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"caries" Definitions
  1. decay (= damage from natural causes or lack of care) in teeth or bones

607 Sentences With "caries"

How to use caries in a sentence? Find typical usage patterns (collocations)/phrases/context for "caries" and check conjugation/comparative form for "caries". Mastering all the usages of "caries" from sentence examples published by news publications.

Breastfeeding for 13 months to 23 months had no effect on dental caries.
And he knew the common names for caries, myopia and missing patellar reflex.
This is also associated with food insecurity: dental caries is more common in deprived areas.
But it's also because the bacteria that causes cavities, called caries, signify an infectious disease.
Plaque can build up on the exposed root and cause nasty-looking lesions called root caries.
Severe early childhood caries were defined as six or more decayed, missing and filled primary tooth surfaces.
Children with caries are susceptible to chronic ear and sinus infections, and cuts and abrasions that won't heal.
"Ideally, trials would run for 12 months or longer, which would also be important in any study that considered dental caries as an outcome, since it takes longer for caries to develop to a stage that can be detected by any of the methods currently available," the Cochrane researchers write.
The study also found an association for socioeconomic characteristics that can contribute to a higher risk of a child having dental caries.
Furthermore Black and Latino children experience disproportionate rates of caries, both untreated and filled, suggesting a need for culturally comprehensive preventative dental care programs.
Dental caries (that's tooth decay) in young people age 2 to 19 had a prevalence rate of nearly 50 percent in 2015 to 2016.
Their risk of having severe early childhood caries was also 2.4 times higher compared with those who were only breastfed up to 1 year of age.
At age 5, the children visited a dentist, and were examined for decayed, missing and filled primary tooth surfaces and severe early childhood caries, or severe cavities.
They can reveal an abscess caused by an infection or root caries, which are lesions at the tooth bottom that are more common starting in middle age.
Even though most children and adults in the U.S. see the dentist yearly, 17.5 percent of children and 27.4 percent of adults have untreated dental caries, the CDC estimates.
"General recommendations such as drinking fluoridated water as well as cleaning a child's teeth with fluoridated toothpaste before going to bed may help to prevent dental caries," she said.
Modern methods Tooth decay (caries) and gum disease (gingivitis and periodontitis) are among the most common diseases, with most of the world population affected, according to the World Health Organization.
While that might make good business sense, it also caries liabilities, for example, when you know for decades that your product is causing potentially cataclysmic changes in the global climate.
"The most common preventable disease is dental caries [dental cavity], which is caused by the bacteria Streptococcus mutans," says Alex Shalman, cosmetic dentist and clinical instructor at NYU College of Dentistry.
But sugar consumption was only associated with a greater risk of having severe early childhood dental caries when children who consumed the highest amount were compared with children who consumed the least.
California's screening results show that nine percent of refugees were infected with tuberculosis, 18.6 percent suffered from dental caries, and nearly 28 percent of refugees from African nations suffered from schistosomiasis. ADVERTISEMENT
" In an email to CNN, Dr. Pamela Den Besten, a professor in the University of California San Francisco's School of Dentistry, said, "Fluoride remains a safe and effective tool for caries prevention.
"Given that fluoride is added to toothpaste to secure that the enamel surface of the teeth is properly protected against caries, there is no need to supplement the dietary fluoride intake," he said.
By age 5, nearly 24 percent of children had severe early childhood caries, which researchers defined as six or more decayed, missing or filled tooth surfaces, according to the report in the journal Pediatrics.
"This study is important, because consuming sugar-sweetened beverages is associated with weight gain, Type 22014 diabetes, dental caries (cavities) and dyslipidemia (high cholesterol) in children, all of which have serious negative downstream health consequences," Rosinger said.
This firm is developing an antimicrobial peptide (a small protein molecule) aimed specifically at Streptococcus mutans, a bug that lives in the mouth and which is widely believed to be the microbe mainly responsible for dental caries.
Since the virus has an outward signal of the genes it caries, it made it easy for scientists to screen swarms of the virus for specific traits, like how well those surface proteins attach to other proteins.
Subsequent analyses of prolonged breastfeeding, taking into account the pattern of sugar consumption throughout the child's life course, showed that prolonged breastfeeding was an independent risk for severe caries and decayed, missing or filled teeth, the authors note.
For many young people, "the most important aspect of how caries (cavities) impacts you is that it impacts your academic performance," said Dr. Roseann Mulligan, associate dean and professor at the University of Southern California's Herman Ostrow School of Dentistry.
For instance, loss of this coverage would result in a return to the days when families would defer preventative care for children with conditions such as asthma or dental caries, leading to sometimes life-threatening, expensive emergencies when children were rushed to the hospital.
And then you kind of end up in this spiral where, if you happen to be in a lower income bracket where you don't get access to good dental care, you have dental caries, which is some type of decay, which then could lead to tooth loss.
If a young child's teeth are lost early or broken down due to decay, that child's adult teeth are more likely to be improperly positioned or unable to grow in, leaving them vulnerable to caries and gum disease, and greatly increases the chance the child will require orthodontia.
" Linda Birnbaum, director of the National Institute of Environmental Health Sciences, explained that a "large, cross-government working group" looked at the data available in 2010 to 2011 and concluded that 0.7 milligrams per liter was the appropriate level of fluoride concentration in drinking water, one that "balances protection from dental caries while limiting the risk from dental fluorosis.
Cariogram is a way to illustrate interactions between caries related factors. It demonstrates the caries risk graphically and shows the risk for developing new caries in the future and also chances to avoid new caries in the near future. It helps to understand the multifactorial aspects of dental caries. It can be used as a guide in attempts to estimate caries risk.
The faster spread of caries through dentin creates this triangular appearance in smooth surface caries.
2411 teeth from Jebel Moya were studied, with .2% having caries, which is the same as known pastoral societies. In contrast, the incidence of caries in Meroitic Nubia was 15.1%. The caries at Jebel Moya most frequently occurred on the third molar, whereas in known agricultural populations, caries occurred most on the second molar.
Some caries excavation methods lead to leaving caries-affected dentin behind to serve as the bonding substrate, mostly in indirect pulp capping. It is reported that the immediate bond strengths to caries-affected dentin are 20-50% lower than to sound dentin, and even lower with caries-infected dentin. How does caries progression correlates with this? First, it reduces mineral content, increases porosity and changes the dentinal collagen structure and its distribution too.
A range of studies have reported that there is a correlation between caries in primary teeth and caries in permanent teeth.
The evidence for linking malocclusion and/or crowding to dental caries is weak; however, the anatomy of teeth may affect the likelihood of caries formation. Where the deep developmental grooves of teeth are more numerous and exaggerated, pit and fissure caries is more likely to develop (see next section). Also, caries is more likely to develop when food is trapped between teeth.
Crinnion, C., et al. (2003). pp.223-239. The general patterns observed evidenced greater caries and antemortem loss in the mandibular collection, and more abscessing in the maxillary collection. Caries were found to be significantly lower in women, with an increase in caries corresponding to an increase in age. Men evidenced a higher number in caries with no discernible changes related to age.
Although the term "cementum caries" may be used to describe the decay on roots of teeth, very rarely does caries affect the cementum alone.
The main culprits in creation of dental caries are cariogenic microorganisms such as streptococcus mutans and sugar (see dental caries for detailed explanation of tooth cavity formation).
Page accessed January 17, 2007. In 1850, another sharp increase in the prevalence of caries occurred and is believed to be a result of widespread diet changes. Prior to this time, cervical caries was the most frequent type of caries, but increased availability of sugar cane, refined flour, bread, and sweetened tea corresponded with a greater number of pit and fissure caries. In the 1890s, W. D. Miller conducted a series of studies that led him to propose an explanation for dental caries that was influential for current theories.
Dental caries is the scientific term for cavities or tooth decay as a result of bacteria fermenting carbohydrates in the mouth. Caries is associated with poor cleaning of the mouth and receding gums that expose the roots of teeth. A study done on the frequency of dental caries in a medieval populatCon in Southwest France was done by researchers at the Université Paul-Sabatier. They studied 58 adults, both men and women, and found the prevalence of dental caries to be 17.46% with the most frequent types of caries being occlusal or proximal.
Dental radiographs (X-rays) may show dental caries before it is otherwise visible, in particular caries between the teeth. Large areas of dental caries are often apparent to the naked eye, but smaller lesions can be difficult to identify. Visual and tactile inspection along with radiographs are employed frequently among dentists, in particular to diagnose pit and fissure caries.Rosenstiel, Stephen F. Clinical Diagnosis of Dental Caries: A North American Perspective .
The largest increases in the prevalence of caries have been associated with diet changes. Today, caries remains one of the most common diseases throughout the world. In the United States, dental caries is the most common chronic childhood disease, being at least five times more common than asthma.Healthy People: 2010.
Banting, D. W. "The Diagnosis of Root Caries ." Presentation to the National Institute of Health Consensus Development Conference on Diagnosis and Management of Dental Caries Throughout Life, in pdf format, hosted on the National Institute of Dental and Craniofacial Research, p. 19. Page accessed August 15, 2006. Currently, there is not enough evidence to support a causal relationship between smoking and coronal caries, but evidence does suggest a relationship between smoking and root-surface caries.
Additionally, caries was mostly found on the second and third molars in both maxillary and mandibular teeth. The study found no statistically significant difference between the frequencies of caries in men and women but noted that the low levels of caries found overall was most likely due to attrition and noncariogenic foods.
Together with Thomas M. Marthaler and Klaus G. König, Mühlemann organized a symposium in Zurich in 1961 to disseminate his ideas about caries prevention. Using practical measures such as tooth brushing with fluoride, proper at-home tooth cleaning methods, and reduction of sugar consumption, he called for the cessation of the caries epidemic. Happy Tooth logo Numerous research studies emanating from the Caries Research Station demonstrated which foodstuffs were responsible for rapid caries development. Mühlemann was able to demonstrate that topically applied fluoride reduced the acid solubility of tooth enamel and therewith incidence of dental caries.
The name for this type of caries comes from the fact that the decay usually is a result of allowing children to fall asleep with sweetened liquids in their bottles or feeding children sweetened liquids multiple times during the day.Statement on Early Childhood Caries, American Dental Association at Another pattern of decay is "rampant caries", which signifies advanced or severe decay on multiple surfaces of many teeth.Radiographic Classification of Caries . Hosted on the Ohio State University website.
If rampant caries is a result of previous radiation to the head and neck, it may be described as radiation-induced caries. Problems can also be caused by the self-destruction of roots and whole tooth resorption when new teeth erupt or later from unknown causes. Children at 6–12 months are at increased risk of developing dental caries. For other kids aged 12–18 months, dental caries develop on primary teeth and approximately twice yearly for permanent teeth.
Caries, for example, have become a major endemic disease, affecting 60-90% of schoolchildren in industrialized countries. In contrast, dental caries and periodontal diseases were rare in pre-Neolithic and early hominins.
Naturalized from Latin into English (a loanword), caries in its English form originated as a mass noun that means "rottenness", that is, "decay". Cariesology or cariology is the study of dental caries.
Enamel begins to demineralize at a pH of 5.5. Dentin and cementum are more susceptible to caries than enamel because they have lower mineral content. Thus, when root surfaces of teeth are exposed from gingival recession or periodontal disease, caries can develop more readily. Even in a healthy oral environment, however, the tooth is susceptible to dental caries.
Although rarely seen in cats, the incidence of caries in dogs has been estimated at approximately 5%.Hale FA. "Dental caries in the dog." J Vet Dent. 1998 Jun;15(2):79-83. .
Natural history of dental caries and resultant toothache and odontogenic infection.
Temporal descriptions can be applied to caries to indicate the progression rate and previous history. "Acute" signifies a quickly developing condition, whereas "chronic" describes a condition that has taken an extended time to develop, in which thousands of meals and snacks, many causing some acid demineralization that is not remineralized, eventually result in cavities. Recurrent caries, also described as secondary, are caries that appear at a location with a previous history of caries. This is frequently found on the margins of fillings and other dental restorations.
Another notable oral disease pertinent to maternal child health is dental caries. Dental caries is the process of tooth decay, and the development of what is commonly known as cavities. Dental caries are transmitted from mother to child vertically; colonization of cariogenic bacteria primarily occurs from mother to child through saliva-sharing activities. Maternal oral flora can ultimately foretell oral flora in offspring.
Rampant caries caused by methamphetamine abuse. Early childhood caries (ECC), also known as "baby bottle caries," "baby bottle tooth decay" or "bottle rot," is a pattern of decay found in young children with their deciduous (baby) teeth. This must include the presence of at least one carious lesion on a primary tooth in a child under the age of 6 years.Sukumaran Anil.
Caries Through Time: An Anthropological Overview; Luis Pezo Lanfranco and Sabine Eggers; Laboratório de Antropologia Biológica, Depto. de Genética e Biologia Evolutiva, Instituto de Biociências, Universidade de São Paulo, Brazil The increase of caries during the neolithic period may be attributed to the increased consumption of plant foods containing carbohydrates. The beginning of rice cultivation in South Asia is also believed to have caused an increase in caries especially for women, although there is also some evidence from sites in Thailand, such as Khok Phanom Di, that shows a decrease in overall percentage of dental caries with the increase in dependence on rice agriculture. A Sumerian text from 5000 BC describes a "tooth worm" as the cause of caries.
Comparison of artificial caries-like lesions by quantitative microradiography and microhardness profiles.
Diagrammatic representation of acidogenic theory of causation of dental caries. Four factors, namely, a suitable carbohydrate substrate (1), micro-organisms in dental plaque (2), a susceptible tooth surface (3) and time (4); must be present together for dental caries to occur (5). Saliva (6) and fluoride (7) are modifying factors Four things are required for caries formation: a tooth surface (enamel or dentin), caries-causing bacteria, fermentable carbohydrates (such as sucrose), and time. This involves adherence of food to the teeth and acid creation by the bacteria that makes up the dental plaque.
Caries form as a result of heavily consuming domesticated plant foods that are high in carbohydrates. In fact, no caries were found in any Gebel Ramlah remains. Typically a small percentage of caries form even within fully hunter- gatherer societies. Archaeologists are not sure how these lesions were entirely prevented, but Irish suggests that other factors may have been at play as well, such as oral cleansing.
The specific plaque hypothesis was originally the theory that specific pathogens alone were capable of causing caries. However, the theory is proscribed by the fact that caries occurs even in the absence of these bacteria, albeit to a lesser degree. Despite this, the hypothesis was useful in diagnosis and treatment, associating caries with such truly cariogenic bacteria as Streptococcus mutans and the lactobacilli species.
The approach of minimal intervention dentistry is centred on management of the dental caries disease responsible for tooth decay, first controlling and curing the disease, then restoring the tooth, filling only where necessary, and finally prevention from future caries.
Hahn CL. Liewehr FR. Innate immune responses of the dental pulp to caries.
As we've already announced, your opponent is in the last stages of chessic caries.
In 1924 in London, Killian Clarke described a spherical bacterium in chains isolated from carious lesions which he called Streptococcus mutans. Although Clarke proposed that this organism was the cause of caries, the discovery was not followed up. Later, in 1954 in the US, Frank Orland working with hamsters showed that caries was transmissible and caused by acid-producing Streptococcus thus ending the debate whether dental caries were resultant from bacteria. It was not until the late 1960s that it became generally accepted that the Streptococcus isolated from hamster caries was the same as S. mutans.
Risk factors for dental caries includes living in poverty, poor education, low socioeconomic status, being part of an ethnic minority group, having a developmental disability, recent immigrants and people infected with HIV/AIDS. In Peru, poverty was found to be positively correlated with dental caries among children.Delgado-Angulo, E., Hobdell, M., & Bernabé, E. (2009). Poverty, social exclusion and dental caries of 12-year-old children: a cross-sectional study in Lima, Peru.
Depending on which hard tissues are affected, it is possible to describe caries as involving enamel, dentin, or cementum. Early in its development, caries may affect only enamel. Once the extent of decay reaches the deeper layer of dentin, the term "dentinal caries" is used. Since cementum is the hard tissue that covers the roots of teeth, it is not often affected by decay unless the roots of teeth are exposed to the mouth.
The Greco-Roman civilization, in addition to the Egyptian civilization, had treatments for pain resulting from caries. The rate of caries remained low through the Bronze Age and Iron Age, but sharply increased during the Middle Ages. Periodic increases in caries prevalence had been small in comparison to the 1000 AD increase, when sugar cane became more accessible to the Western world. Treatment consisted mainly of herbal remedies and charms, but sometimes also included bloodletting.
Medieval teeth 'better than Baldrick's' , BBC news. There is also evidence of caries increase in North American Indians after contact with colonizing Europeans. Before colonization, North American Indians subsisted on hunter-gatherer diets, but afterward there was a greater reliance on maize agriculture, which made these groups more susceptible to caries. During the European Age of Enlightenment, the belief that a "tooth worm" caused caries was also no longer accepted in the European medical community.
When farnesol is in high concentration, it inhibits the growth of both S. mutans and C. albicans. This decreases the biofilm pathogenesis, and therefore its caries promoting potential. This offers the potential for an anti-fungal to be used in the prevention of dental caries.
Dental decay or dental caries is the gradual destruction of tooth enamel. Poverty is a significant determinant for oral health. Dental caries is one of the most common chronic diseases worldwide. In the United States it is the most common chronic disease of childhood.
Bright transilluminated light can highlight dental caries and sign of dental trauma such as enamel infractions.
It is common knowledge that certain dietary habits contribute to disease, whether patients take note of advice which is given to them and change their diet as a result, is less certain. Recent studies on diet and caries have been confounded by the widespread use of fluoride toothpastes. Studies have argued that with greater exposure to fluoride, the sugar consumption/caries relationship may be weaker in the modern age than previously thought, with fluoride raising the threshold of sugar intake at which caries progresses to cavitation. It has been concluded in modern societies that a significant relationship between sugars and caries persists despite the regular widespread use of fluoride toothpaste.
Miller, WD: The human mouth as a focus of infection. Dent Cosmos 1891; 33:689, 789, 913. In 1890 Miller formulated the chemo-parasitic theory of caries (tooth decay). This theory held that caries is caused by acids produced by oral bacteria following fermentation of sugars.
The specific plaque hypothesis was introduced by Loesche, following on from observations that rodents did not develop caries even with a highly cariogenic diet unless specific bacteria such as streptococci were introduced. It is understood that specific microorganisms play an importance in both caries and periodontal diseases.
Nutrition and Dental Caries – A Survey of the Literature of Dental Caries. Page 429 The research materials include some 15,000 photographs, 4,000 slides, and many filmstrips. In the book, Price claimed that various diseases endemic to Western cultures of the 1920s and 1930s – from dental caries to tuberculosis – were rarely present in non- Western cultures. He argued that as non-Western groups abandoned indigenous diets and adopted Western patterns of living, they showed increases in typical Western diseases.
S. sobrinus in conjunction with the closely related species Streptococcus mutans are pathogenic within humans and enhances the formation of caries within teeth. Biofilm from the mixture of sugar and plaque create a suitable environment for S. sobrinus to grow. S. sobrinus is more closely connected with the prevalence of caries than S. mutans. S. sobrinus is also affiliated with early childhood caries, which are responsible for the majority of dental abscesses and toothaches in children.
Dental caries, commonly referred to as cavities or tooth decay, are caused by localized destruction of tooth enamel, as a result of acids produced by bacteria feeding upon and fermenting carbohydrates in the mouth. Subsistence based upon agriculture is strongly associated with a higher rate of caries than subsistence based upon foraging, because of the higher levels of carbohydrates in diets based upon agriculture. For example, bioarchaeologists have used caries in skeletons to correlate a diet of rice and agriculture with the disease. Females may be more vulnerable to caries compared to men, due to lower saliva flow than males, the positive correlation of estrogens with increased caries rates, and because of physiological changes associated with pregnancy, such as suppression of the immune system and a possible concomitant decrease in antimicrobial activity in the oral cavity.
He also hypothesizes that the grinding of teeth crowns reduced the surface area where caries could form.
A preformed metal crown is a dental crown used particularly in paediatric dentistry to restore dental caries.
Thus a type of tertiary dentin forms in reaction to stimuli, such as attrition or dental caries.
Fluoride therapy is often recommended to protect against dental caries. Water fluoridation and fluoride supplements decrease the incidence of dental caries. Fluoride helps prevent dental decay by binding to the hydroxyapatite crystals in enamel. The incorporated fluoride makes enamel more resistant to demineralization and thus more resistant to decay.
An image from Omne Bonum (14th century) depicting a dentist extracting a tooth with forceps. There is a long history of dental caries. Over a million years ago, hominins such as Paranthropus suffered from cavities. The largest increases in the prevalence of caries have been associated with dietary changes.
Besides lead, all atoms with electrical charge and ionic radius similar to bivalent calcium, such as cadmium, mimic the calcium ion and therefore exposure to them may promote tooth decay. Poverty is also a significant social determinant for oral health. Dental caries have been linked with lower socio-economic status and can be considered a disease of poverty. Forms are available for risk assessment for caries when treating dental cases; this system using the evidence-based Caries Management by Risk Assessment (CAMBRA).
In most cases, caries were associated with "severe gingival retraction, sepsis, exposure of cementum, and loosening of teeth".
Caries Risk Assessment — A Swedish Model: Over the past few decades, Swedish researchers have been developing and applying new concepts for caries risk assessment. The pioneering work of Bo Krasse and his team at the Dental School in Göteborg laid the foundation for the development of a comprehensive model of the caries risk profile. Building on this work, Douglas Bratthall and coworkers at the Dental School in Malmö have attempted to make the practical application of risk assessment more accessible by developing a computer-based caries risk assessment model. According to Douglas Bratthall and coworkers 1997: Relevant information regarding the patient is collected, scored according to a standardized protocol and then entered into a computerized program called Cariogram.
The individuals at Mán Bạc display a very high frequency of dental caries, the highest of any ancient archaeological site from Southeast Asia; the only other site in Southeast Asia with dental cary frequencies approaching that at Man Bac is . As is the case for Khok Phanom Di, the high prevalence of dental caries at Mán Bạc is partially skewed by the high frequencies of dental caries found in its female inhabitants; at both sites, the females were found to have over twice as many dental caries as the males. The individuals at the site, especially the children, show extremely high frequencies of cribra orbitalia, a condition generally associated with poor health.
Since demineralization of enamel by caries, in general, follows the direction of the enamel rods, the different triangular patterns between pit and fissure and smooth-surface caries develop in the enamel because the orientation of enamel rods are different in the two areas of the tooth. As the enamel loses minerals, and dental caries progresses, the enamel develops several distinct zones, visible under a light microscope. From the deepest layer of the enamel to the enamel surface, the identified areas are the: translucent zone, dark zones, body of the lesion, and surface zone. The translucent zone is the first visible sign of caries and coincides with a one to two percent loss of minerals.
An oral health assessment carried out before a child reaches the age of one may help with management of caries. The oral health assessment should include checking the child's history, a clinical examination, checking the risk of caries in the child including the state of their occlusion and assessing how well equipped the child's parent or carer is to help the child prevent caries. In order to further increase a child's cooperation in caries management, good communication by the dentist and the rest of the staff of a dental practice should be used. This communication can be improved by calling the child by their name, using eye contact and including them in any conversation about their treatment.
True dental caries are uncommon among companion animals. Although it has not been accurately documented in cats, the incidence of caries in dogs has been estimated at approximately 5%. The term feline cavities is commonly used to refer to TRs; however, sacchrolytic acid- producing bacteria are not involved in this condition.
The contribution of dietary factors to dental caries and disparities in caries. Academic Pediatrics, 9(6), 410-414. Because the mouth is a gateway to the respiratory and digestive tracts, oral health has a significant impact on other health outcomes. Gum disease has been linked to diseases such as cardiovascular disease.
Imfeld T. (1983). Identification of low caries risk dietary components. In: "Monographs in Oral Science". Vol. 11: 1-198.
AdDent introduces the Proximal Caries Light Guide, a new and improved plug-in accessory for its Microlux Diagnostic System.
The tip of a dental explorer, which is used for caries diagnosis A dental infection resulting in an abscess and inflammation of the maxillary sinus Tooth samples imaged with a non-coherent continuous light source (row 1), LSI (row 2) and pseudo-color visualization of LSI (row 3). The presentation of caries is highly variable. However, the risk factors and stages of development are similar. Initially, it may appear as a small chalky area (smooth surface caries), which may eventually develop into a large cavitation.
Using computer to diagnose and plan treatment of approximal caries. Detected in radiographs. - J. Am. Dent. Assoc., 126, 1995, Vol.
Pathologic demonstration model, 4 x life size, with various pathological conditions like caries, dental calculus, pyorrhea, free dentine and abrasion.
Healthy People.gov. Countries that have experienced an overall decrease in cases of tooth decay continue to have a disparity in the distribution of the disease."Dental caries", from the Disease Control Priorities Project. Among children in the United States and Europe, 60–80% of cases of dental caries occur in 20% of the population.
Nanci, p. 166 The carious process continues through the dentinal tubules, which are responsible for the triangular patterns resulting from the progression of caries deep into the tooth. The tubules also allow caries to progress faster. In response, the fluid inside the tubules brings immunoglobulins from the immune system to fight the bacterial infection.
As head of the Department of Biochemistry at Moscow Stomatological Institute, Professor A.E. Sharpenak tackled one of the major problems of dentistry, namely, the etiology and pathogenesis of dental caries. Throughout the 1940s, under his leadership (V.R. Bobyleva, L.A. Gorozhankina, E.V. Aleksandrova, N.P. Dzichkovskaya, N.V. Nikolaeva, I.I. Grachev) a large amount of experimental work was carried out on the etiology of dental caries. In 1949, after numerous experiments, Professor A.E. Sharpenak proposed the theory of dental caries due to lack of income in the organs and tissues protein, B vitamins and an excess of carbohydrates.
Because the cementum enveloping the root surface is not nearly as durable as the enamel encasing the crown, root caries tend to progress much more rapidly than decay on other surfaces. The progression and loss of mineralization on the root surface is 2.5 times faster than caries in enamel. In very severe cases where oral hygiene is very poor and where the diet is very rich in fermentable carbohydrates, caries may cause cavities within months of tooth eruption. This can occur, for example, when children continuously drink sugary drinks from baby bottles (see later discussion).
Page accessed January 8, 2007.See Common effects of cancer therapies on salivary glands at Susceptibility to caries can be related to altered metabolism in the tooth, in particular to fluid flow in the dentin. Experiments on rats have shown that a high-sucrose, cariogenic diet "significantly suppresses the rate of fluid motion" in dentin.Ralph R. Steinman & John Leonora (1971) "Relationship of fluid transport through dentation to the incidence of dental caries", Journal of Dental Research 50(6): 1536 to 43 The use of tobacco may also increase the risk for caries formation.
A systematic review conducted by Contreras et al. in 2017 concluded that 30% and 38% concentrations of SDF were most effective for caries arrest. One of the clinical trials in this systematic review found 38% SDF to be significantly more effective for the prevention of caries in primary teeth, with 80% fewer new lesions in primary teeth, and 65% fewer new lesions in first permanent molars. Yee et al (2009) compared the effectiveness of 38% against 12% SDF, with or without using a reducing agent for the caries arrest.
These caries, sometimes referred to as "hidden caries", will still be visible on X-ray radiographs, but visual examination of the tooth would show the enamel intact or minimally perforated. The differential diagnosis for dental caries includes dental fluorosis and developmental defects of the tooth including hypomineralization of the tooth and hypoplasia of the tooth. The early carious lesion is characterized by demineralization of the tooth surface, altering the tooth's optical properties. Technology utilizing laser speckle image (LSI) techniques may provide a diagnostic aid to detect early carious lesions.
Stuttgart, Thieme Verlag; 2009 Bruno Regolati, who continued the research in caries prevention, Hans Graf and Thomas Imfeld, who advanced and perfected intraoral pH-telemetry, and Bernhard Guggenheim, who demonstrated the significance of oral microbiology and immunology.Guggenheim B, Guggenheim M, Gmür R, Giertsen E, Thurnheer T. Application of the Zürich biofilm model to problems of cariology. Caries Res. 2004 May-Jun;38(3):212-22 In addition to these endeavors with dental caries, Mühlemann devoted himself as early as the 1960s to the treatment and prevention of periodontitis.
Self assembling properties of P11-4 are used to regenerate early caries lesions. By application of P11-4 on the tooth surface, the peptide diffuse through the intact hypomineralized plate into the early caries lesion body and start, due to the low pH in such a lesion, to self-assemble generating a peptide scaffold mimicking the enamel matrix. Around the newly formed matrix de-novo enamel-crystals are formed from calcium phosphate present in saliva. Through the remineralization caries activity is significantly reduced in comparison with a fluoride treatment alone.
Dental caries is a process in which enamel is dissolved by acid producing bacteria. In 2004-2006, the average DMFT (decayed, missing and filled teeth) for adults in Australia over the age of 65 was found to be 23.7%. An individual’s caries risk is influenced by their sugar intake, frequency of eating, oral hygiene levels, saliva flow and function and recession. Gingival recession is a significant finding in older adults because the exposed root surface is more susceptible to root caries and therefore increases the risk for the patient.
