Summary Preventive Dentistry Dental health education
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Module
NOTARY
Institution
NOTARY
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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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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, 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
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