's bad bite. Experts state that children should be evaluated by an orthodontist by age seven. An important part of preventive dentistry performed by dental professionals is educating patients about at-home care, nutrition, and smoking cessation. At-home procedures performed by patients that help ward off dental disease include regular and proper brushing, flossing and sometimes use of mouth rinses and at-home fluoride applications. Dentists and their staff explain proper brushing and flossing techniques. Proper brushing includes use of a soft nylon toothbrush with round-ended bristles. Patients should place the bristles along the gum line at a 45-degree angle to cover the tooth surface and gum line. The brushing technique should be gentle and in a rolling back-andforth motion, with two to three teeth being brushed at a time. Patients should brush the inner surfaces of their teeth and tilt the brush vertically to brush the front teeth. Ideally, patients should use a back-and-forth motion to brush the biting surface of the teeth and the tongue. Flossing removes plaque from between teeth and at the gum line. It should be done with an 18-inch strip of floss wrapped around the middle fingers of each hand. The remaining one to two inches of floss that is inserted between the teeth should be directed by the thumbs. By keeping the floss taut,
and dental work. including cleaning. They should floss each tooth with a clean section of the floss and ensure that the floss goes under the gum line. Even before teeth erupt. Health care team roles The dentist oversees the process of examination. Dental checkups and consistent at-home preventive dental care can stave off caries (tooth decay) and periodontal disease. Regular dental checkups can reduce the risk of permanent tooth and gum damage. people tend to keep their original teeth throughout life and don't need as much restorative dental work. and education.com/galecontent/preventive-dentistry/2#ixzz1GWCHG1V9 Healthline. Preventive care in adolescence includes brushing and flossing. and expensive treatment in the future. Those who have problems moving their hands because of arthritis. An estimated 75% of adults have periodontal disease. Results The results of good preventive dental care are healthy teeth and gums throughout one's life and the early detection of oral disease. diagnosis. Treatments resulting from preventive dental procedures are designed to stop the process of the disease. regular dental visits are particularly important for adults. Preventive dental care should begin in infancy. Dental hygienists sometimes perform preventive techniques. As a result of preventive dental care.healthline. A dental checkup might reveal a lesion in the mouth that could lead to a referral to a physician for further investigation. Regular dental checkups and oral cancer screenings can catch oral cancer at its most treatable stages. fluoride and sealant application. which can lead to tooth loss. such as fluoride applications and sealants. while contouring the floss around the sides of the teeth. depending on state licensing. Preventive dental examinations also ensure that a dentist will notice any oral signs of systemic disease. Preventive procedures.com . and provide patient guidance and education. assist the dentist during checkups. including the placement of fillings. Periodontal treatments help restore healthy gums and can prevent tooth loss. as well as wearing custom-made mouth guards to protect the teeth during contact sports. Read more: http://www. addresses tooth decay and tooth loss that can result from periodontal disease. which include brushing the replacement teeth. parents can clean infants' gums after feeding. within the first year of life before teeth first appear. and patient education.patients can use their index fingers to guide the floss between the lower teeth with a gentle zigzag motion. for example. treatment planning. Considering that 75% of Americans have some form of dental disease. can prevent tooth decay.Connect to Better Health . The dental assistant in some states. also benefit from tips for adapting toothbrushes for easier handling. and continue throughout life. crowns. can perform many of the same procedures as the hygienist. Restorative dentistry. Seniors often benefit from training in proper techniques of denture care and cleaning. The allied dental personnel include the dental hygienist and dental assistant.