Identification of low caries risk dietary components. In: "Monographs in Oral Science". Vol. 11: 1-198. Myers H.M. (ed.), Karger, Basel.
It is estimated that untreated dental caries results in worldwide productivity losses in the size of about US$27 billion yearly.
ADA Caries Risk Assessment Form Completion Instructions. American Dental Association It is still unknown if the identification of high-risk individuals can lead to more effective long- term patient management that prevents caries initiation and arrests or reverses the progression of lesions. Saliva also contains iodine and EGF. EGF results effective in cellular proliferation, differentiation and survival.
Dental caries, also known as tooth decay, is uncommon among companion animals. The bacteria Streptococcus mutans and Streptococcus sanguis cause dental caries by metabolising sugars. The term feline cavities is commonly used to refer to feline odontoclastic resorptive lesions, however, sacchrolytic acid- producing bacteria (the same responsible for Dental plaque) are not involved in this condition.
Although S. mutans can be antagonized by pioneer colonizers, once they become dominant in oral biofilms, dental caries can develop and thrive.
The Toothfriendly Foundation is the charitable arm of the association. The Foundation is responsible for caries prevention projects in less-developed countries.
Formann, A. K. (1994). Measurement errors in caries diagnosis: Some further latent class models. Biometrics, 50, 865-871.Formann, A. K. (2003).
First molars which were restored and/or with caries showed a higher incidence of pulp stones as compared to intact, unrestored first molars.
The minerals in the hard tissues of the teeth (enamel, dentin and cementum) are constantly undergoing processes of demineralization and remineralization. Dental caries results when the demineralization rate is faster than the remineralization and there is net mineral loss. This happens when there is an ecologic shift within the dental biofilm, from a balanced population of micro- organisms to a population that produce acids and can survive in an acid environment.Fejerskov O, Nyvad B, Kidd EA (2008) "Pathology of dental caries", pp 20–48 in Fejerskov O, Kidd EAM (eds) Dental caries: The disease and its clinical management.
There is also increasing use of newer technologies such as photo-activated disinfection and treating with ozone. There is also an aspect of minimising the effect of the caries to control the symptoms of decay. Constant remineralisation (hardening) with continuous application of fluoride toothpaste is highly common practice that reduces the impact of the caries on decay. Changing the biochemical properties of saliva, potentially through the use of appropriate drugs, can help the buffering capacity of the saliva to resist changes in pH caused by plaque acid, resisting the acid attack caused by the active caries.
Mühlemann was able to demonstrate that fluoride was also effective when applied topically after tooth eruption; this led him to the development of fluoride-containing dentifrice and mouthwash, and also to the fluoridation of table salt.Mühlemann, H.R. und König, K.G. (Editor/Publisher.): The Present Status of Caries Prevention with Fluorine-containing Dentifrices. Bern und Stuttgart (Verlag H. Huber) 1961 He created a Caries Research Station led by Klaus G. König, who was called to a professorship in Nijmegen, the Netherlands, in 1968.Regolati B, König KG, Mühlemann HR. Effects of topically applied disinfectants on caries in fissures and smooth surfaces of rat molars.
Worldwide, approximately 3.6 billion people (48% of the population) have dental caries in their permanent teeth as of 2016. The World Health Organization estimates that nearly all adults have dental caries at some point in time. In baby teeth it affects about 620 million people or 9% of the population. They have become more common in both children and adults in recent years.
These defense mechanisms include the formation of sclerotic and tertiary dentin."Teeth & Jaws: Caries, Pulp, & Periapical Conditions ," hosted on the University of Southern California School of Dentistry website. Page accessed June 22, 2007. In dentin from the deepest layer to the enamel, the distinct areas affected by caries are the advancing front, the zone of bacterial penetration, and the zone of destruction.
Helv Odontol Acta 1972; 16:45–68 During his years in the United States, Mühlemann had learned that caries incidence could be significantly reduced through fluoridation of the communal water supply. The assumption at that time was that fluoride by way of the blood vascular system would be incorporated into tooth substance during tooth development, and positively affect caries resistance.
Therefore, IMO acts as an anti-caries agent.Minami T, et al. (1989). Caries-inducing activity of isomaltooligosugar (IMOS) in vitro and rat experiments. Shoni Shikagaku Zasshi 27(4) 1010-7) The reported Glycemic Index (GI) for IMO is 34.66±7.65 (on a scale of 1–100) which represents a low GI.Sheng, G. E., Dong-lian, C. A. I. & Wan, Li-li.
Deletion of 5q12.1 can lead to the development of mental retardation and ocular defects. Another deletion in the 5q12.1 - 5q12.3 region lead to mental- motor retardation and dysmorphia. In terms of diseases, Caries is a multifactorial disease and little is still known about the host genetic factors influencing susceptibility. The interval 5q12.1-5q13.3 as linked to low caries susceptibility in Filipino families.
To date, there have been no studies that show that altering the basic formulation recommended by the FDA will result in greater caries reduction.
Caries Research. 1999 Sep 23;33(6):455-61. The dental abrasion process can be further stimulated and accelerated through the effects of dental Acid erosion.
J., 50(3): 174.• Riva Touger-Decker and Van Loveren C. (2003). Sugars and dental caries. Americal Journal of Clinical Nutrition; 78 (suppl) 881S-92S.
An adult green acouchi weighs around , and has a short tail. The acouchi is a frugivore and so is prone to the dental disease caries.
Advanced tooth decay on a premolar Dental caries (cavities), described as "tooth decay", is an infectious disease which damages the structures of teeth.Dental Cavities, MedlinePlus Medical Encyclopedia. The disease can lead to pain, tooth loss, and infection. Dental caries has a long history, with evidence showing the disease was present in the Bronze, Iron, and Middle ages but also prior to the neolithic period.
Olaflur (INN, or amine fluoride 297) is a fluoride-containing substance that is an ingredient of toothpastes and solutions for the prevention of dental caries. It has been in use since 1966. Especially in combination with dectaflur, it is also used in the form of gels for the treatment of early stages of caries, sensitive teeth, and by dentists for the refluoridation of damaged tooth enamel.
The disease is most common in the developed world due to greater simple sugar consumption and less common in the developing world. Caries is Latin for "rottenness".
Macrophages are professional phagocytes in innate immune responses. Activated macrophages are effective killers that eliminate pathogens in both innate and adaptive immune responses, and are also important in tissue homeostasis, through the clearance of senescent cells, and in remodeling and repair of tissue after inflammation. The number of macrophages increases with the progression of caries and is always higher than that of DCs at all stages of the caries invasion.
Risk factors include conditions that result in less saliva such as: diabetes mellitus, Sjögren syndrome and some medications. Medications that decrease saliva production include antihistamines and antidepressants. Dental caries are also associated with poverty, poor cleaning of the mouth, and receding gums resulting in exposure of the roots of the teeth. Prevention of dental caries includes regular cleaning of the teeth, a diet low in sugar, and small amounts of fluoride.
Unlike enamel, the dentin reacts to the progression of dental caries. After tooth formation, the ameloblasts, which produce enamel, are destroyed once enamel formation is complete and thus cannot later regenerate enamel after its destruction. On the other hand, dentin is produced continuously throughout life by odontoblasts, which reside at the border between the pulp and dentin. Since odontoblasts are present, a stimulus, such as caries, can trigger a biologic response.
Sometimes caries may be directly visible. However other methods of detection such as X-rays are used for less visible areas of teeth and to judge the extent of destruction. Lasers for detecting caries allow detection without ionizing radiation and are now used for detection of interproximal decay (between the teeth). Primary diagnosis involves inspection of all visible tooth surfaces using a good light source, dental mirror and explorer.
Tooth decay has been present throughout human history, from early hominids millions of years ago, to modern humans. The prevalence of caries increased dramatically in the 19th century, as the Industrial Revolution made certain items, such as refined sugar and flour, readily available. The diet of the “newly industrialized English working class” then became centered on bread, jam, and sweetened tea, greatly increasing both sugar consumption and caries.
Fluorapatite is found in the teeth of sharks and other fishes in varying concentrations. It is also present in human teeth that have been exposed to fluoride ions, for example, through water fluoridation or by using fluoride- containing toothpaste. The presence of fluorapatite helps prevent tooth decay or dental caries. Fluoroapatite has a critical pH of 4.5, thus it makes tooth structure more resistant to additional caries attack.
The acidity levels found in fruit juices vary, with citrus based juices having the lowest pH levels. The low acidity found in fruit juices cause higher risk of cavities with enamel exposure. Frequency of sugar sweetened beverages results in dental caries, which are caused by Streptococcus bacteria. Dental caries is an infectious oral disease and is the breakdown of the teeth due to the bacteria in the mouth.
Toothache may occur at any age, in any gender and in any geographic region. Diagnosing and relieving toothache is considered one of the main responsibilities of dentists. Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries.
Plaque hypotheses are theories to explain the role of plaque bacteria in dental caries and in periodontitis. They rely heavily on the postulates of Koch (formulated in 1884) and on the work of Louis Pasteur (1822-1895). Changing perceptions have altered treatment models. The hypotheses have sought to establish both in caries and in periodontitis a relation between pathogen virulence, environmental considerations, plaque biofilm structure and the host response.
Bacteroides and spirochetes colonize the mouth around puberty. Of particular interest is the role of oral microorganisms in the two major dental diseases: dental caries and periodontal disease.
The prevalence of caries in a population is dependent upon factors such as diet (refined sugars), socioeconomic status, and exposure to fluoride (such as areas without water fluoridation).
Early childhood caries (ECC) is a multi-factorial disease, referring to various risk factors that inter-relate to increase risk of developing the disease. These risk factors include but not limited to, cariogenic bacteria, diet practices and socioeconomic factors. Normally after 6 months, deciduous teeth begin to erupt means, they are susceptible to tooth decay or dental caries. In some unfortunate cases, infants and young children have experienced severe tooth decay called ECC.
Although the first two items are not classic components of innate immunity, they are uniquely involved in the initial inflammatory response to caries. Odontoblasts, (the cells that form dentin) have cellular processes that extend into dentinal tubules and are the first to encounter the caries bacterial antigens. They express low levels of interleukin 8 (IL-8) and genes related to chemokines and chemokine receptors. The odontoblasts have been shown to attract immature dendritic cells.
Since the carious process is reversible before a cavity is present, it may be possible to arrest caries with fluoride and remineralize the tooth surface. When a cavity is present, a restoration will be needed to replace the lost tooth structure. At times, pit and fissure caries may be difficult to detect. Bacteria can penetrate the enamel to reach dentin, but then the outer surface may remineralize, especially if fluoride is present.
On the other hand, incipient caries describes decay at a location that has not experienced previous decay. Arrested caries describes a lesion on a tooth that was previously demineralized but was remineralized before causing a cavitation. Fluoride treatment can help recalcification of tooth enamel as well as the use of amorphous calcium phosphate. Micro-invasive interventions (such as dental sealant or resin infiltration) have been shown to slow down the progression of proximal decay.
Visual of tooth decay.Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. The minimally invasive endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp (nerve) tissues to heal and regenerate plus the availability of advanced endodontic materials. During the caries removal, this results in a carious or mechanical pulp exposure (bleeding) from the cavity.
Dental caries (more commonly known as tooth decay or cavities) is the most common chronic childhood disease. The transition from breastfeeding or bottle feeding can be a challenging time for both parent and infant. Importantly, it represents a time where the risk for development of dental caries begins with the eruption of the first baby teeth. Transition from breastfeeding/bottle-feeding usually coincides with the introduction of solid foods that may contain substances (i.e.
Caries disease process results in structural changes to the dental hard tissue. The diffusion of ions out of the tooth, known as the demineralisation process, will result in loss of mineral content. The resulting region will be filled mainly by bacteria and water. This region will have greater porosity than the surrounding tissue, which results in a distinct change in the optical properties of the affected dental tissue, providing evidence of caries-induced change.
Dectaflur (INN) is a fluoride-containing substance used for the prevention and treatment of dental caries, sensitive teeth, and the refluoridation of damaged tooth enamel, typically in combination with olaflur.
Myers H.M. (ed.), Karger, Basel.Igarashi K., Lee I.K. and Schachtele Ch.F. (1989). Comparison of in vivo human dental plaque pH changes within artificial fissures and at interproximal sites. Caries Res.
Dental caries (tooth decay) begins as an opaque white spot on the surface of the enamel. As demineralization progresses, the various lesion eventually cavitates and the underlying brown color becomes visible.
It has a mild bacteriostatic property as well, which helps decrease the proliferation of Streptococcus mutans, the predominant bacterium related to dental caries.Trushkowsky, Richard. "The science of caries diagnosis" . Dentistry IQ.
In Bangor Basti, 98 percent of children are estimated to have dental caries. Additionally, most street children do not have winter clothing, leaving them more vulnerable to illness during the winter.
Children with severe haemophilia have significant lower prevalence of dental caries and lower plaque scores compared with matched, healthy controls.Glick, Michael (2015). Burket's Oral Medicine. USA: People's Medical Publishing House. pp.
Practice of good oral hygiene including daily brushing, flossing and the use of appropriate mouthwash can significantly reduce the number of oral bacteria, including S. mutans and inhibit their proliferation. S. mutans often live in dental plaque, hence mechanical removal of plaque is an effective way of getting rid of them. The best toothbrushing technique to reduce plaque build up, decreasing caries risk, is the modified Bass technique. Brushing twice daily can help decrease the caries risk.
The principles of the chemo-parasitic theory were bolstered by the descriptions of bacterial plaque on tooth surfaces independently by GV Black and by JL Williams in 1898. The biomass of plaque helps localize acids at the tooth surface and prevent dilution by saliva. Miller thought that no single species of bacteria could cause caries. This idea was supplanted in the 1950s when the role of Streptococcus mutans as a primary pathogen in caries was established.
Maintained by the University of Michigan Dentistry Library, along with the National Institutes of Health, National Institute of Dental and Craniofacial Research. 2000. Page accessed August 13, 2006. Early, uncavitated caries is often diagnosed by blowing air across the suspect surface, which removes moisture and changes the optical properties of the unmineralized enamel. Some dental researchers have cautioned against the use of dental explorers to find caries,Summit, James B., J. William Robbins, and Richard S. Schwartz.
He found that bacteria inhabited the mouth and that they produced acids that dissolved tooth structures when in the presence of fermentable carbohydrates. This explanation is known as the chemoparasitic caries theory. Miller's contribution, along with the research on plaque by G. V. Black and J. L. Williams, served as the foundation for the current explanation of the etiology of caries. Several of the specific strains of lactobacilli were identified in 1921 by Fernando E. Rodríguez Vargas.
The abnormalities of dental development correlate with the age at which metabolic disturbances occur. For example, enamel hypoplasia in the form of white or brown discoloration of primary teeth is commonly seen in young children with early-onset renal disease. Poor oral hygiene, a carbohydrate-rich diet, disease-related debilitation, hypoplastic enamel, low salivary flow rate and long-term medication contribute to increased risk of caries formation. However, the patients usually have low caries activity, particularly in children.
A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents evidence-based clinical recommendations regarding professionally applied, prescription-strength and home-use topical fluoride agents for caries prevention. The panel recommends the use of 2.26 percent fluoride varnish for people at risk of developing dental caries. As part of the evidence-based approach to care, these clinical recommendations should be integrated with a practitioner's professional judgment and the patient's needs and preferences.
The health of the people living at Phum Snay was also determined from the burials. Rates of attrition, caries, and abscesses in the teeth of the human remains gave an idea of their dietary habits. The main result from the dentition was the presence of a social structure regarding male and female roles within the community. Rates of dental caries in females were higher than the males, which may be attributed to a sexual division of labor.
Irregular dental check-up and sugary dietary habits were associated with high prevalence the occurrence of dental conditions as assessed by the Decayed, Missing (due to caries), and Filled Teeth (DMFT) index.
The tooth-friendly label distinguishes products which are non-cariogenic and non-erosive, i.e. safe for teeth.Imfeld T. (1983). Identification of low caries risk dietary components in: “Monographs in Oral Science”. Vol.
It was shown that GIC materials were more effective in prevention of development of caries despite the higher non-successful rate compared to resin based sealants. This may be accounted for due to the fluoride-releasing property of GIC which increases salivary fluoride level that may aid in preventing dental caries. Resin-based sealants are normally the preferred choice of material for denture sealants. GIC material may be used as a provisional protective material when there are concerns regarding adequate moisture control.
Also, as part of tooth pastes, the lactoperoxidase system has a beneficial influence to avoid early childhood caries by reducing the number of colonies formed by the cariogenic microflora while increasing the thiocyanate concentration. With xerostomia patients, tooth pastes with the lactoperoxidase system are seemingly superior to fluoride-containing tooth pastes with respect to plaque formation and gingivitis. More studies are required to examine further the protective mechanisms. The application of lactoperoxidase is not restricted to caries, gingivitis, and periodontitis.
Crown lengthening is a technique for increasing crown height of teeth by flap surgery with or without bone surgery. There are two main types: # Aesthetic crown lengthening which is performed when a “gummy” smile is an issue for the patient # Functional crown lengthening is used to make an unrestorable tooth restorable. For example, a tooth with caries that extends below the gums may undergo crown lengthening so that the caries is no longer below the gums and a crown may be placed.
Interventions for behavioral, developmental and motor delays, as well as educational and social support for school-age children and adolescents, are recommended. Prevention of secondary complications: Regular dental examinations and restriction of sweets to prevent dental caries; early treatment of dental caries and periodontal disease to prevent osteomyelitis of the mandible. During and following surgical procedures, potential complications to identify and manage promptly include hyper- or hypothermia and inadequate sedation, which may trigger unexpected movement and result in secondary injuries.
The application of glass ionomer sealants to occlusal surfaces of the posterior teeth, reduce dental caries in comparison to not using sealants at all. There is evidence that when using sealants, only 6% of people develop tooth decay over a 2-year period, in comparison to 40% of people when not using a sealant. However, it is recommended that the use of fluoride varnish alongside glass ionomer sealants should be applied in practice to further reduce the risk of secondary dental caries.
This technique is used when a pulpal exposure occurs, either due to caries extending to the pulp chamber, or accidentally, during caries removal. It is only feasible if the exposure is made through non infected dentin and there is no recent history of spontaneous pain (i.e. irreversible pulpitis) and a bacteria-tight seal can be applied. Once the exposure is made, the tooth is isolated from saliva to prevent contamination by use of a dental dam, if it was not already in place.
Elderly people who are functionally dependant and residing in residential care facilities, are particularly vulnerable to oral health issues such as periodontal disease, dental caries, particularly root caries and other oral health issues. Their dependence on staff to assist them with daily oral hygiene care often results in minimal hygiene being provided.Wallace, JP, Mohammadi, J, Wallace, Lg, & Taylor, Ja. (2016). Senior Smiles: Preliminary results for a new model of oral health care utilizing the dental hygienist in residential aged care facilities.
Saliva contributes to the digestion of food and to the maintenance of oral hygiene. Without normal salivary function the frequency of dental caries, gum disease (gingivitis and periodontitis), and other oral problems increases significantly.
"Fundamentals of Operative Dentistry: A Contemporary Approach." 2nd edition. Carol Stream, Illinois, Quintessence Publishing Co, Inc, 2001, p. 75. . Proximal caries take an average of four years to pass through enamel in permanent teeth.
Some studies have suggested that SLS in toothpaste may decrease the effectiveness of fluoride at preventing dental caries (cavities). This may be due to SLS interacting with the deposition of fluoride on tooth enamel.
Although teeth erosion and an increase of oral caries is not hormonal related, it is often experienced during pregnancy due to an increase intake of food and negative side effects vomiting due to morning sickness.
Anatoly Ernestovich Sharpenak (; 1895 in Moscow, Russia – 1969 in Moscow, Soviet Union) was a Russian and Soviet biochemistry scientist; Doctor of Medical Sciences, Professor. Author of one of the dental caries theories named after him.
As in other studies, a major portion of the total number of teeth lost was accounted for by a small group of persons. In this study, dental caries was the dominant reason for tooth loss.
When dental biofilms remain on tooth surfaces, along with frequent exposure to sugars, acidogenic bacteria (members of dental biofilms) will metabolize the sugars to organic acids. Untreated dental caries is the most common disease affecting humans worldwide . Persistence of this acidic condition encourages the proliferation of acidogenic and aciduric bacteria as a result of their ability to survive at a low-pH environment. The low-pH environment in the biofilm matrix erodes the surface of the teeth and begins the "initiation" of the dental caries.
Teeth affected with MIH are at an increased risk of acquiring dental caries. This is because the properties of the enamel are altered by increased porosity and decreased hardness. Essentially, the balance between mineralisation and demineralisation shifts to favour demineralisation of enamel, giving the tooth less resilience in structure, thereby making it vulnerable to caries. The poor structural properties of the enamel in teeth with MIH also increase the likelihood of cavitation of any lesions, thereby causing the lesion to progress at a faster rate.
In September 2016 the Cochrane collaboration published a systematic review of the current evidence comparing the use of lasers for caries removal, in both deciduous and adult teeth, with the standard dental drill. Nine trials were reviewed, published between 1998 and 2014, with 662 participants in total. These included three different types of laser: Er:YAG; Er,Cr:YSGG; and Nd:YAG. Overall the quality of evidence available was found to below, and the authors were unable to recommend one method of caries removal over the other.
Minimal intervention dentistry is a modern dental practice designed around the principal aim of preservation of as much of the natural tooth structure as possible. It uses a disease-centric philosophy that directs attention to first control and management of the disease that causes tooth decay--dental caries-- and then to relief of the residual symptoms it has left behind--the decayed teeth. The approach uses similar principles for prevention of future caries, and is intended to be a complete management solution for tooth decay.
When food or drinks containing fermentable sugars enter the mouth, the bacteria in dental plaque rapidly feed on the sugars and produce organic acids as by-products. The glucose produced from starch by salivary amylase, is also digested by the bacteria. When enough acid is produced so that the pH goes below 5.5, the acid dissolves carbonated hydroxyapatite, the main component of tooth enamel.Fejerskov O, Nyvad B, Kidd EA: Pathology of dental caries; in Fejerskov O, Kidd EAM (eds): Dental caries: The disease and its clinical management.
Poor dental hygiene promotes the accumulation of these bacteria at the tooth root, eventually causing a cavity or dental caries. The decaying tooth root provides bacteria with an enclosed environment with low oxygen content. Consequently, the obligate and facultative anaerobes present within the oral cavity flourish and outcompete the other bacteria at the site of tooth decay, causing the dental caries to escalate into a mouth infection. The corrosive enzymes released by the anaerobes erode the surrounding bone and enable the infection to invade surrounding structures.
They have antimicrobial properties, reducing bacterial penetration. This decreases the risk of secondary caries developing, a common reason for failure of dental restorations. This means that the longevity and efficacy of composite restorations may be improved.
16.Maternal Perception about Early Childhood Caries in Nigeria in Kalipeni, E.; Iwelunmor, J.; Grigsby-Toussaint, D.; and Moise, I. K. (eds.) (In Press, June 2018). Public Health, Disease and Development in Africa. London: Routledge Publishers.
The novelty, the validity and relevance of research findings of A.E. Sharpenak received scientific recognition and entered into the history of Russian dentistry under the name of the author - the theory of dental caries of A.E. Sherpenak.
Firestone A.R., Imfeld T., Schiffer S. and Lutz F. (1987). Measurement of interdental plaque pH in humans with an indwelling glass pH electrode following a sucrose rinse: A long-term retrospective study. Caries Res., 21: 555-558.
Sugimura Yoshie died of periostitis caused by caries and sepsis on January 5, 1915 (Taisho 4). He was seventy-six. His last words was "". Upon his will, he was buried at the Grave of Shinsengumi, Itabashi, Tokyo.
Generally used for operative procedures such as the removal of dental caries or for polishing enamel or restorative materials. Straight slow speed handpiece is generally indicated for the extra oral adjustment and polishing of acrylic and metals.
Tooth Decay Any remaining tooth structure within the oral cavity is subject to developing caries and is often the result of lack of topical fluoride application, poor diet and poor oral hygiene. Caries can be found at the root face or root surface where gingival recession has occurred. It is important to encourage patients to use a fluoride containing toothpaste over the denture abutments to minimise tooth surface loss and risk further infection. Bone Resorption Another tissue change that can result from wearing an overdenture is resorption of the alveolar bone.
George Stookey "USE OF AN EXPLORER CAN LEAD TO MISDIAGNOSIS AND DISRUPT REMINERALIZATION", The Journal of the American Dental Association, November 2005, accessed November 17, 2011.George Stookey "The Evolution of Caries Detection", 2003, Dimensions of Dental Hygiene, accessed November 17, 2011. The use of a sharp explorer to diagnose caries in pit and fissure sites is no longer recommended and clinicians instead should rely on "sharp eyes and a blunt explorer or probe." Penetration by a sharp explorer can actually cause cavitation in areas that are remineralizing or could be remineralized.
The causative agent of dental caries is associated with its ability to metabolize various sugars, form a robust biofilm, produce an abundant amount of lactic acid, and thrive in the acid environment it generates. A study into pH of plaque said that the critical pH for increased demineralisation of dental hard tissues (enamel and dentine) is 5.5. The Stephan curve illustrates how quickly the plaque pH can fall below 5.5 after a snack or meal. Dental caries is a dental biofilm-related oral disease associated with increased consumption of dietary sugar and fermentable carbohydrates.
Stainless steel (preformed) crowns are pre-fabricated crown forms which can be adapted to individual primary molars and cemented in place to provide a definitive restoration or can be fitted using the Hall Technique. They have been indicated for the restoration of primary and permanent teeth with caries where a normal filling may not last. Another approach of treating dental caries in young children is Atraumatic Restorative Treatment (ART). The ART is a procedure based on removing carious tooth tissues using hand instruments alone and restoring the cavity with an adhesive restorative material.
Fracture of the metal coating or pontic can also lead to mechanical failures. Fracture in connectors of bridges at the gingival side is a common finding in most all-ceram bridges. # Biological failures: These can occur due to caries in the tooth (one of the commonest causes of crown and bridge failures) or due to pulpal injury. Problems with abutment teeth such as tooth fracture, secondary caries or periodontal disease can cause discomfort and put pressure on surrounding soft tissues to also cause a biological failure of the bridge.
By application of P11-4 on the tooth surface, the peptide diffuse through the intact hypomineralized plate into the early caries lesion body and start, due to the low pH in such a lesion, to self-assemble generating a peptide scaffold mimicking the enamel matrix. Around the newly formed matrix de-novo enamel-crystals are formed from calcium phosphate present in saliva. Through the remineralization caries activity is significantly reduced in comparison with a fluoride treatment alone. In aqueous oral care gels the peptide is present as matrix.
The non-specific plaque hypothesis is the theory developed in the 1930s that caries is the result of the combined efforts of all the organisms in the oral biome, and that some patients are merely more susceptible than others. No specific organisms had been identified at that point that were more cariogenic than others. Thus the amount of plaque in situ was taken to determine the severity of the effect, regardless of its composition. While this is to a degree true of periodontitis, it could not be proven of caries.
Speech defects associated with dental malocclusions and related abnormalities. In L. E. (Eds), Handbook of speech pathology and audiology (pp. 715-766), New York, Appleton Century. Vocal sound can also vary due to dental injury and dental caries.
Common bunt, also known as stinking smut and covered smut, is a disease of both spring and winter wheats. It is caused by two very closely related fungi, Tilletia tritici (syn. Tilletia caries) and T. laevis (syn. T. foetida).
Benjamin E (1911). Über eine selbständige Form der Anämie im frühen Kindersalter. Verh Deut Ges Kinderh, 1911,119-24. Symptoms include megalocephaly, external ear deformities, dental caries, micromelia, hypoplastic bone deformities, hypogonadism, hypochromic anemia with occasional tumors, and intellectual disability.
In Newman, MG; Takei, HH; Carranza, FA; editors: Carranza's Clinical Periodontology, 9th Edition. Philadelphia: W.B. Saunders Company, 2002. page 945. However, other indications include accessing subgingival caries, accessing perforations and to treat aesthetic disproportions such as a gummy smile.
In most people, disorders or diseases affecting teeth are not the primary cause of dental caries. Approximately 96% of tooth enamel is composed of minerals.Nanci, p. 122 These minerals, especially hydroxyapatite, will become soluble when exposed to acidic environments.
65 (Spec. Iss.):1530-1531.Lussi A., Jaeggi T. and Zero D. (2004). The role of diet in the aetiology of dental erosion. Caries Res., 38 (1): 34-44.Stösser L., Tietze W., Künzel W. and Limberger K. (1990).
Since 1989, Toothfriendly International grants the rights for the Toothfriendly quality mark. The Toothfriendly label distinguishes products that are demonstrably not harmful for teeth.Imfeld T. (1983). Identification of low caries risk dietary components in: “Monographs in Oral Science”. Vol.
When the two dental sealants are compared, there has always been a contradiction as to which materials is more effective in caries reduction. Therefore, there are claims against replacing resin-based sealants, the current Gold Standard, with glass ionomer.
A study surveying fissure sealants and dental caries in primary school girls in Saudi Arabia in 2017 found that only 1.3% of the children had at least 1 fissure sealant applied, but in another study, the overall figure was 9%.
