Eating Disorders and Looking After Your Teeth
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Guideline # 18 ORAL HEALTH
Guideline # 18 ORAL HEALTH RATIONALE Dental caries, commonly referred to as “tooth decay” or “cavities,” is the most prevalent chronic health problem of children in California, and the largest single unmet health need afflicting children in the United States. A 2006 statewide oral health needs assessment of California kindergarten and third grade children conducted by the Dental Health Foundation (now called the Center for Oral Health) found that 54 percent of kindergartners and 71 percent of third graders had experienced dental caries, and that 28 percent and 29 percent, respectively, had untreated caries. Dental caries can affect children’s growth, lead to malocclusion, exacerbate certain systemic diseases, and result in significant pain and potentially life-threatening infections. Caries can impact a child’s speech development, learning ability (attention deficit due to pain), school attendance, social development, and self-esteem as well.1 Multiple studies have consistently shown that children with low socioeconomic status (SES) are at increased risk for dental caries.2,3,4 Child Health Disability and Prevention (CHDP) Program children are classified as low socioeconomic status and are likely at high risk for caries. With regular professional dental care and daily homecare, most oral disease is preventable. Almost one-half of the low-income population does not obtain regular dental care at least annually.5 California children covered by Medicaid (Medi-Cal), ages 1-20, rank 41 out of all 50 states and the District of Columbia in receiving any preventive dental service in FY2011.6 Dental examinations, oral prophylaxis, professional topical fluoride applications, and restorative treatment can help maintain oral health. -
Pediatric Oral Pathology. Soft Tissue and Periodontal Conditions
PEDIATRIC ORAL HEALTH 0031-3955100 $15.00 + .OO PEDIATRIC ORAL PATHOLOGY Soft Tissue and Periodontal Conditions Jayne E. Delaney, DDS, MSD, and Martha Ann Keels, DDS, PhD Parents often are concerned with “lumps and bumps” that appear in the mouths of children. Pediatricians should be able to distinguish the normal clinical appearance of the intraoral tissues in children from gingivitis, periodontal abnormalities, and oral lesions. Recognizing early primary tooth mobility or early primary tooth loss is critical because these dental findings may be indicative of a severe underlying medical illness. Diagnostic criteria and .treatment recommendations are reviewed for many commonly encountered oral conditions. INTRAORAL SOFT-TISSUE ABNORMALITIES Congenital Lesions Ankyloglossia Ankyloglossia, or “tongue-tied,” is a common congenital condition characterized by an abnormally short lingual frenum and the inability to extend the tongue. The frenum may lengthen with growth to produce normal function. If the extent of the ankyloglossia is severe, speech may be affected, mandating speech therapy or surgical correction. If a child is able to extend his or her tongue sufficiently far to moisten the lower lip, then a frenectomy usually is not indicated (Fig. 1). From Private Practice, Waldorf, Maryland (JED); and Department of Pediatrics, Division of Pediatric Dentistry, Duke Children’s Hospital, Duke University Medical Center, Durham, North Carolina (MAK) ~~ ~ ~ ~ ~ ~ ~ PEDIATRIC CLINICS OF NORTH AMERICA VOLUME 47 * NUMBER 5 OCTOBER 2000 1125 1126 DELANEY & KEELS Figure 1. A, Short lingual frenum in a 4-year-old child. B, Child demonstrating the ability to lick his lower lip. Developmental Lesions Geographic Tongue Benign migratory glossitis, or geographic tongue, is a common finding during routine clinical examination of children. -
Desensitizing Agent Reduces Dentin Hypersensitivity During Ultrasonic Scaling: a Pilot Study Dentistry Section
