Shining smile: how to preserve the health of the teeth

Shining smile: how to preserve the health of the teeth

Section 1: Fundamentals of a healthy smile: anatomy, physiology and microbia of the oral cavity

  1. Teeth: structure and functions.

    • Emal: a solid outer shell, protection against acids and mechanical damage. It consists mainly of hydroxyapatitis. Its damage is the first step towards caries. Composition: 96% of minerals (hydroxyapatitis), 4% of water and organic substances. The thickness of the enamel varies from 0.01 mm on the neck of the tooth up to 2.5 mm on the chewing surface.

    • Dentin: the main tooth tissue, softer than enamel. Contains tubules along which nerve endings pass, which makes it sensitive to temperature and pressure. Composition: 70% of minerals, 20% organic substances (collagen), 10% water.

    • Pulpa: contains nerves and blood vessels that feed the tooth. Is responsible for the sensitivity of the tooth and its restoration after damage.

    • Cement: covers the root of the tooth and helps attach it to the bone of the jaw through periodontal ligaments.

    • Crown: The visible part of the tooth.

    • Root: part of the tooth located in the jaw bone.

    • The neck of the tooth: the transition zone between the crown and the root.

    • Dental functions:

      • Chewing: grinding of food to facilitate digestion. Different types of teeth perform different functions: incisors – bite, fangs – tearing, premolar and molar – chewing.
      • Speech: participation in the formation of speech sounds (phonetics).
      • Aesthetic: the formation of the appearance of a smile important for self -esteem and social interaction.
  2. Desna and periodont: support and protection of teeth.

    • Desna (gingiva): soft tissues, surrounding teeth and protecting their roots. Healthy gums have a pale pink color, dense texture and do not bleed when brushing or probing.

    • Periodont: a complex of fabrics surrounding and supporting a tooth in the jaw bone. Includes:

      • Periodontal ligaments: fibers connecting the root of the tooth with the bone of the jaw provide amortization when chewing.
      • Alveolar bone: bone surrounding the root of the tooth.
      • The cement of the tooth root: covers the root of the tooth and serves as a place of attachment of periodontal ligaments.
    • Functions of gums and periodontal:

      • Support for teeth in the jaw bone.
      • Protection of the roots of the teeth from the influence of the external environment.
      • Shock absorption of chewing load.
  3. Saliva: natural protection of the oral cavity.

    • Combined saliva: Voda, electrolytes (sodium, potassium, chlorine, bicarbonate), enzyme (amylase, lysocim), a white (muchin, immunoglobulin).
    • Saliva functions:
      • Moisturization of the mucous membrane of the oral cavity.
      • Cleaning tooth residues.
      • Neutralization of acids formed after eating.
      • Remineralization of tooth enamel (restoration of the mineral composition).
      • Antibacterial effect (lysozyme, immunoglobulin).
      • Participation in digestion (amylase breaks carbohydrates).
    • Factors affecting salivation:
      • Age: with age, salivation may decrease.
      • Medications: some drugs can cause dry mouth (xerostomy).
      • Diseases: some diseases, such as Shegren syndrome, can disrupt salivation.
      • Stress: stress can lead to a decrease in salivation.
      • Dehydration: insufficient fluid intake leads to a decrease in saliva production.
  4. Microbia of the oral cavity: balance of beneficial and harmful bacteria.

    • The composition of the microbioma: a huge amount of microorganisms live in the oral cavity, including bacteria, fungi, viruses and protozoa.
    • Useful bacteria: participate in digestion, strengthen immunity and prevent the multiplication of pathogenic microorganisms.
    • Harmful bacteria: contribute to the development of caries, gingivitis and periodontitis. These include Streptococcus mutans (main causative agent of caries), Porphyromonas gingivalis (Pressor of periodontitis) and others.
    • Microbia factors affecting:
      • Oral cavity hygiene.
      • Power (excess sugar helps to propagate harmful bacteria).
      • Immunity.
      • Reception of antibiotics (may disrupt the balance of microbioma).
      • Salivation.
    • Dysbiosis of the oral cavity: impaired microbioma balance, leading to the predominance of harmful bacteria and the development of diseases.