There have been suggestions that severe periodontitis and tooth caries may increase the risk of having preterm birth and low birth weight, however, systemic reviews found insufficient evidence to determine if periodontitis or tooth decay can develop adverse birth outcomes.
More than 80% of the population from 15 to 60 years of age drink tea. Studies have shown that due to the high concentration of fluoride in green tea, the practice may aid in preventing dental diseases, specifically dental caries.
Salivary EGF, which seems also regulated by dietary inorganic iodine, plays an important physiological role in the maintenance of oral (and gastro- oesophageal) tissue integrity, and, on the other hand, iodine is effective in prevention of dental caries and oral health.
Breastfeeding cessation is dependent upon the infant and mother. Pacifier may be used as a means of soothing or distracting the infant. Due to the risk for dental caries, dipping pacifiers in sweetened liquids (i.e. sugar water, juice etc.) is discouraged.
Candy generally contains sugar, which is a key environmental factor in the formation of dental caries (cavities). Several types of bacteria commonly found in the mouth consume sugar, particularly Streptococcus mutans. When these bacteria metabolize the sugar found in most candies, juice, or other sugary foods, they produce acids in the mouth that demineralize the tooth enamel and can lead to dental caries. Heavy or frequent consumption of high-sugar foods, especially lollipops, sugary cough drops, and other sugar- based candies that stay in the mouth for a long time, increases the risk of tooth decay.
Still, the literature shows a high rate of caries relapse after treatment under general anesthesia, sometimes as early as 6 months after treatment was rendered. Dental professionals now have a safe, inexpensive, and less invasive option to manage Early Childhood Caries: Silver Diamine Fluoride (SDF) is a liquid containing silver and fluoride that can be brushed on teeth to stop decay, relieve sensitivity, and prevent cavities from getting worse. Silver kills the bacteria that cause tooth decay and fluoride helps strengthen the tooth. SDF is applied directly to the area of decay without first having to drill the tooth.
Indians also used false teeth, in 1193 CE the body of Jayachandra was identified by his false teeth. Indians did not use refined sugar or crystal sugar and incidences of dental caries were low. Refined sugar or crystal sugar were introduced by the British raj in 19th century, and started to be used more commonly only after World War II. Consequently, incidences of dental caries among Indians incresed with the usage of these from 20% population in 1950 to 50% by 1970 and 70% by 1990s.PC Kochhar, 2000, History of the Army Dental Corps and Military Dentistry, Lancer Publishers, page 1-36.
Glass ionomer cement is primarily used in the prevention of dental caries. This dental material has good adhesive bond properties to tooth structure, allowing it to form a tight seal between the internal structures of the tooth and the surrounding environment. Dental caries is caused by bacterial production of acid during their metabolic actions. The acid produced from this metabolism results in the breakdown of tooth enamel and subsequent inner structures of the tooth, if the disease is not intervened by a dental professional, or if the carious lesion does not arrest and/or the enamel re- mineralises by itself.
Main building of Vipeholm hospital, now a secondary school The Vipeholm experiments were a series of human experiments where patients of Vipeholm Hospital for the intellectually disabled in Lund, Sweden, were fed large amounts of sweets to provoke dental caries (1945-1955). The experiments were sponsored both by the sugar industry and the dentist community, in an effort to determine whether carbohydrates affected the formation of cavities. The experiments provided extensive knowledge about dental health and resulted in enough empirical data to link the intake of sugar to dental caries. However, today they are considered to have violated the principles of medical ethics.
McCollum was moderator of "The Cause and Prevention of Dental Caries", sponsored by the Good Teeth Council for Children, Inc., that same month. His 1941 article "Diet in Relation to Dental Caries" claimed that vigorous chewing exercises teeth to retain optimum health, that chewing foods has a detergent effect, and that "protective action of excessive fat in the diet may possibly be due to greasing the tooth surface and the cavity surface". As a new member of the Food and Nutrition Board, McCollum was part of the decision in 1941 to enrich bread and flour with thiamine, niacin, and iron.
In a unique and innovative partnership with Unilever Oral Health, FDI is promoting good oral hygiene and practice in communities around the world through Live.Learn.Laugh, which enables participating FDI member National Dental Associations (NDAs) to implement oral health projects locally and promotes the message of brushing twice-a-day with a fluoride toothpaste. FDI’s Global Caries Initiative (GCI), launched in 2009, is today recognized as one of the leading means to facilitate a paradigm shift to a preventive model of caries management, seeks to unites a broad alliance of key influencers and decision-makers behind a common goal: to effect fundamental change in health systems and individual behaviour to realize the overarching vision to stop caries by 2020. FDI is a member of the World Health Profession Alliance WHPA, which also includes the International Council of Nurses (ICN), the World Medical Association (WMA), the International Pharmaceutical Federation (FIP) and the World Confederation for Physical Therapy (WCPT.
The bark, flowers, fruits, and seeds of Bakula are used in Ayurvedic medicine in which it is purported to be astringent, cooling, anthelmintic, tonic, and febrifuge. It is mainly used for dental ailments such as bleeding gums, pyorrhea, dental caries, and loose teeth.
Tooth loss can be due to tooth decay and gum disease. Tooth decay is caused by increased plaque retention. Bacteria can then invade the plaque and cause dental caries (cavities). If cavities persist untreated for an extended period of time, tooth breakdown occurs.
This can often lead to decreased sensitivity to stimuli, e.g. cold or sweet foods. Cementum on the tooth roots is continually produced; however with age the rate this happens slows down, leaving the geriatric patient at a higher risk for developing root caries.
An onlay is a method of tooth restoration, which covers, protects or reinforces one or more cusps. Onlays are methods for restoring teeth in an indirect way. Onlays are often used when teeth present extensive destruction due to caries or to trauma.
Marinho VC. Cochrane fluoride reviews: an overview of the evidence on caries prevention with fluoride treatments. Faculty Dental Journal. 2014 Apr;5(2):78-83. However, in the case of dental decay, aesthetic concerns or defects close to the pulp a restoration may be completed.
Fluoride supplements were first recognised and highly suggested by health professionals, in areas where the practice of fluoridating water was not accepted. Such mechanisms are recommended for individuals, primarily children (whom of which are at a greater risk of caries) in low-fluoride areas.
Early Childhood Caries: Prevalence, Risk Factors, and Prevention The teeth most likely affected are the maxillary anterior teeth, but all teeth can be affected.ADA Early Childhood Tooth Decay (Baby Bottle Tooth Decay) . Hosted on the American Dental Association website. Page accessed August 14, 2006.
Calcium, as found in food such as milk and green vegetables, is often recommended to protect against dental caries. Fluoride helps prevent decay of a tooth by binding to the hydroxyapatite crystals in enamel.Nanci, p. 7 Streptococcus mutans is the leading cause of tooth decay.
Pathogenic bacteria that have the potential to cause dental caries flourish in acidic environments; those that have the potential to cause periodontal disease flourish in a slightly alkaline environment. Antibodies to the oral pathogens Campylobacter rectus, Veillonella parvula, Prevotella melaninogenica were associated with hypertension.
Kunz was born in Ettlingen, Germany. He first studied law, then dentistry. He wrote his doctoral thesis on "studies of dental caries among school children as related to their feeding in infancy". In 1936, he opened a dental practice in Lucka, south of Leipzig.
In case of mechanical exposure that occurs during cavity preparation and not a pathological exposure due to caries. Proper isolation should be completed using a rubber dam and cotton pellet. Disinfection of the cavity with sodium hypochlorite. then application of MTA over the exposure area.
For example, the aspects we considered are the extension of caries in the primary tooth, and the development of the succedaneous permanent tooth. The radiograph shows a primary tooth with succedaneous permanent teeth. Radiographs are needed to determine if pulpotomy can be carried out.
Additionally, parents are given a program of preventive home care (brushing, flossing and fluorides), a caries risk assessment, information on finger, thumb, and pacifier habits, advice on preventing injuries to the mouth and teeth of children, diet counseling , and information on growth and development.
The decay-missing-filled (DMF) index or decayed, missing, and filled teeth (DMFT) index is one of the most common methods in oral epidemiology for assessing dental caries prevalence as well as dental treatment needs among populations and has been used for about 75 years. This index is based on in- field clinical examination of individuals by using a probe, mirror and cotton rolls, and simply counts the number of decayed, missing (due to caries only) and restored teeth. Another version proposed in 1931 counts each affected surface, yielding a decayed, missing, and filled surfaces (DMFS) index. Statistics are available per populations according to age (e.g.
Children at low risk may not need any restorative therapy, and frequent visits should be made to detect possible early lesions. Children at moderate risk may require restoration of progressing and cavitated lesions, while white spot and enamel proximal lesions should be treated by preventive techniques and monitored for progression. Children at high risk, however, may require earlier restorative intervention of enamel proximal lesions, as well as intervention of progressing and cavitated lesions to minimize continual caries development. As Early Childhood Caries occurs in children under the age of 5, restorative treatment is conventionally performed under general anesthetic to prevent a traumatic experience for the child.
However, these four criteria are not always enough to cause the disease and a sheltered environment promoting development of a cariogenic biofilm is required. The caries disease process does not have an inevitable outcome, and different individuals will be susceptible to different degrees depending on the shape of their teeth, oral hygiene habits, and the buffering capacity of their saliva. Dental caries can occur on any surface of a tooth that is exposed to the oral cavity, but not the structures that are retained within the bone. Tooth decay is caused by biofilm (dental plaque) lying on the teeth and maturing to become cariogenic (causing decay).
With the exception of dental caries, none of these conditions showed as strong a link with sucrose consumption as CHD and type 2 diabetes did. How does the consumption of sucrose lead to these deleterious effects? For dental caries the answer is clear: it is converted to dextran, which is extremely adhesive and promotes the growth of acid-producing bacteria. For the general metabolic effects that lead to CHD and/or to type 2 diabetes, the author suggests that alterations either in the rate of production of insulin or in the body’s sensitivity to it may be one of the early effects of excessive sucrose consumption.
Inga completed a cand. odont. degree from the Royal Dental College in Aarhus, Denmark in 1981. She completed a thesis at the Nordic School of Public Health in Gothenbourg in 1983 on: Sammehæng mellem forbrug af sukker og caries i Island. She graduated with a Master of Public Health degree in dept. health policy and administration with a focus on dental hygiene from the University of North Carolina in 1995, with a thesis on: Approximal caries and sugar consumption in Icelandic teenagers. She obtained a doctorate (Doctor odont.) from the University of Iceland in 2005 in Dental health and related lifestyle factors in Icelandic teenagers.Mbl.is. (2005, October 13). Tannheilsuvenjur til framtíðar.
Ecological plaque hypothesis and the aetiology of dental caries The ecological plaque hypothesis, a combination of the two previously mentioned hypotheses, suggests that there are certain species responsible for pathology, but are present in insufficient quantities to cause damage to a healthy individual. Thus biofilm derived diseases are the result of an imbalance in the normal oral ecology. The most commonly recognised bacteria that are responsible for initiating the biofilm formation that can eventually lead to caries are streptococcus mutans and lactobacillus. The key factors for virulence include their ability to metabolise glucose and similar sugars, their tolerance for a low pH environment and their acidogenicity.
Lussi A, Schlüter N, Rakhmatullina E, Ganss C. Dental erosion–an overview with emphasis on chemical and histopathological aspects. Caries research. 2011 May 31;45(Suppl. 1):2-12.Jaeggi T, Lussi A. Toothbrush abrasion of erosively altered enamel after intraoral exposure to saliva: an in situ study.
Page accessed August 14, 2006. Rampant caries may be seen in individuals with xerostomia, poor oral hygiene, stimulant use (due to drug- induced dry mouthADA Methamphetamine Use (METH MOUTH) . Hosted on the American Dental Association website. Page accessed February 14, 2007.), and/or large sugar intake.
As growth of the alveolar bone continues and the adjacent permanent teeth erupt, the ankylosed deciduous tooth appears to submerge into the bone, although in reality it has not changed position. Treatment is by extraction of the involved tooth, to prevent malocclusion, periodontal disturbance or dental caries.
Mühlemann HR. The cariostatic effect of amine fluorides. I. 10 years of experiences]. Quintessenz. 1967 May;18(5):113-20. II. Quintessenz. 1967 Jun 6;18(6):123-7 These studies led Mühlemann to the conclusion that fluoride incorporated into a dentifrice could exert a caries prophylactic effect.
Garcia- Godoy, F. & Hicks, J. (2008). Maintaining the integrity of the enamel surface. American Dental Association, 139(3).Hicks J, Garcia-Godoy F, Flaitz C. Biological factors in dental caries: role of saliva and dental plaque in the dynamic process of demineralization and remineralization (part 1).
The most common oral conditions in geriatric patients are tooth loss, dental caries, periodontitis, dry mouth and oral cancer. Each can affect the quality of life.Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: the approach of the WHO Global Oral Health Programme.
A dry mouth can be associated with caries, cracked lips, fissured tongue and oral mucositis. It can impact heavily on the patient’s quality of life, affecting taste, speaking, enjoyment and ingestion of food, and fitting dentures.Cassolato, S. F., & Turnbull, R. S. (2003). Xerostomia: clinical aspects and treatment.
Cochrane Database of Systematic Reviews, (2). However, in most cases it is as a result of permanent tooth extraction in adulthood. This may or may not be due to dental caries, periodontal disease (gum disease), trauma or other pathology of the face and mouth (i.e. cysts, tumours).
Page accessed January 13, 2007. Xylitol is a naturally occurring sugar alcohol that is used in different products as an alternative to sucrose (table sugar). As of 2015 the evidence concerning the use of xylitol in chewing gum was insufficient to determine if it is effective at preventing caries.
Products with low caries-inducing potential were permitted to use this fact in marketing endeavors. To this end, Mühlemann initiated a signet that could be used on products shown to be safe for teeth.Imfeld T, Hirsch RS, Mühlemann HR. Telemetric recordings of interdental plaque pH during different meal patterns.
Cavities are rated and scored based on their visual presentation. If magnification is too high diagnosis becomes difficult due to the small field of view. Ideal magnification for diagnostic purposes is up to 2×. Treatment of dental caries, periodontal disease, and pulpal disease are all aided by magnification.
Anti-cavity mouth rinses use fluoride to protect against tooth decay. Most people using fluoridated toothpastes do not require fluoride-containing mouth rinses, rather fluoride mouthwashes are sometimes used in individuals who are at high risk of dental decay, due to dental caries ("cavities") or people with xerostomia.
This is largely due to success in dental treatment and prevention of gum disease and caries at a young age, thereby leading to people retaining more of their own natural teeth.Australian Institute of Health and Welfare. (2007). Older Australia at a glance (4th ed.). Cat. no. AGE 52.
The degree of the trauma will dictate what restorative treatment will be needed and could involve one or more of the dental specialties listed above. In regards to dental cavities (decay, caries) "The eventual outcome of dental caries is determined by the dynamic balance between pathological factors that lead to demineralization and protective factors that lead to remineralization". What this means is that the disease that is decay can be reversed if caught in its early stages of formation. However, if not detected quick enough then the decay will spread and become a cavity that will continue to spread internally and/or externally of the tooth until a restorative method of intervention takes place.
Journal of Endodontics. 33:643-51, 2007 Jun.Hahn CL. Liewehr FR. Relationships between caries bacteria, host responses, and clinical signs and symptoms of pulpitis. Journal of Endodontics. 33:213-9, 2007 Mar. Innate immunity in the pulp is not specific but uses receptors to recognize molecular patterns common to microbes to initiate bacterial killing (phagocytosis). The components of the innate response of the dentin/pulp complex to caries include at least the following six: (1) outward flow of dentinal fluid; (2) odontoblasts; (3) neuropeptides and neurogenic inflammation; (4) innate immune cells, including immature dendritic cells (DCs), natural killer (NK) cells, and T cells, as well as (5) their cytokines and (6) chemokines.
St. Hoyme also visited the Bishop Museum in Honolulu, Hawaii in the mid-1970s to continue her studies of dental pathologies among the collections housed in the museum. St. Hoyme presented her research on the effect of the environment on dental pathologies with Dr. Richard Koritzer. St. Hoyme and Koritzer also co-authored research reports conducted in the Smithsonian Institution Conservation and Analytical Laboratory to compare human enamel in archaeological and modern tooth samples in order to study dental caries (tooth decay) frequency based on population and sex. St. Hoyme and Koritzer also collaborated on research related to the effect of metabolism on the frequency of dental caries, the chewing mechanism, and temporomandibular (TMJ) joint pathology.
The bitewing view is taken to visualize the crowns of the posterior teeth and the height of the alveolar bone in relation to the cementoenamel junctions, which are the demarcation lines on the teeth which separate tooth crown from tooth root. Routine bitewing radiographs are commonly used to examine for interdental caries and recurrent caries under existing restorations. When there is extensive bone loss, the films may be situated with their longer dimension in the vertical axis so as to better visualize their levels in relation to the teeth. Because bitewing views are taken from a more or less perpendicular angle to the buccal surface of the teeth, they more accurately exhibit the bone levels than do periapical views.
The sisters tried to make her as comfortable as possible. Various visitors, including the Bishop of Cork, noticed her fortitude and her intense prayer life. She was constantly happy. At this stage tuberculosis had set in and she was suffering from caries, making it difficult and painful for her to eat.
In most reported cases, malignant transformation has occurring in individuals with a very long history of chewing tobacco or who use dry snuff. Smokeless tobacco use is also accompanied by increased risk of other oral conditions such as dental caries (tooth decay), periodontitis (gum disease), attrition (tooth wear) and staining.
By preventing the dental plaque biofilm from maturing or by returning it back to a non-cariogenic state, dental caries can be prevented and arrested. This can be achieved through the behavioural step of reducing the supply of fermentable carbohydrates (i.e. sugar intake) and frequent removal of the biofilm (i.e. toothbrushing).
Benjamin Syndrome is a type of multiple congenital anomaly/intellectual disability (MCA/MR) syndrome. It is characterized by hypochromic anemia with intellectual disability and various craniofacial and other anomalies. It can also include heart murmur, dental caries and splenic tumors. It was first described in the medical literature in 1911.
Fluoride can be found in either topical or systemic form. Topical fluoride is more highly recommended than systemic intake to protect the surface of the teeth.Limited evidence suggests fluoride varnish applied twice yearly is effective for caries prevention in children at Topical fluoride is used in toothpaste, mouthwash and fluoride varnish.
If the attrition is severe, the enamel can be completely worn away leaving underlying dentin exposed, resulting in an increased risk of dental caries and dentin hypersensitivity. It is best to identify pathological attrition at an early stage to prevent unnecessary loss of tooth structure as enamel does not regenerate.
Palaeopathological research based on bone samples and, in the best-case scenario, on mummified corpses indicates illnesses found among the ancient Celts. Diseases like sinusitis, meningitis and dental caries leave typical traces. Growth disorders and vitamin deficiencies can be detected from the long bones. Coproliths (fossilised fecal matter) indicate severe worm infections.
The mothers who had received the MI counselling session showed that "children in the MI group exhibited significantly less new caries (decayed or filled surfaces)" in contrast to the children in the control group. This suggests that the application of MI with parenting can significantly impact outcomes regarding the children of the parent.
The corpses were buried in pits with their arms gathered tightly to their abdomen and legs slightly bent. Of the corpses examined, no signs of violence were detected as a cause of death, nor severe bone trauma or infections. Dental caries constituted the most common pathology. There was also considerable evidence of anemia.
SDF's mode of action is well documented, but remains contested. Rosenblatt et al. summarized how the constituents in SDF each have a role in the arrest of microbial species that cause dental caries. The higher the concentration of fluoride in a compound, the more effective its mechanisms in inhibiting bacterial biofilm formation.
There is evidence to show compomers have no advantage over an amalgam restoration with a fluoride releasing bonding agent, which releases mercury and fluoride.Trachtenberg F. Maserejian NN. Soncini JA. Hayes C. Tavares M. Does fluoride in compomers prevent future caries in children? Journal of Dental Research, 88(3):276-9, 2009 Mar.
Over the course of 45 years, Prof. Thomas M. Marthaler conducted epidemiologic studies of Zurich school children; these were repeated every four years. This permitted Marthaler to report a 95% reduction of dental caries in 7- to 14-year-olds in Zurich and overall in Switzerland in the period from 1964 to 2006.
Periodontal disease is the second most common cause of tooth loss (second to dental caries) in Scotland. Twice daily brushing and flossing are a way to help prevent periodontal diseases. Healthy gingiva can be described as stippled, pale or coral pink in Caucasian people, with various degrees of pigmentation in other races.
In those under 45 years of age, dental caries is considered to be the main cause of toothlessness, whereas periodontal disease is the primary cause of tooth loss in older age groups.Papapanou, P. N. Periodontal diseases: epidemiology. Annals of periodontology/the American Academy of Periodontology 1, 1–36, doi: 10.1902/annals.1996.1.1.1 (1996).
Topical fluoride treatment in Panama Population studies from the mid-20th century onwards show topical fluoride reduces dental caries. This was first attributed to the conversion of tooth enamel hydroxyapatite into the more durable fluorapatite, but studies on pre-fluoridated teeth refuted this hypothesis, and current theories involve fluoride aiding enamel growth in small caries.. After studies of children in areas where fluoride was naturally present in drinking water, controlled public water supply fluoridation to fight tooth decay. began in the 1940s and is now applied to water supplying 6 percent of the global population, including two-thirds of Americans... Reviews of the scholarly literature in 2000 and 2007 associated water fluoridation with a significant reduction of tooth decay in children.; see for a summary.
Silver diammine fluoride, (SDF) also known as Silver diamine fluoride in most of the dental literature, (although this is a chemical misnomer) is a topical medication used to treat and prevent dental caries (tooth decay) and relieve dentinal hypersensitivity. It is a colorless (most products) or blue-tinted (Advantage Arrest), odourless liquid composed of silver, ammonium and fluoride ions at a pH of 10.4 (most products) or 13 (Riva Star). Ammonia compounds reduce the oxidative potential of SDF, increase its stability and helps to maintain a constant concentration over a period of time, rendering it safe for use in the mouth. Silver and Fluoride ions possess antimicrobial properties and are used in the remineralization of enamel and dentin on teeth for preventing and arresting dental caries.
Glass ionomer sealants are thought to prevent caries through a steady fluoride release over a prolonged period and the fissures are more resistant to demineralization, even after the visible loss of sealant material, however, a systemic review found no difference in caries development when GICs was used as a fissure sealing material compared to the conventional resin based sealants, in addition, it has less retention to the tooth structure than the resin based sealants. These sealants have hydrophilic properties, allowing them to be an alternative of the hydrophobic resin in the generally wet oral cavity. Resin-based sealants are easily destroyed by saliva contamination. Chemically curable glass ionomer cements are considered safe from allergic reactions but a few have been reported with resin-based materials.
Ingestion of lactulose does not cause a weight gain because it is not digestible, with no nutritional value. Although lactulose is less likely to cause dental caries than sucrose, as a sugar, a potential for this exists. This should be taken into consideration when taken by people with a high susceptibility to this condition.
The microorganisms that form the biofilm are almost entirely bacteria (mainly streptococcus and anaerobes), with the composition varying by location in the mouth.Introduction to dental plaque , Leeds Dental Institute. Streptococcus mutans is the most important bacterium associated with dental caries. Certain bacteria in the mouth live off the remains of foods, especially sugars and starches.
Kligler attended New York City public schools and earned his Bachelor of Science degree with distinction from the City College of New York in 1911. He continued his studies in Bacteriology, Pathology and Biochemistry at Columbia University:M.A (1914), Ph.D. (1915). The focus of his Ph.D. thesis was oral bacteria with special attention to dental caries.
Early childhood caries can be prevented through the combination of the following: adhering to a healthy nutritional diet, optimal plaque removal, use of fluoridation on the tooth surface once erupted, care taken by the mother during the pre-natal and peri-natal period and regular dental visits. The following are recommendations to help prevent ECC.
Pulpitis is inflammation of dental pulp tissue. The pulp contains the blood vessels the nerves and connective tissue inside a tooth and provides the tooth’s blood and nutrients. Pulpitis is mainly caused by bacterial infection which itself is a secondary development of caries (tooth decay). It manifests itself in the form of a toothache.
Epidemiology of Dental Disease , hosted on the University of Illinois at Chicago website. Page accessed January 9, 2007. Archaeological evidence shows that tooth decay is an ancient disease dating far into prehistory. Skulls dating from a million years ago through the Neolithic period show signs of caries, including those from the Paleolithic and Mesolithic ages.
WHO Technical Report Series 797. World Health Organization, Geneva in 1990 acknowledged sugar's role in the causation of dental caries, but not in obesity or CVD. Keys was referenced but not Yudkin. Similarly, the 1994 version of the COMA report on cardiovascular diseaseCommittee on Medical Aspects of Food Policy (1994), Report of Cardiovascular Review Group.
The main significance of the condition is a lack of saliva, causing xerostomia (dry mouth), with accompanying susceptibility to dental caries (tooth decay), infections of the mouth, and upper respiratory tract infections (e.g., candidiasis, ascending sialadenitis, laryngitis and pharyngitis). Patients with salivary gland aplasia typically require regular application of topical fluoride to prevent tooth decay.
Instruments, used in dentistry, and needing software to operate are large number of models of digital roentgenography hardware, intraoral cameras, various diagnostic hardware products such as for early caries detection, periodontal probes, CAD/CAM systems.Hurston - Anderson, L. Integrated office technology: how technology can help improve office efficiency. - J. Am. Dent. Assoc., 135, 2004, Vol.
Tooth destruction from processes other than dental caries is considered a normal physiologic process but may become severe enough to become a pathologic condition. Attrition is the loss of tooth structure by mechanical forces from opposing teeth."Loss of Tooth Structure", American Dental Hygiene Association. Attrition initially affects the enamel and, if unchecked, may proceed to the underlying dentin.
Veneer placement should be limited to individuals with significant aesthetic problems, such as badly cracked or broken teeth, that do not meet the requirements for a crown or full replacement. Additional contraindications include but are not limited to the following: poor oral hygiene, uncontrolled gingival disease, high caries rate, parafunction, no enamel, unreasonable patient expectations, large existing restorations.
GIC materials bond both to enamel and dentine after being cleaned with polyacrylic acid conditioner. Some other advantages GICs have is that they contain fluoride and are less moisture sensitive, with suggestions being made that despite having poor retention, they may prevent occlusal caries even after the sealant has fallen out due to their ability to release fluoride.
Mixed with Capsicum, it is used topically on hemorrhoids and torticollis. It is used for leprosy, skin infections and abscesses, dental caries, gingivitis, and heart disease. In Zaire, it is said to prevent incontinence and bedwetting. The other uses for the plant include as an ingredient in the poison applied to hunting arrows by peoples of Côte d'Ivoire.
Tumors are non-cancerous and disappear after pregnancy. Hormonal changes increase blood flow to gum tissue often resulting in gingival hyperplasia and gum bleeding while brushing and flossing. During pregnancy women's calcium, phosphate and saliva pH values decrease, leading to an alteration the composition of saliva. As acidity of saliva increases, pregnant women are more prone to dental caries.
The first Dean was Dr H.P. Pickerill who achieved distinction for his research into dental caries and later as a plastic surgeon. The first dental school building currently survives at the university's Staff Club. The second building, closer to the hospital and Medical School, became the Zoology building. While next door is the third, and current, building.
These bioactive materials release chemical agents in the form of dissolved ions or growth factors such as bone morphogenic protein, which stimulates activate cells. Glass ionomers are about as expensive as composite resin. The fillings do not wear as well as composite resin fillings. Still, they are generally considered good materials to use for root caries and for sealants.
2002 saw the introduction of the VistaScan image plate scanner for reading X-ray images. In the year 2004, the RinsEndo handpiece was introduced for hydrodynamic root canal preparation. The first fully digital intraoral camera VistaCam Digital was introduced in 2005. 2007 welcomed the introduction of the VistaProof fluorescence camera for support in plaque and caries diagnostics.
Dendritic cells (DCs) are a heterogeneous leukocyte (white blood cell) population. DCs in healthy peripheral tissues (steady state) are in an immature state. The cells are capable of sensing microbes as well as antigen capture and processing capabilities. A rapid accumulation of pulpal DCs has been observed beneath cavity preparations, and an increased number of DCs accumulated under caries.
US 5 Alternate in Derby Line is an alternate way to reach Canada from US 5. The road that US 5 Alt is on only caries the name of Caswell Avenue. This route starts from its southern terminus at its junction with US 5 in downtown Derby Line. This road then travels east to I 91.
Tooth decay, also known as dental caries or cavities, is the breakdown of teeth due to acids made by bacteria. The cavities may be a number of different colors from yellow to black. Symptoms may include pain and difficulty with eating. Complications may include inflammation of the tissue around the tooth, tooth loss, and infection or abscess formation.
Brushing the teeth twice per day and flossing between the teeth once a day is recommended. Fluoride may be acquired from water, salt or toothpaste among other sources. Treating a mother's dental caries may decrease the risk in her children by decreasing the numbers of certain bacteria she may spread to them. Screening can result in earlier detection.
If left untreated, the disease can lead to pain, tooth loss and infection.Cavities/tooth decay , hosted on the Mayo Clinic website. Page accessed May 25, 2008. The mouth contains a wide variety of oral bacteria, but only a few specific species of bacteria are believed to cause dental caries: Streptococcus mutans and Lactobacillus species among them.
