This document discusses various oral health conditions and their treatment through cosmeceutical formulations. It summarizes dental caries (cavities), causes like plaque and sugar leading to acid formation and symptoms like spots and holes. Diagnosis is visual exam and x-rays. Prevention focuses on fluoride toothpaste, limiting sugar and dental visits. Treatment includes fillings, crowns, root canals, or extractions. It also summarizes gingivitis and periodontitis caused by plaque, symptoms like bleeding gums, and treatments like cleanings, medications, surgery, and grafts. Mouth odor is discussed, often caused by plaque, and treated by improving oral hygiene and using antimicrobial mouthwashes. Sensitive
Bleeding gums its causes ,signs and symptom and treatment for the same.
For more information you can contact :
Dr.Rajat Sachdeva
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Google+ link: https://goo.gl/vqAmvr
Facebook link: https://goo.gl/tui98A
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
Email :drrajatsachdeva@gmail.com
surgicalmasterdelhi@gmail.com
Bleeding gums its causes ,signs and symptom and treatment for the same.
For more information you can contact :
Dr.Rajat Sachdeva
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Google+ link: https://goo.gl/vqAmvr
Facebook link: https://goo.gl/tui98A
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
Email :drrajatsachdeva@gmail.com
surgicalmasterdelhi@gmail.com
Contents
Definition
Purposes
Ingredients
Types of toothpaste
How to choose a toothpaste?
Toxic components of a toothpaste
Caution on toothpaste usage
Definition
A toothpaste or dentifrice is a substance used with a toothbrush for the purpose of cleaning the accessible surfaces of the teeth.
Toothpaste Ingredients
Different types of Toothpastes
ANTI-CARIES AGENTS
Fluoride:
considered to be the most effective caries-inhibiting agent, and almost all toothpastes today contain fluoride in one form or the other
The most common form is sodium fluoride (NaF), but mono-fluoro-phosphate (MFP) and stannous fluoride (SnF) are also used
Fluoride is most beneficial when the mouth is not rinsed with water after tooth brushing. In this way a bigger amount of fluoride is retained in the oral cavity
How do teeth decay?
Tooth decay begins when the outer surface of the tooth is attacked by acid. The acid is produced by bacteria which live on the surfaces of the teeth as a layer called plaque. When foods or drinks containing sugars enter the mouth, the bacteria within the plaque rapidly converts the sugars into acid. The plaque can hold the acid in contact with the tooth surface for up to 2 hours before it is neutralized by saliva.
During the time that the plaque is acidic, some of the calcium and phosphate minerals, of which enamel is largely composed, are dissolved out of the enamel into the plaque. This process is called demineralisation.
Fluoride:
There are three main theories considering the positive action of fluoride in the prevention of caries:
Positive action of fluoride in the prevention of caries:
the most important anti-caries effect is claimed to be due to the formation of calcium fluoride (CaF2) in plaque and on the enamel surface during and after rinsing or brushing with fluoride.
CaF2 serves as a fluoride reservoir.
When the pH drops, fluoride and calcium are released into the plaque fluid.
Fluoride diffuses with the acid from plaque into the enamel pores and forms fluoroapatite (FAP).
FAP incorporated in the enamel surface is more resistant to a subsequent acid attack.
Mouthwashes
A mouthwash is defined as a non-sterile aqueous solution used mostly for its deodorant, refreshing or antiseptic effect.
Mouthwashes or rinses are designed to reduce oral bacteria, remove food particles, temporary reduce bad breathe and provide a pleasant taste.
Mouth rinses are generally classified as either cosmetic or therapeutic or a combination of the two.
Mouthwashes
Therapeutic rinses
often have the benefits of their cosmetic counterparts,
but also contain an added active ingredient, f. ex. fluoride or chlorhexidine, that help protect against some oral diseases.
Tooth sensitivity is due to the exposure of dentin, the part of the tooth which covers the nerve, either through loss of the enamel layer or recession of the gums
Sensitive tooth its causes, care of sensitive teeth and treatment for the same.