Section 2: The main diseases of the oral cavity: caries, gingivitis and periodontitis.

  1. Caries: causes, stages of development and prevention.

    • Causes of caries:
      • Bacteria: Streptococcus mutans and other bacteria processing carbohydrates and form acids.
      • Carbohydrates: sugar and other carbohydrates, which are a nutrient medium for bacteria.
      • Time: prolonged exposure to acids on tooth enamel.
      • The state of the enamel: Weak enamel is more susceptible to caries.
    • Stages of development of caries:
      • Sprinking: Demineralization of enamel, manifested in the form of a white or brown spot.
      • Superficial caries: enamel defeat.
      • Medium caries: the defeat of enamel and dentin.
      • Deep caries: the defeat of the deep layers of dentin, close to the pulp.
    • Caries prevention:
      • Regular tooth brushing (twice a day).
      • Using a toothpaste with fluorine.
      • Using a dental thread to clean the interdental spaces.
      • Limiting sugar consumption.
      • Regular examinations at the dentist (at least once a year).
      • TEARTION TEARTING (professional oral hygiene).
      • Fissure sealing (closing the recesses on the chewing surface of the teeth with a special material).
  2. Gingivitis: gum inflammation: symptoms, causes and treatment.

    • Symptom Gingivita:
      • Bleeding gums when brushing teeth or probing.
      • Redness and swelling of the gums.
      • Unpleasant odor from the mouth.
    • Causes of gingivitis:
      • Insufficient oral hygiene leading to the formation of denture and stone.
      • Hormonal changes (for example, during pregnancy).
      • Some diseases (for example, diabetes).
      • Smoking.
      • Some medicines.
    • Gingivitis Treatment:
      • Professional oral hygiene (removal of denture and stone).
      • Improving the oral hygiene (regular tooth brushing, the use of dental thread, rinses for the oral cavity).
      • The use of antiseptic drugs (for example, chlorhexidine).
      • Treatment of the underlying disease if it is the cause of gingivitis.
  3. Perodontitis: Destruction of tissues surrounding the tooth: symptoms, causes, stages and treatment.

    • Periodontitis symptoms:
      • Bleeding gums.
      • The gum recession (exposing the roots of teeth).
      • The formation of periodontal pockets (spaces between the tooth and the gum).
      • Tooth mobility.
      • Unpleasant odor from the mouth.
      • Pain when chewing.
    • Reasons for periodontitis:
      • Progressive gingivitis.
      • Insufficient oral cavity.
      • Smoking.
      • Genetic predisposition.
      • Systemic diseases (for example, diabetes).
      • Stress.
    • Stages of periodontitis:
      • The initial stage: slight destruction of bone tissue.
      • The middle stage: moderate destruction of bone tissue, the formation of periodontal pockets.
      • Severe stage: significant destruction of bone tissue, severe mobility of the teeth.
    • Help of periodontitis:
      • Professional oral hygiene (removal of plaque and stone, including periodontal pockets).
      • Drug treatment (antibiotics, antiseptics).
      • Surgical treatment (curettage of periodontal pockets, patchwork surgery, bone plastic).
      • Tooth shinition (for stabilizing mobile teeth).
      • Supporting therapy (regular examinations and professional oral hygiene).

Section 3: Proper oral hygiene: tools and technology.

