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Dental caries research paper
Caries in two thirds of enamel
Dental caries research paper
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CAMBRA- CURRENT STRATEGIES ON CARIES PREVENTION AND MANAGEMENT
Introduction:
Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries lesions initially on tooth surfaces, and eventually can progress to cavitation. There has been a general trend in clinical practice that caries lesion management focus primarily on operative treatment rather than using preventive non invasive strategies. This will lead to several replacements over time with increasing restoration size and produces iatrogenic damage. It has been reported that 71% of all restorations are performed on previously restored teeth, with secondary carious lesions as a major cause.3 This shows that although the carious lesion was repaired, the dental caries was not adequately treated, since the actual cause and risk factors were not adequately resolved. Recently the concept for caries management has been changed and focused mainly on multifaceted nature of caries and biofilm involvement. Currently it has been shown that the success to caries prevention
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It is a dynamic and delicate balance, tipping either way several times a day. Progression or reversal of caries disease is determined by the imbalance between disease indicators and risk factors on one side and the competing protective factors on the
Afshar H, Jafari A, Khami M, et al. Evaluation of Microleakage in Composite-Composite and Amalgam-Composite Interfaces in Tooth with Preventive Resin Restoration. Journal of Dentistry 2012; 9(2):128-34.
Dental hygiene is amongst many professions that come with an increased risk of injury. In fact, evidence suggests that the incidence of dental professionals acquiring musculoskeletal disorders is reaching 96%. According to the Occupational Safety and Health Administration (OSHA), these complications are a result of “repetitive motion or awkward posture for more than 2 hours at a time, unassisted frequent manual handling (eg, scaling an area using the same strokes), and unassisted forced manual handling (eg, heavy calculus removal using hand-activated instruments)”. These complications not only affect the quality of life for the
o Please describe a time when you performed a thorough head, neck and oral exam and the findings had a significant impact on how you proceeded with the dental hygiene process of care. Annette was performing her usual head, neck, and oral exam on a patient and found an enlarged thyroid. She recommended to the patient that she go see her primary care physician to get a better diagnosis. The patient went to her primary care physician and was told there was probably nothing. Later, the patient returned to the dental office and saw Annette and told her what the physician said.
In general, root caries have the same etiology as coronal cavities. S. mutans, Lactobacilli, and sometimes, Actinomyces are involved and are found in high numbers in root caries, but there are two main differences between enamel and root surface caries. (Flaitz) These differences cause the lesion on a root surface to be more destructive than that in enamel. First, because the pH at which demineralization will occur is higher for root cementum (approx. pH 6.0) than for enamel (approx. pH 5.0).(Wilkins) Therefore, root cementum has potential for demineralization at an earlier point in time than enamel does. Secondly, once the cementum is demineralized, the dentin contains dentinal tubules which, if present, are potential methods of entry for the pathogenic microbes as mentioned previously, such as S. mutans, Lactobacilli, and sometimes Actinomyces; whereas, enamel consists of tightly-arranged crystal prisms, which have a much lower chance for bacterial entry. The process of caries formation begins with colonization by acid-producing bacteria plaque. In the next step, Gram-positive bacteria invade the dentinal tubules, which leads to the ...
However, on the a recent visit dated 23/12/13 the patient’s gingival condition had deteriorated, presenting with an increased plaque scores of 34% and bleeding scores to 63%. Intra oral examination also showed generalised oedema and erythema throughout in the mouth in response to this increase in plaque bacteria. The presence of supra-gingival calculus on lower anterior teeth and both sites of upper buccal molars and the patients BPE now reads 212 /121, putting the patients caries risk at a ‘High’ status.
