Advantages And Disadvantages Of Lesion

The purpose of the case study is to outline the aetiology, pathology, progression and presentation of dental caries and periodontal disease. The patient chosen from the author has periodontal disease and is at high risk of caries.

Eighty percent of untreated caries occur in twenty-five percent of children ages five to seventeen (Dye et al.

As society continues to age, one fourth of the world will be 65 years or older, thanks to the influx of baby boomers. Due to this rapid growth in longevity, this will multiply the problem of access to care. Attention towards systemic conditions such as Alzheimer’s disease, cardiovascular disease, diabetes, and strokes are being discussed by government agencies and health care professionals. (Overview of oral health, 2017). There is evidence linking oral health to systemic health, therefore, a need for a more collaborative approach towards prevention is critical to achieve overall health for the public (Jin, 2016).

Bacteria adhere to the tooth surface and is often missed due to incorrect brushing or lack of flossing. Another common mistake is flossing after brushing. This action will only release more bacteria in the mouth, rather than flossing before brushing. Most patients are unaware that flossing can be a more complex action than assumed. Commonly missed spots when flossing is the proximal space between the mesial and distal of teeth. This is when the dental hygienist begins to educate the patient on the correct form of flossing and brushing in order to contribute to a cleaner mouth. The use of a Waterpik can also help with patients who often miss the proximal spaces when flossing. A Waterpik uses a range of different speeds to force water between the teeth and loosen up any debris. Also, the dental hygienist must correlate to the patient and attract the patient into learning greater details towards oral hygiene to better their health. Asking open ended questions will bring the patient more into the conversation. For instance, engaging the patient by asking or having the patient show their home health habits. In return, giving additional suggestions will help with developing good home health habits for patients. Another helpful tool is to assess caries risk factors and manage caries, based on preventive and curative clinical procedures. “One protocol, termed Caries Management by Risk Assessment (CAMBRA), is an evidence-based approach to preventing, reversing and, when

“The impact of unmet oral health care needs is magnified by the well-established connection between oral health and overall health” (Fineberg, H. 2011, p. ix). Oral health status is linked with general health, as evidenced by the association between poor oral health and chronic diseases, such as diabetes, cardiovascular disease, and respiratory disease. Poor oral hygiene can also lead to other health issues such as, oral facial pain and digestive problems. “The silent epidemic of oral diseases disproportionately affects disadvantaged communities,

As stated by the Center for Disease Control and Prevention, “Each year, more than 30,000 new cases of cancer of the oral cavity and pharynx are diagnosed and over 8,000 deaths due to oral cancer occur.” (CDC). Most adults are unaware that they have periodontal disease or gum disease, this occurs because they do not maintain routine checkups with their dentist. When we insert food and other bacteria into our mouths, it affects our teeth and gums. We need routine dental checkups and cleanings throughout our lives. Dental checkups usually involve x-rays, cleanings, and the examination of the mouth.

At the initial visit the patient’s plaque index was 43% and the plaque score was 55%. The most amount of plaque was present in the posterior regions in both the maxillary and mandibular quadrants. The anterior teeth suffered from a fair amount of attrition. Plaque was being retained in the grooves and pits of the damaged teeth. The patient also had slight interproximal plaque. Number 18 was chipped measially and was missing half of the large amalgam restoration. It had the most biofilm build up covering almost every aspect of the tooth, including the inside portion, which was exposed to oral cavity. When asked why she felt this was a problem area for her she responded that food constantly gets trapped inside and it’s painful, it hurts to brush. A large interproximal lesion on number 8 adjacent to porcelain fused to metal crown retained a considerable amount of biofilm also. The large and old amalgam restorations posteriorly were wearing away at the margins creating grooves and fissures on the occlusal surfaces also retaining plaque. I asked her if she felt like her diet or habits may be contributing to any oral pain or problems she is having. She answered honestly by saying she knows she harming not only her teeth but also her body. She wants to eat better and quit smoking, but she still gets pleasure when indulging and just isn’t ready to give up things she loves yet. She did agree to try and change some of her oral hygiene

