DentistryDentistryThe Teeth, Gums, and The Teeth, Gums, and

MouthMouth

Wesley S. Mullins, D.D.S.Wesley S. Mullins, D.D.S.

November 23, 2004November 23, 2004

Oral HealthOral Health

Oral Health Relates to Overall HealthOral Health Relates to Overall Health– Surgeon General’s First Report on Oral Surgeon General’s First Report on Oral

HealthHealthReleased in 2000Released in 2000

States how oral health is linked to overall States how oral health is linked to overall healthhealth

Periodontal DiseasePeriodontal Disease– Correlation to DiabetesCorrelation to Diabetes– Heart DiseaseHeart Disease– Pre-term low birth weight BabiesPre-term low birth weight Babies

Introduction to Teeth and the Introduction to Teeth and the MouthMouth

Primary Dentition Primary Dentition

Age 1-12Age 1-12

Introduction to Teeth and the Introduction to Teeth and the MouthMouth

Permanent Dentition Permanent Dentition

Introduction to Teeth and the Introduction to Teeth and the MouthMouth

TeethTeeth– Begin and Aid in Digestion in FoodBegin and Aid in Digestion in Food– Aid in Speech Aid in Speech

Gums and BoneGums and Bone– Surround the Teeth (Periodontium)Surround the Teeth (Periodontium)– Support the Teeth to Maintain FunctionSupport the Teeth to Maintain Function

Oral TissuesOral Tissues– Tongue – Aid in Swallowing and SpeakingTongue – Aid in Swallowing and Speaking– Lips – Speech Lips – Speech

Introduction to Teeth and the Introduction to Teeth and the MouthMouth

Introduction to Teeth and the Introduction to Teeth and the MouthMouth

Preventive TipsPreventive Tips

Proper Home CareProper Home Care– Proper Brushing 2 times DailyProper Brushing 2 times Daily

After every meal if decay proneAfter every meal if decay prone

Good Toothbrushes can be donated by local Good Toothbrushes can be donated by local dentist if going to under served areas along dentist if going to under served areas along with instructions for brushingwith instructions for brushing

– Avoiding High Carbohydrate DietsAvoiding High Carbohydrate DietsSoft Drinks all day longSoft Drinks all day long

Preventive TipsPreventive Tips

FluorideFluoride– Is found in Toothpaste Is found in Toothpaste – In US is in around 60% of City Water has In US is in around 60% of City Water has

FluorideFluoride– Saved more money than any other Saved more money than any other

health care measurehealth care measure

Mouth RinseMouth Rinse– Listerine only ADA approved Mouthwash Listerine only ADA approved Mouthwash

for Gingivitisfor Gingivitis

Oral Pathology and CareOral Pathology and Care

Dental DecayDental Decay– Bacteria in the Mouth produce acids which lower Bacteria in the Mouth produce acids which lower

the pH of mouth below 5.5 leading the dental the pH of mouth below 5.5 leading the dental cariescaries

– Decay can be extensive leading to dental abscessDecay can be extensive leading to dental abscessDental Abscesses can be serious and medical attention is Dental Abscesses can be serious and medical attention is needed ASAPneeded ASAP

– Treatment includes either extraction or Root Canal TherapyTreatment includes either extraction or Root Canal Therapy– Immediate Care being Drain Abscess and Rx AntibioticsImmediate Care being Drain Abscess and Rx Antibiotics

Best Over the Counter Medication for Pain Best Over the Counter Medication for Pain

Ibuprofen 800mg Every 6-8 hours Ibuprofen 800mg Every 6-8 hours – PenVK 500mg 1 tablet every 6 hours for 7 days PenVK 500mg 1 tablet every 6 hours for 7 days

Oral Pathology and CareOral Pathology and Care

Periodontal DiseasePeriodontal Disease– 80% of Americans have gum disease 80% of Americans have gum disease

and don’t know it!and don’t know it!– Affects the Gums and Bone around the Affects the Gums and Bone around the

teethteethLeads to RecessionLeads to Recession

Tooth MobilityTooth Mobility

Eventually Tooth LossEventually Tooth Loss

– Mild, Moderate, and Aggressive FormsMild, Moderate, and Aggressive Forms

Oral Pathology and CareOral Pathology and Care

Periodontal DiseasePeriodontal Disease– 80% of Americans have gum disease and don’t 80% of Americans have gum disease and don’t

know it!know it!– Affects the Gums and Bone around the teethAffects the Gums and Bone around the teeth

Leads to RecessionLeads to Recession

Tooth MobilityTooth Mobility

Eventually Tooth LossEventually Tooth Loss

– Mild, Moderate, and Aggressive FormsMild, Moderate, and Aggressive Forms

Dilantin Rx for SeizuresDilantin Rx for Seizures– Gingival Hyperplasia Overgrowth of GumsGingival Hyperplasia Overgrowth of Gums

Oral Pathology and CareOral Pathology and Care

Oral Cancer 3% of all CancersOral Cancer 3% of all Cancers– What to Look forWhat to Look for

White Patches that have red borders White Patches that have red borders

Most Common Site Floor of Mouth and Side of Most Common Site Floor of Mouth and Side of TongueTongue

Oral PathologyOral Pathology

AIDS and the MouthAIDS and the Mouth– Higher incidence of Oral CancerHigher incidence of Oral Cancer– Higher incidence of Oral Thrush Higher incidence of Oral Thrush

Candida Albicans (Fungal Infection)Candida Albicans (Fungal Infection)

Treatment is Rx Mouth Rinse NystatinTreatment is Rx Mouth Rinse Nystatin

Common Dental InjuriesCommon Dental Injuries

Fractured TeethFractured Teeth

Common Dental InjuriesCommon Dental Injuries

Completely Avulused TeethCompletely Avulused Teeth– Rinse Well and Place back in Socket if Rinse Well and Place back in Socket if

Root is IntactRoot is Intact– Stabilize for 7 daysStabilize for 7 days– See Dental Professional ASAPSee Dental Professional ASAP

Thank YouThank YouAny Questions?Any Questions?