N.DR - Gopal Maharjan BDS (Pakistan) PG Training (USA) Dental Department Shree Birendra Hospital

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Brig.Gen.Dr.

Gopal Maharjan
BDS(Pakistan)
PG Training(USA)
Dental Department
Shree Birendra Hospital
INTRODUCTION TO DENTISTRY, IMPORTANCE OF
TEETH AND ORAL CAVITY,BRANCHES OF DENTITRY.

Defination

Branch of Medical Science.

Art and science

Deals with disease process, diagnosis and effective t/m


and prevention of diseases of teeth, gum and other hard
and soft tissues of oral cavity.
IMPORTANCE OF TEETH AND
ORAL CAVITY
1) GATE WAY TO OUR BODY.

Entry point to our body.

Dirtiest part of our body.

Oral health first step to general health.

Good oral hygiene-good to achieve good oral health


is the first step to good general health.
2) ORAL CAVITY AS MIRROR OF GENERAL HEALTH OF BODY.

-Physicians examine the tongue and oral cavity to examine the


health of a person where as a psychologist examines it to diagnos
the mental health of a person.

-AIDS-immunocompromised.lichen planus, candidiasis. Caposy


sarcoma.

-Immunocopromised patients-steroid therapy-eg.kidney


transplant. Appear White Lesions-lichen
planus,candidiasis,submucos fibrosis.

-Minor and major Aphthous ulcers. Generalised weekness of


body.

-Syphillis –chankre. Guma.

-Tuberculosis-ulcers on tongue with inverted borders.


3)FUNCTION OF TEETH.

-Aesthetic

-Mastication

-Phonation.speech,singing,playing musical
instruments.

-Facial Profile.
• Two Set of Teeth
• 1)Deciduous-20-5 in each quadrant
• 2)Permanent-32-8in each quadrant.

• Parts of Teeth
• 1)Enamel
• 2)Dentin
• 3)Cementum
• 4)Pulp.

• SUPPORTING STRUCTURE OF TEETH


• -Alveolar Socket of alveolar bone of mandible and
maxilla.
DISEASES TEETH AND GUM

1) Dental Caries-Bacterial disease of tooth.

2) Gingivitis-Inflamation of gingiva due to


bacteria
present in dental plaque.

3) Periodontitis-Inflamation of periodontium.
Pathological deepening of gingival sulcus.
Prevention of Dental Disease.

-Prevention is better than cure

-Supreme ideal of dental profession is to


eliminate the necessity of its own existance.

1) Good oral hygiene


2) Diet control
3) Regular consultation
OTHER DISEASES OF ORAL
CAVITY
1)Pericoronitis.Ludwigs Angina.

2)Soft tissue groth-fibroma,papilloma.

3)Squasmous Cell Carcinoma of oral cavity.

4)Cysts of oral cavity.


-mucccele
-ranula
-dermoid and epedemoid cyst.
-globulomaxillary cyst
-dentigerous cyst
-ameloblastoma.
Resposibility of Medical doctors

-Emergency management with analgesics


and antibiotics

-Simple extractions.

-Referring patient to specialist.

-Sharp tooth traumatising tongue can cause


cancer.
Link of oral diseases with
systemic diseases.
1)Subacute bacterial endocarditis.
American Heart Association-Approval from
dental doctor of good oral health before cardiac
surgery.

2)Diabetes---Gingivitis, Periodontitis.
Branches of Dentistry

1) Oral and maxillofacial surgery.


2) Conservative and endodontics.
3) Periodontics and implantology.
4) Prosthodontics
5) Orthodontics
6) Paedodontics
7) Community(preventive) Dentistry
8) Oral pathology
9) Oral medicine and Dental radiology.
10)Forensic detistry.
“ Those who have given service to ill patients,

they have given service to me.”

- Lord Buddha.

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