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Module 2 Oral Health & Disease Definitions • • Oral Health Prevention – Primary – Secondary – Tertiary Dental Caries • • Affected tooth tissues Factors – – – – – Plaque bacteria Dietary sugars Length of time exposed to acid Saliva Susceptible tooth surface Dental Caries - Prevention 1. 2. 3. 4. 5. 6. 7. Dietary Modification & Counselling Fluoride toothpaste Interdental cleaning Disclosing agents Stimulating saliva flow Fluoride delivery Regular dental visits Methods of Fluoride Delivery 1. 2. 3. 4. 5. 6. 7. Water fluoridation Toothpaste Mouthwashes Tablets and drops Fluoride gels Fluoride varnishes Fissure sealants Periodontal Diseases Affect: • Alveolar bone • Cementum • Gingiva • Periodontal ligament Possible Causes: • Oral hygiene • Smoking • Hormones • Diabetes • Pregnancy • Medications • Stress • Genetics Gingivitis • • • • Red and swollen gums Bleeding gums Bad breath Bad taste in the mouth Periodontitis • All the signs of gingivitis • Loss of bone • Loss of periodontal ligament • Loss of cementum • Gum recession • Loose teeth • Drifting of teeth Periodontal Diseases - Prevention • Antibacterial toothpaste • Antibacterial mouthwashes • Removal of plaque retention factors – – – – Tartar Poorly contoured fillings Overcrowded teeth Partial dentures • Root surface debridement • Regular monitoring Tooth Wear • Causes – Erosion – Attrition – Abrasion • Prevention Dentine Hypersensitivity • Definition • Causes – – – – – – – Loss of enamel due to tooth wear Gum recession Periodontal diseases Age Trauma Abrasion Periodontitis • Treatment Oral Cancer Regulation of Oral Care Products • Cosmetic Products – Cosmetic Products (Safety) Regulations • Medicinal Products – General Sales Licence (GSL) – Pharmacy (P) – Prescription Only Medicines (POM) Dental Health Surveys • The Adult Dental Health Survey (ADHS) • Dental Health Survey of Children & Young People (CDHS) 2009 • British Association for the Study of Community Dentistry (BASCD)