resolve to practice good oral hygiene every day. Replace your toothbrush every three to four months. medications. HIV/AIDS. such as daily brushing and flossing. Other conditions. Alzheimer's disease. Gum disease has been linked to premature birth and low birth weight. How can I protect my oral health? To protect your oral health. Gum disease and dental procedures that cut your gums may allow bacteria to enter your bloodstream. If you have a weak immune system or a damaged heart valve. clogged arteries and stroke may be linked to oral bacteria. Pregnancy and birth. In addition. In addition. For example: Brush your teeth at least twice a day. dental procedures. What conditions may be linked to oral health? Your oral health may affect. Tooth loss before age 35 may be a risk factor for Alzheimer's disease. Oral problems. Osteoporosis. harmful bacteria can sometimes grow out of control and cause oral infections. Cardiovascular disease. possibly due to chronic inflammation from periodontitis — a severe form of gum disease. and they may lose more teeth than do people who have good blood sugar control. be affected by or contribute to various diseases and conditions. disrupt the normal balance of bacteria in your mouth or breach the mouth's normal protective barriers may make it easier for bacteria to enter your bloodstream. such as tooth decay and gum disease. . However. or treatments that reduce saliva flow. can keep these bacteria under control. Some research suggests that heart disease. Osteoporosis — which causes bones to become weak and brittle — may be associated with periodontal bone loss and tooth loss. Diabetes. are common in people who have HIV/AIDS. including: Endocarditis. Other conditions that may be linked to oral health include Sjogren's syndrome — an immune system disorder — and eating disorders. people who have inadequate blood sugar control may develop more-frequent and severe infections of the gums and the bone that holds teeth in place. such as painful mucosal lesions. this can cause infection in other parts of the body — such as an infection of the inner lining of the heart (endocarditis). What's the connection between oral health and overall health? Your mouth is teeming with bacteria — most of them harmless. Normally the body's natural defenses and good oral health care. Be sure to tell your dentist if you're taking any medications or have had any changes in your overall health — especially if you've had any recent illnesses or you have a chronic condition. Diabetes reduces the body's resistance to infection — putting the gums at risk.Oral health: A window to your overall health By Mayo Clinic staff Did you know that your oral health can offer clues about your overall health? Or that problems in your mouth can affect the rest of your body? Understand the intimate connection between oral health and overall health and what you can do to protect yourself.
html. Loesche W.aspx? currentTab=2.com/home/index. The Journal of the American Dental Association. 2007. Gingivitis and periodontitis in adults: Classification and dental treatment. Anorexia nervosa (eating disorders). Accessed Nov.uptodate. The New England Journal of Medicine. Accessed Nov.ada.html. medications. National Institute of Arthritis and Musculoskeletal and Skin Diseases.pdf.355:1885.org/sections/publicResources/pdfs/patient_34. 15. 16.137:563. Journal of the American Dental Association.asp#drymouth. Infectious Disease Clinics of North America. References Oral-systemic health. Accessed Nov. 2010. American Dental Association.org/sections/publicResources/pdfs/patient_18. Oral and systemic health. 2010. 2010. Remember. Eat a healthy diet and limit between-meal snacks. Diabetes and oral health. Lung.nhlbi. 15. http://www.org/4081.nih. 15. 2010. 15. Dental caries and periodontitis: Contrasting two infections that have medical implications. Krall KE. 2006. Accessed Nov. and Blood Institute. American Dental Association. 16. Sjogren's syndrome: Questions and answers about Sjogren's syndrome. Also. Pregnant? Tips for keeping your smile healthy. Links between oral and general health. 2010. Michalowicz BS. et al. 2010. . healthy body. Healthy mouth. taking care of your oral health is an investment in your overall health. http://www.nih.htm.2:110. 2006. Alzheimer's & Dementia. Floss daily. et al. American Dental Association.cdc. Accessed Nov. Accessed Nov.html. Schedule regular dental checkups. 15.niams. Gatz M.gov/OralHealth/publications/factsheets/sgr2000_fs4. American Dental Association. 2006. Casamassimo PS. http://www. Endocarditis. http://www. National Heart. Wilder RS. Bone health and oral health.ada. watch for signs and symptoms of oral disease and contact your dentist as soon as a problem arises. http://www. 2010.ada.138:616. 2007. American Dental Association. Centers for Disease Control and Prevention. http://www. 2010. Potentially modifiable risk factors for dementia in identical twins. http://www. Accessed Nov. Treatment of periodontal disease and the risk of preterm birth.com/home/index. Accessed Nov. http://www. et al. Accessed Nov.21:471. 15.pdf.aspx?currentTab=1.ada. 2010.gov/Health_Info/Sjogrens_Syndrome/default. 16.org/3104. http://www.gov/health/dci/Diseases/endo/endo_all.uptodate.
