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Prevention of periodontal diseases

Prevention of periodontal diseases. DR.HINA ADNAN. Prevention is better than cure. Prevention is cheaper than cure. Prevention of a disease is greater good in life than its cure. Periodontal disease can be Gingivitis , Periodontitis. Symptoms : bleeding gum. Swollen red gum.

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Prevention of periodontal diseases

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  1. Prevention of periodontal diseases DR.HINA ADNAN

  2. Prevention is better than cure. • Prevention is cheaper than cure. • Prevention of a disease is greater good in life than its cure.

  3. Periodontal disease can be Gingivitis , Periodontitis. • Symptoms: • bleeding gum. • Swollen red gum. • Receding gum. • Gums pulling away from teeth. • black/ yellow deposits on teeth. • Loose or sensitive teeth. • Bad breath ( halitosis).

  4. Causes: • Poor oral hygiene. • Hormonal changes. • Certain medications. • Poor nutrition. • ILL fitting dentures and braces. • Smoking. • Diabetes. • HIV infections.

  5. Prevention and treatments of gum diseases: • Good oral hygiene practices. • Scaling and root planning. • Periodontal surgery. It has been shown that removing plaque once every 48 hours is sufficient to reduce microbial plaque accumulations

  6. Plaque control

  7. Remember…..!!! • Plaque is soft deposit that form the biofilm adhering to the tooth surface. • What do we mean by plaque control? Plaque control is the removal of dental/microbial plaque and the prevention of its accumulation on the teeth and adjacent gingival tissues. • It also deals with the prevention of calculus formation.

  8. Plaque is the major etiology of periodontal disease , therefore , daily plaque removal is success of ALL PERIODONTAL disease and dental treatment. • Position: supra and subgingival plaque control.

  9. Methods of plaque control 1-Mechanical plaque control methods: • Individuals. • Professional. 2- chemical plaque control methods: • Individuals. • Professional.

  10. Mechanical plaque control methods • Objective: is to complete daily removal of dental plaque with a minimum of effort time devices using the simplest methods possible. • These methods include: • Tooth brush. • Dentifrice. • Interdental cleaning aids. • Oral irrigation.

  11. Tooth brush • It can be manual or power device. • 1728 toothbrush made from Horse Hair. • 1857 toothbrush painted in America.

  12. Ideal properties or tooth brush selection • Tooth brush should be able to reach and efficiency clean most area of tooth surface. • No signal toothbrush is adequate for all patient. • Proper brush provide easy accessibility to all are of the of the mouth. • Small handed brushes are often helpful. • Easy for patient to manipulated. • Brushes should be compatible with recommended brushing technique. • Both natural and nylon bristles are satisfactory. • Soft brush is recommended. • Should be replaced every 3 months.

  13. Powered toothbrush • Appears in 1939. to make plaque control easier. • Its mainly recommended: • Individual lacking motor skills. • Handicapped patient. • Patient with orthodontic appliance. • Hospitalization patient. • Whoever wants to use.

  14. Patient should be lustrated for proper use. • For children: come in different shapes and colors it has soft round head to avoid soft tissue damage . It also play music at 1 min interval for monitoring brushing.

  15. EFFECTS & SEQUELAE OF THE INCORRECT USE OF MECHANICAL • Gingival erosion. • Gingival recession. • Cervical abrasion.

  16. Brushing technique • Horizontal method (scrub). • Leonard method ( vertical). • Bass method. • Stillman’s method. • Modified stillman’s method ( roll). • Charters method. • Methods of cleaning with powered toothbrush.

  17. Selection of method depends on the individual • Certain criteria should be assessed when selecting a toothbrush and tooth brush technique for the individual patient: 1- patient clinical situation: • State of gingival and periodontal tissue in regard to health. • Anatomic limitations . 2-patient personal situation: • Patient level of dexterity. • Motivation level , ability of patient to act on recommended procedure.

  18. Brushing sequence and timing • Patient is instructed to start with molar region of one arch around the opposite side than continue back around the lingual or facial surfaces of the same arch. • Last surface to be brush are occlusal . • patient instructed to strock each area 10 time of spend 10 seconds per area then move on to next area. • Time: 2 minutes ( 30 sec per quardnent)

  19. Thank you

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