Original Article DOI: 10.7860/JCDR/2015/13775.6495 Desensitizing Agent Reduces Dentin Hypersensitivity During Ultrasonic Scaling: A Pilot Study Dentistry Section TOMONARI SUDA1, HIROAKI KOBAYASHI2, TOSHIHARU AKIYAMA3, TAKUYA TAKANO4, MISA GOKYU5, TAKEAKI SUDO6, THATAWEE KHEMWONG7, YUICHI IZUMI8 ABSTRACT of the dentin hypersensitivity agent. Evaluation of effects on Background: Dentin hypersensitivity can interfere with optimal dentin hypersensitivity was determined by a questionnaire and periodontal care by dentists and patients. The pain associated visual analog scale (VAS) pain scores after ultrasonic scaling. with dentin hypersensitivity during ultrasonic scaling is intolerable The statistical analysis was performed using the paired Student for patient and interferes with the procedure, particularly during t-test and Spearman rank correlation coefficient. supportive periodontal therapy (SPT) for patients with gingival Results: The desensitizing agent reduced the mean VAS pain recession. score from 69.33 ± 16.02 at baseline to 26.08 ± 27.99 after Aim: This study proposed to evaluate the desensitizing effect of application. The questionnaire revealed that >80% patients the oxalic acid agent on pain caused by dentin hypersensitivity were satisfied and requested the application of the desensitizing during ultrasonic scaling. agent for future ultrasonic scaling sessions. Materials and Methods: This study involved 12 patients who Conclusion: This study shows that the application of the oxalic were incorporated in SPT program and complained of dentin acid agent considerably reduces pain associated with dentin hypersensitivity during ultrasonic scaling. We examined the hypersensitivity experienced during ultrasonic scaling. This availability of the oxalic acid agent to compare the degree of pain control treatment may improve patient participation and pain during ultrasonic scaling with or without the application treatment efficiency. -
Bruxism, Related Factors and Oral Health-Related Quality of Life Among Vietnamese Medical Students
International Journal of Environmental Research and Public Health Article Bruxism, Related Factors and Oral Health-Related Quality of Life Among Vietnamese Medical Students Nguyen Thi Thu Phuong 1, Vo Truong Nhu Ngoc 1, Le My Linh 1, Nguyen Minh Duc 1,2,* , Nguyen Thu Tra 1,* and Le Quynh Anh 1,3 1 School of Odonto Stomatology, Hanoi Medical University, Hanoi 100000, Vietnam; [email protected] (N.T.T.P.); [email protected] (V.T.N.N.); [email protected] (L.M.L.); [email protected] (L.Q.A.) 2 Division of Research and Treatment for Oral Maxillofacial Congenital Anomalies, Aichi Gakuin University, 2-11 Suemori-dori, Chikusa, Nagoya, Aichi 464-8651, Japan 3 School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2000, Australia * Correspondence: [email protected] (N.M.D.); [email protected] (N.T.T.); Tel.: +81-807-893-2739 (N.M.D.); +84-963-036-443 (N.T.T.) Received: 24 August 2020; Accepted: 11 October 2020; Published: 12 October 2020 Abstract: Although bruxism is a common issue with a high prevalence, there has been a lack of epidemiological data about bruxism in Vietnam. This cross-sectional study aimed to determine the prevalence and associated factors of bruxism and its impact on oral health-related quality of life among Vietnamese medical students. Bruxism was assessed by the Bruxism Assessment Questionnaire. Temporomandibular disorders were clinically examined followed by the Diagnostic Criteria for Temporomandibular Disorders Axis I. Perceived stress, educational stress, and oral health-related quality of life were assessed using the Vietnamese version of Perceived Stress Scale 10, the Vietnamese version of the Educational Stress Scale for Adolescents, and the Vietnamese version of the 14-item Oral Health Impact Profile, respectively. -
Best Practices in Oral Health -How to Keep My Bite in My Life!