Oral health is an important part of an overall health. Oral diseases ranging from cavities to cancer are all serious threats to an oral health. Research shows that there may be a link between oral disease and other health problems such as diabetes, heart disease and stroke as well as pre-term and low-birth-weight babies. If left untreated, it can cause more complications to the oral health. Periodontal disease, root caries and infections and other oral cancer can lead to severe pain, loss of teeth and serious health conditions. As a health care provider, it is significant to realizing the connection between oral diseases and systemic diseases so that we all can deliver our services to prevent and help treat disease while it is still manageable. Expanding the role of dental hygienists might reduce the most serious consequences of limited access to dentists, and dental hygienists are potentially well suited to play an important role in expanding affordable access (1). Collaborative practice of dental hygiene

There are many factors that can cause caries such as xerostomia, diet high in sugars, low socioeconomic status, and inadequate daily oral hygiene, affecting both children and adults (Wilkins, 621). I also learned that there are sealant programs where dental hygienists volunteer their time to host these programs by providing services such as placement of sealants, radiographic screenings, prophylaxis, application of topical fluorides, and oral health care and treatment free of charge for children who come from low-income households (Collins, 2016). Another thing I learned was that the, “incidence of new pit and fissure caries can be lowered by 86% if the sealant is retained at 1 year, 78.6% at 2 years, and 58.6% at 4 years” (Wilkins,

The method from Health Education Journal was based on collecting and evaluating evidence, “…using a combined approach incorporating the Cochrane Public Health and Health Promotion Field Handbook and the Health Gains Notation in order to a develop a synthesis approach to reporting,” (Satur et al., 2010). However, Community Dental Health utilized electronic searching, iterative-hand searching, critical appraisal and data synthesis in which the primary research reviewed settings were at clinical, community, schools or other institutions in which children, elderly, people with handicaps and disabilities were the participants. Another difference in both articles is the conclusions. Community Dental Health concluded that the use of fluoride is efficient in reducing caries through oral health promotion, chairside oral health promotion is shown to be effective; however mass media programs have not. On the other hand, the article from Health Education Journal states that even though there is a respectable support in incorporating the oral health into the general health promotion, it is vital to observe the outcomes in oral health terms.

It is very common to have little knowledge about oral hygiene and its importance’s. Most people think that everything is fine as long as there isn’t any pain or bad breath. Unfortunately, this is a myth. Oral hygiene requires great importance of attention and is not simply based on how physically attractive a smile looks. In the article, “The health Perils of Gum Disease” it is stated that “gums are a barrier that help prevent inflammation that may damage your body” (Barker 1). In order to maintain a healthy mouth it is necessary to not only keep up with maintenance at home but also frequently seek a dental professional for proper cleanings and guidance. Lacking these tasks can cause great damage not only to the mouth

A medical and dental history will be taken. Your mouth, teeth, and gums will be examined. Your dentist will look for soft, swollen purple-red, irritated gums. There may be deposits of plaque and tartar at the base of the teeth. Your gums will be looked at for the degree of redness, puffiness, and bleeding tendencies. Your dentist will see if any of the teeth are loose. X-rays may be taken to see if the inflammation has spread to the supporting structures of the teeth.

Using the CariVvu cavity detection system, Dr. Ricciardi will scan your mouth for cavities. CariVuThis works by shining a special light onf your teeth that will causeand any signs of decay towill shine a different color than the rest of your healthy teeth. This is a very effective way toin catching a cavity before it fully develops.

Early intervention and care can prevent most of the oral health diseases. Nevertheless, dental caries remains the most common chronic disease among children and adolescents in the United States (Centers of Disease Control and Prevention, 2014). About 14.4% of children aged 3-5 years had untreated dental caries in 2009 -2010 (Dye 2012). In addition to pain and discomfort, untreated deciduous tooth caries can spread to roots and may lead to loss of tooth. This can subsequently affect the successor permanent tooth eruption leading to malocclusion which in turn can result in permanent teeth caries. Between 2007 and 2010, 15.6% of children aged 6-19 years had untreated dental caries (National Center for Health Statistics, 2014).

Though specific subject selection criteria are not mentioned in the article, subject selection bias is not observed as cases reported in this article include both sexes, age range reported is broad from 31 to 70 years old the location and clinical appearance of each oral lesion were different. Author has reported and discussed each case and analyzed similarities and differences in all case reports. As per my opinion this study has following issues: