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How to Keep a Healthy Smile

How to Keep a Healthy Smile . GULAFSHAN MUNSHEY DDS. Graduate of University of Michigan Dental School, 1997 . PREVENTIVE DENTISTRY. What do we want to Prevent? Caries Periodontitis Root canals Extractions. CARIES (Tooth Decay). Caused by Bacteria Poor or Inadequate Oral Hygiene

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How to Keep a Healthy Smile

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  1. How to Keep a Healthy Smile

  2. GULAFSHAN MUNSHEY DDS • Graduate of University of Michigan Dental School, 1997

  3. PREVENTIVE DENTISTRY What do we want to Prevent? • Caries • Periodontitis • Root canals • Extractions

  4. CARIES (Tooth Decay) • Caused by Bacteria • Poor or Inadequate Oral Hygiene • High Sugar/Starch diet • Frequent Snacking • Pop drinking

  5. “SIP ALL DAY GEY DECAY”

  6. CAVITIES

  7. CAVITIES

  8. Periodontitis (Gum Disease) • Caused by bacteria • Poor/Inadequate Oral Hygiene

  9. GUM DISEASE

  10. Plaque Bone Loss

  11. Abscess(tooth infection) • Treatment for abscess: • Root canal treatment (adults) • Pulpotomy& SS Crown • Extraction (pulling of the tooth)

  12. Abscessed Tooth Treatment: Pulpotomy& SS Crown

  13. How to Prevent Dental Problems from Occurring? • Brushing teeth twice a day, everyday • Flossing at least once a day, everyday • Use a mouthwash once a day, everyday • Healthy diet: Avoid sugary substances, pop, and frequent snacking • Regular 6 month check ups with a dentist/dental hygienist

  14. TOOTHPASTE SELECTION

  15. FLUORIDE TOOTHPASTE • Most contain Fluoride in varying concentration • The higher the content, the better at preventing plaque accumulation • Dark side of high content is tooth staining

  16. TARTAR-CONTROLTOOTHPASTE • Active Ingr: SodiumPyrophosphate • Successfully reduces tartar buildup between regular 6 month checkups • May give a false sense of security • May mask signs of gum disease • Longterm use may cause sensitivity

  17. SENSITIVITY TOOTHPASTE • Active Ingr: Potassium Nitrate or Strontium Chloride (ADA accepted) • Improvement noticed after 4-6 wks • Use only for 2-3 months

  18. WHITENING TOOTHPASTE • They DON’T work! • Just removes surface stains! • All toothpastes contain abrasives that do that! • Absolutely no effect on color of teeth

  19. PRESCIPTION TOOTHPASTE • Prevident 5000 plus • Fluoridex 5000 ppm • Renew (5000ppm + NovaMin for sensitivity) It is very new. • These are for people with highcaries rate.

  20. OTHER TOOTHPASTES • “Triclosan”, for treating and preventing gingivitis – Colgate Total • Natural toothpastes, May contain Vit C, which increases level of acidity in mouth • Most natural toothpastes are missing Fluoride except tom’s and maines natural toothpaste. • Baking soda toothpaste, has no effect on periodontitis, if you like the taste and that improve compliance then Go ahead and use it! • Look for the ADA seal of acceptance.

  21. MOUTHWASHES • Does not replace brushing & flossing • Should be part of the daily regimen • Kinds of Mouthwashes • Fluoridated Mouthwashes • Antiseptic Mouthwashes • Anti-microbial mouthwashes • Chlorhexidine Mouthwash

  22. FLUORIDATED MOUTHWASH • Reduce caries/tooth decay • ADA recommends for kids over 6 yrs old • Swish a minute and spit, don’t rinse after. • Don’t eat or drink for 30 mins afterwards • Has the ADA seal of acceptance

  23. ANTISEPTIC MOUTHWASH • Most common OTC mouthwash • May contain high content of Alcohol • Can reduce plaque & gingivitis • Can mask bad breath for 15-20 mins

  24. ANTIMICROBIAL MOUTHWASH • Most commonly prescribed is Chlorhexidinemouthrinse • Can reduce the number of bacteria in the mouth • Usually for people diagnosed with periodontitis. • Used for short period of time • Has side effects if used long term • Request an alcohol-free one.

  25. MOUTHWASH FOR DRY MOUTH • Some people might experience xerostomia (dry mouth) • Biotene mouthwash used once a day to keep a good salivary flow

  26. TOOTHBRUSHES • Soft, rounded, nylon bristles • Small head is generally better • Size and color of handle is personal preference • Power brushes are nice! • Have a timer • Are more thorough

  27. FLOSS • Floss Daily • Start at same spot and move clockwise • Used to reduce plaque between teeth • C-Shape • Kinds of floss • Waxed • Unwaxed • It doesn’t matter, JUST FLOSS!

  28. Other“Gadgets” • Interdental Brushes • To clean large spaces between teeth • Very effective • Water pik • Shoots water with pressure to get food out from teeth • Great for kids with braces • Tongue scraper • Excellent for cleaning the tongue • Toothpick • DO NOT USE

  29. 6 Monthly Dental Checkup • Very Important • Identifies problem areas before they turn into “problems” • Yearly X-rays • Shows early carious areas • Infections on teeth • Missing, impacted teeth • Sealants for kids • In-office Fluoride treatment

  30. 6 Monthly Dental Checkup • It sends the right message to the kids that “teeth are important” • Keeps them on top of their oral hygiene • And YES, if baby teeth have cavities, they need to be filled

  31. SEALANTS • Usually 1st & 2nd molars are sealed • Protects teeth from getting cavities • Usually done on kids between ages 6 & 14. • It seals the pits and fissures on the chewing surface of the molar

  32. “On the side” • Teeth are for chewing, smiling, • NOT for opening bottles, chip bags, cracking nuts OR Chewing on bones

  33. Thank you for your time and attention!

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