7 milligrams of fluoride per liter of water replaces the current recommended range of 0. with staining and pitting of the tooth surface. HHS is proposing that the recommended level of fluoride in drinking water can be set at the lowest end of the current optimal range to prevent tooth decay. in 2006 NAS reviewed new data on fluoride and issued a report recommending that EPA update its health and exposure assessments to take into account bone and dental effects and to consider all sources of fluoride. The new EPA assessments of fluoride were undertaken in response to findings of the National Academies of Science (NAS). and fluoride applied by dental professionals. This updated recommendation is based on recent EPA and HHS scientific assessments to balance the benefits of preventing tooth decay while limiting any unwanted health effects. The Centers for Disease Control and Prevention named the fluoridation of drinking water one of the ten great public health achievements of the 20th century. There are several reasons for the changes seen over time. Department of Health and Human Services (HHS) and the U.hhs. prescription fluoride supplements. Peter Silva.HHS and EPA announce new scientific assessments and actions on fluoride Agencies working together to maintain benefits of preventing tooth decay while preventing excessive exposure WASHINGTON – The U. work. including that Americans have access to more sources of fluoride than they did when water fluoridation was first introduced in the United States in the 1940s. HHS’ proposed recommendation of 0. and its effectiveness in preventing tooth decay throughout one’s lifetime. Water is now one of several sources of fluoride. Water fluoridation and fluoride toothpaste are largely responsible for the significant decline in tooth decay in the U.html . an important tool in the prevention of tooth decay while reducing the possibility of children receiving too much fluoride. is rare in the United States. HHS is expecting to publish final guidance for community water fluoridation by spring 2011.” HHS and EPA reached an understanding of the latest science on fluoride and its effect on tooth decay prevention and the development of dental fluorosis that may occur with excess fluoride consumption during the tooth forming years. “Today’s announcement is part of our ongoing support of appropriate fluoridation for community water systems. MPH. which is set to prevent adverse health effects.” “Today both HHS and EPA are making announcements on fluoride based on the most up to date scientific data. These actions will maximize the health benefits of water fluoridation.7 to 1.gov/news/press/2011pres/01/20110107a.S. At EPA’s request. MD. or play. HHS also considered current levels of tooth decay and dental fluorosis and fluid consumption across the United States. age 8 and younger.” said HHS Assistant Secretary for Health Howard K. “One of water fluoridation’s biggest advantages is that it benefits all residents of a community—at home. Koh. Other common sources include dental products such as toothpaste and mouth rinses. source: http://www. In addition to EPA’s new assessments and the NAS report. Dental fluorosis in the United States appears mostly in the very mild or mild form – as barely visible lacy white markings or spots on the enamel. over the past several decades. “EPA’s new analysis will help us make sure that people benefit from tooth decay prevention while at the same time avoiding the unwanted health effects from too much fluoride. and EPA is initiating review of the maximum amount of fluoride allowed in drinking water.S. The severe form of dental fluorosis.2 milligrams. These scientific assessments will also guide EPA in making a determination of whether to lower the maximum amount of fluoride allowed in drinking water. school. especially in children.S. Environmental Protection Agency (EPA) today are announcing important steps to ensure that standards and guidelines on fluoride in drinking water continue to provide the maximum protection to the American people to support good dental health.” said EPA Assistant Administrator for the Office of Water.
"Your oral health depends on many factors. It's even better to brush three times a day or after every meal. which is called pregnancy gingivitis. so you know about brushing and flossing. This can result in dry mouth and increased plaque formation and gingivitis. "These include what you eat. people with health conditions such as diabetes. "For example. Step 1: Understand your own oral health needs. come up with an effective routine. it can turn the sugars found in most foods and drinks into acids that lead to decay. it can lead to gum problems and cavities.. you may want to use fluoride every day. particularly when sleeping. can reduce the amount of saliva in your mouth. suggests these steps to keep your teeth and your mouth healthy. you should floss at least once a day. Toothpastes and mouthwashes are good sources of fluoride. Albert said." Changes in your overall health status often result in changes in your oral health. many medicines. Based on the discussion." Step 2: Commit to a daily oral health routine. Some people assume they will lose their teeth as they age. including more than 300 common drugs. which is a complex mass of bacteria that constantly forms on your teeth. Fluoride strengthens developing teeth in children. resulting in dry mouth. Your dentist can prescribe a stronger concentration of fluoride in a gel. toothpaste or rinse if you need it. if you are taking medicine that dries your mouth. It's important to brush and floss correctly and thoroughly. Bacteria in plaque also cause gingivitis and other periodontal diseases. the type and amount of saliva in your mouth. your overall health and your oral hygiene routine. your habits. Step 3: Use fluoride products.P. "Women who are pregnant go through oral changes.S." Dr. Talk to your dentist or dental hygienist about your oral health practices. For example. In addition. and people with braces also may want or need special daily care.. It also helps prevent decay in adults and children. . Pregnant women. You need to remove plaque from all sides of the tooth and where the tooth meets the gums. That doesn't have to happen.Eight Steps to Dental Health Reviewed by the Faculty of Columbia University College of Dental Medicine It takes more than just brushing. not just children. Albert is an assistant professor of clinical dentistry at the Columbia University College of Dental Medicine. D. If plaque is not removed. Albert. OK. Everyone should brush at least twice a day. Everyone can benefit from fluoride. Dr.D. If plaque isn't removed every day. But there are other steps you should take if you want to keep your teeth for a lifetime. Step 4: Brush and floss to remove plaque. Patients with asthma often breathe through their mouths. M. David A." he said. These activities remove plaque. It should be easy to follow and should take your situation into account.H. This often includes inflammation of the gums.
