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Preventive Dentistry …

Preventive Dentistry
Third Year

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  • When the child starts walking alone, between18 and 30months, the risk of trauma increases with incidence twice as high as the average incidence for all children. At this age, the home is the place where most trauma occurs in males and females as a result of falls.
  • The most common type of dental trauma was fracture of enamel (71%) followed by loss of tooth due to trauma (13%), fracture into enamel and dentine(7%), discolouration (5%), pulp involvement (4%)
  • Infectious mononucleosis (IM) was first described in 1889 as glandular fever, a clinical illness characterized by fever, fatigue, abdominal discomfort, hepatosplenomegaly (enlargement of both the liver and spleen), and lymphadenopathy. Later observations linking the appearance of atypical lymphocytosis helped to establish IM as a clinical entity.1 It was not until 1968 that IM was linked to the Epstein-Barr virus (EBV).2 EBV is one of the most ubiquitous human herpes viruses, and it is associated with more than 90% of cases of IM.1
  • Make sure they had breakfast, and have emergency supplies to deal with hypoglycemia such as sugar frosting placed in the buccal mucosa. Patients with hypoglycemia may develop syncope. Refer patient for counseling if suspecting bulimia or anorexia.

Transcript

  • 1. Prevention In Sports Dentistry Mohamed Hassan
  • 2. Prevention Of Trauma & sports Dentistry • Pediatric Dentistry plays a major role in growth, development and the well being of children from 6 month to 18yrs. • This should include prevention of traumatic injuries as a part of anticipatory guidance • Traumatic injuries including motor vehicle accidents, home accidents, sports injuries and child abuse.
  • 3. Prevention Of Trauma & sports Dentistry • Epidemiology: • Childhood and adolescents are at high risk of oral trauma compromising 80% of all traumatic injuries • The prevalence of traumatic injuries in the 0-6 year segment varies from 11% to 30%
  • 4. Prevention Of Trauma & sports Dentistry • Epidemiology: – First peak when children start walking – Second Peak when children start sports activity • Out of 3613 patients: – (38%) activity of daily life – (31%) sports – (12%) violence – (12%) traffic accidents – (5%) work accidents – (2%) other causes
  • 5. Prevention Of Trauma & sports Dentistry In Saudi Arabia: • The prevalence of dental trauma in 354 Saudi boys aged 5–6 years was 33% • The prevalence of dental trauma in 862 12–14year-old boys was 34% • between the increased overjet (>6 mm) and the occurrence of dental trauma in the permanent dentition was reported.
  • 6. Prevention Of Trauma & sports Dentistry • History & Physical: • The dentist must ask questions regarding extracurricular activity. • Questions on sport participation should be included in the questionnaire • Contact sports have an increased risk of causing facial traumatic injuries
  • 7. Prevention Of Trauma & sports Dentistry • Certain children may not be able to handle sports due to psychological or physical development • Certain conditions may restrain children from participating in sports (i.e. Infectious mononucleosis)
  • 8. • Athletes in sports such as boxing and gymnastics may have abnormal eating habits • These habits can lead to systemic disease • Hypoglycemia common in these athletes due to fasting and vomiting habits • Female athletes may show signs of bulimia and anorexia. • Some athletes may want to gain weight ( football players, Sumo wrestlers) and use wrong diets or supplements • Sports drinks contain electrolytes and high content of carbohydrates and are CARIOGENIC
  • 9. Prevention Of Trauma & sports Dentistry • Intra Oral Assessment: • Examination should include: 1. Soft tissue: look for changes such as – Luekoplakia (chewing tobacco) – Signs of trauma or injury – Periodontal disease
  • 10. • The alveolar bone in children is softer and less dense. • Traumatic injuries in primary dentition are usually of avulsion or intrusion types. • Traumatic injuries in primary dentition can lead to damage to the developing permanent tooth bud • With age trauma usually will lead to fracture of alveolar bone and teeth • In young permanent teeth, pulp exposure more common • Every attempt should be made to preserve vitality of young permanent teeth
  • 11. Prevention Of Trauma & sports Dentistry Prevention: • Prevention begins with preparedness • Home proofing • Protective wear • Seat belt and baby seats • Mouth guard
  • 12. • Mouth guard: mouth guards should be worn by anyone playing a sport where chances of injury are present • AAPD recommendations: Mandatory protective equipment, Mouth guard for contact and collision sports, dentist consult prior to start of season Type of Mouth guard: 1. Ready made 2. Boil and Bite 3. Custom made (vacuum formed) 4. Custom made (pressure laminated)