Oral Health Flashcards
adult teeth
32
of children teeth
20
Oral Health Prevention
- Education: diet, trauma, non-nutritive sucking,
teething, sealants, fluoride, hygiene, Dental
visits, etc. - Regular dental care
Pixabay.com photo; uptodate.com
Oral care and prevention at
home
- Brush (electronic or not)
- Floss
- Waterpik
- Regular dental visits
- Toothpicks/floss picks
- Interdental stimulation
- mouthwash
SALIVA function
- Remineralizes enamel
- Buffers cariogenic acids
- Removes food residue
- Inhibits bacterial growth—- BIOTENE
Sjogren’s PE
Lacrimal or salivary enlargement
possible, caries in abn spots, no salivary
pooling (how do you check this?), and loss of
tongue papillae possible
Sjogren’s diagnostic testing
Schirmer test, slit lamp exam,
ocular staining, sialometry, salivary gland imaging, RF, ANA with diff, antibodies (anti-Ro/SSA and or anti-Lz/SSB),
exclude other Dx with other tests (MANY)
How your teeth line up effects
- Gum health
- food packing
- cosmetics
- caries and perio
- teeth fractures
- eating in general
- sleep apnea
- Benefits to risks?
Normal Oral Variation (benign)
- Tori/exostosis**
- Enamel pearls
- Supernumerary teeth
- Racial pigmentation
- Geographic tongue
- Fissured tongue
- Wisdom teeth
- Mucocele
- Linea alba
What is this?
Tori
What is this
Exostosis
What is this
Ranula
Developmental Issues - Teeth
- Hutchinson’s incisors
- Mulberry molars
- Cleft lip/palate- refer to cleft lip team
- Baby born with tooth
– refer asap-aspiration risk - Ankyloglossia
- Feeding difficulties
- Sensory with disabled children
What is this
Mulberry Molars
What is this
Hutchinsons incisors
Natal or Neonatal teeth issues
Natal or Neonatal teeth
- aspiration risk
- pain with feeding
- trauma to mom
- inability/refusal to
feed
- tongue irritation
- Neonatal vs natal
What is this
Ankyloglossia
Periodontal disease
http://www.centerofdentalservices.com/non-surgical-periodontal.html
- from aerobic to anaerobic
(A.actinomycetemcomitans, P. gingivalis,
P.intermedia,and F.nucleatu m.) - Destruction of soft tissue & bone
- If not stopped, it can lead to
tooth loss, etc. - There is a distinct smell
- Education and prevention is the key, and is primarily treated by Dentists and Dental Hygienists
- Treatment
Treatment options for Periodontal disease
– SRP: physical debridement of bacteria and tartar
to smooth off surfaces of the tooth and create a
healing environment
– Placement of abx sub-g to promote attachment
– More frequent Dental Hygiene visits to promote
control of infection
– Education
Dry Socket/ alveolar osteitis
- After a tooth is removed
- Clot doesn’t form or stay in the
pocket
Stomatitis
- Blisters in the mouth, often on the tongue,
cheeks, roof of the mouth, gums, and on the
border between the inside of the lip and the
skin next to it - After blisters pop, they form ulcers in the
mouth, often on the tongue or cheeks - May occur in adults with stress
What is this
Stomatitis
What is this
Angular Cheilitis
What is this
HPV
