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CAVA DE’ TIRRENI (SA) ITALY a. s. 2009/ 2010 HEALTHY SMILES Comenius Multilateral Project “Food and Health” HEALTHY SMILES • ANATOMY: The Mouth , the Tooth • PHYSIOLOGY : Functions of mouth and teeth. Primary and permanent teeth • PATHOLOGY : Tooth decay, Granuloma, Gum diseases (Gingivitis,Periodontitis) Pulpitis, Herpes Virus Infection • PREVENTION: Healthy Foods for Healthy Smiles How to take care of your teeth How to brush your teeth Useful dental tools An unbalanced diet can cause serious damages both when you eat too much and when you eat too little. A correct food diet starts from our mouth Also called the oral cavity, the mouth is the first part of the gastrointestinal tract (or alimentary canal). The boundaries of the mouth are formed by the lips, cheeks, floor of the mouth, and palate . It contains the teeth and tongue and receives secretions from the salivary glands. The mouth performs three main functions, which have to do with digestion, breathing, and speech.. General Functions of the mouth Eating. With a healthy mouth and teeth, we can eat a wide variety of foods that are good for us. Healthy, strong teeth help us chew our foods well, which aids in digestion. •Speaking. The teeth and the other parts of our mouth are used to make the proper sounds for many letters of the alphabet. They help us speak clearly. •Appearance. The mouth is used when we smile or use other expressions. The teeth help give shape and form to our face. With a healthy mouth, we look good to ourselves and to others. TOOTH ANATOMY People use their teeth to bite and chew food - they are the first step in the digestion of food. STRUCTURE The tooth has a multi-layer structure and it is basically made up of two parts: the crown and the root. The crown is what you see when you smile or open your mouth. It's the part that sits above your gumline. The root is below the gumline. It makes up about 2/3rds of the tooth's total length Four different tissues make up each tooth. The enamel is the durable, white covering which protects the tooth from the wear and tear of chewing. The dentin supports the enamel on your teeth. It's a yellow bone-like material that is softer than enamel and carries some of the nerve fibres that tell you when something is going wrong inside your tooth. The Pulp is the centre of the tooth. It's a soft tissue that contains blood , lymph vessels, and nerves. The pulp is how the tooth receives nourishment and transmits signals to your brain. The cementum is what covers most of the root of the tooth. It helps to attach the tooth to the bones in your jaw. PHYSIOLOGY Your teeth look different from one another because they are designed to do different things. The Incisors are the teeth in the very front. They're the sharpest teeth, built to cut food and shaped to shovel the food inward. The Canine teeth are in the corners of your mouth. Because they're meant for grasping and tearing food, they have very long roots. The premolars are located just behind your Canine teeth. The premolars have a more flat chewing surface because they're meant for crushing food. The Molars are the last teeth towards the back of your mouth. Molars are much bigger than the premolars and have bigger, flatter chewing surfaces because their job is to chew and grind the food into smaller pieces. PRIMARY AND PERMANENT TEETH People have two sets of teeth in their lives, the primary teeth (also called the baby, milk or deciduous teeth) and the permanent teeth (also called the adult or secondary teeth). Children have 20 primary teeth; they are replaced by the permanent teeth by about age 13. Adults have 32 permanent teeth. Deciduous teeth Permanent teeth Primary Teeth Babies have no visible teeth at birth. Their teeth are forming inside the gums. The 20 primary teeth (also called baby teeth or first teeth) come through the gums over the time from about 6 months to a year old. Permanent Teeth Primary teeth fall out and are replaced by 32 permanent teeth (also called adult teeth). This happens over the time since when a child is from about the age of 6 to 14 years . (incisors) (canines) (premolars) (molars) 3°molar “wisdom-tooth” PATHOLOGY Tooth decay Soon after brushing your teeth, a thin and a sticky layer of bacteria forms on the surface of all your teeth. This layer of bacteria is called plaque. When you eat anything sugary, the bacteria in plaque turn the sugar into the energy they need, producing acid at the same time. plaque gingival inflammation The acid softens and dissolves the hard enamel surface of the teeth (demineralisation ) Over time, frequent demineralisation causes cavities to form in your teeth. This is called tooth decay, or caries. If Teeth decay isn’t treated, it can cause abscess and granulomas, the bacteria in plaque can reach the pulp, get into the bloodstream with serious consequences for the heart, the kidneys and the joints. Deep tooth decay Infected and necrotic dental pulp Abscess Gum disease is inflammation of the gums and damage to the bone that anchors teeth in the jaws. If plaque isn't cleaned off your teeth regularly, your gums will become red, swollen and inflamed, and they may bleed. This is the early stage of gum deseases, called gingivites. If gingivitis is not treated, the gums may begin to pull away from your teeth, leaving a little pocket around each tooth. Over time, plaque hardens to become tartar .The irritation gradually spreads to the bone structures around your teeth. This is called Periodontitis. Pulpitis Pulpitis is the inflammatory process of the pulp principally caused by a dental decay.The infection is irreversible and it is the main cause of dental pain among individuals of all ages and loss of teeth in younger people. Untreated necrosis may lead to a localized abscess or a spreading infection into the surrounding soft tissue. Immediate treatment involves antibiotic therapy and perhaps the drainage of abscesses, while definitive treatment requires root canal therapy or extraction of the involved tooth Herpes Virus infection Oral herpes is an infection caused by the herpes simplex virus. The virus causes painful sores on your lips, gums, tongue, roof of your mouth, and inside your cheeks. It also can cause symptoms such as fever and muscle aches. People contract herpes by touching infected saliva, mucous membranes, or skin. Because the virus is highly contagious, most people have been infected by at