  1. Choosing a toothbrush: types, stiffness of bristles and care rules.

    • Types of toothbrushes:
      • Manual (manual) toothbrushes.
      • Electric toothbrushes (rotational, sound, ultrasonic).
      • MONOWER TOAR TOMAN BREETS (for hard -to -reach places).
      • Interdental ruffs (for cleaning interdental spaces).
    • The stiffness of the bristles:
      • Soft bristles: suitable for people with sensitive gums, gingivitis or periodontitis.
      • Average bristles: suitable for most people.
      • Hard bristles: not recommended, as enamel and gums can damage.
    • Rules for caring for a toothbrush:
      • Change the toothbrush every 3 months or after the disease.
      • Rinse the toothbrush thoroughly after each use.
      • Keep a toothbrush in an upright position in an open place so that it can dry.
      • Do not use someone else’s toothbrush.
  2. Choosing toothpaste: composition, fluorine and other active components.

    • Composition of toothpaste:
      • Abrasives (to remove dentition).
      • Fluorides (to strengthen enamel and protection against caries).
      • Moisturizers (to prevent the drying of the pasta).
      • Thickeners (to give the paste the desired consistency).
      • Foaming agents (for the better distribution of pasta over the oral cavity).
      • Flavors (to give the paste a pleasant taste and smell).
      • Antiseptics (to combat bacteria).
    • Fittor in toothpaste:
      • Strengthens tooth enamel and makes it more resistant to acids.
      • Inhibits the growth of bacteria causing caries.
      • Promotes enamel remineralization (restoration of the mineral composition).
    • Other active components:
      • Triclosan, chlorhexidine (antiseptics).
      • Pyrophosphates (prevent the formation of tooth stone).
      • Potassium nitrate, chloride strontium (reduce tooth sensitivity).
      • Plant extracts (have anti -inflammatory and antibacterial effects).
  3. Teeth brushing technique: correct movements and cleaning time.

    • General rules:
      • Brush your teeth twice a day (in the morning after breakfast and in the evening before bedtime).
      • Brush your teeth for at least 2 minutes.
      • Use a small amount of toothpaste (the size of a pea).
      • Do not crush too much on the toothbrush.
      • Do not forget to clean the tongue.
    • Teeth brushing methods:
      • Bass method: the toothbrush is located at an angle of 45 degrees to the tooth, short vibrating movements are performed.
      • Roth method: the toothbrush is located perpendicular to the tooth, circular movements are performed.
      • Stylman method: the toothbrush is located at an angle of 45 degrees to the gum, vibrating movements from the gum to the tooth are performed.
    • Language Cleaning:
      • Use a special scraper for a tongue or a toothbrush.
      • Move from the root of the tongue to the tip.
      • Clean the tongue after each tooth brushing.
  4. Tooth thread (FLASS): Types and technique of use.

    • Types of dental thread:
      • Waxed tooth thread.
      • Invalid tooth thread.
      • Tooth thread with fluorine.
      • Tooth tape (for wide interdental spaces).
      • Superfloss (for cleaning under bridge prostheses and around implants).
    • Dental use technique:
      • Tear off a piece of tooth thread about 45 cm long.
      • Wrap the ends of the tooth thread around the middle fingers of both hands.
      • Gently introduce the tooth thread between the teeth using sawing movements.
      • Press the tooth thread to one side of the tooth and move up and down, cleansing the surface of the tooth.
      • Repeat the same on the other side of the tooth.
      • Clean the interdental spaces between all teeth.
    • When to use the tooth thread:
      • Once a day, preferably before going to bed.
  5. Rinsers for the oral cavity: types, composition and rules of use.

    • Types of rinses for the oral cavity:
      • Antiseptic rinses (contain chlorhexidine, triclosan or other antiseptics).
      • Rinlets with fluorine (strengthen the enamel of the teeth).
      • Rinsers for sensitive teeth (contain potassium nitrate or strontium chloride).
      • Rinsers for the prevention of tooth stone (contain pyrophosphates).
      • Rinsers with plant extracts (have anti -inflammatory and antibacterial effects).
    • The composition of the rinses for the oral cavity:
      • Water.
      • Antiseptics.
      • Fluorides.
      • Alcohol (in some rinses).
      • Flavors.
      • Dyes.
    • Rules for using rinse over the oral cavity:
      • Use the rinseum after brushing tooths.
      • Pour in a measured cap about 20 ml of a interpreter.
      • Rinse your mouth for 30 seconds.
      • Do not swallow the rinser.
      • Do not eat or drink within 30 minutes after rinsing.
      • Do not use rinses with chlorhexidine for a long time (can cause painting tooths).
  6. ORTARRIAR ORTHRITER: The principle of action and indications for use.

