September 26, 2008
Prevention of tooth decay
Dental caries is probably the most common disease. In children it is, and we might consider that childhood is the prevention group with the most potential.
If the decay is not a time to eat properly there will be problems because it produces pain, and it can also affect sleep. In addition, infections in the mouth (tooth decay is an infection in the tooth), can damage the rest of the body.
However, tooth decay is an easily preventable disease, so that we can prevent its occurrence in children as in adults.
There are five pillars for the prevention of tooth decay at any age:
Removal of plaque through proper oral hygiene.
Diet and adequate hydration.
Use of fluoride.
Application of sealants.
Revisions to the dentist every 6-12 months.
Removal of plaque through proper oral hygiene.
The care needed for good oral hygiene depend on each patient, for example, how to take care of a baby's mouth is not the same as that of a man of 30 years. That is also why there are many preventive weapons to fight plaque and the development of caries.
But there is a common pattern: the aim is to remove plaque and food debris that can be substrate for the same.
The technique is the queen for brushing teeth. From the moment they appear teeth in the mouth are susceptible to decay and then, after the eruption of first tooth, when it should start doing brushing. For children there are special brushes, much smaller and lighter. Brushing should be performed, if possible, after every meal.
In infants, elderly or totally edentulous, use a wet gauze to rub the gums and removing food debris and plaque.
When using removable prosthesis is very important to brush them with a brush that is not the same as that used for brushing teeth left in his mouth (if any). You can use a toothbrush especially for dentures, a hard toothbrush or a nail brush, in addition to submerge the prosthesis at least once a week in an antiseptic like chlorhexidine 0.2%.
The fibers of the brush must pass through all the recesses of the teeth.
For cleaning between teeth (interproximal spaces) can be used thread or dental floss, if there is plenty of space between the teeth may be desirable to use a brush interproximal.
In addition to the basic techniques of dental hygiene (brushing and dental floss) there are methods that are correct but should never replace the first: toothpaste (gives good flavor and can have substances that promote health and dental gum, but it is key for a good brushing), use of substances with antiseptic mouthwash (which eliminates surface microbes and keep your mouth cleaner, but that should not be used during long periods of time except by prescription from a dentist), dental irrigator pressure …
Diet and adequate hydration.
An adequate diet is of great importance to the prevention of cavities, in several senses:
- Good nutrients: It is necessary for the formation of some teeth healthy and strong in front of the cavities. As early pregnancy affects the oral health and a varied diet rich in all nutrients, including of course minerals.
- Prevent abuse of intake of sweets: carbohydrates or sugars are good and necessary within a varied diet, but one must try not to abuse them. More importantly the way it is taken: Taken with other foods are much less cariogenic that if taken in isolation, therefore must be avoided sweets between meals or just before bedtime. And in any case, if they eat sweets, we must brush.
It is necessary to mention here a couple of aspects with regard to food in the first months of life, avoiding a great affection for caries (tooth decay rampant in the bottle) are:
- Not dampen the bottle or pacifier in sugar, honey or similar, and neither will they throw in the contents of the bottle (water, milk or natural fruit juices).
- Avoid prolonged contact of the teat of the bottle with your teeth. You do not have to be the bottle all night placed in the mouth.
- Maintenance of saliva: Saliva is a protective agent, anti-decay of natural origin and is composed by 99% by water, hence the importance of drinking plenty of water throughout the day.
Use of fluoride
The purpose of the use of fluoride is to try to give more resistance against tooth decay. The contribution presupposes fluorine ore to the hard tissues of the tooth. When fluoride is added to the composition of the enamel crystals makes them stronger against acid attack.
Fluoride is implemented by fluorine compounds (fluoride), which in turn can be oral (ingested) or topical (local action on the teeth in the mouth). For the oral tablets of fluoride exist, and for the topical route highlights the toothpaste, mouth rinse or professional use products (gels, varnishes).
Have been reported to lower the incidence of caries in recent years may be related to the use of fluoride toothpaste, because they are a method of application of fluoride very steady and progressive, and therefore very effective.
In some populations, the water is fluoridated as a preventive measure and not anti-caries is often necessary provides extra fluoride. In Spain this method is not widespread but there are areas with water fluoride (naturally and artificially), so before you start using fluoride is interesting to consult with your dentist (or pediatrician).
The tablets have fluorinated its main use in children at risk for cavities that have not yet developed the ability to rinse the mouth without swallowing liquid.
From approximately 6 years, children have already developed the ability to rinse and not swallowing, so they can start to use of fluoride mouthwashes. These can be applied daily or weekly: The daily application is often more convenient, as tends to be more strictly, that is, it becomes a habit and not easily forgotten.
Fluoride can be toxic when ingested in high doses, and even non-toxic doses, but higher than recommended, can cause alterations in the teeth if they are being formed (such as spots, roughness, …). That's why it's important to adjust the dose of either the tablets and did not ingest the fluorine mouthwash.
In patients with a high risk of caries may be desirable to establish a pattern of professional applications of fluoride concentrated, with fluoride gel applied by means of buckets in the dental arches or with fluoride varnish adhered to all or certain tooth surfaces.
Fluoride is recommended most frequently in children, but there are specific situations and patients who can benefit greatly from its use, regardless of age (for example, to the neck and root caries in adults).
Application of sealants
Sealants are to prevent cavities that can form in the grooves and holes characteristic of the anatomy of teeth. Sometimes these grooves are very narrow and deep, so it is very difficult to clean areas where there is more risk of cavities.
The material for sealing of pits and fissures of the teeth is initially a fluid, composition similar to that of the white material for filling, which stretches easily and is inserted into the irregularities of the tooth surface. After this fluid hardens, usually by applying a special light that reacted to the compound. Finally, the sealer is virtually nil and either acceded to the views and to the occlusion.
Revisions to the dentist every 6-12 months
Periodic reviews serve to detect any new cavities and to control teeth with cavities in treatment.
The early diagnosis of lesions of decay makes it possible to offer more solutions (and generally easier and cheaper) than when they are detected at advanced stages. The prognosis of a tooth decay treaty will be better when it is treated early.
The visit to the dentist is a good way of ensuring dental health compared to the decay.
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