Oral Health and You

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Oral Health and You

Shanice Roberts, DMD Student College of Oral Health Sciences University of Technology, Jamaica

Brushing
Why should we Brush? When should we Brush? Dental Plaque How should we brush?

Why should we brush?


Each time we sit to enjoy a lovely meal, we get food, on our teeth. Just like a child sitting down to play in the mud he or she enjoys so much, and get their body dirtywe sink our teeth deep in the food and get them all dirty. Have you ever thought about it like that?

View your teeth as individuals. You will find it less difficult to remember to brush after each meal with each bath.

When should we brush?


First thing in the morning. After EVERY meal. Before you go to bed. Let us examine closely why this is necessary Why after every meal?..... Isnt that overdoing it?.......

Dental Plaque
Immediately after you have brushed bacteria and tissue cells start building up and form a thin whitish coating over our teeth. This coating is easily removed by water. This is termed BIOFILM. There is bacteria in our mouth, no matter how many times we brush or how many times we rinse with mouthwash. It is naturally apart of the oral cavities environment. Biofilm + Bacteria = Dental Plaque

When this plaque becomes hardened or calcified it is called calculus.

Why Should we brush after every meal?


Bacteria are living organismsthereforethey need food to survive and multiply. Coincidentally we and the bacteria in our mouths have the same tastes and choice in foods.

When we eatthey eat.


We defecate..they defecate.

Their waste products faeces are acidic and a build up of this acid on our tooth surfaces cause the enamel to become destroyed.
This destruction can be from inside outor from outside in.

Even though our teeth look okay and white and pretty on the outside.it may be under destruction on the inside. Most times, if one does not visit the dentist by the time they realise it, it is too late.

Why is it necessary to eat less sweets and if possible none?


After sugar consumption the acidity in the mouth increases. Do we brush after eating a bon bon, snickers, cheese tricks or skittles, or even a mint ball? What usually happens afterwards? All that sugar builds up on our teeth More acid build up Enamel breaks down Cavities Pain Extraction

Why is it a must that we brush before we go to bed at nights?


More acid is produced by bacteria in the mouth when the food stays overnight. Two such acids are succinic acid and acetic acids. When the sugar glucose is present, lactic acid is most likely to form. Lactic acid causes demineralization of enamel.

How to Brush
Brush Basics Why do we brush our teeth? What's the best kind of brush to use? Floss is the Boss How do I know I have bad breath.

How to Brush
Brushing your teeth is one of the most effective ways of removing plaque from the exposed surfaces of your teeth. Plaque not calculus. Is our toothbrush able to remove all the plaque build up when we allow it stay on our teeth for a long time? In other words can brushing remove calculus?

Brush Basics
A gentle brushing with a soft-bristle toothbrush is just as effective (and less damaging!) than a vigorous scrubbing with a stiff-bristle toothbrush. Your tooth enamel is relatively thin. Years of aggressive brushing can begin to wear away the enamel and make the teeth sensitive.

Brushing too hard can also damage your gums.

How to Brush
How long do you take to brush your teeth? Most people think they brush for at least a minute or two, but in reality they brush for 30 seconds or less. An effective brushing takes 2 - 3 minutes. The brush must be placed at 45 degree to long axis of tooth.

Floss is the Boss!


Is brushing alone effective in cleaning your teeth? The places in between your teeth and below the gum line are two spots where the toothbrush can't reach. These are areas that are more susceptible to cavities Daily flossing and regular visits to your dentist are the only effective ways to remove this plaque. Dental fact: did you know that failing to floss means up to 35% of your tooth surface is not cleaned?

How do you know you have bad breath?


Lick the back of your hand. Let it dry for a few seconds and then smell. If you notice an odor, you have a breath disorder. Ask the opinion of someone you can trust. Check your breath several times daily because your breath changes throughout the day.

How to treat bad breath.


Brush and floss using a chlorine dioxide toothpaste. Use an oral mouthwash containing chlorine dioxide (gargle as well) Avoid toothpaste containing sodium lauryl sulphate. Use of a tongue scraper to remove any white coating as far back as you can. Regular professional cleanings.

Interesting fact about mouthwash.


Beer 4% ethanol Wine 11% ethanol Mouthwash 0% to 27% ethanol Do you read your mouthwash label?

Oral Ulcers
Open soars in the mouth Trauma to the mouth is a common cause of ulcers. A sharp edge of a tooth, accidental biting ,sharp, abrasive, or excessively salty food, hot drinks, poorly fitting dentures, dental braces or trauma from a toothbrush may injure the mucosal lining of the mouth resulting in an ulcer. Chemicals such as aspirin or alcohol that are held or that come in contact with the soft tissues of the mouth will cause them to die and start to slough off creating an ulcerated surface. Sodium lauryl sulfate (SLS), one of the main ingredients in most toothpastes, has been involved in increased incidence of oral ulcers.

Smokers
Everything goes bad!!!!
Gums destroyed at a faster rate Bone loss Tooth loss

Nutrition
Decrease your intake of acidic drinks and fruits e.g. sodas, citrus fruits, apples pears and berries. Contribute to erosion of tooth surface. Worsens when one brushes directly after having soda or grapefruit. Vitamin C (Fruits: orange, guava, kiwi, papaya, strawberry). Scurvy- deficiency = gum disease

Oral health and Systemic Health


Bacteria from the mouth flood into the circulatory system and travel to other parts of the body causing widespread inflammatory response. Recent studies have shown an increased risk of heart disease and stroke in people with gum infections, according to the Centers for Disease Control and Prevention (CDC). Periodontal diseases, which are also caused by poor oral hygiene and systemic diseases, can cause endocarditis, heart attack or even stroke.

Periodontal disease can promote inflammation of the blood vessels, an important risk factor for atherosclerosis.

The Connection between oral and systemic health


One theory is that oral bacteria can affect the heart when they enter the blood stream, attaching to fatty plaques in the heart blood vessels and contributing to clot formation. Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease.

Oral Health
What is health?

HEALTH
As it concerns oral health we have looked at how to keep it from disease or infirmity.. Is there something else to it?....How else can we keep our mouths clean? Remember. Proverbs 21:23 - Whoever keeps his mouth and his tongue keeps himself out of trouble. Ephesians 4:29 - Let no corrupting talk come out of your mouths, but only such as is good for building up, as fits the occasion, that it may give grace to those who hear. Proverbs 12:18 - There is one whose rash words are like sword thrusts, but the tongue of the wise brings healing.

Proverbs 15:4 A wholesome tongue is a tree of life, but perverseness therein is a breach in the spirit.

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