Best Practices in Oral Health for Older Adults -How to Keep My Bite in My Life! Mr. has most of his natural teeth. Mr. JB • Age 78. • In for rehab from stroke; will return home. – Non-dominant hand/arm paralyzed. – Seizure disorder. • No dental pain but many root-surface cavities. • Meds include dilantin, anti-hypertensives, etc. • Mouthdryness. • Uses regular diet. Advanced Root Surface Caries These teeth will likely be lost. Ms. MT Introduction Ms. MT • Age 92. • With several natural teeth but also upper and lower dentures. – Feels that she is doing OK with hygiene but exams show accumulation of plaque and food. • Avoids hard foods (beef, salads, breadcrust). • Has mouthdryness. Absence of Upper Teeth (Edentulous) Upper Complete Denture with Poor Oral Hygiene Lower Partial Denture with Periodontal (Gum) Inflammation How to Keep My Bite in My Life. • Has much to do with keeping one’s teeth. • In general, older adults have fewer teeth than others. • However, aging, itself, seems to have little effect on oral tissues (teeth, periodontal tissues, tongue, lips, etc.) • Retaining teeth has most to do with care over a lifetime. Introduction OBJECTIVES 1 • To become acquainted with normal oral changes with age. • To become acquainted with the forms of oral diseases common in older adults. – Cavities (Dental Caries) – Periodontal (Gum and Bone) Inflammation Introduction OBJECTIVES 2 • To gain increased awareness of relationships between oral and general health. • To gain increased awareness of the importance to older adults of preventive dentistry and techniques for prevention. • Examples of best practices in oral health for older adults. (2 patients) Prevalence of Edentulousness •The prevalence of edentulousness is highest in older adults 1988 2002 Number of Teeth Number of teeth (n=19) is lowest in older adults. -
Tooth Wear Among Tobacco Chewers in the Rural Population of Davangere, India
ORIGINAL ARTICLE Tooth Wear Among Tobacco Chewers in the Rural Population of Davangere, India Ramesh Nagarajappaa/Gayathri Rameshb Purpose: In India, people chew tobacco either alone or in combination with pan or pan masala, which may cause tooth wear. The purpose of this study was to assess and compare tooth wear among chewers of various forms/combinations of tobacco products in the rural population of Davangere Taluk. Materials and Methods: A cross-sectional study was conducted on 208 subjects selected from four villages of Davan- gere Taluk. Tooth wear was recorded using the Tooth Wear Index by a calibrated examiner with a kappa score of 0.89. The chi-square test was used for statistical analysis. Results: The subjects chewing tobacco had significantly greater tooth wear as compared to the controls P( < 0.001). It was also observed that the frequency and duration of chewing tobacco was directly proportional to the number of patho- logically worn sites. Conclusion: The abrasives present in the tobacco might be responsible for the increased tooth wear among tobacco chewers. Key words: rural population, tobacco, tooth wear Oral Health Prev Dent 2012; 10: 107-112 Submitted for publication: 07.01.11; accepted for publication: 12.09.11 ata on global tobacco consumption indicate masala’ with tobacco are common modalities of to- Dthat an estimated 930 million of the world’s 1.1 bacco use. It has been reported that 77.3% and billion smokers live in developing countries (Jha et 83.1% in Uttar Pradesh and Karnataka states, re- al, 2002) with 182 million in India alone (Shimkha- spectively, use gutkha or pan masala-containing to- da and Peabody, 2003). -
Identification and Management of Tooth Wear
Anders /ohansson, DDS, Or Odonl' Department of Restorative Dental Sciences College of Dentistry King Saud University Riyadh, Saudi Arabia Ridwaan Omar, BSc, BDS, LDSRCS, MSc, FRACDS" Department of Dentistry Identification and Armed Forces Hospital Management of Tooth Wear Riyadh, Saudi Arabia The etiology and treatment of occlusal tooth wear remain controversial. Longer tooth retention hy the aging population increases the likelihood that clinicians will be treating patients with worn dentitions, A careful approach to interventional clinical procedures is advocated but should not curtail definitive management of patients having identifiable and potent causative agents that produce a rapid deterioration of the dentition. This article descrihes the epidemiology and etiology of occlusal wear and presents a conservative approach to its management, int I Prosthodont 1994,7:506-516. t is probable that the increasing incidence of nat- minimal interocclusal space are thus obvious, as I ural tooth retention into older age' will result in a are the irreversibility and radical nature of com- wider prevalence of severely worn dentition than monly practiced reconstructive techniques. previously has been seen. The resultant challenges The parameters for determining what constitutes in the clinical management of such patients have severe wear and when treatment should be carried aroused considerable professional interest con- out remain unclear. Controversies also center on cerning tooth wear. the relative importance of possible causative While there are numerous etiologic factors, agents and the indicated therapy, if any, for treat- effects, and/or other more abstract phenomena ing the worn dentition. associated with tooth wear, their interrelationships remain difficult to define.-' Some of the complexi- Epidemiology ties and sequelae of these factors are illustrated in Fig 1. -