For more information you can contact :
Dr.Rajat Sachdeva
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Google+ link: https://goo.gl/vqAmvr
Facebook link: https://goo.gl/tui98A
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
Email :drrajatsachdeva@gmail.com
surgicalmasterdelhi@gmail.com
A short and simple hand note on toothpaste. The information is collected from different books, lectures of Professors of Sir Salimullah Medical College Dental Unit and from the internet. This hand note I named 'Aesculpius Dental Pharmacology'.
Tooth whitening is the process of regaining your attractive whiter smile. The cosmetic treatment can be done either at home or at a dental clinic. However, it's better to have it done through professional dentists who can look after the associated risks and complications in the process.
Chemicals that are used as oxidizing agents in the process are hydrogen peroxide/carbamide peroxide. Teeth whitening process is usually required in adults as compared to children due to food stains, changed mineral structure with ageing, consumption of tobacco products, smoking etc.
After analyzing your teeth, dentists offer the best treatments and aftercare recommendations to ensure that the whitening effect lasts longer. Regain whiter teeth that add to your smile, beauty and personality. Get in touch with Axiss Dental experts today.
A dentifrice is a substance used with a toothbrush for the purpose of cleaning the teeth.
They help remove plaque, a film of bacteria that forms on teeth and gums every day.
Dentifrices are available in the form of pastes, gels or powders.
The Chandler dentists at Shumway Dental Care will make sure you have a healthy mouth and a beautiful smile. Whether you need cosmetic dentistry, bridges or crowns, or just a checkup, their staff will make sure your visit is comfortable. Visit http://www.mychandlerdentists.com/
3150 S Gilbert Rd Suite 1
Chandler, AZ 85286
(480) 659-7800
shumwaydentalcare@gmail.com
Pediatric and a periodontal dental treatment - deccan multispecialitydeccanmultispecialit
We Offers excellent services for pediatric & periodental dentists in Pune. We established ourselves as one of the leading dentists for child dental care.
Contents
Definition
Purposes
Ingredients
Types of toothpaste
How to choose a toothpaste?
Toxic components of a toothpaste
Caution on toothpaste usage
Definition
A toothpaste or dentifrice is a substance used with a toothbrush for the purpose of cleaning the accessible surfaces of the teeth.
Toothpaste Ingredients
Different types of Toothpastes
ANTI-CARIES AGENTS
Fluoride:
considered to be the most effective caries-inhibiting agent, and almost all toothpastes today contain fluoride in one form or the other
The most common form is sodium fluoride (NaF), but mono-fluoro-phosphate (MFP) and stannous fluoride (SnF) are also used
Fluoride is most beneficial when the mouth is not rinsed with water after tooth brushing. In this way a bigger amount of fluoride is retained in the oral cavity
How do teeth decay?
Tooth decay begins when the outer surface of the tooth is attacked by acid. The acid is produced by bacteria which live on the surfaces of the teeth as a layer called plaque. When foods or drinks containing sugars enter the mouth, the bacteria within the plaque rapidly converts the sugars into acid. The plaque can hold the acid in contact with the tooth surface for up to 2 hours before it is neutralized by saliva.
During the time that the plaque is acidic, some of the calcium and phosphate minerals, of which enamel is largely composed, are dissolved out of the enamel into the plaque. This process is called demineralisation.
Fluoride:
There are three main theories considering the positive action of fluoride in the prevention of caries:
Positive action of fluoride in the prevention of caries:
the most important anti-caries effect is claimed to be due to the formation of calcium fluoride (CaF2) in plaque and on the enamel surface during and after rinsing or brushing with fluoride.
CaF2 serves as a fluoride reservoir.
When the pH drops, fluoride and calcium are released into the plaque fluid.
Fluoride diffuses with the acid from plaque into the enamel pores and forms fluoroapatite (FAP).
FAP incorporated in the enamel surface is more resistant to a subsequent acid attack.
Mouthwashes
A mouthwash is defined as a non-sterile aqueous solution used mostly for its deodorant, refreshing or antiseptic effect.
Mouthwashes or rinses are designed to reduce oral bacteria, remove food particles, temporary reduce bad breathe and provide a pleasant taste.
Mouth rinses are generally classified as either cosmetic or therapeutic or a combination of the two.
Mouthwashes
Therapeutic rinses
often have the benefits of their cosmetic counterparts,
but also contain an added active ingredient, f. ex. fluoride or chlorhexidine, that help protect against some oral diseases.