    • The principle of operation of the irrigator:
      • Irrigator is a device that supplies a stream of water under pressure for cleaning interdental spaces, periodontal pockets and other inaccessible places.
    • Indications for the use of irrigator:
      • Gingivitis.
      • Periodontitis.
      • The presence of orthodontic structures (braces).
      • The presence of orthopedic structures (crowns, bridge prostheses, implants).
      • Diabetes.
      • Dry in the mouth (xerostomy).
    • Irrigator use technique:
      • Fill the irrigator tank with water or a special solution.
      • Turn on the irrigator and direct the stream of water at an angle of 90 degrees to the gum.
      • Move along the gum line, cleansing the interdental spaces and periodontal pockets.
      • Start with minimal pressure and gradually increase it.
      • The duration of the procedure is 5-10 minutes.

Section 4: Nutrition for healthy teeth: products that are healthy and harmful to the health of the oral cavity.

  1. Products useful for teeth and gums.

    • Fruits and vegetables:
      • Apples, carrots, celery: stimulate salivation and cleanse the teeth of plaque.
      • Strawberries: Contains apple acid, which whiten the teeth.
      • Citrus fruits: contain vitamin C, necessary for the health of the gums (moderately, due to acidity).
    • Dairy products:
      • Milk, yogurt, cheese: contain calcium and phosphorus necessary to strengthen the enamel of the teeth.
      • Cheese: stimulates salivation and neutralizes acids.
    • Green tea: contains antioxidants that protect against bacteria and gum inflammation.
    • Water: moisturizes the mucous membrane of the oral cavity, cleanses the teeth of food residues and stimulates salivation.
    • Products rich in vitamin D: fish, eggs, liver (improves calcium absorption).
  2. Products harmful to teeth and gums.

    • Sweet products:
      • Sweets, chocolate, cookies, carbonated drinks: contain a large amount of sugar, which is a nutrient medium for bacteria causing caries.
    • Sour products:
      • Citrus fruits, juices, vinegar: can destroy the enamel of the teeth. After eating acidic products, it is recommended to rinse your mouth with water.
    • Starchy products:
      • Chips, potatoes of fries, bread: easily stick to their teeth and contribute to the formation of plaque.
    • Sticky products:
      • Irisk, chewing gum, dried fruits: difficult to remove from the surface of the teeth and create a favorable environment for breeding bacteria.
    • Alcohol: reduces salivation and can contribute to the development of caries and gum diseases.
  3. Food mode: Frequency of meals and snacks.

    • Recommended:
      • 3 main meals per day.
      • Restriction of snacks between meals.
      • After each meal, rinse your mouth with water or use chewing gum without sugar (within 15-20 minutes).
    • Not recommended:
      • Frequent snacks with sweet foods.
      • Eating sweet drinks between meals.
      • The habit of gnawing hard objects (pens, pencils).
  4. Chewing gum without sugar: benefits and harm.

    • The benefits of chewing gum without sugar:
      • It stimulates salivation, which neutralizes acids and cleanses the teeth of food residues.
      • Contains xylitol, which prevents the reproduction of bacteria causing caries.
    • The harm of chewing gum:
      • Excessive chewing can lead to overstrain of the jaw muscles and cause pain in the temporomandibular joint.
      • Some chewing gums contain artificial sweeteners and dyes that can be harmful to health.
    • Recommendations for the use of chewing gum:
      • Chew chewing gum without sugar after eating for 15-20 minutes.
      • Do not cheat chewing gum too often or too long.
      • Choose a chewing gum with xylitol and without artificial sweeteners and dyes.
  5. Vitamins and minerals for teeth health: meaning and sources.