In response to dental caries, there may be production of more dentin toward the direction of the pulp. This new dentin is referred to as tertiary dentin. Tertiary dentin is produced to protect the pulp for as long as possible from the advancing bacteria. As more tertiary dentin is produced, the size of the pulp decreases.
Carol Stream, Illinois, Quintessence Publishing Co, Inc, 2001, p. 14. . Reparative dentin is produced at an average of 1.5 μm/day, but can be increased to 3.5 μm/day. The resulting dentin contains irregularly shaped dentinal tubules that may not line up with existing dentinal tubules. This diminishes the ability for dental caries to progress within the dentinal tubules.
The Ebers Papyrus, an Egyptian text from 1550 BC, mentions diseases of teeth. During the Sargonid dynasty of Assyria during 668 to 626 BC, writings from the king's physician specify the need to extract a tooth due to spreading inflammation. In the Roman Empire, wider consumption of cooked foods led to a small increase in caries prevalence.
The extracellular matrix contains proteins, long-chain polysaccharides and lipids. The most common reasons for ecosystem disruption are the ecological factors discussed in the environment section. The bacteria that exhibit the most fit plasticity for the change in environment dominate the given environment. Often, this leads to opportunistic pathogens which may cause dental caries and periodontal disease.
Similar to xylitol, hydrogenated starch hydrolysates are not readily fermented by oral bacteria and are used to formulate sugarless products that do not promote dental caries. HSHs are also more slowly absorbed in the digestive tract, thus, have a reduced glycemic potential relative to glucose. However, they do have a laxative effect when consumed in large amounts.
Lesions are sometimes also named after the person who discovered them. Some lesions have specialized names, such as Ghon lesions in the lungs of tuberculosis victims, which is named after the lesion's discoverer. The characteristic skin lesions of a varicella zoster virus (VZV) infection are called chickenpox. Lesions of the teeth are usually called dental caries.
A systematic review supports the use of RMGIC in small to moderate sized class II cavities, as they are able to withstand the occlusal forces on primary molars for at least one year. With their desirable fluoride releasing effect, RMGIC may be considered for Class I and Class II restorations of primary molars in high caries risk population.
Veillonella parvula is a bacterium in the genus Veillonella. It is a normal part of the oral flora but can be associated with diseases such as periodontitis and dental caries as well as various systemic infections. It has also been isolated from women with bacterial vaginosis and has been associated with hypertension together with Campylobacter rectus and Prevotella melaninogenica.
Oral health has shown to be affected with regard to sugar sweetened beverage consumption. Acid erosion and dental caries have been the main health concerns to sugar sweetened beverages. Acid erosion is defined as the loss of tooth enamel caused by acid attack. When consuming carbonated sugar sweetened beverages, acid deposits on the teeth, attacking the enamel.
Among their products is Unbangul Chewing Gum (은방울 껌). The KCNA reports that it strengthens gums and teeth, prevents dental caries, counteracts tartar and halitosis, and promotes digestion and cerebration. Available flavours include grape, mint, and strawberry, in flat, round, and square shapes. The main ingredients of the gum are edible rubber, sugar, glycerine, flavouring, and natural food colouring.
Dental amalgam is also radiopaque which is beneficial for differentiating the material between tooth tissues on radiographs for diagnosing secondary caries. The cost of the restoration is typically cheaper than composite restorations. Disadvantages of amalgam include poor aesthetic qualities due to its colour. Amalgam does not bond to tooth easily, hence it relies on mechanical forms of retention.
Examples of this are undercuts, slots/grooves or root canal posts. In some cases this may necessitate excessive amounts of healthy tooth structure to be removed. Hence, alternative resin-based or glass-ionomer cement-based materials are used instead for smaller restorations including pit and small fissure caries. There is also a risk of marginal breakdown in the restorations.
It would take several months of use to have a noticeable effect. Papain is the main ingredient of Papacarie, a gel used for chemomechanical dental caries removal. It does not require drilling and does not interfere in the bond strength of restorative materials to dentin. Papain has been known to interfere with urine drug tests for cannabinoids.
1937 In a series of papers published afterwards (1937–1941), yet disregarded by his colleagues within the U.S.P.H.S., Klein summarized his findings on tooth development in children and related problems in epidemiological investigations on caries prevalence. In 1939, Dr. Gerald J. CoxMeiers, Peter: "Gerald Judy Cox". conducted laboratory tests using rats that were fed aluminum and fluoride.
Eventually, the coronal tooth area (near the crown) can be affected by the decay and erosion. The dental caries of meth mouth often progress slowly, perhaps because their advancement is hindered by intermittent hygienic practices. The decay can lead to tooth fractures and severe pain. In some cases, teeth are permanently damaged and must be removed.
Several academic reviews have contradicted this perspective, affirming meth mouth's status as a discrete condition. In favor of its unique status, these reviews cite the differences between methamphetamine-caused caries and those that occur for other reasons, such as cocaine use, as well as the scope of the tooth decay found in some long-term methamphetamine users.
Dietary habits and the presence of cariogenic bacteria within the oral cavity are an important factor in the risk of ECC. ECC is commonly caused by bottle feeding, frequent snacking and a high sugar diet In regards to preventing ECC through bottle feeding, it is fundamental not to allow the child to sleep using ‘sippy cups’ or bottles as this is a large factor contributing to baby bottle decay/caries. This is highly encouraged as it prevents continuous exposure to non-milk extrinsic sugars and therefore the potential progression of caries – this means the oral cavity can return to a neutral pH and therefore decreased acidity. These researches also suggest trying to introduce cups to children as they approach their first birthday and to reduce the use of a bottle.
Although fluoride is not considered an essential mineral, it is useful in prevention of tooth decay and maintaining adequate dental health. In the mid-1900s it was discovered that towns with a high level of fluoride in their water supply was causing the residents' teeth to have both brown spotting and a strange resistance to dental caries. This led to the fortification of water supplies with fluoride in safe amounts (or reduction of naturally-occurring levels) to retain the properties of resistance to dental caries but avoid the staining cause by fluorosis (a condition caused by excessive fluoride intake). The tolerable upper intake level (UL) set for fluoride ranges from 0.7 mg/day for infants aged 0–6 months and 10 mg/day for adults over the age of 19.
More recently, during the International Caries Consensus Collaboration (ICCC) meeting held in Leuven in 2015, ART was recommended by an international group of experts in cariology, restorative and paediatric dentistry as an option to treat decayed primary and permanent teeth with decay where restorative options were indicated, such as cavities that were difficult to clean using only toothbrushes and fluoride toothpaste.
These abscesses are the most commonly occurring orofacial bacterial infection. They are often the result of an inflamed or necrotic dental pulp or an infection of pulpless root canals. This pulp death is often due to the invasion of bacteria from advanced caries. The first line of treatment is the removal of the source of inflammation or infection by local operative measures.
Its presence in the biofilm promotes higher levels of Streptococcus mutans when looking at early childhood caries. It stimulates the formation of S. mutans microcolonies.This is achieved through low concentrations of cross-kingdom metabolites, such as farnesol, derived from the biofilm. It has been suggested that when both microbes are present, more biofilm matrix is produced, with a greater density.
The College of Dentistry receives extensive support from the National Institutes of Health and the National Science Foundation. Students and faculty members participate in both clinical and laboratory research. Faculty researchers have expertise in such fields as: gum disease (gingivitis and periodontitis), tooth decay (caries), tooth stain, plaque, and dentin hypersensitivity (pain). A dedicated clinical research center facility accommodates clinical studies.
18th century hand-illustrated page from an Ottoman Turk dental book The idea of a tooth worm is an erroneous theory of the cause of dental caries, periodontitis and toothaches. Once widespread, the belief is now obsolete, having been superseded by more scientific rationales. It was supposed that the disease was caused by small worms resident within the tooth, eating it away.
Certain bacteria in the biofilm produce acid in the presence of fermentable carbohydrates such as sucrose, fructose, and glucose. Caries occur more often in people from the lower end of the socioeconomic scale than people from the upper end of the socioeconomic scale.Watt RG, Listl S, Peres MA, Heilmann A, editors. Social inequalities in oral health: from evidence to action .
Professional hygiene care consists of regular dental examinations and professional prophylaxis (cleaning). Sometimes, complete plaque removal is difficult, and a dentist or dental hygienist may be needed. Along with oral hygiene, radiographs may be taken at dental visits to detect possible dental caries development in high-risk areas of the mouth (e.g. "bitewing" X-rays which visualize the crowns of the back teeth).
Oral hygiene practices involve the mechanical removal of plaque from hard tissue surfaces Darby ML, Walsh M. Dental hygiene: theory and practice. Elsevier Health Sciences; 2014 Apr 15. Cariogenic bacteria levels in the plaque determine whether caries will occur or not, therefore, effective removal of plaque is paramount. The removal of plaque inhibits demineralisation of teeth, and reversely increases opportunities for remineralisation.
Mouth infections, also known as oral infections, are a group of infections that occur around the oral cavity. They include dental infection, dental abscess, and Ludwig's angina. Mouth infections typically originate from dental caries at the root of molars and premolars that spread to adjacent structures. In otherwise healthy patients, removing the offending tooth to allow drainage will usually resolve the infection.
Uskela died of sepsis in Helsinki, at the age of 44. He had a dental caries, but Uskela refused to see the dentist and treated it by himself. The result was a fatal sepsis. In 1933, during the right-wing period in Finnish politics, the unsold copies of Uskela's anthology Pillastunut runohepo were confiscated and burned by a court order.
McNeill A, Bedi R, Islam S, Alkhatib MN, West R. Levels of toxins in oral tobacco products in the UK. Tob Control. 2006 Feb; 15(1):64-7. Conway DI, Quarrell I, McCall DR, Gilmour H, Bedi R, Macpherson LM. Dental caries in 5-year-old children attending multi-ethnic schools in Greater Glasgow—the impact of ethnic background and levels of deprivation.
The roots of primary teeth provide an opening for the permanent teeth to erupt. The primary teeth are important for the development of the child's speech, for the child's smile and play a role in chewing of food, although children who have had their primary teeth removed (usually as a result of dental caries) can still eat and chew to a certain extent.
Even so, there are no reports of increased marginal leakage for the copper-enriched amalgams indicating that sufficient quantities of corrosion product are produced to seal the margins. Microleakage is the leakage of minute amounts of fluids, debris, and microorganisms through the microscopic space between a dental restoration and the adjacent surface of the cavity preparation. Microleakage can risk recurrent caries.
The primary (baby) teeth generally start coming in by 6 months of age, and all 20 teeth may be in by two and a half years of age. The eruption timing varies greatly. There may be an incomplete formation of the enamel on the teeth (enamel hypoplasia) that makes the teeth more vulnerable to caries (cavities). There may be missing teeth eruptions.
Original Trident, a soft gum packaged in a unique rectangular shape, is sweetened with xylitol (originally advertised as "Dentec" by the company), a sugar alcohol that reduces plaque and protects teeth against decay associated with dental caries by helping to maintain a neutral pH balance in the mouth. It is also sweetened with sorbitol, Mannitol, Aspartame, Sucralose and Acesulfame potassium.
Optically based methods detect caries on changes in the specific optical properties. Quantitative light-induced fluorescence – Changes in enamel fluorescence can be detected and measured when the tooth is illuminated by violet-blue light from a camera hand piece. The image is saved and processed. The end product is an image which gives a measure of the extent and severity of the lesion.
Since then, other scientists have used the findings of his investigations as the basis in the study of the bacteriology of dental caries. Rodríguez Vargas earned a Bachelor of Science degree from Georgetown University, in 1924 where he was an Associate Professor of Bacteriology in the Ental School. On September 14, 1929, he was promoted to the rank of Major.
Toothbrushes are commonly used to help clean teeth. Oral hygiene is the practice of keeping the mouth clean and is a means of preventing dental caries, gingivitis, periodontal disease, bad breath, and other dental disorders. It consists of both professional and personal care. Regular cleanings, usually done by dentists and dental hygienists, remove tartar (mineralized plaque) that may develop even with careful brushing and flossing.
Elmex Elmex is a brand of toothpaste that has been sold since 1962. It is manufactured by GABA International AG, a Swiss manufacturer of branded oral care products located in Therwil. GABA is wholly owned by Colgate-Palmolive company of the United States. Elmex was the first toothpaste to contain the organic Amine Fluoride (AmF) olaflur as an active ingredient for protection against dental caries.
In the active skeletal growth, mouthbreathing, finger sucking, thumb sucking, pacifier sucking, onychophagia (nail biting), dermatophagia, pen biting, pencil biting, abnormal posture, deglutition disorders and other habits greatly influence the development of the face and dental arches. Pacifier sucking habits are also correlated with otitis media. Dental caries, periapical inflammation and tooth loss in the deciduous teeth can alter the correct permanent teeth eruptions.
SP is highly expressed in dental pulp and dentin. When pain, thermal, and/or chemical stimulation is present, SP production and release increases. Current studies focus on whether controlling Substance P expression may control tooth pain. In addition, dental caries is more likely to develop pulpitis due to less time for the dental pulp to react and protect itself by occluding the dentinal tubules.
The tongue surface can be a reservoir for tooth pathogens and periodontal pathogens. It can contribute to the recolonization of tooth surfaces. People with periodontal disease are more likely to have a thicker tongue coating and a microbial flora that produces more volatile sulphur compounds compared to those who have healthy periodontal tissues. Tongue cleaning might help to reduce halitosis, dental caries and periodontal disease.
US 5 Alternate in Newport runs parallel to US 5. US 5 goes through the downtown area, while US 5 Alt goes around the southeast side of the city. The road that US 5 Alt is on only caries the name of Coventry Street. This route starts from its southern terminus at its junction with US 5, near the edge of the city limits.
Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities (dental caries), gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened deposits (tartar) not removed by routine cleaning. Those with dentures and natural teeth may supplement their cleaning with a denture cleaner.
As time progresses, the pH returns to normal due to the buffering capacity of saliva and the dissolved mineral content of tooth surfaces. During every exposure to the acidic environment, portions of the inorganic mineral content at the surface of teeth dissolve and can remain dissolved for two hours.Dental Caries , hosted on the University of California Los Angeles School of Dentistry website. Page accessed August 14, 2006.
Since teeth are vulnerable during these acidic periods, the development of dental caries relies heavily on the frequency of acid exposure. The carious process can begin within days of a tooth's erupting into the mouth if the diet is sufficiently rich in suitable carbohydrates. Evidence suggests that the introduction of fluoride treatments has slowed the process.Summit, James B., J. William Robbins, and Richard S. Schwartz.
Tobacco Use Increases the Risk of Gum Disease , hosted on the American Academy of Periodontology . Page accessed January 9, 2007. As the gingiva loses attachment to the teeth due to gingival recession, the root surface becomes more visible in the mouth. If this occurs, root caries is a concern since the cementum covering the roots of teeth is more easily demineralized by acids than enamel.
The lactate is excreted from the cell onto the tooth enamel then ionizes. The lactate ions demineralize the hydroxyapatite crystals causing the tooth to be degraded. The progression of pit and fissure caries resembles two triangles with their bases meeting along the junction of enamel and dentin. Teeth are bathed in saliva and have a coating of bacteria on them (biofilm) that continually forms.
A slight remineralization of enamel occurs in the dark zone, which serves as an example of how the development of dental caries is an active process with alternating changes.Nanci, p. 121 The area of greatest demineralization and destruction is in the body of the lesion itself. The surface zone remains relatively mineralized and is present until the loss of tooth structure results in a cavitation.
This type of dentin has been subdivided according to the presence or absence of the original odontoblasts. If the odontoblasts survive long enough to react to the dental caries, then the dentin produced is called "reactionary" dentin. If the odontoblasts are killed, the dentin produced is called "reparative" dentin. In the case of reparative dentin, other cells are needed to assume the role of the destroyed odontoblasts.
A randomised clinical trial conducted by Zhi et al. (2012) found that increasing the frequency of SDF application from once to twice per year increased the rate of caries arrest. The American Academy of Paediatric Dentistry (AAPD) recommends a 2-4 week follow-up to assess the arrest of carious lesions treated with SDF. If the lesions do not appear to have arrested (i.e.
Moore was the first African-American to join the American Society for Microbiology. Moore was also a member of the American Association of Science, American Society of Immunology, the American Association of Microbiology and the American Public Health Association. Moore retired in 1971. Moore's publications include a 1938 discussion of the immunology of dental caries, publications in the 1950s on blood types in African-Americans.
Tuftelin is an acidic phosphorylated glycoprotein found in tooth enamel. In humans, the Tuftelin protein is encoded by the TUFT1 gene. It is an acidic protein that is thought to play a role in dental enamel mineralization and is implicated in caries susceptibility. It is also thought to be involved with adaptation to hypoxia, mesenchymal stem cell function, and neurotrophin nerve growth factor mediated neuronal differentiation.
The less stable calcium polyacrylate chains are progressively replaced by aluminium polyacrylate, allowing the calcium to join the fluoride and phosphate and diffuse into the tooth substrate, forming polysalts, which progressively hydrate to yield a physically stronger matrix.Gao W.; Smales R.J.; Yip H;K. 2000. Demineralization and remineralization of dentine caries, and the role of glass-ionomer cements. Int Dent J. Feb;50(1):51-6.
Anterior teeth are one of the most scrutinized teeth, the size and shape and color of the anterior upper teeth plays an important role in dental aesthetics and smile aesthetics. A few aesthetic anterior problems could be solved with composite restorations. For example, dental caries, tooth fracture, enamel defects and diastemas. Composite restoration can also improve aesthetic by changing shape, color, length and alignment of teeth.
Talwandi Kalan has one clean source of water that provides 39 liters per capita per day; the Indian government categorizes this water source as partial coverage for the village. The presence of trace elements Selenium and Fluorine in the water of Talwandi Kalan has resulted in lower incidence of dental caries in village children than children of neighboring villages Dhanansu and Bhatian, whose water lacks these elements.
Scientific investigation of magnolol and honokiol have shown promise for their use in dental health. Both compounds demonstrate effective anti- bacterial activity against the bacteria responsible for bad breath and dental caries. Several members of the family Annonaceae are also under investigation for uses of a group of chemicals called acetogenins. The first acetogenin discovered was uvaricin, which has anti-leukemic properties when used in living organisms.
The first bacteria to attach to these pellicle glycoproteins are gram positive aerobic cocci such as Streptococcus sanguinis. These bacteria are able to replicate in the oxygen rich environment of the oral cavity and form micro-colonies within minutes after attachment. Other bacteria including Streptococcus mutans are able to grow in these colonies. Streptococcus mutans is important because it is associated with dental caries.
Once pathogens attach to host cells, they can cause direct damage as the pathogens use the host cell for nutrients and produce waste products. For example, Streptococcus mutans, a component of dental plaque, metabolizes dietary sugar and produces acid as a waste product. The acid decalcifies the tooth surface to cause dental caries. However, toxins produced by bacteria cause most of the direct damage to host cells.
Then, in 1755 Br Gottlieb Haberecht died and on 1756-12-24 his replacements Christian Rauch and ? Schulz arrived from America where Rauch had spent fifteen years working amongst Native Americans. The new arrivals disagreed with Caries and Shallcross about the conditions to be met before a slave could be baptised. The disagreement lost them the respect of many and caused confusion amongst those awaiting baptism.
Native Americans and later settlers also used it to alleviate stomach and bronchial ailments. A tisane made from the plant was also used to treat mouth and throat infections caused by dental caries and gingivitis. Bee balm is a natural source of the antiseptic compound thymol, the primary active ingredient in some modern commercial mouthwash formulas. The Winnebago used a bee balm tisane as a general stimulant.
They provide some of the best evidence for skeletal manifestations of pellagra and the reaction of bone in malnutrition. They claimed radiological studies of adult pellagrins demonstrated marked osteoporosis. A negative mineral balance in pellagrins was noted, which indicated active mobilization and excretion of endogenous mineral substances, and undoubtedly impacted the turnover of bone. Extensive dental caries were present in over half of pellagra patients.
Fluoride is a natural mineral that naturally occurs throughout the world – it is also the active ingredient of many toothpastes specifically for its remineralizing effects on enamel, often repairing the tooth surface and reducing the risk of caries. The use of fluoridated toothpaste is highly recommended by dental professionals; whereby studies suggest that the correct daily use of fluoride on the dentition of children has a high caries-preventive effect and therefore prevents has potential to prevent ECC. However, it is important to use fluoridated toothpastes correctly; children below the age of two do not usually require toothpaste unless they are already at a high risk of ECC as diagnosed by a dental professional, and therefore it is it is recommended to use a small sized ‘smear’ of toothpaste to incorporate fluoride, with caution removing the toothpaste from within the mouth and not allowing the child to swallow the substances.
This approach comprises the use of chemical material (eg. Papacarie and Carisolv) which contains enzymes and proteases that soften the decayed tooth structure before removing the decay mechanically). In ART, these chemical materials can be used in conjunction with hand instruments while removing dental caries as they have the advantage of improving treatment comfort by reducing the pain, heat and vibration experienced, make ART more accepted for children.
Intrinsic dental erosion, also known as perimolysis, is the process whereby gastric acid from the stomach comes into contact with the teeth. This is often secondary to conditions such as anorexia nervosa, bulimia nervosa, gastroesophageal reflux disease (GERD) and rumination syndrome. Dental erosion can also occur by non-extrinsic factors. There is evidence linking eating disorders with a range of oral health problems including dental erosion, caries and xerostomia.
Another significant change to the oral environment occurred during the Industrial Revolution. More efficient refinement and manufacturing of foodstuffs increased the availability and amount of sucrose consumed by humans. This provided S. mutans with more energy resources, and thus exacerbated an already rising rate of dental caries. Refined sugar is pure sucrose, the only sugar that can be converted to sticky glucans, allowing bacteria to form a thick, strongly adhering plaque.
Some of Alexander's permanent first and second molars suffered from severe dental caries (cavities and decay). Consistent with her young appearance, none of her permanent third molars (wisdom teeth) had erupted. Her blood type was A−. Several hours before her death, Alexander had eaten sweet corn, potatoes, and boiled, canned ham. This was possibly from a diner in nearby Lima, where a waitress had seen her eating with an adult man.
He attended St. Peter's College where he was a classmate of Howard Florey. He received his science degree from University of Melbourne in 1923. Before he left for the US, Begg at one point drew a sketch of the aboriginal people of Australia and noticed that their incisors were completely worn down. A striking fact he observed was that these aboriginal people had no caries or periodontal disease in their teeth.
Prevention is of prior importance at an early developmental age as the defective tooth is more likely to have caries and post-eruptive breakdown due to its increased porosity. Appropriate dietary advice and toothpaste with a fluoride level of at least 1,000 ppm F should be recommended. For treating spontaneous hypersensitivity professional applications of fluoride varnish (e.g. Duraphat 22,600ppm F) or 0.4% stannous fluoride gel may be helpful.
Immature DCs are therefore considered to be part of the innate phase of pulpal immune response. Persistent infection leads to the activation of adaptive immunity. A transition to an adaptive immune response will take place in the dental pulp as the caries and bacteria approach the pulp. Antigens are recognized individually and lines of lymphocytes are developed to produce specific antibodies which attach to the recognized cells and initiate their destruction.
When the decay has progressed enough to allow the bacteria to overwhelm the pulp tissue in the center of the tooth, a toothache can result and the pain will become more constant. Death of the pulp tissue and infection are common consequences. The tooth will no longer be sensitive to hot or cold, but can be very tender to pressure. Dental caries can also cause bad breath and foul tastes.
"Stephan curve", showing sudden decrease in plaque pH following glucose rinse, which returns to normal after 30–60 min. Net demineralization of dental hard tissues occurs below the critical pH (5.5), shown in yellow. The frequency with which teeth are exposed to cariogenic (acidic) environments affects the likelihood of caries development. After meals or snacks, the bacteria in the mouth metabolize sugar, resulting in an acidic by-product that decreases pH.
This results in a constriction of the tubules, which is an attempt to slow the bacterial progression. In addition, as the acid from the bacteria demineralizes the hydroxyapatite crystals, calcium and phosphorus are released, allowing for the precipitation of more crystals which fall deeper into the dentinal tubule. These crystals form a barrier and slow the advancement of caries. After these protective responses, the dentin is considered sclerotic.
Fluorides can bind to bacterial cell walls, inhibiting enzymatic processes associated with sugar uptake and metabolism of carbohydrate, therefore producing a surface more resistant to acid dissolution. Similarly, the silver in SDF kills cariogenic bacteria by interacting with DNA and cellular proteins. This leads to cessation of cellular metabolism preventing bacterial cell wall synthesis and DNA synthesis, and mitochondrial failure. These actions destroy plaque biofilms, and subsequently arrest dental caries.
The bee balms Monarda fistulosa and Monarda didyma, North American wildflowers, are natural sources of thymol. The Blackfoot Native Americans recognized these plants' strong antiseptic action, and used poultices of the plants for skin infections and minor wounds. A tisane made from them was also used to treat mouth and throat infections caused by dental caries and gingivitis. Thymol was first isolated by the German chemist Caspar Neumann in 1719.
Dental loupes aid dentists, hygienists, and dental therapists to devise accurate diagnoses of oral conditions and enhance surgical precision when completing treatment. Additionally, loupes can improve dentists' posture which can decrease occupational strain. Dental caries, also known as cavities, are most accurately identified by visual and tactile examination of a clean, dry tooth. Magnification enables dentists to improve their ability to differentiate between a stain and a cavity.
The organisms are most abundant in the mouth, and one member of the group, S. mutans, is the cause of dental caries in most cases and populations. S. sanguinis is also another potential cause. Others may be involved in other mouth or gingival infections as pericoronitis. If they are introduced into the bloodstream, they have the potential of causing endocarditis, in particular in individuals with damaged heart valves.
Tooth decay (dental caries) has become a pronounced health hazard associated with the consumption of sugars, especially sucrose. Oral bacteria such as Streptococcus mutans live in dental plaque and metabolize any free sugars (not just sucrose, but also glucose, lactose, fructose, and cooked starches) into lactic acid. The resultant lactic acid lowers the pH of the tooth's surface, stripping it of minerals in the process known as tooth decay.Tooth Decay . Elmhurst.edu.
Over a gradual period, the enamel is worn down, which can lead to dental caries. Erosion of tooth enamel begins at a pH of 5.5, and ingredients found in sugar sweetened beverages such as phosphoric acid and citric acid significantly contribute to the demineralization of the enamel. Citric acid in various sugar sweetened beverages can cause chelation. Consumption of sports and energy drinks have been linked to irreversible tooth damage.
92–93 The woolly mammoth is considered to have had the most complex molars of any elephant. Distortion in the molars is the most common health problem found in woolly mammoth fossils. Sometimes, the replacement was disrupted, and the molars were pushed into abnormal positions, but some animals are known to have survived this. Teeth from Britain showed that 2% of specimens had periodontal disease, with half of these containing caries.
There are a number of precautions that clinicians should be aware of when deciding if tooth polishing is indicated. Precautions include; teeth without existing stain, newly erupted teeth, tooth decalcification, hypo- calcification, hypoplasia, demineralization, rampant caries. Areas with exposed root surfaces should also be avoided as well as, areas with tooth sensitivity and gingival inflammation. Tooth polishing should also be avoided in the case of allergies and communicable diseases.
In 1999, a dental analysis was performed by Rachel Hutton MacDonald (1999). Her dental anthropological study of occlusal macrowear, buccal microwear and carious lesions, give evidence that the inhabitants of Jebel Moya were pastoralists. MacDonald studied teeth samples from Jebel Moya in comparison with hunter-gatherers, pastoralists, and agriculturalist societies. Dental caries occur when the enamel of the teeth demineralizes due to a pH in the mouth below 5.5.
Methamphetamine (informally referred to as "meth") is a stimulant drug with a high potential for addiction in its recreational users. It incurs physical and psychological side effects that users find desirable. Other side effects (like bruxism and stimulant psychosis) can result in users neglecting their dental health, eventually leading to advanced tooth decay (caries) and gum infections. Further, a common side effect of stimulant drugs is xerostomia, which accelerates tooth decay.
In 1938, Bodecker introduced the Stepwise Caries Excavation (SWE) Technique for treatment of teeth with deep caries for preservation of Pulp vitality. This technique is used when most of the decay has been removed from a deep cavity, but some softened dentin and decay remains over the pulp chamber that if removed would expose the pulp and trigger irreversible pulpitis. Instead, the dentist intentionally leaves the softened dentin/decay in place, and uses a layer of protective temporary material which promotes remineralization of the softened dentin over the pulp and the laying down of new layers of tertiary dentin in the pulp chamber. The color of the carious lesion changes from light brown to dark brown, the consistency goes from soft and wet to hard and dry so that Streptococcus Mutans and Lactobacilli have been significantly reduced to a limited number or even zero viable organisms and the radiographs show no change or even a decrease in the radiolucent zone.
Susceptibility to disease varies between individuals and immunological mechanisms have been proposed to confer protection or susceptibility to the disease. These mechanisms have yet to be fully elucidated but it seems that while antigen presenting cells are activated by S. mutans in vitro, they fail to respond in vivo. Immunological tolerance to S. mutans at the mucosal surface may make individuals more prone to colonisation with S. mutans and therefore increase susceptibility to dental caries.
