Prevention of Dental Disease

Maha AL-SARHEED

The most common dental diseases affect humans are caries, periodontal disease, tooth loss and malocclusion

Most of these disease is preventable

A goal of healthy mouth is full of complement teeth, supported by healthy gingiva and bone and having a balanced and stable occlusion

Key Elements of Dental Disease Prevention

A. Parental counseling

B. Fluoride administration

C. Diet

D. Home care

A. Parental counseling

Oral health parental counseling programs should be:

Individualized Provide parents with information Important of mother’s and child diet Recommended scheduling of dental treatment

Parental counseling Protocol Purpose Target

high risk pregnancycongenital-developmental disabilitiesfamily historyfeeding disordersHigh level of streptosocial, ethnic, cultural, environmentallow parental interest

B. Fluoride AdministrationMechanism of Action

Increase tooth structure for

demineralization

Enhancement of remineralization

Reduction of Cariogenic potential of

dental plaque

Types of Fluoride

Systemic F+ Topical F+

Water Fluoridation Toothpaste

Dietary F+ supplements Mouth rinses

Gels

Chewing gum

Varnishes

Indication of F+ administration

Age Caries history and susceptibility Water fluoridation

1. Water Fluoridation

2. Dietary Fluoride Supplements

Dosage depend on child age and F+ conc. of their drinking water

Deposited, redistributed before eruption and during minerlization

Dental fluorosis aged 22-26 mos (out extremes 18-30 mos)

Age F+

< 0.3 ppm FConc. In water 0.3-0.6ppm F

> 0.6ppm F

Birth-6mos 0 0 06mos-3yrs 0.25mg 0 03yrs-6yrs 0.5mg 0.25mg 0

6yrs up to at least 16yrs

1.00mg 0.50mg 0

Fluoride Toxicity

Dental professional has a responsibility to educate patients about appropriate storage and administration of F

Children less than 3 yrs should be a primary concern

Knowledgeable of water fluoridation and other source of F

C. Diet

Establish dietary habits to promote physical growth and environment to optimal oral health

D- Home care Parent responsibility Diet + F + removal of plaque Bacteria present since 1st tooth, mother source 19-28 mon Infant-and young children (time, toothbrush, position)

Continued

Medically or Physically disabled children

Summary and Key points

The four practical methods of dental disease (caries, perio) prevention are: sugar control, fluoride plaque control and FS

Diet advice in particular has to be personal, practical and positive

Treatment planning takes into account age, caries risk, water fluoride level and parent-child cooperation