least 1 herpes subtype before adulthood. PREVENTION HEALTHY FOODS FOR HEALTHY SMILES Our teeth need : • Dairy Products • Fish • Foods rich in iron • Vegetables, fruit and fibres Selecting a diet that promotes oral health is important. •Foods high in sugar can cause tooth decay so do not consume them frequently and remember to give your teeth, a good cleaning afterwards. •The protein in dairy products binds to the outer tooth and prevents bacteria from sticking to the surface of the tooth. •Choose healthy snacks like, fresh fruit, raw vegetables or popcorn. •Don’t have snacks before bedtime. •Be sure to see your dentist regularly. • Dairy Products Everything that is made from milk such as yoghurt, cheese and milk products is a good source of calcium and an essential nutrient for the development of bones and teeth. Some scientific studies have shown that eating cheese might actually help to protect your teeth from cavities by preventing something called demineralization. •Fish it keeps the plaque ph above 5,5. It is useful for the production of blood, it helps mental concentration and prevents teeth decay. •Foods rich in iron They help cell production in the blood and protect against the plaque. Eat meat, beans, chickpeas • Vegetables, fruit and fibres They stimulate salivation that clean the oral cavity . Prefer raw vegetables and not very sugary fruits How to take care of your teeth Maintaining good oral hygiene is critical to prevent tooth decay and gum disease. This means: •Cleaning your teeth at least twice a day with fluoride toothpaste •Visiting the dentist and hygienist regularly and limiting the amount of sugar in your diet. •Fluoride preventive treatment •Dental check at least twice a year How to brush your teeth • Make sure you brush every surface of each tooth. Most dentists would recommend around two minutes. • Start at one side of your mouth and move round to the other side, brushing all the tooth surfaces thoroughly with vertical movements. • Repeat the movements three four times for groups of teeth • Brush the backside (or inside) surfaces of your teeth • Pay particular attention to the gumline, angling the bristles into the crevice where the gums meet the teeth. •Replace your toothbrush every three months. •Floss daily to remove food particles and plaque that brushing cannot reach. USEFUL DENTAL TOOLS The ideal toothbrush must have •A small head •Round pointed synthetic bristles •Flexible ergonomic handle • Powered toothbrushes They are charged by a unit that is plugged into an electrical outlet and are excellent alternatives or adjuncts to hand toothbrushes. There are also many low-cost battery operated toothbrushes, and powered toothbrushes for children. Powered toothbrushes are recommended for all individuals, as they often remove more plaque than hand toothbrushes. The dental floss • Few people know how important the dental floss is. • It is bundle of thin nylon filaments or a plastic ribbon used to remove food and dental plaque from teeth. • It is used for cleaning spaces between teeth which cannot be reached by toothbrushes. It is important to floss before brushing teeth and to floss at least once a day. "Gingivitis" which means gum disease is one type of disease that flossing helps to prevent. How to use the dental floss? • Insert the floss between the teeth • scrape along the teeth especially close to the gums sides, • Work the dental floss up and down the side of each tooth. • Always keep the pressure of the dental floss against the tooth's surface. • Rinse your mouth out after you floss. Interdental brushes • Interdental brushes are usually very small and specially designed brushes for cleaning between the teeth. • Interdental brushes are best when the spaces between your teeth are too wide to use floss. • How to use Interdental brushes? • Interdental brushes are easier to use than floss. • They should be used by pushing gently back and forth between the teeth and the gum line. • They should never be forced into the space between the teeth as this can cause trauma to the teeth and gum. Fluoride prevention treatment • Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. • It also reverses early decay. In children under six years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth. • Fluoride also helps speed remineralization as well as disrupts acid production in already erupted teeth of both children and adults. • Plaque evidencing tablets. Plaque evidencing tablets can be used before evening cleaning to show where plaque bacteria is deposited most. These tablets can also be used after brushing and flossing teeth for a better oral hygiene. They can be bought in chemist shops. • Chew sugar-free gums or candies • They can be useful to prevent teeth decay. • Chewing sugar free gum has been proved, from a number of clinical studies, to reduce caries by stimulating the production of saliva, which neutralizes the plaque acids that cause tooth decay. It has been calculated that people chewing sugar free gum three times a day reduce their risk of caries by 40% compared using those who do not chew gum. • Tongue cleaner It comes in the form of the letter ‘T’ with ridges. These ridges help remove the remaining bacteria with a jet of water. Mouthwash • Mouthwash is a product used to enhance oral hygiene. Antiseptic and anti-plaque mouth claims to kill the bacterial plaque causing caries , gingivitis , and bad breath. Anti-cavity mouthwash uses fluoride to protect against tooth decay. Doctor’s description of mouth and its functions Dental check at school The dentist is exploring a student’s oral cavity during a practical lesson. SOME STUDENTS TAKING PART IN THE DENTAL COURSE Students: People involved in this work Abate Giulio Adinolfi Vincenzo Angrisani Alessandra Apicella Nicola Avagliano Vincenzo Avallone Ilaria Baldini Antonio Califano Annarita Carratù Rossella Celano Carmen Consalvo Daniele Consiglio Federica Di Domenico Roberto Di Mauro Roberto Di Salvatore Mirko Fiore Anna Marrazzo Alessia Mosca Marianna Nacchia crescenzo Rosa Nunziante Raffaele Pisapia Annarosa Santoriello Federica Santoriello Luca Squitieri Alessandro Vicidomini Stefania II C II C III C III C IV C III C II C III G IV C III C IV C IIIG IV C II C III C IC III G IV C IV C II C IV C III G IV C IV C IIIG Teachers: Mrs Gianna Barrella ( English) Mrs Agnese Salerno ( English) Mr Pietro Galdi (Doctor) Administrative personnel Laboratory Technicians Headmaster : Mrs Matilde Piselli