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GENERAL PROBLEMS
ASSOCIATED WITH THE ORAL CAVITY
Presented by,
Pratiksha C Chandragirivar
M pharma 2nd sem
Dept. of pharmaceutics
HSK COP Bagalkot
FACILITATED TO:
PRABHU HALAKATTI
ASST.PROFESSOR
DEPT.OF PHARMACEUTICS
HSK COLLEGE OF PHARMACY
BAGALKOT.
1
Contents
• Tooth
• General problems associated with the oral cavity
• References
2
STRUCTURE OF THE TOOTH :
3
4
Oral problems
Medical
concern
Dental decay
Dental disease
Dental
hypersensitivity
Dry mouth
Cosmetic
concern
Dental staining
oral malodor
5
Medical concern:
Dental diseases
Dental plaque:
• Dental plaque is not actually a problem, as it is
ubiquitous in individuals exhibiting both dental health
and dental disease.
• The pathogenicity of dental plaque is related not only
to its mass but also to relatively specific classes of
microorganisms.
• Dental plaque associated with gum disease tends to be
highly populated with anaerobic Gram-negative
bacteria that produce toxic substances such as
volatile sulfur compounds, short-chain fatty acids, or
bacterial toxins.
6
7
How can plaque formation be prevented?
• Brush your teeth at least twice a day, one of the two
times for 2 minutes. Use a soft, rounded-tip bristled
toothbrush, preferably electric. Pay particular
attention to the space where the gums and teeth
meet. Use toothpaste that contains fluoride.
• Floss between teeth at least once a day to remove
food particles and bacteria.
• See your dentist or oral hygienist at least every 6
months for a check-up and teeth cleaning.
8
• Ask your dentist if a dental sealant is appropriate for
you. A dental sealant is a thin, plastic coating that is
painted on the chewing surfaces of teeth to protect
them from cavities and decay.
• Eat a balanced diet and limit the number of between-
meal snacks. If you need a snack, choose nutritious
foods such as plain yogurt, cheese, fruit, or raw
vegetables. Vegetables, such as celery, help remove
food and help saliva neutralize plaque-causing acids.
9
Dental calculus:
• Calculus is periodental disease irritates the gingival
tissues and encourages the formation of a pocket
between tooth and gingivae, in which food debris and
bacteria may lodge.
10
Dental caries(tooth decay)
• Dental caries, commonly known as tooth decay, is a
disease that is widely distributed worldwide and is
associated with more frequent consumption of foods
containing sugars or refined starches.
• Tooth decay used to be considered a disease of
children, especially in affluent societies with plentiful
access to sugary foods, since most tooth surfaces
became decayed by early adulthood.
• Dental decay occurs as the results of tooth
demineralization by acids produced during
carbohydrate fermentation by dental plaque bacteria.
11
12
13
Prevention and treatment
• Brushing twice a day
• Flossing
• Consulting sealants
• Using fluoride tooth paste
• Following the oral diet
• Avoid more intake of sugary foods.
14
Dental hypersensitivity
• In healthy teeth the dentin of the crown and tooth
root is generally covered completely by enamel or gum
tissue.
• However, when dentin is exposed by enamel decay or
fracture or gingival recession that exposes the tooth
root, it becomes susceptible to a variety of problems.
• Exposure of dentin can lead to sensitive teeth
(dentinal hypersensitivity), in which a variety of
stimuli (e.g., heat or cold, pressure, or high-sugar
foods) can trigger discomfort ranging from a mild
twinge to severe pain.
15
16
How to Prevent Tooth Sensitivity
• Here are some steps you can take to prevent tooth
sensitivity:
• Use a soft-bristled toothbrush, which will help
prevent gum loss.
• Brush with a sensitivity toothpaste like Crest Gum
and Sensitivity, which will continue removing plaque to
clean teeth while providing fast relief from
sensitivity by treating it at the source—your gum line.
• Brush and floss your teeth twice a day to prevent gum
loss.
• Be sure to clean all parts of your mouth, including
between teeth and along the gum line.
• Avoid acidic foods and drinks.
17
Dry mouth(xerostomia)
18
Prevention and treatment
• Management of patients with dry mouth generally
involves first reducing their susceptibility to oral
disease. This commonly includes daily use of fluoride
mouth rinses or gels and the use of antifungal drugs
when necessary.