Symptoms such as vomiting, nausea, restlessness, pallor, sweating, trembling and lethargy can also first present in infants when they are introduced to fruits and vegetables. These can progress to apathy, coma and convulsions if the source is not recognized early. When patients are diagnosed with HFI, a dietary history will often reveal an aversion to fruit and other foods that contain large amounts of fructose. Most adult patients do not have any dental caries.
It consists of fluoroaluminosilicate glass and a liquid containing polyacrylic acid, itaconic acid and water. Alternatively, the acid may be freeze dried and added to powder with distilled water. When in position it will release fluoride ions which could have a potential anti caries effect. It also binds physicochemically to tooth structure and has a low coefficient of thermal expansion, both of which are important to create a good seal and good retention.
Excessive heat is known to cause damage to the pulp of the tooth. Therefore, to protect pulp against potential damage of heat both Sheridan and Zachrissan recommend that water must be used while IPR to reduce any side-effects of this procedure on the dental pulp. IPR has also been known to cause caries and periodontal disease in teeth. However, the association has been a topic of debate for many years now.
The Blackfoot people recognized this plant's strong antiseptic action, and used poultices of the plant for skin infections and minor wounds. An herbal tea made from the plant was also used to treat mouth and throat infections caused by dental caries and gingivitis. Beebalm is a natural source of the antiseptic thymol, the primary active ingredient in modern commercial mouthwash formulas. The Winnebago used an herbal tea made from beebalm as a general stimulant.
The cause of cavities is acid from bacteria dissolving the hard tissues of the teeth (enamel, dentin and cementum). The acid is produced by the bacteria when they break down food debris or sugar on the tooth surface. Simple sugars in food are these bacteria's primary energy source and thus a diet high in simple sugar is a risk factor. If mineral breakdown is greater than build up from sources such as saliva, caries results.
Streptococcus mutans are gram-positive bacteria which constitute biofilms on the surface of teeth. These organisms can produce high levels of lactic acid following fermentation of dietary sugars and are resistant to the adverse effects of low pH, properties essential for cariogenic bacteria. As the cementum of root surfaces is more easily demineralized than enamel surfaces, a wider variety of bacteria can cause root caries, including Lactobacillus acidophilus, Actinomyces spp., Nocardia spp.
The advancing front represents a zone of demineralized dentin due to acid and has no bacteria present. The zones of bacterial penetration and destruction are the locations of invading bacteria and ultimately the decomposition of dentin. The zone of destruction has a more mixed bacterial population where proteolytic enzymes have destroyed the organic matrix. The innermost dentin caries has been reversibly attacked because the collagen matrix is not severely damaged, giving it potential for repair.
Average LD50 in mice and rats by oral administration was 520 mg/kg, and by subcutaneous administration was 380 mg/kg. The subcutaneous route is taken here as a worst-case scenario. One drop (32.5 μL) is ample material to treat 5 teeth, and contains 12.35 mg silver diamine fluoride. Assuming the smallest child with caries would be in the range of 10 kg, the dose would be 1.235 mg / kg child.
Not only were dental health problems debilitating in their own way, but the makeshift supply system at the time was not able to provide rations that could be consumed by men with poor teeth, missing teeth or broken dental plates. Furthermore, the untreated dental caries (rotten teeth) lead to systemic infections and digestive problems. In spite of these official restrictions, battalion and brigade commanders had soon realised there was a glaring shortcoming.
A lack of fluorine in the diet is the cause of a greatly increased incidence of dental caries. Fluoride salts can be added to table salt with the goal of reducing tooth decay, especially in countries that have not benefited from fluoridated toothpastes and fluoridated water. The practice is more common in some European countries where water fluoridation is not carried out. In France, 35% of the table salt sold contains added sodium fluoride.
Physical remains of Mayan individuals from the Classic period may also include indicators of social standing. Nutritional diseases during life are recorded in an individual's bones, and their presence and severity differs based on access to resources, which is also related to social standing. Such nutritional diseases include dental caries or cavities in an individual's teeth. Cavities form when bacteria in the mouth metabolize sugars from carbohydrates and demineralize the enamel of a tooth.
Professor Bedi is an active clinician focusing exclusively on the full mouth rehabilitation of young children. He was an NHS consultant in paediatric dentistry from 1991–2005 and is on the General Dental Council specialist list in paediatric dentistry and dental public health. He is a WHO consultant in curriculum development in the area of patient safety and dentistry and co-chair of the Global Expert Committee on dental caries management and prevention.
This visual phenomenon is important to keep in mind when evaluating dental radiographs for evidence of decay, in which grayscale images of teeth and bone are analyzed for abnormal variances of density. A false- positive radiological diagnosis of dental caries can easily arise if the practitioner does not take into account the likelihood of this illusion. Mach bands manifest adjacent to metal restorations or appliances and the boundary between enamel and dentin.Devlin, Hugh.
Pierre Fauchard engraved in his books many of his inventions of instruments made for oral surgery, such as the obturator and the now famous dentist's drill. The drill Fauchard developed was manual and powered by a catgut twisted around a cylinder. He also suggested in his book that oil of cloves and cinnamon be used for pulpitis. Fauchard recommended that human urine be used in the treatment of early stages of caries.
This outermost fluoride rich layer of enamel is removed when tooth polishing is provided. The mineral components of saliva and polishing pastes containing fluoride can assist in remineralizing this outer layer. The enamel surface is strong enough to withstand repeated tooth polishing, but it should be avoided on newly erupted teeth, exposed root surfaces and areas of demineralization. If polishing does occur on these surfaces, fluoride therapy can minimize the risk of dental caries.
Of particular interest is the role of oral microorganisms in the two major dental diseases: dental caries and periodontal disease. Pathogen colonization at the periodontium cause an excessive immune response resulting in a periodontal pocket- a deepened space between the tooth and gingiva. This acts as a protected blood- rich reservoir with nutrients for anaerobic pathogens. Systemic disease at various sites of the body can result from oral microbes entering the blood bypassing periodontal pockets and oral membranes.
Dental sealants are inspected during routine dental visits to ensure that they are retained in the fissures of the teeth. Damaged sealants can simply be repaired by adding new sealant material. One of the major causes of the loss of sealants in the first year is salivary contamination. On the basis of limited evidence both GIC and resin materials are equally acceptable in caries prevention, however retention rates between GIC and Resin have been shown to differ.
Cryptobacterium curtum are Gram-positive, obligately anaerobic, non-spore-forming, and rod-shaped bacteria. C. curtum has been isolated from a periodontal pocket sample of an adult patient and from necrotic dental pulp, respectively. C. curtum can also be isolated from human oral and dental infections like pulpal inflammations, advanced caries, dental abscesses or periodontitis. While C. curtum does not appear to be present in the normal microflora, the nearly double in population size when periodontitis is present.
Barodontalgia is a symptom of dental disease, for example inflammatory cyst in the mandible. Indeed, most of the common oral pathologies have been reported as possible sources of barodontalgia: dental caries, defective tooth restoration, pulpitis, pulp necrosis, apical periodontitis, periodontal pockets, impacted teeth, and mucous retention cysts. One exception is barodontalgia manifested as referred pain from barosinusitis or barotitis-media. The latter two conditions are generated from pressure changes rather than pressure-related flare-up of pre-existing conditions.
The use of grinding stones likely added sand to food (such as grains) that also worked to grind down teeth. However, the angle of tooth wear was greater than that seen in agricultural populations. According to Irish, this could indicate the primary extensive gathering of wild plants, perhaps alongside the use of a few semi-domesticated foods. The continued use of primarily wild plants is also support by a lack of caries on the teeth of Gebel Ramlah individuals.
Her research areas are the transmission, pathogenesis, ecology and evolution of infectious agents, and the transmission of antibiotic resistance among bacteria, particularly E. coli and Group B Streptococcus. Other interests are the role of oral microbiota in dental caries, viral infection and bacterial pneumonia, biofilm growth on medical devices and the dynamics of hospital pathogens. Foxman is a disciple of Darwinian medicine and believes that therapy can only be intelligently applied if the evolutionary history of pathogens is understood.
Every month, more than 50% of the clients are from Italy, France, America and Russia. The patients are receiving the full service package: dental rehabilitation, prosthesis, caries treatment, removal and teeth whitening. The medical tourists can benefit from the remote, online medical consultations and by the medical excursions in Moldova, which include tickets procurement, hotel reservation and excursions of the touristic sites. The foreign patients are told about the preliminary treatment, cost and duration of the therapy.
The OHL was high in the school teachers with the REALD-99 scores ranging from 45 to 95 with a mean score of 75.83 ± 9.94. Th This study found that there was a statistically significant difference between OHL and education, frequency of brushing and the filled teeth. Although this study indicated high OHL levels among school teachers in Mangalore, India the magnitude of dental caries in this population was also relatively high and very few had a healthy periodontium.
Informative panel about the Bonnanaro culture. A trepanned skull is shown in the lower left About 200 human skeletons of the period show that the Bonnanaro population (phase A1) was composed mainly of dolicochepalic individuals (67%) with a minority of brachycephalics (33%), the latter concentrated in the north-western portion of the island. The average height was 1.62 m for men and 1.59 m for women. The Bonnanaro population suffered from osteoporosis, hyperostosis, anemia, caries and tumors.
Based on the tooth injury, sensory nerve fibers react to pulpitis by growing terminal branches into the adjacent surviving pulp, which also changes the cytochemical phenotype. This neural growth typically lasts few a few days and function and form is retained. Thus, pain is poorly localized, and the level of pain stemming from pulpitis varies based on severity, quality, duration, onset, trigger. As caries invades dentin, the number of permeable dentinal tubules correlates with the degree of pain.
This is referred to as a white spot lesion, an incipient carious lesion or a "microcavity". As the lesion continues to demineralize, it can turn brown but will eventually turn into a cavitation ("cavity"). Before the cavity forms, the process is reversible, but once a cavity forms, the lost tooth structure cannot be regenerated. A lesion that appears dark brown and shiny suggests dental caries were once present but the demineralization process has stopped, leaving a stain.
Tetrahydrocannabinol (THC), the active chemical substance in cannabis, also causes a nearly complete occlusion of salivation, known in colloquial terms as "cotton mouth". Moreover, 63% of the most commonly prescribed medications in the United States list dry mouth as a known side-effect. Radiation therapy of the head and neck may also damage the cells in salivary glands, somewhat increasing the likelihood of caries formation.Oral Complications of Chemotherapy and Head/Neck Radiation , hosted on the National Cancer Institute website.
Paul B. Hoeber, Inc; Medical Book Department of Harper & Brothers. detailing his global travels studying the diets and nutrition of various cultures. The book concludes that aspects of a modern Western diet (particularly flour, sugar, and modern processed vegetable fats) cause nutritional deficiencies that are a cause of many dental issues and health problems. The dental issues he observed include the proper development of the facial structure (to avoid overcrowding of the teeth) in addition to dental caries.
Example: Demineralisation and remineralisation of dental enamel in the presence of acid and fluoride in saliva and plaque fluid. Remineralisation is a natural process and does not have to involve fluoride. Tooth remineralisation is the natural repair process for non-cavitated tooth lesions,Fejerskov, O., Nyvad, Bente, & Kidd, Edwina A. M. (2015). Dental caries : The disease and its clinical management (Third ed.), in which calcium, phosphate and sometimes fluoride ions are deposited into crystal voids in demineralised enamel.
It builds a 3-D bio- matrix with binding sites for Calcium-ions serving as nucleation point for hydroxyapatite (tooth mineral) formation. The high affinity to tooth mineral is based on matching distances of Ca-ion binding sites on P11-4 and Ca spacing in the crystal lattice of hydroxyapatite. The matrix formation is pH controlled and thus allows control matrix activity and place of formation. Self assembling properties of P11-4 are used to regenerate early caries lesions.
Zooarchaeological analysis indicates the presence of fish, lizards, rodents, armadillos, peccaries and deer that were brought as a single piece from the killing site. Results of stable carbon and nitrogen isotopic analysis indicate a diet where protein mainly came from plant food resources. Together with dental caries frequencies comparable to those observed among agricultural populations, the emerging picture is of a typical early Archaic economy structured around staple carbohydrates complemented by hunting of small and mid-sized animals.
The proportion of Gram-negative rods increase as gingivitis develops so it is also used to reduce gingivitis. It is sometimes used as an adjunct to prevent dental caries and to treat gingivitis periodontal disease, although it does not penetrate into periodontal pockets well. Chlorhexidine mouthwash alone is unable to prevent plaque, so it is not a substitute for regular toothbrushing and flossing. Instead, chlorhexidine is more effective used as an adjunctive treatment with tooth brushing and flossing.
Glass ionomer cements act as sealants when pits and fissures in the tooth occur and release fluoride to prevent further enamel demineralisation and promote remineralisation. Fluoride can also hinder bacterial growth, by inhibiting their metabolism of ingested sugars in the diet. It does this by inhibiting various metabolic enzymes within the bacteria. This leads to a reduction in the acid produced during the bacteria's digestion of food, preventing a further drop in pH and therefore preventing caries.
The main reason for replacement of anterior composite are typically surface discoloration , secondary caries and fracture of restoration. It is generally accepted that Class IV restorations do not last as long as Class III and Class V. One study compared four different anterior composite restoration types over 5 years. Variables assessed included handling characteristics, gingival condition, surface staining, marginal staining, color deterioration, and overall longevity. The Class IV restorations had higher failure rates than Class III or V restorations.
Extracellular long-chained glucans synthesized from sucrose via glucosyltransferase enzymes help accumulate S. sobrinus on tooth enamel surfaces. The glucans provide a shelter for bacterial colonization, and the protected environment creates the perfect nesting ground for S. sobrinus and other microorganisms to sustain a stable community in the form of dental plaque. S. sobrinus in turn releases lactic acid in the anaerobic metabolism of glucose. Lactic acid demineralizes tooth enamel and fosters the initiation of dental caries.
Dental restoration, dental fillings, or simply fillings, are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants. They are of two broad types—direct and indirect—and are further classified by location and size. A root canal filling, for example, is a restorative technique used to fill the space where the dental pulp normally resides.
Schweizer's reagent is prepared by treating an aqueous solutions of copper(II) ions with ammonia. Initially, the light blue hydroxide precipitates only to redissolve upon addition of more ammonia: : [Cu(H2O)6]2+ \+ 2 OH− -> Cu(OH)2 \+ 6 H2O : Cu(OH)2 \+ 4 NH3 \+ 2 H2O -> [Cu(NH3)4(H2O)2]2+ \+ 2 OH− Silver diammine fluoride ([Ag(NH3)2]F) is a topical medicament (drug) used to treat and prevent dental caries (cavities) and relieve dentinal hypersensitivity.
The beneficial effects of IMO have been found in infants, children, and the elderly. Dental caries is caused by the formation of insoluble glucan (plaque) on the surface of teeth, and the production of acids by bacteria in the plaque. These acids attack the hard tissues of the teeth. Studies with animal models showed that IMO, in place of sucrose, reduces the amount of plaque formed and also reduces the amount of enamel- attacking acids formed.
This tertiary dentin is called reactionary dentin. This is an attempt to slow down the progress of the caries so that it does not reach the pulp. In the case of an infection breaching the dentin to or very near the pulp, or in the instance of odontoblast death due to other attack (e.g. chemical or physical), undifferentiated mesenchymal cells can differentiate into odontoblast-like cells which then secrete another type, reparative dentin, underneath the site of attack.
These changes can cause a significant reduction in the mechanical properties in dentin e.g. hardness, stiffness, tensile strength, modulus of elasticity, and shrinkage during drying, which makes dentin in and under hybrid layer more prone to cohesive failures under occlusal forces. Lower mineral content of the caries-affected dentin will allow phosphoric acid or acidic monomers to demineralize matrix more deeply than in normal dentin, which results in even more residual water in exposed collagen matrix.
On February 18, 1921, Rodriguez Vargas was sent to Washington, D.C. and assigned to the Army Dental Corps where he continued his investigations in the field of bacteriology. Rodríguez Vargas was there as an educator and investigator of the bacteriological aspects of dental diseases. His research led him to discover the bacteria which causes dental caries. According to his investigations, three types of the Lactobacillus species, during the process of fermentation, are the causes of cavities.
To study the caries-reducing effect in sharks, studies are done on the fluorine atoms that are bound covalently to calcium atoms in the teeth. Each tooth has a complex fluorapatite structure enameloid. In order to reduce effects of deterioration in the teeth, it is useful to sample only the surface of the enameloid of the tooth for this specific research. Studying and researching shark teeth betters our understandings of shark feeding behaviors, evolutionary changes, and mechanisms.
Poor oral health is the most common health-related issue among refugee children and is the second most common health issue among refugee adults. Poor oral health has a negative effect on quality of life and can increase the risk for chronic diseases through common risk factors mechanism Dental caries, or tooth decay puts refugee children at a higher risk for experiencing oral pain, abnormal eating patterns, slow weight gain, speech issues, and learning difficulties. Refugees from Hispanic and Asian origins are at the highest risk for dental caries, followed by those from African, Eastern European and Middle Eastern countries. Refugee children in the U.S. have been shown to have poorer oral health on average, due to many factors including country of origin, parent knowledge, inevitable diet change, access to traditional oral health tools from their home country, time spent in refugee camps, English language skills, and access to dental care once in the U.S. In the larger U.S. population, access to preventative and restorative dental services plays an important role in oral health status.
This may lead to several symptoms such as incomplete eye closure with or without exposure keratitis, oral incompetence, poor articulation, dental caries, drooling, and a low self-esteem. This is because the different branches innervate the frontalis muscle, orbicularis oculi and oris muscles, lip elevators and depressors, and the platysma. The elevators of the upper lip and corner of the mouth are innervated by the zygomatic and buccal branches. When these branches are paralysed, there is an inability to create a symmetric smile.
While on the council she worked to have millk pasteurized, delivered in covered trucks to protect it from sunlight, and to have unhealthy cows destroyed. With Dr Helen Deem of the Plunket Society she revised the guidelines for bottle-fed babies. Another area of interest for Bell was the increase in dental caries. In 1950, Bell and her friend Dr Lucy Wills spend eight weeks in Fiji and Samoa to investigate nutritional reasons for tooth decay in the local populations there.
Fluoride riboswitches are found in many organisms within the domains bacteria and archaea, indicating that many of these organisms sometimes encounter elevated levels of fluoride. Of particular interest is Streptococcus mutans, a major cause of dental caries. It has been shown that sodium fluoride has inhibited the growth rate of S. mutans using glucose as an energy and carbon source. However, it is also noteworthy that many organisms that do not encounter fluoride in the human mouth carry fluoride riboswitches or resistance genes.
Additionally, its significance lies in the effect of the toxicity of fluoride at high concentrations to bacteria, especially those that cause dental caries. It has long been known that many species encapsulate a sensor system for toxic metals such as cadmium and silver. However, a sensor system against fluoride remained unknown. The fluoride riboswitch elucidates the bacterial defense mechanism in counteracting against the toxicity of high concentrations of fluoride by regulating downstream genes of the riboswitch upon binding the fluoride ligand.
Yasuoka was born in pre-war Japan in Kōchi, Kōchi, but as the son of a veterinary corpsman in the Imperial Army, he spent most of his youth moving from one military post to another. In 1944, he was conscripted and served briefly overseas. After the war, he became ill with spinal caries, and it was "while he was bedridden with this disease that he began his writing career." Yasuoka died in his home at age 92 in Tokyo, Japan.
These bacteria can also grow in the mouth; the acid they produce is responsible for the tooth decay known as caries. In medicine, lactate is one of the main components of lactated Ringer's solution and Hartmann's solution. These intravenous fluids consist of sodium and potassium cations along with lactate and chloride anions in solution with distilled water, generally in concentrations isotonic with human blood. It is most commonly used for fluid resuscitation after blood loss due to trauma, surgery, or burns.
There seems to be a lot more that can be done to help individuals prevent tooth decay and gum disease based on what is already known. Dental Caries Cavity 2 Even with fluoridation and oral hygiene, tooth decay is still the most common diet–related disease affecting many people. Tooth decay has the economic impact of heart disease, obesity and diabetes. Dental decay is however easily prevented by reducing acid demineralisation caused by the remaining dental plaque left on teeth after brushing.
A systematic review on the treatment need for back jaw spaces without any teeth found that overeruption was limited to 2 mm for most studies reviewed. The authors of the review also noted the low quality of evidence and concluded that tooth replacement is not recommended as the chief therapy. Overeruption can cause interferences in the occlusion and difficulty when constructing dentures. The alveolar bone typically overgrows, but root surfaces can be exposed to the oral environment increasing likelihood of dental caries.
Proper oral hygiene requires regular brushing and flossing Oral hygiene is the practice of keeping one's mouth clean and free of disease and other problems (e.g. bad breath) by regular brushing of the teeth (dental hygiene) and cleaning between the teeth. It is important that oral hygiene be carried out on a regular basis to enable prevention of dental disease and bad breath. The most common types of dental disease are tooth decay (cavities, dental caries) and gum diseases, including gingivitis, and periodontitis.
To reach the pulp, the most common route of the microorganism is through dental caries as well as from trauma, dentinal cracks and exposed dentin. Exposed dentin gives the microorganisms access to the pulp of the tooth through the dentinal tubules. In the case of penetrating decay, the pulp chamber is no longer sealed off from the environment of the oral cavity.Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps ingerm- free and conventional laboratory rats.
If demineralization continues over time, enough mineral content may be lost so that the soft organic material left behind disintegrates, forming a cavity or hole. The impact such sugars have on the progress of dental caries is called cariogenicity. Sucrose, although a bound glucose and fructose unit, is in fact more cariogenic than a mixture of equal parts of glucose and fructose. This is due to the bacteria utilising the energy in the saccharide bond between the glucose and fructose subunits.
SDF is also known as diammine silver fluoride, silver fluoride, and silver ammonium fluoride. It is frequently spelled "silver diamine fluoride" (with one m); however, this is a misnomer, as SDF contains two ammine (NH3) groups, not amine (NH2) groups. Based on the current, best available evidence, SDF can be used by licensed dental professionals. In the UK, this is classified as 'off-label' use of a topical medicament for arresting caries as it is licensed for treatment of dentine hypersensitivity.
The majority of the faunal bones recovered from the site shows evidence of burning. The presence of large quantities of ground stones at the site and dental wear analysis indicate that the consumption of plants was an important part of the diet at Soro Mik'aya Patjxa. Only one of the 251 teeth recovered from the site shows evidence for dental caries, a low rate which is typical of hunter-gatherers. Dental wear analysis suggests a diet typical of terrestrial hunter-gatherers.
Dental pathologies are used as a dietary proxy in bioarchaeological studies. As expected for generalist foragers living in a tropical environment, the elevated frequency of dental abscesses and caries has been reported for early Holocene Lagoa Santa, particularly among females. In an environment with a wide variety of tubers and fruits such as pequi (Caryocar brasiliense), jatobá (Hymenaea sp.) and araticum (Annona classiflora), it is expected that humans would have had a diverse diet instead of focusing exclusively on meat.
They note that "the strength of the recommendation is limited because SRP is considered the reference standard and thus used as an active control for periodontal trials and there are few studies in which investigators compare SRP with no treatment." They add however that "root planing ... carries the risk of damaging the root surface and potentially causing tooth or root sensitivity. Generally expected post-SRP procedural adverse effects include discomfort." Enamel cracks, early caries and resin restorations can be damaged during scaling.
PGIMER is involved in research for the rural and community related environment and health problems. The focus of research has been on tackling diseases like diarrhea, tuberculosis, malaria, amoebiasis, systemic vasculitis, relapsing polychondritis, HIV, leprosy, hepatitis, anaemia, leukaemia, hypertension, atherosclerosis, thalassemia, dental caries, Oral cancer, stone disease, cancer, and sexually transmitted diseases. Techniques are available to conduct studies like flow cytometry, chromatography (HPLC, FPLC), molecular biology, positron emission tomography (PET) and genetic studies. A BSL-III laboratory for mycobacteria is under construction.
The process of removing the pulp from the chamber is the actual "pulpotomy", though the word is often used for the entire process including placement of the medication. There are many medicaments that can be used to fill the pulp chamber including zinc-oxide eugenol as well as mineral trioxide aggregate. There are two types of pulpotomy techniques depending the extent of caries in a tooth and the symptoms it presents. A vital pulpotomy or a non-vital pulpotomy can be carried out.
However, a highly efficient innate host defense system constantly monitors the bacterial colonization and prevents bacterial invasion of local tissues. A dynamic equilibrium exists between dental plaque bacteria and the innate host defense system. Of particular interest is the role of oral microorganisms in the two major dental diseases: dental caries and periodontal disease. Additionally, research has correlated poor oral heath and the resulting ability of the oral microbiota to invade the body to affect cardiac health as well as cognitive function.
The confectionery industry donated huge sums of money and tons of chocolates and caramels to fund the experiments. Because the experiments had shown a clear link between sugar intake and dental caries, the industry was not pleased with the results, and the researchers delayed their publication. When the study was finally made public in 1953, a critical debate arose about why they had been held back for so long. The scientists were accused of having been bought by the industry.
This involves patients who are about to start, or very recently have started, taking the drugs of concern. There is a small portion of observational studies which promote the idea of preventative dental treatment to decrease oral complications in patients taking these drugs. These preventative measures may require a change in the patients’ oral hygiene technique and lifestyle factors such as smoking and alcohol consumption. There is also a benefit in prescribing high fluoridated toothpaste if the patient is of high caries risk.
Finally, the teeth are examined. Each tooth that may be painful is percussed (tapped), palpated at the base of the root, and probed with a dental explorer for dental caries and a periodontal probe for periodontitis, then wiggled for mobility. Sometimes the symptoms reported in the history are misleading and point the examiner to the wrong area of the mouth. For instance, sometimes people may mistake pain from pulpitis in a lower tooth as pain in the upper teeth, and vice versa.
Surprisingly however, these pathologies were not observed on the remains of the Moatfield individuals. The most likely explanation for this is the consumption of fish from Lake Ontario and local streams that were identified in the faunal collection of the site. The dental analysis for the Moatfield population focused on patterns of caries (cavities), abscessing, wear, and antemortem tooth loss. Dental analysis was divided into two study collections due to the disarticulated nature of the remains: maxillary specimens and mandibular specimens.
A Maasai herdsman grazing his cattle inside the Ngorongoro crater, Tanzania Traditionally, the Maasai diet consisted of raw meat, raw milk, and raw blood from cattle. Note that the Maasai cattle are of the Zebu variety. In the summer of 1935 Dr. Weston A. Price visited the Maasai and reported that according to Dr. Anderson from the local government hospital in Kenya most tribes were disease-free. Many had not a single tooth attacked by dental caries nor a single malformed dental arch.
Dean, H.T. "Chronic endemic dental fluorosis." Journal of the American Dental Association, 16, 1269 – 1273, 1936. In 1936 and 1937, Dr. Dean and other dentists compared statistics from Amarillo, which had 2.8 – 3.9 mg/L fluoride content, and low fluoride Wichita Falls. The data is alleged to show fewer cavities in Amarillo children, but the studies were never published. Dr. Dean's research on the fluoride-dental caries relationship, published in 1942, included 7,000 children from 21 cities in Colorado, Illinois, Indiana, and Ohio.
As a result, flossing is also considered a necessity to maintain oral hygiene. When used correctly, dental floss removes plaque from between teeth and at the gum line, where periodontal disease often begins and could develop caries. Electric toothbrushes are a popular aid to oral hygiene. A user without disabilities, with proper training in manual brushing, and with good motivation, can achieve standards of oral hygiene at least as satisfactory as the best electric brushes, but untrained users rarely achieve anything of the kind.
Since the mid-20th century, it has been discerned from population studies (though incompletely understood) that fluoride reduces tooth decay. Initially, researchers hypothesized that fluoride helped by converting tooth enamel from the more acid-soluble mineral hydroxyapatite to the less acid-soluble mineral fluorapatite. However, more recent studies showed no difference in the frequency of caries (cavities) between teeth that were pre-fluoridated to different degrees. Current thinking is that fluoride prevents cavities primarily by helping teeth that are in the very early stages of tooth decay.
Inoue was born in what is now part of Kawanishi in Yamagata Prefecture, where his father was a pharmacist. His father was involved in an agrarian reform movement and also managed a local drama troupe. A novel his father had written won a prize and he was offered a job as a scriptwriter in a film company. But when he was preparing to move to Tokyo, he became ill with spinal caries and, soon after, when Hisashi Inoue was 5 years old, he died at age 34.
In addition, other maternal factors such as social, behavioral, and biological factors can predispose a child's experience with tooth-decay. Some of these factors include the lack of knowledge a mother possesses concerning oral health, which can influence the development of caries among her children. Compared to children whose mothers have good oral health, children whose mothers have bad oral health are five times as likely to have poor oral health. Poor maintenance of oral health has profound implications on the development of children.
Caries-inhibiting effects of fluoride were first believed to have been seen in 1902 when fluoride in high concentrations was found to stain teeth and prevent tooth decay. Fluoride salts, particularly sodium fluoride (NaF), are used in the treatment and prevention of osteoporosis. Symptoms such as fractured hips in the elderly or brittle and weak bones are caused due to fluorine deficiency in the body. Fluoride stimulates bone formation and increases bone density, however bone with excess fluoride content has an abnormal structure resulting in increased fragility.