Source: http://www.32218/t. This food provides fuel for the bacteria in plaque. Each time you eat food containing sugars or starches (complex sugars). have more gum disease than the general population. Using tobacco also contributes to bad breath and stains on your teeth.simplestepsdental. patch or lump is most likely to appear. Smoking or using smokeless tobacco increases your risk of oral cancer. bits of food become lodged in and around your teeth. These changes could include: Swollen gums Chipped teeth Discolored teeth Sores or lesions on your gums.Step 5: Limit snacks. Step 8: Visit the dental office regularly.com/SS/ihtSSPrint/r. The bacteria produce acid. Step 6: If you use tobacco in any form. your teeth are exposed to these acids for 20 minutes or more. you are in the best position to notice changes in your mouth. your dentist or dental hygienist can show you where a sore. This occurs more often if you eat snacks and the food stays on your teeth for a while.3/c. People with suppressed immune systems also are more likely to have dental problems. such as diabetics or smokers. Some people. Examples include people who are infected with HIV or are receiving cancer treatment.314656. If you smoke or use smokeless tobacco. Not getting enough minerals and vitamins can affect your oral health.32497/pr. leading to a cavity.h tml . cheeks or tongue A regular examination is particularly important for tobacco users. Every time you eat.WSIHW000/st. Talk to your dentist about how often you should visit. They also should visit the dentist more often. who are at increased risk of developing oral cancer. If you have a history of cavities or crown and bridge work. brush your teeth or chew sugarless gum afterward. quit. More frequent visits for these groups are important to maintain good oral health. Even if you visit your dentist regularly. A balanced diet is also important. particularly those high in simple sugars. or are wearing braces. spot. you should visit the dentist more often. as well as your general health. If you must snack. Your dentist and dental hygienist see you only a few times a year. but you can examine your mouth weekly to look for changes that might be of concern. Step 7: Examine your mouth regularly. These repeated acid attacks can break down the enamel surface of your teeth. and eat a balanced diet. periodontitis and tooth decay. gingivitis.
Phils. dental floss and mouthwash in two (2) barangays of the province. The event featured advocacy on the importance of preventive services like keeping good oral hygiene and scheduling regular dental visits. Sahay said. toothbrush and fluoride toothpaste.Sahay noted that the local government also launched Gov.The activity was among those lined up by PDA. PDA in partnership with Colgate. Camiguin Chapter successfully completed its massive dental outreach to community folks. Dr.During the community outreach program. Copyright 2011 Tendersinfo News.Children in other beneficiary communities. distributed by Contify. said that the dental outreach program is a year-round activity which prioritizes school children. we also have the Essential Health Care Package (EHCP) in partnership with Fit for School Foundation where all grade levels 1 to 4 elementary students were given health care kits consisting of hand washing soap. Camiguin as they joined the nation in celebrating the Oral Health Month of February. dubbed as the Orally Fit Child Program . 2011 The Philippine Dental Association (PDA).For preventive care. tooth cleaning or extraction and other restorative care were likewise extended to all beneficiaries in priority barangays and schools. Sahay.COMMUNITY DENTISTRY ARTICLES PHILIPPINES : Camiguin steps up campaign on oral care Tendersinfo News March 10. also distributed complete oral hygiene kit consisting of toothpaste.com All Rights Reserved .Dental services like oral examinations. All these children will enjoy year-round supply of the basic hygiene kit. school children and school teachers in the island last month. received set of toothpaste and toothbrush given by the Camiguin Provincial Government Camiguin Provincial Dental Coordinator. she added. Romualdo s dental program which caters to the Grade 5 and 6 levels and extends services to all high schools and college scholars of the Provincial Youth Grantees (PYG). likewise. especially among children to develop good habits.She also said the EHCP was expanded last year to cover all pre-schoolers. Ophelia M. toothbrush.