Tooth sensitivity is due to the exposure of dentin, the part of the tooth which covers the nerve, either through loss of the enamel layer or recession of the gums
Sensitive tooth its causes, care of sensitive teeth and treatment for the same.
For more information you can contact :
Dr.Rajat Sachdeva
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Google+ link: https://goo.gl/vqAmvr
Facebook link: https://goo.gl/tui98A
Youtube link: https://goo.gl/mk7jfm
Linkedin link: https://goo.gl/PrPgpB
Slideshare link : http://goo.gl/0HY6ep
Twitter Page : https://goo.gl/tohkcI
Instagram page : https://goo.gl/OOGVig
Email :drrajatsachdeva@gmail.com
surgicalmasterdelhi@gmail.com
A short and simple hand note on toothpaste. The information is collected from different books, lectures of Professors of Sir Salimullah Medical College Dental Unit and from the internet. This hand note I named 'Aesculpius Dental Pharmacology'.
Tooth whitening is the process of regaining your attractive whiter smile. The cosmetic treatment can be done either at home or at a dental clinic. However, it's better to have it done through professional dentists who can look after the associated risks and complications in the process.
Chemicals that are used as oxidizing agents in the process are hydrogen peroxide/carbamide peroxide. Teeth whitening process is usually required in adults as compared to children due to food stains, changed mineral structure with ageing, consumption of tobacco products, smoking etc.
After analyzing your teeth, dentists offer the best treatments and aftercare recommendations to ensure that the whitening effect lasts longer. Regain whiter teeth that add to your smile, beauty and personality. Get in touch with Axiss Dental experts today.
A dentifrice is a substance used with a toothbrush for the purpose of cleaning the teeth.
They help remove plaque, a film of bacteria that forms on teeth and gums every day.
Dentifrices are available in the form of pastes, gels or powders.
The Chandler dentists at Shumway Dental Care will make sure you have a healthy mouth and a beautiful smile. Whether you need cosmetic dentistry, bridges or crowns, or just a checkup, their staff will make sure your visit is comfortable. Visit http://www.mychandlerdentists.com/
3150 S Gilbert Rd Suite 1
Chandler, AZ 85286
(480) 659-7800
shumwaydentalcare@gmail.com
Pediatric and a periodontal dental treatment - deccan multispecialitydeccanmultispecialit
We Offers excellent services for pediatric & periodental dentists in Pune. We established ourselves as one of the leading dentists for child dental care.
gum recession is a common dental problem that can have serious consequences if left untreated. It is important to recognize the symptoms and causes of gum recession and seek prompt treatment to prevent further damage.
A dental abscess (also termed a dentoalveolar abscess, tooth abscess or root abscess), is a localized collection of pus associated with a tooth.
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
A toothache is pain that you feel in or around your tooth. Most often, toothache pain is a sign that there’s something wrong with your tooth or gums.
Sometimes, however, toothache pain is referred pain. That means the pain is caused by a problem elsewhere in your body.
You should never ignore toothaches. Toothaches caused by tooth decay can get worse if left untreated.
their is a presentation on oral hygiene product.Their is all the discription is available in this presentation like the oral hygiene product and their uses . And discuss the diseases related oral hygiene.all are available in this.
if any thing is miss then tell me in commment
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
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Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
1. DENTAL CARIES
PREPARED BY - SHRUTI TYAGI
M. Pharm Pharmaceutics
Lecturer in Pharmacy at B.S. Anangpuria Institute of
Pharmacy
2. POINTS TO BE CONSIDERED...
Addressing the following conditions through cosmeceutical
formulations:
• Dental cavities or Tooth decay[1, 2]
• Bleeding gums or Gingivitis[5]
• Mouth odor or Halitosis[6]
• Sensitive teeth[7]
5. DENTAL CAVITIES
Introduction
Tooth decay (also called
cavities or caries) is caused by
bacteria in the plaque on your
teeth, sweet foods and drinks,
and a lack of oral hygiene.
It can harm teeth and cause a
lot of pain, and may even result
in tooth loss.
6. Symptoms
White or brown spots on the teeth are the first sign of tooth decay. If it gets worse,
holes (cavities) develop on the surface of the teeth. If the deeper layers of the teeth are
affected, tooth decay can also harm the nerves in the teeth and the roots. Then the teeth
become sensitive and hurt – especially whenever we eat or drink anything cold or sweet.