• A number of other products generally classified as
"artificial salivas" are also available to increase the
patients' comfort by reducing the sensation of oral
dryness.
19
Cosmetic concern
Dental staining :
• Dental stain or discoloration can be roughly
categorized as either intrinsic or extrinsic.
• Intrinsic discoloration exists within the tooth
structure itself and may result from discoloration laid
down during tooth formation, thinning of tooth enamel
(permitting the color of the underlying dentin to show
through), or loss of tooth vitality.
• Extrinsic discoloration results from deposition of
exogenous colored material (chromogens) on the tooth
surface. (e.g., pigments from tea, coffee, or tobacco)
20
21
Prevention
• Using proper tooth brushing and flossing techniques
• Avoidance of the foods and beverages that cause
stains Bondings Veneers
• Using over-the-counter whitening agents
• In-home whitening agents purchased from your
dentist
• In-office whitening procedures
22
Oral malodour
• Another concern of consumers of cosmetic oral care
products is oral malodor(also known as bad breath or
halitosis).
• Oral malodor can be classified into two basic
categories, intrinsic and extrinsic.
• Intrinsic oral malodor has its origin within the
individual and is most commonly caused by substances
produced by bacteria in the oral cavity.
• Malodorous substances of bacterial origin are
primarily produced by anaerobic species(some, but
not all, of which may be associated with gingivitis or
periodontitis) and include volatile sulfur compounds,
volatile organic acids, and a variety of other volatile
malodorous compounds.23
• Extrinsic oral malodor originates from the ingestion
of substances (such as garlic, cheese, tobacco, etc.)
that contain malodorous compounds.
24
Prevention and treatment
• The treatment of oral malodor (thus of intraoral
origin) should preferably be cause related.
• Because oral malodor is caused by the metabolic
degradation of available proteins to malodorous gases
by certain oral microorganisms, the following general
treatment strategies can be applied:
• 1. Mechanical reduction of intraoral nutrients and
microorganisms
• 2. Chemical reduction of oral microbial load
• 3. Rendering malodorous gases nonvolatile
• 4. Masking the malodor
25
References
1. Reiger, Martin M. Eds. Harrys Cosmeticology,
Volumes I-II, page no.87-107.
2. www.webmd.com
3. www.oralb.in.
4. Images are from google
26
27

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Problems associated with the oral cavity

  • 1. GENERAL PROBLEMS ASSOCIATED WITH THE ORAL CAVITY Presented by, Pratiksha C Chandragirivar M pharma 2nd sem Dept. of pharmaceutics HSK COP Bagalkot FACILITATED TO: PRABHU HALAKATTI ASST.PROFESSOR DEPT.OF PHARMACEUTICS HSK COLLEGE OF PHARMACY BAGALKOT. 1
  • 2. Contents • Tooth • General problems associated with the oral cavity • References 2
  • 3. STRUCTURE OF THE TOOTH : 3
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  • 5. Oral problems Medical concern Dental decay Dental disease Dental hypersensitivity Dry mouth Cosmetic concern Dental staining oral malodor 5
  • 6. Medical concern: Dental diseases Dental plaque: • Dental plaque is not actually a problem, as it is ubiquitous in individuals exhibiting both dental health and dental disease. • The pathogenicity of dental plaque is related not only to its mass but also to relatively specific classes of microorganisms. • Dental plaque associated with gum disease tends to be highly populated with anaerobic Gram-negative bacteria that produce toxic substances such as volatile sulfur compounds, short-chain fatty acids, or bacterial toxins. 6
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  • 8. How can plaque formation be prevented? • Brush your teeth at least twice a day, one of the two times for 2 minutes. Use a soft, rounded-tip bristled toothbrush, preferably electric. Pay particular attention to the space where the gums and teeth meet. Use toothpaste that contains fluoride. • Floss between teeth at least once a day to remove food particles and bacteria. • See your dentist or oral hygienist at least every 6 months for a check-up and teeth cleaning. 8
  • 9. • Ask your dentist if a dental sealant is appropriate for you. A dental sealant is a thin, plastic coating that is painted on the chewing surfaces of teeth to protect them from cavities and decay. • Eat a balanced diet and limit the number of between- meal snacks. If you need a snack, choose nutritious foods such as plain yogurt, cheese, fruit, or raw vegetables. Vegetables, such as celery, help remove food and help saliva neutralize plaque-causing acids. 9
  • 10. Dental calculus: • Calculus is periodental disease irritates the gingival tissues and encourages the formation of a pocket between tooth and gingivae, in which food debris and bacteria may lodge. 10