    • Vitamin A: It is necessary for the health of the gums and the mucous membrane of the oral cavity. Sources: liver, eggs, dairy products, carrots, spinach.
    • Vitamin C: It is necessary for the health of gums and strengthening immunity. Sources: citrus fruits, kiwi, strawberries, pepper, broccoli.
    • Vitamin D: It is necessary for the absorption of calcium and strengthening bones, including the jaw. Sources: fish oil, eggs, dairy products, sunlight.
    • Calcium: It is necessary to strengthen enamel of teeth and bones. Sources: dairy products, green vegetables, nuts, seeds.
    • Phosphorus: It is necessary to strengthen enamel of teeth and bones. Sources: dairy products, fish, meat, eggs, nuts, seeds.
    • Phthor: strengthens tooth enamel and makes it more resistant to acids. Sources: fluorine water, toothpaste with fluorine, fish.

Section 5: Professional oral hygiene: necessity and methods.

  1. Why do you need professional oral cavity hygiene?

    • Removing denture and stone that cannot be removed at home.
    • Prevention of caries, gingivitis and periodontitis.
    • Early detection of oral diseases.
    • Improving the aesthetic type of teeth (removal of pigmentation).
    • Training in the correct hygiene of the oral cavity.
  2. Methods of professional oral hygiene.

    • Ultrasonic tooth brushing:
      • Using an ultrasound scaler to remove tartar.
      • A painless procedure.
    • Air Flow:
      • Removing denture and pigmentation using a stream of water, air and abrasive powder.
      • Effectively cleans hard -to -reach places.
    • Politing tooths:
      • The use of special polishing pastes and brushes to give teeth smoothness and shine.
      • Prevents the formation of a denture.
    • Frighting of teeth:
      • Approaching a fluorine -containing gel or varnish to the surface of the teeth.
      • Strengthens the enamel of the teeth and protects against caries.
  3. Stages of conducting professional oral hygiene.

    • Inspection of the oral cavity and assessment of the condition of teeth and gums.
    • Removing tartar with an ultrasound scaler.
    • Removing denture and pigmentation using Air Flow.
    • Politing tooths.
    • Frighting of tooths.
    • Training in the correct hygiene of the oral cavity.
  4. How often do you need to do professional oral hygiene?

    • It is recommended to conduct professional oral hygiene every 6-12 months.
    • People with gingivitis, periodontitis, braces or implants may need more frequent conduct of professional oral hygiene (every 3-6 months).
  5. Contraindications to the professional hygiene of the oral cavity.

    • Acute inflammatory diseases of the oral cavity.
    • Diseases of the cardiovascular system (a doctor’s consultation is required).
    • Bronchial asthma (it is necessary to use the Air Flow Pesporous System).
    • Allergy to the drugs used.

Section 6: Orthodontics: alignment of teeth and correction of bite.

  1. What is orthodontics and why is it needed?

    • Orthodox is a section of dentistry, which is engaged in the correction of a bite and alignment of the teeth.
    • Incorrect bite and uneven teeth can lead to:
      • Difficulties with oral hygiene, which increases the risk of caries and gum diseases.
      • Impaired chewing function.
      • Problems with speech.
      • Pain in the temporomandibular joint.
      • Aesthetic disadvantages.
  2. Types of orthodontic devices.

    • Brectes systems:
      • Metal braces.
      • Ceramic braces.
      • Sapphire braces.
      • Linguistic braces (installed on the inside of the teeth).
      • Self -captable braces.
    • Eliners (transparent capes):
      • Removable orthodontic devices made individually for each patient.
      • More aesthetic than braces.
    • Removable records:
      • Used to correct a bite in children.
      • It can be single -acne or two -core.
  3. Stages of orthodontic treatment.