Tooth decay can damage the teeth so much that they need to be replaced, for example
with a bridge.
TOOTH DECAY
BRIDGING
7. Causes and risk factors
Tooth decay is often the result of a combination of three things: plaque,
poor oral hygiene and eating a lot of sugar. Plaque covers the teeth like a
film and feels a bit “fuzzy” when you touch it with the tongue. It is made
up of bacteria, saliva and food particles. When bacteria break down the
food particles and the sugar in them, acid forms on the surface of the
teeth. If the teeth aren’t cleaned or treated, this acid attacks the enamel
coating the teeth and slowly destroys them. Bacteria that cause tooth decay
can be spread through saliva.
Plaque
Poor oral hygiene
Sugars, choclates
candies, etc.
DENTAL CAVITIES
8. Diagnosis
All a dentist needs to do to diagnose tooth decay is to take a
close look at the teeth. X-rays can also be used to tell how much
the teeth have decayed – and whether the spaces between the
teeth or under any fillings are affected or not.
X-RAY OF HEALTHY TEETH X-RAY OF DECAYED TEETH
9. Prevention
• One can lower their risk of tooth decay
by regularly brushing their teeth with
fluoride toothpaste. Limiting sugar
intake lowers the risk of tooth decay.
Soft drinks and candy contain a lot
of sugar, as do fruit juices and
ketchup.
• Regular check-ups at the dentist can
also protect the teeth because any tooth
decay can be detected early and then
treated. The pits and grooves on the
larger back teeth (molars) can also be
sealed using special plastic materials
known as dental sealants.
10. Treatment
• In early stages of tooth decay (when white or brown spots appear on the
teeth) it might be enough just to brush the teeth regularly with fluoride
toothpaste.
• If there is a hole in the tooth, known as a cavity, filling is done. Here the
dentist will use a drill to remove decayed material, and then fill the
cavity with synthetic resins (composite resins), amalgam, ceramic
material or a precious metal. If the tooth damage is more severe, a
partial or full crown may be needed for the tooth. A root canal is
commonly recommended if nerves are also affected. Sometimes the tooth
may need to be pulled (extracted). It can then be replaced by a bridge
or fixed dentures supported by an implant.
• Besides the conventional ways of treating tooth decay, a technique called
“caries infiltration”can be used, which involves using plastic to harden
the tooth.
12. *Gutta-percha latex is biologically inert, resilient, and is a good electrical insulator with a high dielectric
strength.
13. Caries Infiltration
• Infiltration therapy provides an entirely new treatment option for incipient
caries without the use of anesthesia or drilling. It is indicated for non-
cavitated lesions in any-age patient. It is a simple, painless, and
ultraconservative technique that allows for immediate treatment of lesions
not advanced enough for restorative therapy. It has been shown to stop
caries progression in lesions that are too advanced for fluoride therapy.
• Caries infiltration is a major breakthrough in micro-invasive dentistry that
will fill, reinforce, and stabilize demineralized enamel. Caries infiltration
prevents lesion progression so it has the potential to delay additional
treatment of a caries site and, thus, prolong the life expectancy of that
tooth.[3,4]. It has the potential to help patients avoid more extensive
treatment and invasive restorative procedures[3,4].
15. BLEEDING GUMS or GINGIVITIS
The longer plaque and tartar are on teeth, the more harmful they become.The bacteria
cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums
become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that
can usually be reversed with daily brushing and flossing, and regular cleaning by a
dentist or dental hygienist. This form of gum disease does not include any loss of bone
and tissue that hold teeth in place.
16. Periodontitis
When gingivitis is not treated, it can advance to “periodontitis”
(which means “inflammation around the tooth”). In periodontitis,
gums pull away from the teeth and form spaces (called “pockets”)
that become infected. The body’s immune system fights the
bacteria as the plaque spreads and grows below the gum line.
Bacterial toxins and the body’s natural response to infection start
to break down the bone and connective tissue that hold teeth in
place. If not treated, the bones, gums, and tissue that support the
teeth are destroyed. The teeth may eventually become loose and
have to be removed.
17. Risk Factors
• Smoking.