An Analysis of the Aetiology, Prevalence and Clinical Features of Dentine Hypersensitivity in a General Dental Population
European Review for Medical and Pharmacological Sciences 2012; 16: 1107-1116 An analysis of the aetiology, prevalence and clinical features of dentine hypersensitivity in a general dental population E. BAHŞI1, M. DALLI1, R. UZGUR2, M. TURKAL2, M.M. HAMIDI3, H. ÇOLAK3 1Department of Restorative Dentistry, Faculty of Dentistry, Dicle University, Diyarbakir (Turkey) 2Department of Prosthodontics, Faculty of Dentistry, Kirikkale University, Kirikkale (Turkey) 3Department of Restorative Dentistry, Faculty of Dentistry, Kirikkale University, Kirikkale (Turkey) Abstract. – AIM, Dentine hypersensitivity dentin in response to stimuli typically thermal, may be defined as pain arising from exposed den- evaporative, tactile osmotic or chemical which tine typically in response to chemical, thermal or cannot be described to any other form of dental osmotic stimuli that cannot be explained as a ris- 1 ing from any other form of dental defect or pathol- pathology . A recent modiûcation to this deûni- ogy. The aim to this cross-sectional study was to tion has been made to replace the term patholo- determine prevalence of dentine hypersensitivity gy with the word “disease”2. Presumably with a (DH) and to examine some associated etiological view to avoid any confusion with other condi- factors in a study of patients visiting general den- tions such as a typical odontalgia. tal practitioners in Turkey. PATIENTS AND METHODS, A total of 1368 pa- DH is a relatively common dental clinical con- tients were examined for the presence of cervical dition in permanent teeth caused by dentin expo- dentine hypersensitivity by means of a question- sure to the oral environment as a consequence of naire and intraoral tests by (air and probe stim- loss of enamel and/or cementum. -
EVALUATION of CERVICAL WEAR and OCCLUSAL WEAR in SUBJECTS with CHRONIC PERIODONTITIS - a CROSS SECTIONAL STUDY Shwethashri R
Published online: 2020-04-26 NUJHS Vol. 4, No.3, September 2014, ISSN 2249-7110 Nitte University Journal of Health Science Original Article EVALUATION OF CERVICAL WEAR AND OCCLUSAL WEAR IN SUBJECTS WITH CHRONIC PERIODONTITIS - A CROSS SECTIONAL STUDY Shwethashri R. Permi1, Rahul Bhandary2, Biju Thomas3 P.G. Student 1, Professor2, HOD & Professor 3, Department of Periodontics, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore - 575 018, Karnataka, India. Correspondence : Shwethashri R. Permi Department of Periodontics, A. B. Shetty Memorial Institute Of Dental Sciences, Nitte University, Mangalore - 575018, Karnataka, India. Mobile : +91 99641 31828 E-mail : [email protected] Abstract : Tooth wear (attrition, erosion and abrasion) is perceived internationally as a growing problem .The loss of tooth substance at the cemento- enamel junction because of causes other than dental caries has been identified as non-carious cervical lesions (NCCLs) or cervical wear. NCCLs can lead to hypersensitivity, plaque retention, pulpal involvement, root fracture and aesthetic problems. Hence study was done to evaluate association of cervical wear with occlusal wear from clinical periodontal prospective in individuals with chronic periodontitis. Periodontal parameters like plaque index, gingival index, gingival recession and tooth mobility were assessed .The levels of cervical wear and occlusal wear were determined according to tooth wear index. Premolars were more likely to develop cervical wear than anterior teeth (incisors, canines) and molars. In conclusion, the significant association of cervical wear with the periodontal status suggested the role of abrasion and its possible combined action of erosion in the etiology of NCCLs. Keywords : Non Carious Cervical Lesions, Tooth Wear Index, Periodontal Status, Introduction : Causative factors include periodontal disease, mechanical Periodontitis is a multi-factorial infectious disease of the action of aggressive tooth brushing, uncontrolled supporting tissues of the teeth. -
Lymphoplasmacytic Stomatitis in Cats