    • Consultation of an orthodontist and diagnosis (inspection, x -rays, removal of casts).
    • Drawing up a treatment plan.
    • Installation of an orthodontic apparatus.
    • Regular visits to the orthodontist to activate the apparatus and control the treatment process.
    • Removing an orthodontic apparatus.
    • The retention period (wearing retainers to consolidate the result of treatment).
  4. Return: consolidation of the results of orthodontic treatment.

    • Retailers:
      • Factor retailers (thin wire glued to the inside of the teeth).
      • Removable retainers (capes or plates).
    • The importance of retention:
      • After removing the orthodontic apparatus, the teeth tend to return to its original position.
      • Retheners help hold the teeth in the correct position and prevent relapse.
  5. Orthodontic treatment in adults: features and opportunities.

    • Orthodox treatment is possible at any age.
    • In adults, orthodontic treatment can take more time than in children.
    • Various types of orthodontic devices are available to adult patients, including aesthetic braces and eliners.
    • In some cases, orthodontic treatment can be carried out in combination with surgical intervention (Orthnatic surgery).

Section 7: Dental prosthetics: restoration of lost teeth.

  1. Why do you need tooth prosthetics?

    • Restoration of chewing function.
    • Restoring the aesthetic type of smile.
    • Prevention of displacement of neighboring teeth.
    • Prevention of atrophy of bone tissue of the jaw.
    • Improving diction.
  2. Types of dentures.

    • Removable prostheses:
      • Full removable prostheses (for patients who have lost all teeth).
      • Partial removable prostheses (for patients who have lost several teeth).
      • Bogel prostheses (more durable and comfortable than ordinary removable prostheses).
    • Factible prostheses:
      • Crings (cover a damaged tooth).
      • Bridge prostheses (replace missing teeth, resting on neighboring teeth).
      • Vinirs (thin ceramic overlays, improve the appearance of the teeth).
      • Lumineers (ultra -thin veneers do not require a turn of tooth).
      • Dental implants (artificial roots of the teeth on which crowns are installed).
  3. Dental implants: a modern method of prosthetics.

    • Advantages of dental implants:
      • Tooth restoration without damage to neighboring teeth.
      • Prevention of atrophy of bone tissue of the jaw.
      • Reliable fixation of the prosthesis.
      • Aesthetic appearance.
    • Stages of teeth implantation:
      • Consultation of a surgeon dentist and diagnostics (inspection, x-rays, computed tomography).
      • Surgical attitude of the implant into the bone of the jaw.
      • The period of osteointegration (enlistment of the implant to the bone, usually takes 3-6 months).
      • Installation of an abutment (adapter between the implant and the crown).
      • Production and installation of the crown on the implant.
  4. Materials for dentures.

    • Cermetracles (combination of a metal frame and ceramic cladding).
    • Bezmetall ceramics (made from zirconium dioxide or pressed ceramics, more aesthetic than cermet).
    • Acrylic plastics (used for the manufacture of removable prostheses).
    • Nylon (used for the manufacture of flexible removable prostheses).
    • Composite materials (used for the manufacture of veneers and restorations).
  5. Care for dentures.

    • Removable prostheses:
      • Daily prosthesis cleaning with a special brush and paste.
      • Storage of a prosthesis in a special container with a disinfectant solution.
      • Regular visits to the dentist for the correction of the prosthesis.
    • Factible prostheses:
      • Careful brushing twice a day.
      • The use of dental thread and interdental ruffs to clean the interdental spaces.
      • Regular visits to a dentist for a preventive examination and professional oral hygiene.

Section 8: Pregnancy and healthy health: what future mothers need to know.

  1. Hormonal changes and their effect on the oral cavity.
    • During pregnancy, a change in the hormonal background occurs, which can lead to:
      • Increasing bleeding gums (gingivitis of pregnant women).
      • Increase in teeth sensitivity.
      • Hire

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