• Hormonal changes in girls/women.
• Diabetes.
• Other illnesses and their treatments. Diseases such as AIDS and its treatments can
negatively affect the health of gums, as can treatments for cancer.
• Medications. There are hundreds of prescription and over the counter medications
that can reduce the flow of saliva, which has a protective effect on the mouth.
Without enough saliva, the mouth is vulnerable to infections such as gum disease.
And some medicines can cause abnormal overgrowth of the gum tissue; this can
make it difficult to keep teeth and gums clean.
•Genetic susceptibility. Some people are more prone to severe gum disease than
others.
18. Symptoms of gum diseases
• Bad breath that won’t go away
• Red or swollen gums
• Tender or bleeding gums
• Painful chewing
• Loose teeth
• Sensitive teeth
• Receding gums or longer appearing teeth
Diagnosis - X-ray can be done.
19. Treatment
• Deep Cleaning (Scaling and Root Planing)-
The dentist removes the plaque through a deep-cleaning method called scaling and root
planing. Scaling means scraping off the tartar from above and below the gum line.
Root planing gets rid of rough spots on the tooth root where the germs gather, and helps
remove bacteria that contribute to the disease. In some cases a laser may be used to
remove plaque and tartar. This procedure can result in less bleeding, swelling, and
discomfort compared to traditional deep cleaning methods.
• Medications-
Medications may be used with treatment that includes scaling and root planning, but
they cannot always take the place of surgery. Example of some medications that are
currently used. Chlorhexidine mouthrinse, Antiseptic chip, Antibiotic gel,
Antibiotic microspheres(minocycline), Enzyme suppressant, Antibiotic tablets or
capsules.
20. Flap Surgery
Surgery might be necessary if inflammation and deep pockets
remain following treatment with deep cleaning and medications. A
dentist or periodontist may perform flap surgery to remove tartar
deposits in deep pockets or to reduce the periodontal pocket and
make it easier for the patient, dentist, and hygienist to keep the
area clean. This common surgery involves lifting back the gums
and removing the tartar. The gums are then sutured back in
place so that the tissue fits snugly around the tooth again. After
surgery the gums will heal and fit more tightly around the tooth.
This sometimes results in the teeth appearing longer.
21. Bone and Tissue Grafts
These procedures help to regenerate any bone or gum tissue lost to
periodontitis. Bone grafting, in which natural or synthetic bone is placed in
the area of bone loss, can help promote bone growth. A technique that can
be used with bone grafting is called guided tissue regeneration. In this
procedure, a small piece of mesh-like material is inserted between the bone
and gum tissue. This keeps the gum tissue from growing into the area
where the bone should be, allowing the bone and connective tissue to
regrow. Growth factors – proteins that can help your body naturally
regrow bone – may also be used. In cases where gum tissue has been lost,
the dentist or periodontist may suggest a soft tissue graft, in which
synthetic material or tissue taken from another area of the mouth is used to
cover exposed tooth roots.
24. Mouth odor or Halitosis
Oral malodour on awakening is common and generally not regarded
as halitosis. Longstanding oral malodour is usually caused by oral,
or sometimes nasopharyngeal disease.
The most likely cause of oral malodour is the accumulation of food
debris and dental bacterial plaque on the teeth and tongue,
resulting from poor oral hygiene and resultant gingival (gingivitis)
and periodontal (gingivitis/periodontitis) inflammation. Although
most types of gingivitis and periodontitis can give rise to malodour,
acute necrotising ulcerative gingivitis (Vincent's disease, trench
mouth) causes the most notable halitosis.
25. Common causes of the symptom of oral malodour
(halitosis)
Oral disease
Food impaction
Acute necrotising ulcerative
gingivitis
Acute gingivitis
Oral ulceration
Oral malignancy
Respiratory disease
Foreign body
Sinusitis
Tonsillitis
Malignancy
Systemic causes
Respiratory tract infection
Helicobacter pylori
infection
Hepatic or Renal failure
Diabetic ketoacidosis
Leukaemias
Volatile
foodstuffs
Garlic
Onions
Spiced foods
HALITOSIS
26. Diagnosis
Gas chromatography of oral breath is a potential method
of determining the components of oral malodour, but this
is not of practical clinical application. Likewise, the
detection of trypsin-like activities of bacteria (the
benzoylarginine-naphthylamide test, dark field
microscopy, and real time quantitative polymerase chain
reaction detection of likely causative oral microbe falls
outside the routine clinical assessment of oral malodour.