The article Poor Teeth was written by Sarah Smarsh with the goal in mind being to shed light on the issue between upper and lower class society in a particularly concrete way. Teeth and dental health are an easy thing for people to imagine in their head because everyone has a set whether they’re white and shiny or black and rotted. This makes it easy to draw a comparison between people that care for their teeth and those who don’t. However, access to dental knowledge and services which the lower class often times doesn’t have is very different between the poor and the rich. While the rich stroll through life showing off their perfect glossy white rows of teeth, there are less privileged people out there with barren mouths whose weak pale gums
In the Dental Hygiene field, many challenges come about every day and during different situations. Every day there are new challenges and unusual situations that occur in the dental field, but one challenge that continues to come about and has been a big dispute over the years is the ability to provide beneficial information about oral health care for the underprivileged. For the individuals that are not fortunate enough to pay to have services done in the dental office, lack the knowledge of how important good oral health care is. They do not receive the one on one conversations explaining the significance of taking care of your teeth and gums that the patients who can afford to make appointments and receive essential services do. That
In this case, We have found Steve’s Tire and Lube’s company to have strong competitive priorities with their friendly environment, honest an reliable work, good reputation in the small town, quality service are worth the price, variety of services and supplies at retail, good employee training at vocation school, and most importantly they have loyal and hard workers, thus store turnover is rare. The order qualifier is service variety, including good services about oil changes, tire rotation and balance, brake pad replacement, and service inspection. In addition, provide retail parts and supplies are also considerable for the customer. Comparison with the same type of store, Steve’s has good order winner than others. It is about offering high
Children are often sweet and adorable, but many times they may be eating too many sweets. According to the Channel Four News, it has been shown that the number one disease in children is the reoccurrence of caries, also known as cavities. Could it be too many sweets or could it be the lack of flossing and brushing teeth? For instance, many children go to bed or wake up without brushing their teeth and go throughout the day eating all sorts of food and candy. The result of eating and not brushing could lead to plaque build up and decaying of teeth. This leaves a child extremely unhappy and in excruciating pain. So who is going to fix this pain? Who is going to help prevent decay in millions of people’s mouths? Today, the world is lucky to have a well-studied field of dentistry.. Dentistry has much history, various specialties, advancements, and an irresistible salary.
The Connection Between High Blood Sugar Levels and Periodontal Disease. Saliva contains glucose; therefore, if you have uncontrolled diabetes, the amount of glucose present in your saliva is elevated. We naturally have somewhere between 200 to 300 bacterial species in our mouths: Some of these bacteria are good and some of them are bad. Streptococcus mutans is typically the bacterium responsible for causing tooth decay; whereas, periodontal disease is usually caused by a mixture of Porphyromonas gingivalis and Treponema denticola. Elevated glucose levels assist the harmful bacterias, Porphyromonas gingivalis and Treponema denticola, by providing the substance necessary to produce the acid that combines with our saliva to form the soft, sticky film referred to as plaque.
The child is at stage three linguistic speech in oral development (Fellows & Oakley, 2014). They show evidence of this in both their receptive and expressive language meeting the criteria for this stage (Fellows & Oakley, 2014). They show evidence of their receptive language by their ability in being able to understand opposites (Fellows & Oakley, 2014). While they had some issues with the differences between soft and scratchy they were able to demonstrate the differences between big and little several times during the dialogue. They showed evidence of their expressive language by their use of telegraphic speech, expanding vocabulary and in the ability to take in turns of speaking and listening (Fellows & Oakley, 2014). Telegraphic
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
Based on the symptoms the patient is presenting with and the knowledge that he had been gardening before becoming sick, it is likely the patient came into contact with insecticide and is being affected by the active ingredient Carbaryl. Carbaryl is an acetylcholinesterase inhibitor and muscarinic receptor agonist, so it inhibits the enzyme acetylcholinesterase from breaking down the neurotransmitter acetylcholine. This hyper activates the nicotinic and muscarinic synapses and in turn activates the sympathetic and parasympathetic nervous system. The sympathetic nervous system is what caused the initial tachycardia and hypertension. Bradycardia and hypotension along with the other main symptoms are caused by over activation of the muscarinic
Dental plaque is a bacterial collection with their products on the teeth or other solid oral structures, covered by a jelly-like tenacious material and it is responsible for two major dental diseases; caries and periodontal disease (Chandra, 2000). Good oral hygiene is a foundation step in the development of disease-free oral cavity of infants through adolescents (Srivastava, 2011). Plaque control is of prime importance for the prevention of these diseases and for good dental health as it helps to reduce the number of microorganisms present in the oral cavity, hence, reducing the dental plaque (Muthu and Sivakumar, 2009; Tare, 2007).
The initiation of the tooth is the induction process between the epithelium and connective tissue resulting in the growth of the dental lamina into the connective tissue. This process