Matrices such as BisHPPP and BBP, contained in the universal adhesive BiSGMA, have been demonstrated to increase the cariogenicity of bacteria leading to the occurrence of secondary caries at the composite-dentin interface. BisHPPP and BBP cause an increase of glycosyltransferase in S. mutans bacteria, which results in increased production of sticky glucans that allow S.mutans' adherence to the tooth. This results in a cariogenic biofilms at the interface of composite and tooth. The cariogenic activity of bacteria increases with concentration of the matrix materials.
Furthermore, any active disease including caries or periodontal disease should be treated and followed by a period of maintenance to ensure patient compliance in maintaining appropriate oral hygiene. Study models mounted on a semi-adjustable articulator using a facebow record are a useful aid to study occlusion prior to provision of a fixed prosthesis. They may also be used to practice planned tooth preparation. Subsequently a diagnostic wax up can be provided to help the patient visualise the final prosthesis and to construct a silicone index.
This is due to the presence of highly buffered and alkaline saliva caused by the high concentration of urea nitrogen and phosphate in saliva. The salivary pH will usually be above the critical pH level for demineralization of the enamel to occur and this helps to prevent the formation of caries. Besides that, pulpal narrowing and calcifications is a frequent finding in patients with renal disease. For patients who are on dialysis, the nausea and vomiting resulting from dialysis treatment may lead to severe tooth erosion.
Apexification is a method of dental treatment to induce a calcific barrier in a root with incomplete formation or open apex of a tooth with necrotic pulp. Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. As a sequelae of untreated pulp involvement, loss of pulp vitality or necrotic pulp took place for the involved teeth. The main purpose of apexification includes restoring the original physiologic structures and functions of the pulp-dentin complex of the teeth.
The grit and sand from stone-ground flour abraded teeth, leaving them susceptible to abscesses (though caries were rare). The diets of the wealthy were rich in sugars, which promoted periodontal disease. Despite the flattering physiques portrayed on tomb walls, the overweight mummies of many of the upper class show the effects of a life of overindulgence. Adult life expectancy was about 35 for men and 30 for women, but reaching adulthood was difficult as about one-third of the population died in infancy.
Yudkin's Pure, White, and Deadly (1972) was written for a lay readership. Its intention was to summarise the evidence that the consumption of sugar was leading to a greatly increased incidence of coronary thrombosis; that it was certainly involved in dental caries, probably involved in obesity, diabetes and liver disease, and possibly involved in gout, dyspepsia and some cancers. The book drew on studies from Yudkin's own department and other biochemical and epidemiological research in the UK and elsewhere. Pure, White and Deadly was extremely successful.
While the classical twin study has been criticized they continue to be of high utility. There are several dozen major studies ongoing, in countries as diverse as the USA, UK, Germany, France, the Netherlands, and Australia, and the method is used widely in fields as diverse as dental caries, BMI, ageing, substance abuse, sexuality, cognitive abilities, personality, values, and a wide range of psychiatric disorders. This is broad utility is reflected in several thousands of peer-review papers, and several dedicated societies and journals (See Twin study).
Tooth wear refers to loss of tooth substance by means other than dental caries. Tooth wear is a very common condition that occurs in approximately 97% of the population. This is a normal physiological process occurring throughout life; but with increasing lifespan of individuals and increasing retention of teeth for life, the incidence of non-carious tooth surface loss has also shown a rise. Tooth wear varies substantially between people and groups, with extreme attrition and enamel fractures common in archaeological samples, and erosion more common today.
In 2015, the World Health Organization (WHO) published a new guideline on sugars intake for adults and children, as a result of an extensive review of the available scientific evidence by a multidisciplinary group of experts. The guideline recommends that both adults and children reduce the intake of free sugars to less than 10% of total energy intake. A reduction to below 5% of total energy intake brings additional health benefits, especially with regards to dental caries. See Guideline: Sugars intake for adults and children.
In December 1922, he published an original and fundamental work on the specific bacteriology of dental caries. His findings were published in the December issue of the Military Dental Journal titled "The Specific Study of the Bacteriology of Dental Cavities". Rodríguez Vargas also developed the techniques and methods of analysis. On September 28, 1928, Rodriguez Vargas published in the "Journal of the American Medical Association" his findings in the effectiveness of Iodine and other chemical agents as disinfectants of the mucous membranes of the mouth.
For persons with a dry socket as a complication of tooth extraction, packing the dry socket with a eugenol-zinc oxide paste on iodoform gauze is effective for reducing acute pain. The placement of a ZOE "temporary" for a few to several days prior to the placement of the final filling can help to sedate the pulp. It is classified as an intermediate restorative material and has anaesthetic and antibacterial properties. It is sometimes used in the management of dental caries as a "temporary filling".
Another condition caused by mutations in the PRDM12 gene is hereditary sensory and autonomic neuropathy type VIII. HSAN VIII is a very rare autosomal recessive inherited disorder that also begins at birth and is characterized by an inability to feel pain and an inability to sweat (anhidrosis). Anhidrosis can cause frequent episodes of high body temperature of high fever. Other signs of this condition can include early loss of teeth, server soft tissue injuries, dental caries and submucosal abscesses, hypomineralization of primary, and mandibular osteomyelitis.
Fluoride ions also lower the pH of the cytoplasm. This means there will be less acid produced during the bacterial glycolysis. Therefore, fluoride mouthwashes, toothpastes, gels and varnishes can help to reduce the prevalence of caries. However, findings from investigations into the effect of fluoride-containing varnish, on the level of Streptococcus mutans in the oral environment in children suggest that the reduction of caries cannot be explained by a reduction in the level of Streptococcus mutans in saliva or dental plaque Cochrane Central Register of Controlled Trials (CENTRAL), Effect of a fluoride-containing varnish on Streptococcus mutans in plaque and saliva, Scandinavian journal of dental research, 1982, 90(6), 2003 Issue 3 - Zickert I, Emilson CG. Fluoride varnish treatment with or without prior dental hygiene has no significant effect on the plaque and salivary levels of S. mutans Journal of Indian Society of Pedodontics and Preventative Dentistry, Effect of three different compositions of topical fluoride varnishes with and without prior oral prophylaxis on Streptococcus mutans count in biofilm samples of children aged 2–8 years: A randomized controlled trial, 2019, Page: 286-291 - Sushma Yadav, Vinod Sachdev, Manvi Malik, Radhika Chopra.
A fracture or decementation of a post or loosening of the abutment screw of an implant could be the result of dissolved cement, secondary caries, use of a weak post, or excessive occlusal forces. Oral home care needs to remain at a high standard, brushing twice a day for the duration of two minutes with the use of fluoridated tooth paste. Interdental cleaning once a day using either floss, interdental brushes, wood sticks. Regular dental appointments every 6 months to maintain gingival health, professional cleans, radiographs to examine the bone loss and the implant status.
A relatively rare form of apatite in which most of the OH groups are absent and containing many carbonate and acid phosphate substitutions is a large component of bone material. Fluorapatite (or fluoroapatite) is more resistant to acid attack than is hydroxyapatite; in the mid-20th century, it was discovered that communities whose water supply naturally contained fluorine had lower rates of dental caries. Fluoridated water allows exchange in the teeth of fluoride ions for hydroxyl groups in apatite. Similarly, toothpaste typically contains a source of fluoride anions (e.g.
Boylston, Anthea, in Osteomata (benign tumours of bone) were found in three cases.Boylston, Anthea, in Examination of the jaws and teeth gave information about the dental health of those buried in the priory. The degree of wear of teeth was greater than it is at present, while the incidence of dental caries was much lower than it is now, as was the incidence of periodontal disease. A consequence of the wear of the teeth was "compensatory eruption" of the teeth in order to keep contact with the opposing teeth.
Reduced salivary flow rate is associated with increased caries since the buffering capability of saliva is not present to counterbalance the acidic environment created by certain foods. As a result, medical conditions that reduce the amount of saliva produced by salivary glands, in particular the submandibular gland and parotid gland, are likely to lead to dry mouth and thus to widespread tooth decay. Examples include Sjögren syndrome, diabetes mellitus, diabetes insipidus, and sarcoidosis.Neville, B. W., Douglas Damm, Carl Allen, Jerry Bouquot. Oral & Maxillofacial Pathology 2nd edition, 2002, p. 398. .
Tooth enamel is a highly mineralized acellular tissue, and caries act upon it through a chemical process brought on by the acidic environment produced by bacteria. As the bacteria consume the sugar and use it for their own energy, they produce lactic acid. The effects of this process include the demineralization of crystals in the enamel, caused by acids, over time until the bacteria physically penetrate the dentin. Enamel rods, which are the basic unit of the enamel structure, run perpendicularly from the surface of the tooth to the dentin.
This deprives resident plaque bacteria of carbohydrate, preventing the formation of pit and fissure caries. Sealants are usually applied on the teeth of children, as soon as the teeth erupt but adults are receiving them if not previously performed. Sealants can wear out and fail to prevent access of food and plaque bacteria inside pits and fissures and need to be replaced so they must be checked regularly by dental professionals. Dental sealants have been shown to be more effective at preventing occlusal decay when compared to fluoride varnish applications.
The prognosis for impacted wisdom teeth depends on the depth of the impaction. When they lack a communication to the mouth, the main risk is the chance of a cyst or neoplasm forming in the tissues around the tooth (such as the dental follicle), which is relatively uncommon. Once communicating with the mouth, the onset of disease or symptoms cannot be predicted but the chance of it does increase with age. Less than 2% of wisdom teeth are free of either periodontal disease or caries by age 65.
Removal of impacted wisdom teeth is advised in the case of certain pathologies, such as nonrestorable caries or cysts. Wisdom teeth likely become impacted because of a mismatch between the size of the teeth and the size of the jaw. Impacted wisdom teeth are classified by their direction of impaction, their depth compared to the biting surface of adjacent teeth and the amount of the tooth's crown that extends through gum tissue or bone. Impacted wisdom teeth can also be classified by the presence or absence of symptoms and disease.
The practice of minimal intervention dentistry was designed to utilise these new possibilities by implementing a disease-centric philosophy to management of tooth decay. While advances in dental science are of course used in mainstream dental practice, MI dentistry has redesigned the treatment guidelines beginning with a new classification of caries lesions. This classification was intended to reflect the possibility of curing the disease and remineralising (hardening) early lesions before irreversible damage has been done. It was first published by Mount and Hume in 1997 and has subsequently been revised.
MFP is best known as an ingredient in some toothpastes.Wolfgang Weinert "Oral Hygiene Products" in Ullmann’s Encyclopedia of Industrial Chemistry 2000, Wiley-VCH, Weinheim. It functions as a source of fluoride via the following hydrolysis reaction: :PO3F2− \+ OH− → HPO42− \+ F− Fluoride protects tooth enamel from attack by bacteria that cause dental caries (cavities). Although developed by a chemist at Procter and Gamble, its use in toothpaste (Colgate toothpaste and Ultra Brite) was patented by Colgate- Palmolive, as Procter and Gamble was engaged in the marketing of Crest toothpaste (containing stannous fluoride, marketed as "Fluoristan").
Teeth with active disease such as caries or periodontal disease should not be used as abutments until the disease has been stabilised. Once stable periodontally compromised teeth may be used as abutments, depending on the crown to root ratio described below. Ante's law, states that the roots of abutment teeth must have a combined periodontal surface area in three dimensions that is more than that of the missing root structures of the teeth replaced with a bridge, is used in bridgework design. This law remains controversial in terms of supporting clinical evidence.
Also, the idea of Xylitol being a sweetener option which does not serve as fuel for oral bacteria is considered to be the healthier alternative than sucrose (table sugar), fructose, lactose, galactose products. While these considerations may not reverse any conditions in health, they are more so preventative, and do not further the consequential events such as dental caries, malodorous breath, excessive plaque and gingivitis conditions. Erythritol may have greater protective action than xylitol and sorbitol. However, this research is industry funded and not as comprehensive as the research on xylitol.
In some smuts such as Ustilago maydis the nuclei migrate into the promycelium that becomes septate (i.e., divided into cellular compartments separated by cell walls called septa), and haploid yeast-like conidia/basidiospores sometimes called sporidia, bud off laterally from each cell. In various smuts, the yeast phase may proliferate, or they may fuse, or they may infect plant tissue and become hyphal. In other smuts, such as Tilletia caries, the elongated haploid basidiospores form apically, often in compatible pairs that fuse centrally resulting in "H"-shaped diaspores which are by then dikaryotic.
Angularis nigra between mandibular central incisors Angularis nigra between maxillary central incisors Angularis nigra, Latin for 'black angle', also known as open gingival embrasures, and colloquially known as "black triangle", is the space or gap seen at the cervical embrasure, below the contact point of some teeth. The interdental papilla does not fully enclose the space, leading to an aperture between adjacent teeth. This gap has many causes including gingival recession, and gingival withdrawal post-orthodontic work. Interdental "black triangles" were rated as the third-most-disliked aesthetic problem below caries and crown margins.
Rothia dentocariosa (previously known as Stomatococcus mucilaginosus) is a species of Gram-positive, round- to rod-shaped bacteria that is part of the normal community of microbes residing in the mouth and respiratory tract. First isolated from dental caries, Rothia dentocariosa is largely benign, but does very rarely cause disease. The most common Rothia infection is endocarditis, typically in people with underlying heart valve disorders. Literature case reports show other tissues that are rarely infected include the peritoneum, tonsils, lung, cornea, inner layers of the eye (Endophthalmitis) and brain and intercranial tissues.
Dental sealants were first introduced as part of the preventative programme, in the late 1960s, in response to increasing cases of pits and fissures on occlusal surfaces due to caries. This led to glass ionomer cements to be introduced in 1972 by Wilson and Kent as derivative of the silicate cements and the polycarboxylate cements. The glass ionomer cements incorporated the fluoride releasing properties of the silicate cements with the adhesive qualities of polycarboxylate cements. This incorporation allowed the material to be stronger, less soluble and more translucent (and therefore more aesthetic) than its predecessors.
A substantial amount of both strontium and fluoride ions was found to cross the interface into the partially demineralised dentine affected by caries. This promoted mineral depositions in these areas where calcium ion levels were low. Hence, this study supports the idea of glass ionomers contributing directly to remineralisation of carious dentine, provided that good seal is achieved with intimate contact between the GIC and partly demineralised dentine. This, then raises a question, “Is glass ionomer cement a suitable material for permanent restorations?” due to the desirable effects of fluoride release by glass ionomer cement.
A temporary filling is used to keep the material in place, and about 6 months later, the cavity is re- opened and hopefully there is now enough sound dentin over the pulp (a "dentin bridge") that any residual softened dentin can be removed and a permanent filling can be placed. This method is also called "stepwise caries removal." The difficulty with this technique is estimating how rapid the carious process has been, how much tertiary dentine has been formed and knowing exactly when to stop excavating to avoid pulp exposure.
Conventional root canal therapy cleans and fills the pulp chamber with biologically inert material after destruction of the pulp due to dental caries, congenital deformity or trauma. Regenerative endodontics instead seeks to replace live tissue in the pulp chamber. The ultimate goal of REPS is to regenerate the tissues and the normal function of the dentin-pulp complex. Before this treatment modality is introduced, apexification procedures using either immediate placement of mineral trioxide aggregate (MTA) apical plug or long term-calcium hydroxide treatment were traditionally used to treat immature permanent tooth.
Primary/deciduous (baby) teeth in children have relatively large pulp spaces. Caries do not have to develop significantly before they reach the pulp chamber. When the soft tissue in the pulp chamber is infected (has bacteria in it) or affected (is inflamed), it can be removed by a dentist or dental therapist under local anaesthetic. If the soft tissue in the canals is still healthy enough, a special medicated filling can be put into the chamber in an attempt to keep the remaining pulp (in the canals) alive.
In August 1919, he was reassigned to San Juan, Puerto Rico and served in Camp Las Casas."Asuntos Historicos: Tributo Al Extinto Comandante Fernando E. Rodriguez"; by Dr. Jose Munoz Barait, Page 29 On February 18, 1921, Rodriguez Vargas was sent to Washington, D.C. and assigned to the Army Dental Corps where he continued his investigations in the field of bacteriology. Rodríguez Vargas was there as an educator and investigator of the bacteriological aspects of dental diseases. His research led him to discover the bacteria which causes dental caries.
Dental restoration using composite bonding Dental composites, commonly described to patients as "white fillings", are a group of restorative materials used in dentistry. They can be used in direct restorations to fill in the cavities created by dental caries and trauma, minor buildup for restoring tooth wear (non-carious tooth surface loss) and filling in small gaps between teeth (labial veneer). Dental composites are also used as indirect restoration to make crowns and inlays in the laboratory. These materials are similar to those used in direct fillings and are tooth-colored.
Inorganic filler such as silica, quartz or various glasses, are added to reduce polymerization shrinkage by occupying volume and to confirm radio-opacity of products due to translucency in property, which can be helpful in diagnosis of dental caries around dental restorations. The filler particles give the composites wear resistance as well. Compositions vary widely, with proprietary mixes of resins forming the matrix, as well as engineered filler glasses and glass ceramics. A coupling agent such as silane is used to enhance the bond between resin matrix and filler particles.
The work of the Moravian Church in Jamaica started with the arrival on 1754 -12-07 of missionaries Zecharias Caries, Thomas Shallcross and Gotlieb Haberecht from England at the invitation of the Foster and Barham families, owners of several plantations in St Elizabeth. They landed on the coast of St. Elizabeth, deliberately shunning the towns and opting to remain mostly in the rural areas to serve the large slave population. Their first base was on the Bogue estate. During the first couple of years they had success in their work.
Their names are puns on Caries and Bacteria, and they are two small "tooth trolls" that live inside cavities in the teeth of a boy named Jens. They have a very good life, especially when Jens eats white bread with syrup and fails to brush his teeth afterwards. Eventually their homes are destroyed by the work of a dentist and they are rinsed out of Jens' mouth through proper dental care. The story of Karius and Bactus, with its humorous illustrations and important message, has become a classic of Norwegian children's literature.
The non-surgical phase is the initial phase in the sequence of procedures required for periodontal treatment. This phase aims to reduce and eliminate any gingival inflammation by removing dental plaque, calculus (dental), restoration of tooth decay and correction of defective restoration as these all contribute to gingival inflammation, also known as gingivitis. Phase I consists of treatment of emergencies, antimicrobial therapy, diet control, patient education and motivation, correction of iatrogenic factors, deep caries, hopeless teeth, preliminary scaling, temporary splinting, occlusal adjustment, minor orthodontic tooth movement and debridement (dental).
Most dental pain can be treated with routine dentistry. In rare cases, toothache can be a symptom representing a life-threatening condition, such as a deep neck infection (compression of the airway by a spreading odontogenic infection) or something more remote like a heart attack. Dental caries, if left untreated, follows a predictable natural history as it nears the pulp of the tooth. First it causes reversible pulpitis, which transitions to irreversible pulpitis, then to necrosis, then to necrosis with periapical periodontitis and, finally, to necrosis with periapical abscess.
The presence of streptococci encourage adherence of more cariogenic bacteria, which in turn increases the likelihood for caries. Although factors such as the quality of saliva, using fluoridated toothpaste and chewing gum after meals can inhibit the growth of these bacteria and change the biofilm environment. Saliva containing more buffering agents such as calcium and phosphate ions alter the internal environment of dental plaque to become less acidic, favouring the growth of less cariogenic organisms. The fluoride components of fluoridated toothpaste can be bacteriostatic to cariogenic bacteria, decreasing their acidogenicity and proliferation.
Most European countries have experienced substantial declines in tooth decay, though milk and salt fluoridation is widespread in lieu of water fluoridation. Recent studies suggest that water fluoridation, particularly in industrialized nations, may be unnecessary because topical fluorides (such as in toothpaste) are widely used, and caries rates have become low. Although fluoridation can cause dental fluorosis, which can alter the appearance of developing teeth or enamel fluorosis, the differences are mild and usually not an aesthetic or public health concern. There is no clear evidence of other adverse effects from water fluoridation.
In particular the Maasai had a very low 0.4% of bone caries. He attributed that to their diet consisting of (in order of volume) raw milk, raw blood, raw meat and some vegetables and fruits, although in many villages they do not eat any fruit or vegetables at all. He noted that when available every growing child and every pregnant or lactating woman would receive a daily ration of raw blood. Dr. Weston A. Price also noted the government efforts back in 1935 to turn the Maasai into farmers.
Diet is an important area of study for bioarchaeologists because it can reveal many aspects of an individual and the population. The types of foods that were produced and eaten can yield information on how society was structured, on various settlement patterns, and on how healthy or unhealthy the population was. Diet is studied through a variety of methods. Bioarchaeologists can examine teeth and look for the presence or absence of dental caries (cavities), use tooth wear analysis, or they can use stable isotope analysis, specifically through carbon and nitrogen isotopes.
This prediction was exceeded in 2013, with 19% of those over the age of 65 had no natural teeth.Chrisopoulos S, Harford J, Ellershaw A. Oral health and dental care in Australia: key facts and figures 2015: Australian Institute of Health and Welfare; 2016. Although there is a decrease in the rate of edentulism, geriatric patients typically have high levels of plaque, calculus and debris, as they are functionally dependent on others or have lost the capacity to complete tasks such as toothbrushing thoroughly. Consequently, this results in an increased caries prevalence.
Periapical granuloma, also sometimes referred to as a radicular granuloma or apical granuloma, is an inflammation at the tip of a dead (nonvital) tooth. It is a lesion or mass that typically starts out as an epithelial lined cyst, and undergoes an inward curvature that results in inflammation of granulation tissue at the root tips of a dead tooth. This is usually due to dental caries or a bacterial infection of the dental pulp. Periapical granuloma is an infrequent disorder that has an occurrence rate between 9.3 to 87.1 percent.
He published his findings in Mémoire sur la cause immédiate de la carie oú charbon desblés, et de plusieurs autres maladies des plantes, et sur les préservatifs de la carie (Paris, 1807). He made microscope observations on the germination of the spores of the fungus which was later called Tilletia caries. He determined that the spores needed humidity but dismissed the idea that the disease itself was caused by climatic factors as was then believed. His work was however dismissed by scientists in higher positions such as Henri-Alexandre Tessier.
The fluoridated areas of the GDR included the towns of Karl-Marx-Stadt (now Chemnitz), Plauen, Zittau, and Spremberg. Children in those towns were part of large long-running studies of caries prevalence. A fluoride cessation study found that consistent with a previously observed population-wide phenomenon that the rate of cavities continued to drop after the fluoride concentration in water fell from the augmented 1.0 ppm to its natural level below 0.2 ppm. Water fluoridation was discontinued after the German reunification although still exists on some US military bases.
In dentistry, the approximal surfaces are those surfaces which form points of contact between adjacent teeth. However, in diastematic individuals these surfaces may not make contact but are still considered approximal. Due to the topography of approximal sites the removal of plaque by brushing may be difficult and hence a significant build-up may occur increasing the risk of plaque-related diseases such as dental caries or gingivitis. It is recommended that teeth be professionally cleaned every six months, in part, to avoid this build-up and therefore maintain the health of the dentition and surrounding tissues.
Feline odontoclastic resorptive lesions Feline Tooth Resorption (TR) is a syndrome in cats characterized by resorption of the tooth by odontoclasts, cells similar to osteoclasts. TR has also been called "feline odontoclastic resorption lesion" (FORL), neck lesion, cervical neck lesion, cervical line erosion, feline subgingival resorptive lesion, feline caries, or feline cavity. It is one of the most common diseases of domestic cats, affecting up to two-thirds. TRs have been seen more recently in the history of feline medicine due to the advancing ages of cats, but 800-year-old cat skeletons have shown evidence of this disease.
In line with the resolution of the RSFSR Narkomzdrav of September 1, 1939, the SRISO and MSI were united to become the Moscow State Stomatology Institute (MSSI) with associate professor D. S. Dyshlis as Director. That year witnessed the first batch of 79 graduates trained by the new institution. By the time World War II broke out, the Moscow State Stomatology Institute included 25 departments involved in the studies of dental caries, periodontitis, oral mucous membrane lesions, and maxillofacial injuries. In the first days of the war, the MSSI's 1941 graduates were called up to serve in the Red Army or Navy.
During the last decades, several clinical studies describing the clinical efficacy of the lactoperoxidase system in a variety of oral care products (tooth pastes, mouth rinses) have been published. After showing indirectly, by means of measuring experimental gingivitis and caries parameters, that mouth rinses containing amyloglucosidase (γ-amylase) and glucose oxidase activate the lactoperoxidase system, the protective mechanism of the enzymes in oral care products has been partially elucidated. Enzymes such as lysozyme, lactoperoxidase and glucose oxidase are transferred from the tooth pastes to the pellicle. Being components of the pellicle, these enzymes are catalytically highly active.
Fluoride can be lethal in amounts of 5 to 10 grams. Prolonged consumption of fluoride above concentrations of 1.5 mg/L is associated with a risk of dental fluorosis, an aesthetic condition of the teeth. At concentrations above 4 mg/L, there is an increased risk of developing skeletal fluorosis, a condition in which bone fractures become more common due to the hardening of bones. Current recommended levels in water fluoridation, a way to prevent dental caries, range from 0.7 to 1.2 mg/L to avoid the detrimental effects of fluoride while at the same time reaping the benefits.
The current standard of care for Severe Early Childhood Caries includes restoration and extraction of carious teeth and, where possible, includes early intervention which includes application of topical fluoride, oral hygiene instructions and education. The initial visit is important as it allows dental professionals to flag unfavourable behaviour or eating habits. This will also allow dental clinician, working in a collaborative team, to perform diagnostic testing to determine the rate and progression of the disease. This is done by performing risk assessment based on the child's age, as well as the social, behavioural, and medical history of the child.
Toothpaste (dentifrice) with fluoride, or alternatives such as nano-hydroxyapatite, is an important tool to readily use when tooth brushing. The fluoride (or alternative)in the dentifrice is an important protective factor against caries, and an important supplement needed to remineralize already affected enamel. However, in terms of preventing gum disease, the use of toothpaste does not increase the effectiveness of the activity with respect to the amount of plaque removed. People use toothpaste with nano-hydroxyapatite instead of fluoride as it performs the same function, and some people believe fluoride in toothpaste is a neurotoxin.
It is supported by a robust, extensive evidence base with regard to its efficacy and can be used as long as the following criteria are realised: there is a body of evidence supporting its efficacy; and there is no alternative, licensed medicine. The product was cleared for sale by the U.S. Food and Drug Administration as a Class II medical device for the treatment of dentinal hypersensitivity, and has been classified as an ‘effective, efficient, equitable and safe caries-preventative agent’ by the Institute of Medicine and the Millennium Goals of the World Health Organization in 2009.
Standard fluoride toothpaste (1,000–1,500 ppm) is more effective than low fluoride toothpaste (< 600ppm) to prevent dental caries. It is recommended that all adult patients to use fluoridated toothpaste with at least 1350ppm fluoride content, brushing at least 2 times per day and brush right before bed. For children and young adults, use fluoridated toothpaste with 1350ppm to 1500ppm fluoride content, brushing 2 times per day and also brush right before bed. American Dental Association Council suggest that for children <3 years old, caregivers should begin brushing their teeth by using fluoridated toothpaste with an amount no more than a smear.
Impacted wisdom tooth with caries and cyst (green arrow) displacing inferior alveolar nerve (blue) Impactions completely covered by bone and soft tissue, do not communicate with the mouth, and have a low rate of clinically significant infection. Since the tooth never erupts, however, the dental follicle that surrounds the tooth does not degenerate during eruption, and can develop cysts or uncommon tumors over time. Estimates of the incidence of cysts or other neoplasms (almost all benign) around impacted teeth average at 3%, usually seen in people under the age of 40. This suggests that the chance of tumor formation decreases with age.
Classical restorative dentistry has traditionally followed the century-old approach of GV Black in classification and treatment of tooth decay. This was based on very limited knowledge at the time about the pathology of the underlying dental caries disease, and the need to specially prepare a cavity to repair a lesion (decayed area) with the limited available materials. Therefore, the only approach was to treat the symptoms--to remove the decay and restore the tooth surgically. Modern science has since allowed for better understanding of the pathology, thus opening the door for new methodologies and approaches to treatment.
Classical dietary and oral hygiene techniques of reducing sugar content and eating frequency, and removing plaque by effective brushing, are still very important practices for treatment as well as prevention. Also, biochemical techniques can be used to treat the bacterial infection directly. Agents such as chlorhexidine can help fight gum disease and thus reduce the amount of bacteria in the mouth that are responsible for tooth decay. After a wave of empirical studies on the efficacy of Xylitol (a sugar alcohol) a consensus report in the British Dental Journal considered it to give a reduction in the risk of caries.
Taft Honorary Dental Society, University of Michigan School of Dentistry. The School of Dentistry was established as the College of Dental Surgery by the University of Michigan Board of Regents, following an appropriation by the Michigan Legislature of $3,000 for that purpose. The school's first class consisted of 20 students taught by three faculty members. The first women graduated from the school in 1880. In 1980, the school became the first dental school to provide graduate dental education. In 1910, Russell W. Bunting, later dean of the school, began his research into the causes and prevention of dental caries (cavities).
