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Summary Preventive Dentistry Dental health education

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What to prevent ? 1- Dental caries 2- Periodontal disease 3- Oral cancer 4- Dental erosion Who should give it ? • Any health practitioner • Nurse and hygienist are accepted How ? 1- Mass media 2- Community program 3- One to one -------------------------------------------------...

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  • January 25, 2024
  • 21
  • 2023/2024
  • Summary
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Preventive Dentistry
Dental health education
What to prevent ?
1- Dental caries
2- Periodontal disease
3- Oral cancer
4- Dental erosion
Who should give it ?
 Any health practitioner
 Nurse and hygienist are accepted
How ?
1- Mass media
2- Community program
3- One to one
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Oral infections
They are :
1-Bacterial infections including
 oral mucosa infections ( Tb , syphilis , scarlet fever )
 dentoalveolar infections ( dental caries , periodontal
disease , dentofacial infections )
2-Viral infections
3-fungal infections




1

, Dental caries
 Sugar dependant infectious bacterial disease .
 Dynamic process of demineralization ( ↓pH ) &
remineralization ( ↑pH) till cavitation occurs.
 Dental caries = dissolution of organic matrix +
demineralization of inorganic content
 Dental caries = Bacteria + Susceptible tooth surface + Time +
Carbohydrates


Enamel caries
 Initial lesion is ( chalky white spot ) due to demineralisation
of prisms of subsurface layer with the surface E. layer is still
more mineralized .
 Then .. smooth surface → rough surface → stained surface
→ pitting → cavitation
N.B : Repair may occur as remineralizes E. concentrates Fluoride
which has larger crystals & ↓ surface area , while regaining
organic matrix never occurs .
 Lactobacillus in fissure caries
 Strept mutans the main caries bacteria

Dentine caries
 Demineralization → Bacterial invasion
 Differs from Enamel caries due to :
1. Proximity to pulp
2. Once bacteria reaches ADJ , lateral spread occurs &
under minds




Root caries

2

,  Most commonly occurs with gingival recession

 Treated by :
1. Oral hygiene instructions ( OHI )
2. Topical Fluoride application
3. Restoration with GIC for active lesion

 Strept salivarius ,, actinomyces


Active & Inactive ( arrested ) Caries
Arrested dentine caries : Hard , Dark & Leathery
Active decay : Soft & Yellow
Arrested enamel caries : Dark brown


Susceptible sites for caries :
 Proximal enamel surface
 Cervical margins
 Pits & fissures




Caries Diagnosis
3

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