Toothpaste often contains sodium fluoride to prevent cavities. sodium fluoride is ineffective while stannous fluoride remains effective in strengthening tooth enamel. It is claimed to protect tooth enamel from attack by bacteria that cause dental caries (cavities). as . Stannous fluoride converts the calcium mineral apatite into fluorapatite. Any stannous fluoride staining that occurs due to improper brushing is not permanent. it is a source of the fluoride ion in diverse applications. under the trade name "Fluoristan. In the U. It is a colorless solid used as an ingredient in toothpastes that are typically more expensive than those that use sodium fluoride. which makes tooth enamel more resistant to bacteria generated acid attacks." It is the active ingredient in Crest Pro Health brand toothpaste. is the inorganic compound with the formula Na2PO3F. Though developed by a chemist at Procter and Gamble." in the original formulation of the toothpaste Crest. Crest Pro Health issues a warning on the tube that stannous fluoride may cause staining which can be avoided by proper brushing. about 40. on the other hand. its use in toothpaste (Colgate toothpaste) was patented by Colgate-Palmolive. a naturally occurring component of tooth enamel. and Ireland. MFP is best known as an ingredient in toothpastes. sometimes after being processed into sodium silicofluoride. Fluoride salts are used to enhance the strength of teeth by the formation of fluorapatite. It is a product of the production of hydrogen fluoride and the production of phosphate fertilizers. known by the common name stannous fluoride. Sodium fluoride and sodium fluorophosphate. colourless. most notably found in MEDActive® brand Patient-Friendly™ Oral Relief Rinse. and water-soluble. MFP is odourless. Great Britain.000 tons of fluorosilic acid is recovered from phosphoric acid plants. and that its particular formulation is resistant to staining. HEXAFLUOROSILICIC ACID Hexafluorosilicic acid is the inorganic compound with the formula H2SiF6. Used in combination with calcium minerals.TYPES OF FLUORIDE SODIUM FLUORIDE Sodium fluoride is an inorganic chemical compound with the formula NaF.S. though it was later replaced with sodium monofluorophosphate. A colorless solid.. commonly abbreviated MFP. and then used primarily in water fluoridation. Stannous fluoride has also been shown to be more effective than sodium fluoride in controlling gingivitis. Hexafluorosilicic acid is also commonly used for water fluoridation in several countries including the United States.S. become biologically inactive when combined with calcium. Typical for a salt. Sodium fluoride is less expensive and less hygroscopic than the related salt potassium fluoride. STANNOUS FLUORIDE Tin(II) fluoride. indeed. Stannous fluoride was used. or "Fluoristat. SODIUM MONOPHOSPHATE Sodium monofluorophosphate. Stannous fluoride is also readily available in over-the-counter rinses. is a chemical compound with the formula SnF2. is the standard by which other water-fluoridation compounds are gauged. Although sodium fluoride is also used to fluoridate water and. This salt is an ingredient in some toothpastes. The majority of the hexafluorosilicic acid is used for the production of aluminium metal. hexafluorosilicic acid (H2SiF6) and its salt sodium hexafluorosilicate (Na2SiF6) are more commonly used additives in the U.
stannous fluoride (SnF2). sodium monofluorophosphate was found by Calgon to inhibit the dissolution of lead in drinking water when used in concentrations between 0. Initial solubility reduction by SnF2.01) higher than that of 76.9 per cent provided by APF. Crest was reformulated to use MFP. Wescott WB. marketed as "Fluoristan"). The durability of protection provided by SnF2 after overnight washing. 1976 Jun. Results for NaF and MFP were significantly (P less than .01) lower than those of either APF or SnF2 at any point in the experiment.01) higher than that of APF.1 mg/L and 500 mg/L. each prepared to contain 1. LABORATORY EFFECTIVENESS OF DIFFERENT TYPES OF FLUORIDE COMPOUNDS Aust Dent J.indexed for MEDLINE] ." MFP is also used in some medications for the treatment of osteoporosis.sodium fluoride (NaF). In the early 1980s. 81. Shannon IL. after repeated exposure to acid etches the protection by APF became significantly (P less than . under the trademark "Fluoristat. In 1991.23 per cent F are evaluated. acidulated phosphate fluoride (APF). and sodium monofluorophosphate (Na2PO3F).Procter and Gamble was engaged in the marketing of Crest toothpaste (containing stannous fluoride.7 per cent was significantly (P less than . however. Abstract The enamel solubility reducing characteristics of four fluorides -.01) higher than that derived from SnF2. was significantly (P less than .21(3):231-6. PMID: 1068684 [PubMed .
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