27. Treatment of oral malodour
• Investigate and manage possible systemic (non-oral) source if
organoleptic method detects malodour from both mouth and nose.
• Improve oral hygiene by professional and patient administered tooth
cleaning.
• Regular atraumatic tongue cleaning.
• Regular use of antimicrobial toothpastes and mouthwashes, such as,
Chlorhexidine gluconate, Cetylpyridinium, Oil-water rinse,
Triclosan/co-polymer/sodium fluoride toothpaste.
• Regular clinical review to ensure maintenance of effective oral
hygiene.
• Halitophobia warrants referral to clinical psychologist.
29. Sensitive teeth
Introduction
Dentine hypersensitivity (DHS) is one of the most commonly encountered
dental problems. It is characterized by short, sharp pain arising from
exposed dentine in response to stimuli, typically thermal, evaporative,
tactile, osmotic or chemical and which cannot be ascribed to any other
dental defects or pathology. Hypersensitivity may present on several teeth,
in one area of the mouth, or on one specific tooth.
30. Etiology of Dentine Hypersensitivity
Dentin is covered by enamel in the crown region and by
cementum in the radicular region. When the enamel or
cementum is removed, the underlying dentin will be exposed
along with the dentine tubules, producing dentin hypersensitivity.
It has been postulated that DHS develops in two phases namely
lesion localization and lesion initiation. Lesion localization
occurs by loss of protective covering over the dentin, thus
exposing it to external environment. Lesion initiation occurs
after the protective covering of smear layer is removed, leading to
exposure and opening of dentine tubules. Evidence already
showed that the lesions of DHS have many more and wider open
tubules than do non sensitive dentin [8,9].
31. CAUSES OF DENTINE SENSITIVITY
Gingival recession Tooth wear
Other factors
Over zealous tooth
brushing, lack of tooth
brushing, periodontal
treatment's side effects.
Physiological causes
like age advances, and
tooth extrusion due to
the nonexistence of an
antagonist tooth.
Attrition,
Abrasion,
Erosion or
Abfraction
32. Assessment of DHS
Traditionally DHS has been evaluated on the basis of the individual response to the presenting stimulus
which could be in the form of verbal rating, visual analogue scales and questionnaires. Commonly,
DHS might either be assessed in terms of a stimulus intensity required to elicit pain called stimulus-
based assessment or as a subjective evaluation of the pain caused by a distinct stimulus named response-
based assessment.
Diagnosis of DHS and Differential Diagnosis
Since DHS is based on a diagnosis of exclusion, the clinician should use all his skills in gaining the
necessary information relating to a patient’s history screening, identification of etiologic and
predisposing factors, particularly dietary and oral hygiene habits associated with erosion and
abrasion. This is in order to exclude other dental conditions that present with dental pain similar to that of
DHS and to make a definite diagnosis of DHS and ultimately to a successful treatment strategy.
33. Control measure for prevention of DHS and removal of the
etiological factors
1. Not to use a hard tooth brush use only a toothbrush with soft filaments.
2. Avoid using of an excessive pressure or force during brushing.
3. Brushing time should not be extended for prolonged period of time.
4. Excessive scrubbing at the cervical part of the tooth that damages to the supporting structures and causes
gingival recession should be avoided.
5. Not to use large amounts of dentifrice or reapplying it during brushing.
6. Avoid using a highly abrasive tooth powder or paste.
7. Desensitizing dentifrices containing an active agent potassium salts such as potassium nitrate, potassium chloride
or potassium citrate, where the potassium ions can decrease the excitability of A fibers, which surround the
odontoblasts resulting in a significant reduction tooth sensitivity.
8. Remineralizing toothpastes containing sodium fluoride and calcium phosphates.
9. Avoid excessive flossing or improper use interproximal cleaning devices or toothpicks.
10. Reduce the quantity and the frequency of taking foods containing acids.
11. Avoid brushing for at least 30 minutes after taking acidic food or drinks.
12. Maintain good oral hygiene.
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