In recent history these restorations were thought to be temporary alternatives to indirect ceramic veneers; however, they are no longer named 'day savior fillings' today. These restorations are called minimally invasive, functional and long-lasting 'direct aesthetic restorations' that perfectly emulate natural dental tissues even in anterior area. 3,4 Discolorations of teeth or restorations, dental malformations or mal-positions, diastemas, crown fractures and abrasive or erosive defects are some examples of up-to-date indications of direct composite veneers. 1 Enamel hypoplasia is a developmental malformation generally resulting in poor aesthetics, tooth sensitivity, malocclusion and predisposition to dental caries.
Most of the signs of Haim–Munk syndrome begin to manifest during the first 2–4 years of life. Commons signs at this stage are thickening and scaling of the skin of the palms, soles (palmoplantar keratoderma) and elbows, and shedding of the primary dentition caused by recurrent episodes of dental caries and periodontitis. Patients also demonstrate hypertrophy and curving of nails (onychogryphosis), flat foot, extreme length and slenderness of fingers and toes (arachnodactyly), and osteolysis involving the distal phalanges of fingers and toes (acro-osteolysis). Permanent flexion contractures of the large and small joints may occur as the disease progresses.
Unlike related syndromes and despite the intensity of symptoms in the disease progression, Flynn–Aird syndrome does not appear to shorten life expectancy. The disease is characterized by early-onset dementia, ataxia, muscle wasting, skin atrophy, and eye abnormalities. In addition, patients have the potential of developing a number of other related symptoms such as: cataracts, retinitis pigmentosa, myopia (nearsightedness), dental caries, peripheral neuropathy (peripheral nerve damage), deafness, and cystic bone changes. This syndrome was first discovered in the early 1950s by American neurologists P. Flynn and Robert B. Aird who analyzed one family lineage inheritance pattern of this disease.
The indication of this pulpotomy procedure is when pulp exposure occurs during caries removal in a primary tooth with a normal pulp or reversible pulpitis or after a traumatic pulp exposure. Then, the coronal tissue is amputated, and the remaining radicular tissue is judged to be vital without suppuration, pus, necrosis, or excessive bleeding which cannot be controlled by a moist cotton pellet (with saline) after several minutes, and there are no radiographic signs of infection or pathologic resorption. Pulpotomy therapy can be classified according to the following treatment objectives: devitalization (mummification, cauterization), preservation (minimal devitalization, noninductive), or regeneration (inductive, reparative).
Partial pulpotomy is also indicated in young permanent teeth with pulp exposure due to caries, provided that the bleeding can be controlled within several minutes. It is a procedure in which the inflamed pulp tissue beneath an exposure is removed to a depth of 1 to 3mm or deeper to reach the level of healthy pulp tissue. Pulpal bleeding can be controlled by irrigation of sodium hypochlorite or chlorhexidine. The site is then covered with a pulpal medicament, calcium hydroxide or MTA, followed by a final restoration that provides a complete seal to prevent any leakage and bacterial contamination following the restoration.
The Challacombe scale is a widely used diagnostic medical tool designed to produce a clinical oral dryness score (CODS) which quantifies the extent of dryness of the mouth, with the aim of making a decision of whether to treat or not, and to monitor its progression or regression. It can be used to assess salivary flow and therefore calculate a risk of dental caries. In addition, it has a particular use in the assessment of dry mouth in Sjögren syndrome. Based on a 10-point scale of clinical physical findings, a score of one is least severe and ten most severe.
The Challacombe score can be used to assess dry mouth in Sjögren syndrome and to assess salivary flow and therefore calculate a risk of dental caries, which are more likely in drier mouths. The score correlates with the rate of salivary flow and with the wetness of the mouth, indicated by the thickness of the mucosal film on the inside of the cheeks, on the palate and on the tongue. While a high score indicates the need for treatment and investigation, a low score may indicate the need not to intervene, a decision frequently more difficult to make.
Recurrent marginal decay was the main reason for failure in both amalgam and composite restorations, accounting for 66% (32/48) and 88% (113/129), respectively. Polymerization shrinkage, the shrinkage that occurs during the composite curing process, has been implicated as the primary reason for postoperative marginal leakage. However, there is low-quality evidence to suggest that resin composites lead to higher failure rates and risk of secondary caries than amalgam restorations. Several reviews have been made by using database in the Cochrane Library where randomized controlled trials of few studies comparing dental resin composite with dental amalgams in permanent posterior teeth were compared.
The opposing upper wisdom tooth also tends to have sharp cusps and over-erupt because it has no opposing tooth to bite into, and instead traumatizes the operculum further. Periodontitis and dental caries may develop on either the third or second molars, and chronic inflammation develops in the soft tissues. Chronic pericoronitis may not cause any pain, but an acute pericoronitis episode is often associated with pericoronal abscess formation. Typical signs and symptoms of a pericoronal abscess include severe, throbbing pain, which may radiate to adjacent areas in the head and neck, redness, swelling and tenderness of the gum over the tooth.
Proper oral hygiene helps to prevent toothache by preventing dental disease. The treatment of a toothache depends upon the exact cause, and may involve a filling, root canal treatment, extraction, drainage of pus, or other remedial action. The relief of toothache is considered one of the main responsibilities of dentists. Toothache is the most common type of pain in the mouth or face It is one of the most common reasons for emergency dental appointments. In 2013, 223 million cases of tooth pain occurred as a result of dental caries in permanent teeth and 53 million cases occurred in baby teeth.
Isomaltulose is ‘kind to teeth’. Fermentation of carbohydrates by bacteria in the mouth (especially on the teeth) is responsible for the formation of dental plaque and oral acids. The acid initiates tooth demineralisation and tooth decay (dental caries). Isomaltulose largely resists fermentation by oral bacteria and is the first carbohydrate of its kind with negligible acid production on teeth, as shown by pH telemetry. The evidence is strong and provides the basis for ‘kind to teeth’ claims approved by both the Food and Drug Administration in the USA and European authorities following a positive opinion from the European Food Safety Authority.
This is not only to slow the progress of the attack, but also prevents the diffusion of bacteria and their metabolites into the pulp, reducing the probability of partial pulp necrosis. The distinction of the two kinds of tertiary dentin is important, because they are secreted by different cells for different reasons. Reactionary dentin is secreted at varying speeds, dependent on the speed of progression of caries in the outer dentin surface. Histologically, it is easily distinguishable by its disordered tube structure, the location of the secretion (it protrudes into the pulpal cavity) and its slightly lower degree of mineralization than normal.
Although fluoride is the only well-documented agent which controls the rate at which cavities develop, it has been suggested that adding calcium to the water would reduce cavities further. Other agents to prevent tooth decay include antibacterials such as chlorhexidine and sugar substitutes such as xylitol. Xylitol-sweetened chewing gum has been recommended as a supplement to fluoride and other conventional treatments if the gum is not too costly. Two proposed approaches, bacteria replacement therapy (probiotics) and caries vaccine, would share water fluoridation's advantage of requiring only minimal patient compliance, but have not been proven safe and effective.
Patients with bleeding disorders show a higher incidence of periodontal disease as well as dental caries, concerning the fear of bleeding which leads to a lack of oral hygiene and oral health care. The most prominent oral manifestation of a mild haemophilia B would be gingival bleeding during exfoliation of primary dentition, or prolonged bleeding after an invasive procedure/tooth extraction; In severe haemophilia, there may be spontaneous bleeding from the oral tissues (eg. soft palate, tongue, buccal mucosa), lips and gingiva, with ecchymoses. In rare cases, hemarthrosis (bleeding into joint space) of the temporomandibular joint (TMJ) may be observed.
As an integral part of its mission, the School of Dentistry has developed a significant work in research at all levels. The generation of new knowledge is critical because it results in improved oral health and general health of the population. Research Center, School of Dentistry has led efforts to address inequalities in oral health in Puerto Rico, and other Hispanic communities in the United States in aspects of oral cancer, dental caries and periodontal disease. The latter by their particular relationship with cardiovascular disease, diabetes, pregnant women and their relationship to low birth weight and prematurity.
The study concluded that the optimal amount of fluoride which minimized the risk of severe fluorosis but had positive benefits for tooth decay was 1 mg per day, per adult. Although fluoride is more abundant in the environment today, this was estimated to correlate with the concentration of 1 mg/L. In 1937, dentists Henry Klein and Carroll E. Palmer had considered the possibility of fluoridation to prevent cavities after their evaluation of data gathered by a Public Health Service team at dental examinations of Native American children.Klein H., Palmer C.E.: "Dental caries in American Indian children", Public Health Bulletin, No. 239, Dec.
Gingivectomy is a dental procedure in which a dentist or oral surgeon cuts away part of the gums in the mouth (the gingiva). It is the oldest surgical approach in periodontal therapy and is usually done for improvement of aesthetics or prognosis of teeth. By removing the pocket wall, gingivectomy provides visibility and accessibility for complete calculus removal and thorough smoothing of the roots, creating a favourable environment for gingival healing and restoration of a physiologic gingival contour. The procedure may also be carried out so that access to sub-gingival caries or crown margins is allowed.
Intra-oral photograph showing full upper denture and natural lower teeth with mandibular central incisors missing Edentulism is the result of a mostly preventable oral disease process that is a worldwide public health concern. The loss of the permanent dentition is a multi-factorial process resulting from the impact of dental caries, periodontal disease and social factors. People who have lost teeth are referred to as (either partially or completely) edentulous (edentate), however those who have not lost teeth are referred to as dentate.Darby M, & Walsh, Margaret M. (2010), Dental hygiene: Theory and practice 3rd ed.
Pulp necrosis is a clinical diagnostic category indicating the death of cells and tissues in the pulp chamber of a tooth with or without bacterial invasion. It is often the end result of many cases of dental trauma, caries and irreversible pulpitis. In the initial stage of the infection, the pulp chamber is partially necrosed for a period of time and if left untreated, the area of cell death expands until the entire pulp necroses. The most common clinical signs present in a tooth with a necrosed pulp would be a grey discoloration of the crown and/or periapical radiolucency.
She is expanding the research of biomaterials and tooth-restoration interfaces using biomimetics and tissue engineering. Her work is focused on tooth properties and the improvement or development of new restorative materials. Bedran-Russo's research regarding Biomodification of dentin using bioactive agents has potential impact to introduce novel bioinspired dental therapies to prevent caries and to develop long lasting tooth colored restorations. Originally from Brazil, Bedran-Russo earned her DDS at the Aracatuba School of Dentistry in São Paulo; her MS in operative dentistry/clinical sciences at Piracicaba; and her PhD in dental material sciences at Piracicaba.
A Cochrane review estimates a reduction in cavities when water fluoridation was used by children who had no access to other sources of fluoride to be 35% in baby teeth and 26% in permanent teeth. Most European countries have experienced substantial declines in tooth decay without its use. Recent studies suggest that water fluoridation, particularly in industrialized countries, may be unnecessary because topical fluorides (such as in toothpaste) are widely used and caries rates have become low. For this reason, some scientists consider fluoridation to be unethical due to "the debilitating effects of fluoride toxicity" and the lack of informed consent.
Tooth decay is caused by certain types of acid-producing bacteria which cause the most damage in the presence of fermentable carbohydrates such as sucrose, fructose, and glucose. The resulting acidic levels in the mouth affect teeth because a tooth's special mineral content causes it to be sensitive to low pH. Depending on the extent of tooth destruction, various treatments can be used to restore teeth to proper form, function, and aesthetics, but there is no known method to regenerate large amounts of tooth structure. Instead, dental health organizations advocate preventative and prophylactic measures, such as regular oral hygiene and dietary modifications, to avoid dental caries.
Atraumatic Restorative Treatment (ART) is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchets and spoon-shape instruments) and placing a filling. It does not use rotary dental instruments (dental drills) to prepare the tooth and can be placed in settings with no access to dental equipment. No drilling or local anaesthetic injections (LA) are required. ART is considered a conservative approach, not only because it removes the decayed tissue with hand instruments, avoiding removing more tissue necessary which preserves as much tooth structure as possible, but also because it avoids pulp irritation and minimises patient discomfort.
Surviving in the oral cavity, S. mutans is the primary causal agent and the pathogenic species responsible for dental caries (tooth decay or cavities) specifically in the initiation and development stages. Dental plaque, typically the precursor to tooth decay, contains more than 600 different microorganisms, contributing to the oral cavity's overall dynamic environment that frequently undergoes rapid changes in pH, nutrient availability, and oxygen tension. Dental plaque adheres to the teeth and consists of bacterial cells, while plaque is the biofilm on the surfaces of the teeth. Dental plaque and S. mutans is frequently exposed to "toxic compounds" from oral healthcare products, food additives, and tobacco.
Bcl9, Bcl9l, and Pygo2 are present in the cytoplasm of ameloblasts, the cells that secrete enamel proteins, and colocalize in these cells with amelogenin, the main component of enamel, encoded by the AMELX gene, which has been already implicated as a causative factor of Amelogenesis Imperfecta in humans. Bcl9 interacts with amelogenin and proteins involved in exocytosis and vesicular trafficking, suggesting that these proteins function in the trafficking or secretion of enamel proteins. Therefore, Bcl9, Bcl9l, and Pygo2 have cytoplasmic functions distinct from their roles as transcriptional cofactors downstream of Wnt signaling. This new discovery might improve our understanding for the treatment of human caries.
Patients will still be susceptible to radiation caries and periodontal disease, more so if they present with dry mouth or access difficulty when tooth brushing. Any restorative or periodontal procedures should be commenced if indicated and endodontic treatments should take priority over extractions, although if there is a difficulty in mouth opening, endodontic treatments can be difficult or impossible. Where a tooth is deemed unrestorable, decoronation can be done. Although dentures should be avoided if a shortened dental arch is manageable, if a denture is required or being used, they should be checked routinely and any adjustment to pressure areas should be made to avoid ORN secondary to denture trauma.
Tertiary dentin (including reparative dentin or sclerotic dentin) forms as a reaction to stimulation, including caries, wear and fractures. Tertiary dentin is therefore a mechanism for a tooth to ‘heal’, with new material formation protecting the pulp chamber and ultimately therefore protects the tooth and individual against abscesses and infection. This form of dentine can be easily distinguished on the surface of a tooth, and is much darker in appearance compared to primary dentine. Tertiary dentine will often not be visible on the surface of a tooth, but because it is more dense it can be viewed on a Micro- CT scan of the tooth.
In fact, an observational study done by Zachrisson which looked at 61 subjects who went through IPR 10 years post-operatively, found that there was no signs of gingival recession or thinning of the labial gingiva in 93% of the patients. It is recommended that to limit any side-effect of IPR, topical fluoride application on the treated teeth or part-time wear of a thermoformed Fluoride varnish infused retainer. In a study where participants received fluoride after IPR, it was determined that this group had lesser chances of developing caries on the tooth surfaces treated with IPR than the group who did not receive any fluoride.
Fluoride or fluorine deficiency is a disorder which may cause increased dental caries (or tooth decay, is the breakdown of dental tissues by the acidic products released by the "bacterial fermentation of dietary carbohydrates.") and possibly osteoporosis (a bone disorder which leads to a decrease in bone mass, and an increase in bone fragility), due to a lack of fluoride in the diet. Common dietary sources of fluoride include tea, grape juice, wine, raisins, some seafoods, coffee, and tap water that has been fluoridated. The extent to which the condition truly exists, and its relationship to fluoride poisoning has given rise to some controversy.
While there is tentative benefit from the use of a tongue cleaner it is insufficient to draw clear conclusions with respect to bad breath. A 2006 Cochrane review found tentative evidence of decreased levels of odor molecules. Some studies have shown that it is the bacteria on the tongue which often produce malodorous compounds and fatty acids that may account for 80% to 85% of all cases of bad breath. The remaining 15% to 20% of cases originate in the stomach, from the tonsils, from decaying food stuck between the teeth, gum disease, dental caries (cavities or tooth decay) or plaque accumulated on the teeth.
Ruth Ella Moore (May 19, 1903 in Columbus, Ohio - July 19, 1994) was a bacteriologist, who in 1933 became the first African-American woman to gain a PhD in a natural science. She was a professor and head of the Department of Bacteriology at Howard University, publishing work on tuberculosis, immunology and dental caries, the response of gut microorganisms to antibiotics, and the blood type of African-Americans. During that period she was promoted to associate professor. Though there are gaps in Howard’s personnel records, Moore is believed to have continued to teach and conduct research on bacteriology at Howard until she retired in 1973.
She was also former member of the Chandigarh Municipal Corporation. After her superannuation from PGIMER, she was made the Professor Emeritus of the Institute. She had written several medical articles in peer reviewed journals and had published a book, Fluorides and Dental Caries : A Compendium The Government of India awarded her the fourth highest civilian honour of the Padma Shri in 1992. Tewari, a recipient of the Certificate of Merit of the Pierre Fauchard Academy, was married to V. N. Tewari, an author and professor of Punjabi at Punjab University and has a son, Manish Tewari, an Indian politician and a former Minister of Information and Broadcasting.
Periapical radiograph showing peri-radicular radiolucency and bone loss caused by an odontogenic infection under the roots of two anterior teeth in a 30 year old patient An odontogenic infection is an infection that originates within a tooth or in the closely surrounding tissues. The term is derived from odonto- (Ancient Greek: , – 'tooth') and -genic (Ancient Greek: , ; – 'birth'). The most common causes for odontogenic infection to be established are dental caries, deep fillings, failed root canal treatments, periodontal disease, and pericoronitis. Odontogenic infection starts as localised infection and may remain localised to the region where it started, or spread into adjacent or distant areas.
J Prev Dent 4, 20-22, 1977 After the caries epidemic in Switzerland was brought under control as a result of scientific research, fluoridated dentifrice, salt fluoridation and fluoridation of communal water supplies in Basel, Mühlemann focused his energies into other projects.Imfeld T. Schmid R. Lutz F. Saxer UP. Barbakow F. Cariology, Zurich 1953 – 1983. Some Aspects of One Man's, SWISS DENT 4 (1983), 7-8, 7 – 19 Mühlemann’s students Felix Lutz and Werner H. Mörmann improved the quality of dental restorations through innovative techniques and the use of newer composite restorations,Lutz F: New concepts in therapeutic cariology. In: Guggenheim B: Proceedings of 'Cariology Today'.
Several reviews conclude that high sugar consumption continues to be the main threat for dental health of whole populations in some developed and many developing countries. Therefore, a key strategy to further reducing levels of caries in individuals as well as for populations, is by means of reducing the frequency of sugar intakes in the diet. Foods high in refined carbohydrates, such as concentrated fruit snack bars, sweets, muesli bars, sweet biscuits, some breakfast cereals and sugary drinks including juices can contribute to dental decay, especially if eaten often and over long periods as the sugar nourishes the cariogenic bacteria in mouth. The bacteria produce acid, which destroys teeth.
Affected individuals commonly suffer from photophobia, nystagmus and achromatopsia. Other symptoms affecting vision may include night vision difficulties; optic disc pallor; narrow vessels; macular atrophy with pigment mottling; peripheral deep white dot deposits or retinal pigment epithelium (RPE) alterations in the inferonasal retina; decreased foveal and retinal thickness; attenuation of retinal lamination; hyperreflectivity in the choroids (due to RPE and choriocapillaris atrophy); impairment of color vision; and progressive loss of vision with advancing age. In line with ameleogenesis imperfecta, affected members may display teeth yellow-brown in colour, dysplastic, presenting numerous caries; reduced enamel layer prone to posteruptive failure; and abnormality of morphology involving dentine.
Its soil is irrigated by the Zayandehrud River and all its streams are full of water. In addition, it has important caries, which has caused three-quarters of the city's soil to be large orchards and a quarter of its fields. The material of "Qomish" passes through the southern lands of the city, and because it is connected to the springs at the point of separation from the river, its water never runs out. Fruits and ground products such as wheat, barley, cucumbers, melons, legumes, tobacco are grown in the city, and some varieties such as spring melons, pavilions, grapes, cherries, Nasrabad and Gortan are famous and similar in other places.
Pulpitis, in turn, can become irreversible, leading to pain and pulp necrosis, and necessitating either root canal treatment or extraction. The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy dental pulp and avoid the need for root canal therapy. To prevent the pulp from deteriorating when a dental restoration gets near the pulp, the dentist will place a small amount of a sedative dressing, such as calcium hydroxide or MTA. These materials, protect the pulp from noxious agents (heat, cold, bacteria) and stimulate the cell-rich zone of the pulp to lay down a bridge of reparative dentin.
In 2015, the World Health Organization (WHO) published a new guideline on sugars intake for adults and children, as a result of an extensive review of the available scientific evidence by a multidisciplinary group of experts. The guideline recommends that both adults and children ensure their intake of free sugars (monosaccharides and disaccharides added to foods and beverages by the manufacturer, cook or consumer, and sugars naturally present in honey, syrups, fruit juices and fruit juice concentrates) is less than 10% of total energy intake. A level below 5% of total energy intake brings additional health benefits, especially with regards to dental caries. See Guideline: Sugars intake for adults and children.
Huggins claimed that dental care according to his understanding of dentistry has allowed wheelchair-using patients diagnosed with multiple sclerosis to walk unassisted within weeks. These claims are inconsistent with mainstream scientific consensus on the causes of multiple sclerosis. A meta-analysis examined a range of studies on if there was a link between multiple sclerosis saw a slight increase in the risk of multiple sclerosis associated with amalgam use, but noted that this was not statistically significant. Another study found that although there was a geographical relationship between dental caries and multiple sclerosis, the use of dental amalgam was not associated with this disease.
The Neolithic site of Mehrgarh indicates that this form of dentistry involved curing tooth related disorders with bow drills operated, perhaps, by skilled bead-crafters. The reconstruction of this ancient form of dentistry showed that the methods used were reliable and effective. NBC News (2008). Dig uncovers ancient roots of dentistry. The earliest dental filling, made of beeswax, was discovered in Slovenia and dates from 6500 years ago. Dentistry was practised in prehistoric Malta, as evidenced by a skull which had an abscess lanced from the root of a tooth dating back to around 2500 BC. An ancient Sumerian text describes a "tooth worm" as the cause of dental caries.
After the coronal pulp chamber is filled, the tooth is restored with a filling material that seals the tooth from microleakage, such as a stainless steel crown which is the most effective long-term restoration. However, if there is sufficient remaining supporting tooth structure, other filling materials such as amalgam or composite resin can provide a functional alternative when the primary tooth has a life span of two years or less. The medium- to long-term treatment outcomes of pulpotomy in symptomatic permanent teeth with caries, especially in young people, indicate that pulpotomy can be a potential alternative to root canal therapy (RCT). Diagram of pulpotomy.
Based on dental wear and the presence of dental caries, Pachylemur was likely a fruit specialist, just like the closely related ruffed lemurs, but unlike most of the other leaf-eating, extinct, giant lemurs of Madagascar. Although it primarily ate fruit, it may have supplemented its diet with leaves and other foliage seasonally. Its teeth were similar in appearance to that of ruffed lemurs, while its molars and uneven dental wear suggest that it ate fewer leaves and more hard fruits and stems than today's brown lemur species. Baobabs in the Madagascar spiny thickets may have once relied on Pachylemur to distribute its large seeds.
Cyperus rotundus L. subsp. rotundus, herbarium specimen isotype, 1839 C. rotundus was part of a set of starchy tuberous sedges that may have been eaten by Pliocene hominins. It was a staple of Aboriginal populations in Central Australia. Biomarkers and microscopic evidence of C. rotundus are present in human dental calculus found at the Al Khiday archaeological complex in central Sudan dating from before 6700 BC to the Meroitic pre-Islamic Kingdom of 300–400 AD. It is suggested that C. rotundus consumption may have contributed to the relatively low frequency of dental caries among the Meroitic population of Al Khiday because of its ability to inhibit Streptococcus mutans.
These compositional differences lead to widely variable pharmacokinetics, the effects of which remain largely untested clinically. Fluoride varnishes are relatively new in the United States, but they have been widely used in western Europe, Canada, South Africa and the Scandinavian countries since the 1980s as a dental caries prevention therapy. They are recognised by the Food and Drug Administration for use as desensitising agents, but, currently, not as an anti-decay agent. Both Canadian and European studies have reported that fluoride varnish is as effective in preventing tooth decay as professionally applied fluoride gel; however, it is not in widespread use for this purpose.
Fluoride varnish is composed of a high concentration of fluoride as a salt or silane preparation in a fast drying, alcohol and resin based solution. The concentration, form of fluoride, and dispensing method may vary depending on the manufacturer. While most fluoride varnishes contain 5% sodium fluoride at least one brand of fluoride varnish contains 1% difluorsilane in a polyurethane base and one brand contains 2.5% sodium fluoride that has been milled to perform similar to 5% sodium fluoride products in a shellac base. There is low quality evidence that resin-based pit and fissure sealants were more effective in preventing occlusal caries than fluoride varnish.
Many graduates went on to jobs with the Bridgeport school district, where they played a major part in reducing dental caries in students by 75 percent. Some years later, Fones suspended operation of the school so that he could devote more time to traveling and lecturing on dental hygiene. Eleven years after his death (on March 15, 1938Death listings (not an obituary) New York Times March 17, 1938), in 1949, dental professionals and the Junior College of Connecticut (of which Dr. Fones had been a trustee) reopened the Fones School of Dental Hygiene. The Fones School of Dental Hygiene is now located at the University of Bridgeport.
A 2019 review found that a vegetarian diet may be associated with greater risk of dental erosion because vegetarians "tend to eat more fruits and vegetables than people following a nonvegetarian diet" and therefore "consumption of these acidic foods may lower the pH level in the oral cavity, which in turn may be related to the development of caries." The review, however, stated that its findings "should be interpreted with caution" because of the "limited comparability of the studies as well as limited (to no) correction for confounding in the studies." It characterized this as "a major flaw" of the research.Kirsten P. J. Smits et al. (2019).
Dean's legacy comes almost entirely from his research into fluoridation. At the urging of Dr. Frederick McKay and others concerned with the brown-staining of teeth in certain regions of the country, Dean was asked to make this his first assignment at the Institute in 1931. Dean was part of a team that focused on determining optimal concentrations of fluoride in drinking water that would only cause minimal and mild mottled enamel on the teeth (dental fluorosis), while at the same time precipitating lower rates of dental caries (cavities). In 1934, as part of this work, Dean published an index to categorize the severity of dental fluorosis.
Erupted teeth that are adjacent to impacted teeth are predisposed to periodontal disease. Since the most difficult tooth surface to be cleaned is the distal surface of the last tooth, in the presence of an impacted tooth there is always gingival inflammation around the second molar that is invariably present. Even this minor amount of inflammation can provide bacteria access to a larger portion of the root surface that results in early formation of periodontitis compromising the tooth. Even in situations in which no obvious communication exists between the mouth and the impacted third molar there may be enough communication to initiate dental caries (tooth decay).
Journal of Dentistry 2017:51-6. The appearance may vary depending on the cause of abrasion, however most commonly presents in a V-shaped caused by excessive lateral pressure whilst tooth-brushing. The surface is shiny rather than carious, and sometimes the ridge is deep enough to see the pulp chamber within the tooth itself. With the presence of non-carious cervical loss due to abrasion, this may lead to consequences and symptoms such as increased tooth sensitivity to hot and cold, increased plaque trapping which will result in caries and periodontal disease, difficulty of dental appliances such as retainer and denture in engaging the tooth, and also it may be aesthetically unpleasant to some people.
Dental flossing of a patient by a dental health professional Beginning in 1914, Bass commenced his investigations on the understanding of Entamoeba gingivalis (Endameba buccalis) in the microbiological flora of the mouth, beginning his interest in oral health. However, it was only upon his 1940 retirement from university administrative posts that he began intensive research on dental health, a period in which he made extensive use of his experience in parasitology and microbiology. Bass focused on the understanding and prevention of the principle diseases of the mouth, particularly caries and periodontoclasia. Bass carried out extensive investigation and experimentation to determine the best means of using toothbrushes and dental floss for effective prevention of the important diseases of the mouth.
The origins of the belief are wrapped in obscurity. A prominent early mention, a Babylonian cuneiform tablet titled "The Legend of the Worm" (sometimes erroneously dated to Sumerian times), recounts how the tooth worm drinks the blood and eats the roots of the teeth – causing caries and periodontitis: > "After Anu [had created heaven], > Heaven had created [the earth], > The earth had created the rivers, > The rivers had created the canals, > The canals had created the marsh, > (And) the marsh had created the worm— > The worm went, weeping, before Shamash, his tears flowing before Ea: "What > wilt thou give for my food? What wilt thou give me for my sucking?" > "I shall give thee the ripe fig, (and) the apricot.
The dental plaque biofilm can result in the disease dental caries if it is allowed to develop over time. An ecologic shift away from balanced populations within the dental biofilm is driven by certain (cariogenic) microbiological populations beginning to dominate when the environment favours them. The shift to an acidogenic, aciduric, and cariogenic microbiological population develops and is maintained by frequent consumption of fermentable dietary carbohydrate. The resulting activity shift in the biofilm (and resulting acid production within the biofilm, at the tooth surface) is associated with an imbalance between demineralization and remineralisation leading to net mineral loss within dental hard tissues (enamel and then dentin), the sign and symptom being a carious lesion.