Lymphoplasmacytic Stomatitis in Cats Craig G. Ruaux, BVSc, PhD, DACVIM (Small Animal) BASIC INFORMATION tests may be recommended to look for effects on other organs. Tests Description for the related viruses may also be recommended. Stomatitis is inflammation of the mouth, particularly the area in the back of the mouth just behind the tongue. Lymphoplasmacytic TREATMENT AND FOLLOW-UP stomatitis is a specific form of stomatitis that can result in severe inflammation, often in association with inflammation of the gum Treatment Options line (gingivitis) and the tissues around the teeth (periodontitis). In some cats, aggressive cleaning of the teeth (descaling and pol- The condition receives its name from the type of cells that are ishing) and scrupulous maintenance of dental hygiene are effective present in the inflammation, a mixture of lymphocytes and plasma treatments. In some cats, multiple teeth must be extracted. Antibiotics cells. Both of these cells are white blood cells, and plasma cells are often helpful to control secondary bacterial infections. produce antibodies. In many cases, anti-inflammatory or immune-suppressive Causes drugs are required to control the inflammation. High doses of Although the exact cause of lymphoplasmacytic stomatitis is not oral or injectable glucocorticoid steroid drugs (prednisone, meth- well defined, it may be an immune-mediated disease in which the ylprednisolone, triamcinolone, or others) are commonly used. If cat’s immune system attacks its own tissues. Viral infections, such the disease does not respond adequately to steroids, then other as feline calicivirus and feline immunodeficiency virus (FIV), immune-suppressive drugs, such as chlorambucil and aurothio- may contribute to the disease. -
The Etiology and Pathogenesis of Tooth Wear. Oral Health, 1999
PRO S T H .0 DON TIC S The Etiology and Pathogenesis of Tooth Wear PART 1 by Effrat Habsha, DDS istorically, the most common ABRASION sive oral hygiene has been incrimi reason for tooth loss and The term abrasion is derived from nated as a main etiologic factor in H dental hard tissue loss has the Latin verb abradere (to scrape dental abrasion. Both patient and been dental caries. Since the intro ofD. I It describes the pathological material factors influence the duction of fluoride, the prevalence, wearing away of dental hard tissue prevalence of abrasion. Patient fac incidence and severity of caries has through abnormal mechanical tors include brushing technique, declined and the dental life processes involving foreign objects frequency of brushing, time and expectancy has increased. One of or substances repeatedly intro force applied while brushing. the most common problems associ duced in the mouth. Abrasion pat Material factors refer to type of ated with this prolonged dental life terns can be diffuse or localized, material, stiffness of toothbrush expectancy is tooth wear. Tooth depending on the etiology. Exten bristles, abrasiveness, pH and wear is an irreversible, non carious, destructive process, which results in a functional loss of dental hard tissue. It can manifest as abrasion, attrition, abfraction and erosion. l This article will describe the etiol ogy of pathogenesis of tooth wear. ETIOLOGY Tooth wear can manifest as abra sion, attrition, abfraction and ero sion. The distinct definitions of the patterns of dental wear tend to reinforce the traditional view that these processes occur indepen dently. -
Occurrence of Tooth Wear in Controlled and Uncontrolled Diabetic Patients - an Observational Study
Research Article Occurrence of tooth wear in controlled and uncontrolled diabetic patients - An observational study Archana Venugopal, T. N. Uma Maheswari Department of Oral Medicine and Radiology, Saveetha Dental College, Saveetha University, Chennai, Tamil Nadu, India Correspondence: T. N. Uma Maheswari, Department of Oral Medicine and Radiology, Saveetha Dental College, Saveetha University, 162, Poonamallee High Road, Chennai – 600 077, Tamil Nadu, India. Phone: +91-984095833. E-mail: [email protected] ABSTRACT Diabetes is a metabolic disorder characterized by hyperglycemia caused by an absolute or relative deficiency of insulin. Tooth wear has been established to be related to diabetes due to unknown reasons. The current study probes into the difference in tooth wear among controlled and uncontrolled diabetes. Fifty patients visiting the hematology department were grouped into Group A (controlled diabetes) and Group B (uncontrolled diabetes) depending on their random blood sugar (RBS) level. They were subjected to clinical examination, and Ganss tooth wear index was taken. The obtained blood sugar level and tooth wear index were analyzed statistically. Tooth wear was more common in male patients when compared to female patients. Tooth wear was more intense in uncontrolled diabetic patients when compared to controlled diabetic patients; however, it was not statistically significant. There is no relationship between the RBS and the tooth wear in diabetic patients. It is essential to prevent the complications of tooth wear at an early stage of detection in diabetic patients. Keywords: Diabetes, tooth wear, attrition, abrasion, abfraction, erosion [4] Introduction lactogen, which causes insulin resistance. The World Health Organization has declared diabetes it to be a Oral manifestation in diabetes includes fungal infection, pandemic.