Wednesday, October 7, 2009

Bottle Decay:

If I could have one wish, it would be to wipe out bottle decay for good! I truly hope that this book can get this message out to new mums. Most of the tooth decay I treat in children has its origin from putting fruit juices, cold drinks, or sugary drinks into nursing bottles. Why do mums continue to do this? I believe it is out of ignorance and I hope the pictures in this section will convince everyone who sees them that we must teach all new mums to stop this habit by not starting it in the first place! How is baby bottle decay caused?
It comes back to acid attack on the teeth. Consider what happens when a baby has a feeding bottle in its mouth. The teat is placed against the palate. The tongue covers the lower front teeth. Liquid from the bottle pools around the upper teeth, particularly the back surface of the upper front ones. If the bottle contains only milk or milk formula, which is given at feeds and stopped by one year, this shouldn't be a problem. However, if the bottle contains fruit juice or cold drink, these acids attack the enamel which, over time, is lost. Baby bottle decay, therefore, has a specific pattern: the back surface of the upper front teeth are seriously affected as are the upper first baby molars. More moms are returning to work after their babies are born. Bottle feeding is the norm, especially at night. Often moms leave bottles in the cot for their baby if he wakes in the night. A pattern of bottle-habit for comfort, rather than bottle- habit for hunger, is established. This habit, once started, is very hard to break!
Advertising plays a huge part. There are whole ranges of products: baby juices, baby flavoured-waters and baby milk-drinks. Many moms start these thinking, mistakenly, they aware giving “healthy” products.
Weaning is delayed. The child should progress to a cup at six months. If a bottle is given after this time, it should contain only plain, boiled water.
Many children are said to have a milk (lactose) intolerance. Rather than giving water to drink, moms give fruit juice. Many moms give the juice in the bottle, unaware of its dangers.
HIV infection precludes breast-feeding.
How can baby-bottle tooth decay be prevented?
It is far easier not to start giving your baby sugary and acid drinks in a bottle than to stop the habit later! Give only formula/plain milk during feeds and plain, boiled tap water at other times. Never give flavoured milk drinks. They are high in sugars (sucrose or fructose). Never give fruit juices or cold drinks in a bottle. They are high in sugar and extremely acidic. Many mums dilute these juices as they are so concentrated. Although that reduces the sugar content it does not affect the pH (acidity) as the table below shows. (Remember: at pH5.5 the enamel starts to dissolve!)
A further factor is the role of saliva. Often the child falls asleep with the bottle in the mouth. When we sleep our salivary glands also rest. The combination of low saliva with plaque and dietary acids results in a rapid tooth breakdown.













Friday, June 26, 2009

What is periodontal disease?
Periodontal disease, an infection of the teeth, gums, and bone that surrounds the teeth, is the number-one cause of adult tooth loss. It begins when plaque, a sticky film of food and bacteria, builds up on your teeth. If plaque isn’t removed, it hardens into calculus, also called tartar. The buildup of plaque and tartar dramatically increases the number of harmful bacteria in your mouth and can result in deepening spaces between the teeth and gums, called pockets. Bacteria trigger the body’s immune system to produce enzymes.These enzymes destroy the bone surrounding the teeth, which ultimately leads to tooth loss.
What is the prevalence of periodontitis?
A recent evaluation of the National Health and Nutrition Examination Survey III, or NHANES III, looked at the prevalence and extent of periodontitis, gin; gival recession, gingival bleeding and calculus in the U.S. adult population.' In these extensiveanalyses, the authors describe a subsample of 9,689 dentate persons 30 to 90 years of age who received a periodontal examination, representa-nection and discusses these findings as they relate to patient care. The article examines trends in nonsurgical and surgical therapy that will successfully arrest periodontal infections. Opportunities for early diagnosis and prevention will play an increasing role in dental practice in the future as patients understand the importance of oral health to overall health.
What is an ultrasonic scaler?
To fight periodontal disease, we need to reduce plaque, tartar, and the number of bacteria in the pockets in your mouth. One device we use to remove calculus from teeth is an ultrasonic scaler. It consists of a wand with a small scaling tip that produces a soft ultrasonic vibration. The small, quick vibrations in combination with a water flow give us a whole new level of effectiveness in calculus removal. The benefits of ultrasonic scaling include:Increased efficiency of calculus removalLess need for hand scaling of stubborn depositsMore comfortable access to the root surfaces, thanks to the small tip.Ultrasonic scaling removes calculus and reduces the number of harmful bacteria below the gum line. It is an important tool in the prevention and treatment of periodontal disease. Extensive reviews of the literature have been conducted regarding the use of power-driven scalers or manualscalers for root debridement. Results confirmed that calculus and plaque removal can be performed equally well with either manual or power-driven scalers. The data showed that root damage can occur with either manual or powered scalers if the instruments are used at the incorrect angle with excessive force, but that with proper use little damage is observed on the root surfaces.Wound healing studies have shown significant attachment gains, as well as reductions in probing depths and bleeding on probing with both manual and ultrasonic and sonic scaling. Most studies have failed to denote any significant differences between changes in the clinical parameters when comparing manual or power-driven scalers. One notable exception is that of furcation debridement, where ultrasonic scalers with standard or newly designed furcation tips appear to be superior to manual scalers in Class II and Class III furcations. Thinner tips have been developed that increase the access to deeper pockets compared to manual scalers.

Saturday, May 9, 2009



Other tobacco products are also harmful to your periodontal health. Smokeless tobacco also can cause gums to recede and increase the chance of losing the bone and fibers that hold your teeth in place.Researches also have found that the following problems occur more often in people who use tobacco products:
Oral cancer
Stained teeth
Tooth loss
Bone loss
Loss of taste
Less success with periodontal treatment
Less success with dental implants
Gum recession
Mouth sores Facial wrinkling
Bad Breath


Tips To Help You Quit
Picking a stress-free time to quit.

Brushing your teeth often.

Asking for support and encouragement from family, friends, and colleagues.

Getting plenty of rest and eating a well-balanced diet.

Starting some form of exercise or activity each day to relieve stress and improve your health.

Keep oral substitutes handy such as carrots,apples And sugarless gum.

Change your daily routine and spending more time in Places where smoking is prohibited.

Save Your Smile
Recent studies have shown that tobacco use may be one of the most significant risk factors in the development and Progression of periodontal disease. In addition, following periodontal treatment or any type of oral surgery, the Chemicals in tobacco can slow down the healing process and make the treatment results less predictable.
How does smoking increase your risk for periodontal disease?
As a smoker, you are more likely than nonsmokers to have the following problems:
1.Calculus – plaque that hardens on your teeth and can only be removed during a professional cleaning
2.Deep pockets between your teeth and gums
3.Loss of the bone and tissue that support your teeth


CALCULUS DEPOSIT

















Thursday, January 22, 2009