In 2019, BreakFreeFromPlastic named Coca- Cola the single biggest plastic polluter in the world. After 72,541 volunteers collected 476,423 pieces of plastic waste from around where they lived, a total of 11,732 pieces were found to be labeled with a Coca-Cola brand (including the Dasani, Sprite, and Fanta brands) in 37 countries across four continents. At the 2020 World Economic Forum in Davos, Coca-Cola's Head of Sustainability, Bea Perez, said customers like them because they reseal and are lightweight, and "business won't be in business if we don't accommodate consumers." Coca-Cola Classic is rich in sugar (or sweetners in some countries) especially sucrose, which causes dental caries when consumed regularly.
On eruption of the first primary tooth in a child, tooth brushing and cleaning should be performed by an adult. This is important as the plaque that attaches to the surface of the tooth has bacteria that have the ability to cause caries (decay) on the tooth surface. It is recommended to brush children’s teeth using a soft bristled, age and size appropriate toothbrush and age appropriate toothpaste twice daily, however children below the age of two usually don’t require toothpaste. These researches also suggest that it is suitable to brush children’s teeth until they reach the approximate age of 6; where they will begin to learn adequate dexterity and cognition needed for adequate brushing by themselves.
The diseases that appear to increase in frequency as countries become more industrialized and people live longer can include Alzheimer's disease, arthritis, atherosclerosis, asthma, cancer, chronic liver disease or cirrhosis, chronic obstructive pulmonary disease, colitis, irritable bowel syndrome, type 2 diabetes, heart disease, hypertension, metabolic syndrome, chronic kidney failure, osteoporosis, PCOD, stroke, depression, obesity and vascular dementia. Some commenters maintain a distinction between diseases of longevity and diseases of civilization or diseases of affluence. Certain diseases, such as diabetes, dental caries and asthma, appear at greater rates in young populations living in the "western" way; their increased incidence is not related to age, so the terms cannot accurately be used interchangeably for all diseases.
Atherosclerosis is attributed to risk factors that include cigarette smoking, hyperlipidemia, obesity, diabetes mellitus, and hypertension (high blood pressure). These factors, however, do not fully account for the risk of disease. Atherosclerosis has been conceptualized as a chronic inflammatory response to endothelial cell injury and dysfunction possibly arising from chronic dental infection. In 2010, using the previously validated Mattila panoramic radiographic index to quantify the totality of dental infection (i.e., periapical and furcal lesions, pericoronitis sites, carious tooth roots, teeth with pulpal caries, and vertical bony defects), Friedlander’s group determined that individuals with carotid artery atheromas on their panoramic radiographs had significantly greater amounts of dental infection/inflammation than atherogenic risk-matched controls devoid of radiographic atheromas.
Promotional poster for the Kolynos toothpaste from the 1940s Together with Willoughby D. Miller, who set up in 1890 the pioneering and still valid theory that bacteria of the oral flora degrade carbohydrates to acids, that damage the enamel and allow bacteria to access and destroy the dentin by caries, Jenkins developed a toothpaste and named it Kolynos, the first toothpaste containing disinfectants. The name´s origin is Greek Kolyo nosos (κωλύω νόσος), meaning "disease prevention". Numerous attempts to produce the toothpaste by pharmacists in Europe were uneconomic. After returning to the US, he continued experimenting with Harry Ward Foote (1875-1942), professor of chemistry at Sheffield Chemical Laboratory of Yale University.
Pulpitis may be caused by bacteria from dental caries that penetrate through the enamel and dentin to reach the pulp, or it may be mechanical, a result of trauma, such as physical abuse of the tooth from excessive orthodontic force during orthodontic treatment and drilling or thermal insults, including overheating from insufficiently cooled dental drills and use of dental curing lights. More often it is from physical trauma rather than dental treatments. Inflammation is commonly associated with a bacterial infection but can also be due to other insults such as repetitive trauma or in rare cases periodontitis. The inflammation of dental pulp is mainly caused by an opportunistic infection of the pulp by a commensal oral microorganism.
Divided and donated a portion of the batch, they were sold to Italian, French, German, and Spanish settlers them crowded. The farmer Francisco da Cunha Ramaldes, born in 1861, son of José da Cunha Ramaldes and Balbina Maria de Jesus, from Lajinha do Chalé, State of Minas Gerais, establishes in 1910 in the mountain region of Alto Mutum Preto where he initiates a very lucrative coffee plantation. Baixo Guandu was the first Brazilian city to receive water treated with fluoride in 1953 in order to reduce the incidence of caries, especially among children. In 1974, was inaugurated in the city's largest hydroelectric plant in the state, providing power to the Espírito Santo and Minas Gerais.
Fluoride varnishes were developed late 1960s and early 1970s and since then they have been used both as a preventative agent in public health programs and as a specific treatment for patients at risk of caries by the 1980s, mostly in European countries. Fluoride varnishes were developed primarily to overcome their shortcoming which is to prolong the contact time between fluoride and tooth surfaces. Furthermore, when compared to other existing topical fluoride the advantages of fluoride varnishes application are being a quick and easy procedure for the clinicians, reduced discomfort for the receiving patients, and greater acceptability by the patients. Fluoride varnishes are a concentrated topical fluoride containing 5% sodium fluoride (NaF) except the Fluor protector which contains difluorosilane.
Zürich: Rohr, (Schriften zur Zürcher Universitäts- und Gelehrtengeschichte; 10) 1995 At the time that Hans R. Mühlemann was selected for a chairmanship in Zurich in 1953, Switzerland and much of Europe was in desperate straits in terms of dental/oral health. Dental offices were booked up for months in advance, and there was a shortage of dentists. There was scarcely time for the placement of adequate restorations. In the post-war years, children in Switzerland developed four carious teeth per year; frequently, the first permanent molars were extracted in 7 to 9-year olds for “prophylactic” reasons.Marthaler TM: Decrease of DMF-levels 4 years after the introduction of a caries-preventive program, observations in 5,819 schoolchildren of 20 communities.
Between the First and Second World Wars, many British military officers of British raj and their families did not like to be treated by the Indian doctors of IMS. However, the shortage of doctors due to the outbreak of the World War II forced the British Raj to recruit Indian doctors not only as the lower grade IMD (Indian Medical Department) but also as the higher grade of IMS, which was previously available only to British nationals. After the 1940, when it was decided that a large number of otherwise fit candidates who get rejected due to the dental caries could be easily recruited, the Indian Army Dental Corps (IADC) expanded significantly.
Dentin formation usually starts within 30 days of the pulp capping (there can be a delay in onset of dentin formation if the odontoblasts of the pulp are injured during cavity removal) and is largely completed by 130 days. Two different types of pulp cap are distinguished. In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place and the protective dressing is placed on top. A direct pulp cap is a one-stage procedure, whereas a stepwise caries removal is a two-stage procedure over about six months.
Dentistry usually encompasses practices related to the oral cavity. According to the World Health Organization, oral diseases are major public health problems due to their high incidence and prevalence across the globe, with the disadvantaged affected more than other socio-economic groups. The majority of dental treatments are carried out to prevent or treat the two most common oral diseases which are dental caries (tooth decay) and periodontal disease (gum disease or pyorrhea). Common treatments involve the restoration of teeth, extraction or surgical removal of teeth, scaling and root planing, endodontic root canal treatment and cosmetic dentistry All dentists in the United States undergo at least three years of undergraduate studies, but nearly all complete a bachelor's degree.
Long interested in the effect of diet on the teeth, McCollum was awarded medals by the Connecticut and Ohio dental societies and was a fellow of the New York society as well as an honorary member of the American Academy of Dental Medicine. His paper "The Effect Of Additions Of Fluorine to the Diet Of The Rat On the Quality Of the Teeth" (1925) described how excessive florine would negatively affect dental health in rats. Nonetheless, McCollum would later become a supporter of water fluoridation from the beginning of recorded evidence for the intervention. In 1938 the U.S. Public Health Service reported that adding fluoride to drinking water resulted in fewer dental caries.
Smooth Surface Caries Progression The geriatric population are an ever growing section of the community with rapidly changing dental needs. In 2020 it is predicted that more than 25% of the population in developed countries will be over the age of 65.Slack‐Smith L, Hearn L, Wilson D, Wright F. Geriatric dentistry, teaching and future directions. Australian Dental Journal. 2015;60(S1):125-30. Due to improvements in oral health over the past 60 years, a decrease in the rate of edentulism is evident and therefore an increase in the number of natural teeth present is present Hopcraft M. (2015) Dental demographics and metrics of oral diseases in the ageing Australian population. Australian dental journal, 60(1): 2-13.
While gingival crevicular fluid provides for the cellular defence and humoral factors to combat against the microbial insult, the gingival crevicular fluid also deliver novel substrates, in the form of proteins and glycoproteins, for bacterial metabolism. These include haeme containing molecules and iron, such as haemoglobin and transferrin. Dissimilarly to dental caries, many bacteria associated to periodontal disease cannot metabolise carbohydrates for energy (they are asaccharolytic) and are proteolytic too. One effect of proteolysis is that the pH of the gingival pocket with periodontal disease will increase and becomes slightly alkaline at around a pH level of 7.4 – 7.8 as compared to relatively neutral pH values, around a pH level of 6.9, when the gingival is healthy.
The reduced antibacterial actions of saliva due to the lack of saliva in some individuals can lead to disruption of the oral pH, allowing cariogenic microorganisms to grow and colonize the oral cavity. For individuals with xerostomia, a commercially available mouthrinse that can be safely used daily to aid in dry mouth relief is essential in oral health maintenance. Various commercially available mouthrinses have been tested on their inhibitory effects on biofilm formation over a 24h period. By slowing the formation of biofilm formation, individuals who use Biotène may reduce the risk of dental caries and other oral diseases that may occur from xerostomia and bacterial accumulation, thus aiding in improving oral and overall health for the long term.
Processes such as bone remodeling (loss and gain of bone tissue) in the jaws and inflammation of soft tissue in response to the oral microbiota are clinically important for edentulous people. For example, bone resorption in the jaw is frequently how the teeth were able to detach in the first place; the jaw in an edentulous area undergoes further resorption even after the teeth are gone; and insertion of dental implants can elicit new bone formation, leading to osseointegration. Meanwhile, bacteria and yeasts of the oral cavity and the immune system of their host create an immensely complicated and constantly changing interplay that presents clinically as gingivitis, caries, stomatitis, and other periodontal pathology.
Original dolls used in Ivo Caprino's films which are exhibited in the Norwegian Film Museum in Oslo. In the mid-1940s, Caprino helped his mother design puppets for a puppet theatre, which inspired him to try making a film using his mother's designs. The result of their collaboration was Tim og Tøffe, an 8-minute film released in 1949. Several films followed in the next couple of years, including two 15-minute shorts that are still shown regularly in Norway today, Veslefrikk med Fela (Little Freddy and his Fiddle), based on a Norwegian folk tale, and Karius og Baktus, a story by Thorbjørn Egner of two little trolls, representing Caries and Bacterium, living in a boy's teeth.
"Evaluation studies of the school programs revealed that after six months children were able to recall more than 70% of the dental health message. Results of a recent WHO survey of the oral health status of 13-14-year-olds in Canterbury (New Zealand), Sydney (Australia), Trondelag (Norway), Yamanashi (Japan) and Hannover (West Germany) showed that the Sydney children [who had seen Hetherington's show] had the lowest caries rate" (Woolley, 1980, p.254). In 1970, as part of a weekend workshop conducted by the Australian Dental Association and the Dental Health Education and Research Foundation at Sydney University, Hetherington demonstrated his work to the assembled dentists, by allowing them to observe him deliver an entire performance to a group of children from Newtown North Primary School.
Three key traits have evolved in S. mutans and increased its virulence by enhancing its adaptability to the oral cavity: increased organic acid production, the capacity to form biofilms on the hard surfaces of teeth, and the ability to survive and thrive in a low pH environment. During its evolution, S. mutans acquired the ability to increase the amount of carbohydrates it could metabolize, and consequently more organic acid was produced as a byproduct. This is significant in the formation of dental caries because increased acidity in the oral cavity amplifies the rate of demineralization of the tooth, which leads to carious lesions. It is thought that the trait evolved in S. mutans via lateral gene transfer with another bacterial species present in the oral cavity.
One-to- one oral hygiene advice (OHA) is often given on a regular basis to motivate individuals and to improve one's oral health. However, it is still unclear if one-to-one OHA in a dental settings is effective in improving one's oral health. Nevertheless, despite the increased oral hygiene education programs in schools due to the higher quality of life, there is an increased intake of processed food, especially of sweetened beverages. The favorable effect of the increased level of dental health education may be counteracted by nutritional behavior, especially sweets intake and low attendance of regular dental office check-ups and insufficient oral health practices (tooth brushing) generating a still increased caries prevalence and DMFT index in adolescents.
These cells are sensitive to their environment. One common example is illustrated by the neonatal line, a pronounced incremental line of Retzius found in the primary teeth and in the larger cusps of the permanent first molars, showing a disruption in enamel production when the person is born.Illustrated Dental Embryology, Histology, and Anatomy, Bath- Balogh and Fehrenbach, Elsevier, 2011, page 151 High fevers in childhood are also an example of bodily stressors causing interruptions in enamel production. Another possible example of this sensitivity (stress response pathway activation) may be the development of dental fluorosis after childhood exposure (between the ages of 2 to 8 years old) to excess consumption of fluoride, an elemental agent used to increase enamel hardness and as a result, prevent dental caries.
Bacterial plaque is one of the major causes for dental decay and gum disease. Progression and build-up of dental plaque can give rise to tooth decay – the localised destruction of the tissues of the tooth by acid produced from the bacterial degradation of fermentable sugar – and periodontal problems such as gingivitis and periodontitis; hence it is important to disrupt the mass of bacteria and remove it. Plaque control and removal can be achieved with correct daily or twice-daily tooth brushing and use of interdental aids such as dental floss and interdental brushes. Oral hygiene is important as dental biofilms may become acidic causing demineralization of the teeth (also known as dental caries) or harden into dental calculus (also known as tartar).
However, such a property does not negate the need for excellent oral hygiene to prevent oral disease. Compomers are recommended for patients at medium risk of developing dental caries. There is conflicting evidence regarding the amount of fluoride compomers can release: Powers, Wataha and Chen (2017) state compomers do not release as much fluoride as glass ionomer cements because they have a lower concentration of fluoroaluminosilicate glass particles; there is supporting evidence to suggest compomers only release 10% of that of glass ionomer cement. On the other hand, Richard van Noort (2013) states that, due to recent developments, modern compomers are now capable of releasing the same amount of fluoride over the lifetime of the restoration as glass ionomer cements.
When eating is necessary, the retainer is removed to allow natural consumption and to avoid the crushing of the VFR. Patient should be informed never to drink, especially cariogenic or fizzy drinks, with VFR in situ as it will lead to substantial loss of tooth surface and dental caries (cavities). The retainer can behave like a reservoir, enclosing the incisal edges and cuspal tips with the cariogenic drink, leading to decalcification of teeth. VFRs are less expensive, less visible, and easier to wear than Hawley retainers; however, for patients with disorders such as bruxism, VFRs are prone to rapid breakage and deterioration, especially if the material is PVC, a short chain molecule which breaks down far more quickly than polypropylene, a long chain molecule.
Community water fluoridation is the addition of fluoride in the drinking water with the aim of reducing tooth decay by adjusting the natural fluoride concentration of water to that recommended for improving oral health. The NHMRC released the public statement of efficacy and safety of fluoridation 2007 to set the recommended water fluoridation to the target range of 0.6 to 1.1 mg/L, depending on climate, to balance reduction of dental caries (tooth decay) and occurrence of dental fluorosis (mottling of teeth). Moreover the public statement states that the fluoridation of drinking water is an effective way to ensure the community is exposed to fluoride and can benefit from its preventative role in tooth decay.National health and medical research council.
Remains of 20 individuals have been excavated, all adults: this may indicate that burial practice for infants and children was different, at another (as yet undiscovered) location or treated with less regard. Most bodies had their head removed, either by cutting shortly after dead (as indicated by cut marks, and having the 1st vertebra remain with the skull), or after decay (leaving the vertebrae and lower mandible with the skeleton). This indicates a head cult, as is also attested in other pre-pottery Neolithic sites (notably Jericho, Tell Aswad, and Cayonu). While in some skulls teeth showed wear and caries, which is typical for a diet with carbohydrates like from grain, others were in good condition, which may indicate a pre-Neolithic diet.
Sedative material placed over exposed or nearly exposed pulp 1) crown 2) root 3) restoration 4) pulp cap 5) pulp chamber Pulpal dentin junction. 1) outside tooth/enamel 2) dentin tubule 3) dentin 4) odontoblastic process 5) predentin 6) odontoblast 7) capillaries 8) fibroblasts 9) nerve 10) artery/vein 11) cell-rich zone 12) cell-poor zone 13) pulp chamber Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. This can lead to the pulp of the tooth either being exposed or nearly exposed which causes pulpitis (inflammation).
Retrieved 28 June 2010 He also has an honorary "Extraordinary Professorship" in Paediatric Dentistry at the University of the Western Cape, South Africa (2007–2010), and chairs at I.T.S. Centre for Dental Studies & Research, India and Maulana Azad Institute of Dental Sciences, New Delhi. He was President of the British Society for Disability and Oral Health (2002), President of the Education Research Group of the International Association for Dental Research (IADR) (2002–2004) and chair of the IADR Regional Development Programme Committee (2002–2004). Bedi's research is focused on the management and prevention of early childhood caries. He has published extensively, with an output of over 180 scientific papers and serves on several editorial boards and as a referee for a number of academic journals.
2011, 61, 25–29], which was significantly associated with severe ECC (Early childhood caries, a particularly severe manifestation of carious pathology affecting children between birth and 71 months of age). The paper of Bossù et al 2020 [Bossù, M.; Selan, L.; Artini, M.; Relucenti, M.; Familiari, G.; Papa, R.; Vrenna, G.; Spigaglia, P.; Barbanti, F.; Salucci, A.; Giorgio, G.D.; Rau, J.V.; Polimeni, A. Characterization of Scardovia wiggsiae Biofilm by Original Scanning Electron Microscopy Protocol. Microorganisms 2020, 8, 807] shows that S. wiggsiae forms biofilm and illustrates for the first time with high resolution scanning electron microscopy images the morphology of this of this bacterium and its biofilm. Images were obtained usingn original scanning electron microscopy protocol, the OsO4-RR-TA-IL treatment.
Dental caries, infections and other changes in the bone density, and the periodontal ligament, appear darker because X-rays readily penetrate these less dense structures. Dental restorations (fillings, crowns) may appear lighter or darker, depending on the density of the material. The dosage of X-ray radiation received by a dental patient is typically small (around 0.150 mSv for a full mouth series, according to the American Dental Association website), equivalent to a few days' worth of background environmental radiation exposure, or similar to the dose received during a cross-country airplane flight (concentrated into one short burst aimed at a small area). Incidental exposure is further reduced by the use of a lead shield, lead apron, sometimes with a lead thyroid collar.
In 1985 three dentists with the sponsorship of Colonel Joy Wheeler Dow, Jr., implemented an Oral Health Program in the Autonomous Region of Madeira with the aid of five assistants. The four-year program reached 15,000 children around the main island and Porto Santo and it included Oral Hygiene Instruction classes, informative literature including films, fortnightly fluoride mouth-rinse and daily fluoride tables with the collaboration of the school teachers. During this period a study was undertaken using the World Health Organization (WHO) Combined Oral Health Assessment (CPTIN) plan resulting in the final report where it was found that there had been a decrease of 44% in the need for fillings, 40% decrease in the need for extractions, whilst the caries free children population grew from the initial 1% to 5%.
The calcium component is available for enhanced remineralization and the bicarbonate, carbonate components also aids in buffering the teeth from acid attacks and support the activities of arginine and calcium. The AlkaGen technology, which is based on over 40 years of research in saliva chemistry, was licensed to the company by The Research Foundation of the State University of New York after being developed by Department of Oral Biology and Pathology at Stony Brook University. A 2008 clinical trial published in the Journal of Clinical Dentistry found that a confection with AlkaGen Technology was highly effective in preventing caries in Venezuelan children, as those consuming the confections had 62% less cavities than the placebo group. Ortek developed and commercialized two dental pastes for sensitive teeth and were based on the arginine bicarbonate/calcium carbonate technology.
The first Moravian missionaries in Jamaica were Zecharias Georg Caries, Thomas Shallcross and Gottlieb Haberecht, who evangelised to slaves on the Bogue Estate and later, to surrounding plantations. As part of his classical education, Clerk also studied languages: German, Latin, Greek and Hebrew. The training institute was established by Zorn at the behest of the Moravian mission leadership to prepare young Jamaican men for Christian evangelism, catechism and the propagation of the Gospel in the West Indies after the abolishment of slavery in the British Empire in 1834 followed by the full emancipation of slaves in Jamaica on 1 August 1838, a little over a year after Queen Victoria's ascension to the throne. Zorn also envisioned sending graduates from his small missionary training school to evangelical mission in Africa.
As before, the evidence relied on a comparison between different countries in the incidence of type 2 diabetes and the consumption of sucrose, and also on within-country differences between sub-populations that consumed less or more sucrose. Moreover, in developed countries, the increase in sucrose consumption that had occurred over the past several decades appeared to run parallel to the increase in the incidence of type 2 diabetes. Experiments with rats showed that the feeding of sucrose led to impaired glucose tolerance (results with human subjects were more equivocal). The author mentions several other conditions that he believed were caused by or exacerbated by the consumption of sucrose: dyspepsia (indigestion), dental caries, seborrhoeic dermatitis, changes in the refractive index of the eye, and various forms of cancer.
Fractures of arms or legs are less common and probably represent accidents; only four individuals show evidence of wounds caused by weapons. One of these individuals is thought to have been a solider, based on his multiple traumatic injuries that include a fractured sternum, healed and healing rib fractures, a "parry" fracture to the left arm, and two stab wounds to the pelvis, the first of which healed, the second became infected and likely contributed to his death. He also had a different diet with better nutrition than others buried at Amarna as he does not show signs of cribra orbitalia, and has extensive dental caries and abscesses. As a result of chronic physical stresses and poor diets, Amarna adults are, on average, the shortest in all of ancient Egypt.
Rampant caries caused by methamphetamine abuse. The damaging effects of meth mouth on the teeth and gums for the most part are irreversible, although, if treated at an early stage, they can be dramatically reduced through the habitual use of common hygienic practices; Under normal circumstances, the user will not seek a remedy until the damage has already begun to take control causing severe mouth pain and general discomfort. Because many drug users lack the access to dental treatment, due to affordability and poverty, it is important to take medical precautions to prolong the lifespan of the mouth, and health in general. Those who are willing to seek dental treatment should seek professional advice as soon as possible if they are experiencing any painful symptoms relatable to meth mouth from abusing methamphetamine.
Specifically, he wrote that sugar consumption was a factor in the development of conditions such as dental caries, obesity, diabetes, and heart attack. Yudkin’s failure to incorporate possible confounding factors in his case-control designs was an area of heavy criticism at the time; apart from other unmeasured known risk factors that might affect cardiovascular disease (CVD), data had emerged soon after, suggesting that sugar intake was associated with smoking, a big risk factor for CVD. "sugar consumption and cigarette smoking" Yudkin’s failure to account for confounding factors led to harsh words from Ancel Keys at the time. From the late 2000s, there was a resurgence of interest in his work, following a 2009 YouTube video about sugar and high-fructose corn syrup by the pediatric endocrinologist Robert Lustig, and because of increasing concern about an obesity epidemic and metabolic syndrome.
Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth. It is a likely outcome of untreated dental caries (tooth decay), and in such cases it can be considered a sequela in the natural history of tooth decay, irreversible pulpitis and pulpal necrosis. Other causes can include occlusal trauma due to 'high spots' after restoration work, extrusion from the tooth of root filling material, or bacterial invasion and infection from the gums. Periapical periodontitis may develop into a periapical abscess, where a collection of pus forms at the end of the root, the consequence of spread of infection from the tooth pulp (odontogenic infection), or into a periapical cyst, where an epithelial lined, fluid-filled structure forms.
"What if It's All Been a Big Fat Lie?". The New York Times. His work also encouraged other journalists, including cookery writers, to publish articles on sugar. Today, articles, columns and programmes on sugar have become ubiquitous and are too numerous to count. The Wikipedia article on John Yudkin includes references to several articles on ‘’Pure, White and Deadly’’ in both the medical press and the lay press down to the year 2016. A more recent example, Fat didn’t have a lobby, appeared in December 2017 in Süddeutsche Zeitung Magazin. The developing case against sugar was also manifest in the 2003 version of WHO's "Diet, Nutrition and the Prevention of Chronic Diseases", which recognised that there were good reasons for restricting sugar intakes to less than 10% of total calories, not just because of dental caries, but “on nutritional grounds alone”. These grounds specifically included obesity.
Panoramic radiograph of impacted lower wisdom teeth (green arrows) in a 26-year-old with dental caries (red arrows) on the adjacent teeth The diagnosis of impaction can be made clinically if enough of the wisdom tooth is visible to determine its angulation, depth, and if the patient is old enough that further eruption or uprighting is unlikely. Wisdom teeth continue to move to the age of 25 years old due to eruption, and then continue some later movement owing to periodontal disease. If the tooth cannot be assessed with clinical exam alone, the diagnosis is made using either a panoramic radiograph or cone-beam CT. Where unerupted wisdom teeth still have eruption potential several predictors are used to determine the chance of the teeth becoming impacted. The ratio of space between the tooth crown length and the amount of space available, the angle of the teeth compared to the other teeth are the two most commonly used predictors, with the space ratio being the most accurate.
The UK has also seen an increase in the rate of dental caries on the lower second molars increasing from 4–5% prior to the NICE guideline to 19% after its adoption. Although most studies arrive at the conclusion of negative long-term outcomes e.g. increased pocketing and attachment loss after surgery, it is clear that early removal (before 25 years old), good post-operative hygiene and plaque control, and lack of pre-existing periodontal pathology before surgery are the most crucial factors that minimise the probability of adverse post-surgical outcomes. Asymptomatic disease-free impacted wisdom teeth in 21-year-old The Cochrane review of surgical removal versus retention of asymptomatic disease-free impacted wisdom teeth suggests that the presence of asymptomatic impacted wisdom teeth may be associated with increased risk of periodontal disease affecting adjacent 2nd molar (measured by distal probing depth > 4 mm on that tooth) in the long term.
Some problems which may or may not occur with third molars: A Mesio-impacted, partially erupted mandibular third molar, B Dental caries and periodontal defects associated with both the third and second molars, caused by food packing and poor access to oral hygiene methods, C Inflamed operculum covering partially erupted lower third molar, with accumulation of food debris and bacteria underneath, D The upper third molar has over-erupted due to lack of opposing tooth contact, and may start to traumatically occlude into the operculum over the lower third molar. Unopposed teeth are usually sharp because they have not been blunted by another tooth. Dental x-ray of impacted lower right wisdom tooth with a horizontal orientation Impacted wisdom teeth are classified by the direction and depth of impaction, the amount of available space for tooth eruption and the amount soft tissue or bone that covers them. The classification structure allows clinicians to estimate the probabilities of impaction, infections and complications associated with wisdom teeth removal.
ART can be used for small, medium and deep cavities (where decay has not reached the tooth nerve dental pulp) caused by dental caries. In shallow/medium sized cavities (lesions), the decayed tissue removal is carried out until the soft tissue (demineralised dentine) is completely removed and harder tissue is reached (firm dentine). In deeper cavities (lesions that reach more than 2/3 of dentine thickness on a radiograph), the removal of the decay must be carried out more carefully in order to avoid reaching the tooth’s pulp (dental nerve). Soft tissue should be left on the cavity floor. The decision on how much decay to remove (whether to carry out the decay removal to firm dentine or stop when soft dentine has been reached) depends on: # The depth of the cavity - a filling needs to have a minimum thickness of material placed to ensure it has enough filling material to be strong; # The possibility of reaching the tooth’s pulp (the nerve is exposed sometimes when deep cavities are accessed with rotary burs or vigorously with hand instruments, compromising the tooth’s vitality).
A combination of novel docking methods and/or its use in the CANDO platform has led to prospectively validated predictions of putative drugs against dengue, dental caries, herpes, lupus, and malaria along with indication-specific collaborators. Other successful areas of application include medicine, predicting HIV drug resistance/susceptibility; nanobiotechnology, where small multifunctional peptides that bind to inorganic substrates are designed computationally; and interactomics of several organisms, including the Nutritious Rice for the World (NRW) projectNutritious Rice for the World web site where protein structure prediction methods are applied to all tractable proteins encoded by the rice genome on the IBM World Community Grid as well as the 1KP project to predict protein structures. functions, and interactions of 1000 plant proteomes. The NRW project harnessed the power of individual PCs via the Grid to perform its computations to help design better rice strains with higher yield and range of bioavailable nutrients, and was covered by more than 200 media outlets worldwide including The New York Times, BusinessWeek, NSF, The Times of India, and Fortune.

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