  • 11. Dental caries(tooth decay) • Dental caries, commonly known as tooth decay, is a disease that is widely distributed worldwide and is associated with more frequent consumption of foods containing sugars or refined starches. • Tooth decay used to be considered a disease of children, especially in affluent societies with plentiful access to sugary foods, since most tooth surfaces became decayed by early adulthood. • Dental decay occurs as the results of tooth demineralization by acids produced during carbohydrate fermentation by dental plaque bacteria. 11
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  • 14. Prevention and treatment • Brushing twice a day • Flossing • Consulting sealants • Using fluoride tooth paste • Following the oral diet • Avoid more intake of sugary foods. 14
  • 15. Dental hypersensitivity • In healthy teeth the dentin of the crown and tooth root is generally covered completely by enamel or gum tissue. • However, when dentin is exposed by enamel decay or fracture or gingival recession that exposes the tooth root, it becomes susceptible to a variety of problems. • Exposure of dentin can lead to sensitive teeth (dentinal hypersensitivity), in which a variety of stimuli (e.g., heat or cold, pressure, or high-sugar foods) can trigger discomfort ranging from a mild twinge to severe pain. 15
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  • 17. How to Prevent Tooth Sensitivity • Here are some steps you can take to prevent tooth sensitivity: • Use a soft-bristled toothbrush, which will help prevent gum loss. • Brush with a sensitivity toothpaste like Crest Gum and Sensitivity, which will continue removing plaque to clean teeth while providing fast relief from sensitivity by treating it at the source—your gum line. • Brush and floss your teeth twice a day to prevent gum loss. • Be sure to clean all parts of your mouth, including between teeth and along the gum line. • Avoid acidic foods and drinks. 17
  • 19. Prevention and treatment • Management of patients with dry mouth generally involves first reducing their susceptibility to oral disease. This commonly includes daily use of fluoride mouth rinses or gels and the use of antifungal drugs when necessary. • A number of other products generally classified as "artificial salivas" are also available to increase the patients' comfort by reducing the sensation of oral dryness. 19
  • 20. Cosmetic concern Dental staining : • Dental stain or discoloration can be roughly categorized as either intrinsic or extrinsic. • Intrinsic discoloration exists within the tooth structure itself and may result from discoloration laid down during tooth formation, thinning of tooth enamel (permitting the color of the underlying dentin to show through), or loss of tooth vitality. • Extrinsic discoloration results from deposition of exogenous colored material (chromogens) on the tooth surface. (e.g., pigments from tea, coffee, or tobacco) 20
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  • 22. Prevention • Using proper tooth brushing and flossing techniques • Avoidance of the foods and beverages that cause stains Bondings Veneers • Using over-the-counter whitening agents • In-home whitening agents purchased from your dentist • In-office whitening procedures 22
  • 23. Oral malodour • Another concern of consumers of cosmetic oral care products is oral malodor(also known as bad breath or halitosis). • Oral malodor can be classified into two basic categories, intrinsic and extrinsic. • Intrinsic oral malodor has its origin within the individual and is most commonly caused by substances produced by bacteria in the oral cavity. • Malodorous substances of bacterial origin are primarily produced by anaerobic species(some, but not all, of which may be associated with gingivitis or periodontitis) and include volatile sulfur compounds, volatile organic acids, and a variety of other volatile malodorous compounds.23
  • 24. • Extrinsic oral malodor originates from the ingestion of substances (such as garlic, cheese, tobacco, etc.) that contain malodorous compounds. 24
  • 25. Prevention and treatment • The treatment of oral malodor (thus of intraoral origin) should preferably be cause related. • Because oral malodor is caused by the metabolic degradation of available proteins to malodorous gases by certain oral microorganisms, the following general treatment strategies can be applied: • 1. Mechanical reduction of intraoral nutrients and microorganisms • 2. Chemical reduction of oral microbial load • 3. Rendering malodorous gases nonvolatile • 4. Masking the malodor 25
  • 26. References 1. Reiger, Martin M. Eds. Harrys Cosmeticology, Volumes I-II, page no.87-107. 2. www.webmd.com 3. www.oralb.in. 4. Images are from google 26
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