Prevention of Parodontopathies

By Dr. Vishaal Bhat on Saturday 22 December 2007 with 0 comments



Prevention of parodontopathies begins already at nursing age, when a care of the proper development of jaws is needed. At older children, a dentist should focus on orthodontic irregularities, anatomic deviations of a mucosa (high attachment of the frenulum, shallow vestibule) and timely diagnostics of the oral mucous membrane inflammations during puberty. It is very important that all disorders listed above are cured and eliminated. Oral hygiene belongs to substantial preventive measures.

Tools and devices for maintaining a proper oral hygiene.


1. Toothbrush, manual or electric. The working part of a toothbrush should be short, fitted with bundles of plastic fibers, rounded at their ends. The optimal strength and softness of fibers should be determined by a dentist according to the state of periodontium. A toothbrush should be replaced at least every three months, otherwise its effectiveness decreases.


2. Toothpaste, completes oral hygiene and makes it more pleasant. The use of a toothpaste shortens time needed for teeth cleaning, but it is not necessary for perfect cleaning. Composition of toothpastes varies. At present, toothpastes with slightly acidic reaction and not too abrasive properties are preferred. Dental powders are not suitable. They may damage teeth enamel due to their high abrasivity. The use of mouthwashing solutions is not too advisable, either. Their use leads away from proper oral hygiene and they damage the mucosa after prolonged use.

Methods of teeth cleaning and their practicing under a supervision of an attending dentist or nurse represent a substantial part of the home dental care. Current stomatologic literature prefers the cleaning technique that is called roll or sweep method. This method is based on a rubbing movement of a toothbrush from gums towards the teeth crowns. A toothbrush is laid on a gingiva under 45 degrees angle and it is moved towards teeth while rotating and rubbing movements are applied. Teeth should be cleaned at least two times daily (in the morning and at the evening), with duration of minimum of two minutes.


3. Dental floss is used for cleaning of interdental spaces and a sulcus. A floss, stretched at a plastic holder, removes well all that remains after brushing with a toothbrush. This way of cleaning is suitable especially for densely spaced teeth. Gum massages should be practiced by a patient and a dentist, who also selects an appropriate method. Massages can be done with a toothbrush, rubber or plastic stimulators, or cotton-tipped swabs (Q-Tips) wetted in an astringent solution. Massages may as well be done with the use of irrigators (Irigostoma brand name) that utilize a permanent or interrupted stream of water (or medicinal solution) under pressure. The aim of massages is to increase the gums blood supply and its metabolism rate, support keratosis of the epithelium, to remove plaque and a sulcus's content, decrease an edema and to prevent formation of connective tissues.

Category: Periodontics Notes

POST COMMENT

0 comments:

Post a Comment