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Lecture 16 - Beg. of Final Review DENTAL Notes on Slides

Cday had 1 12x chance of having gingivitis than those

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Unformatted text preview: C: collagen and antioxidant Those eating < 60 mg vit. C/day had 1 1/2x chance of having gingivitis than those with 180 mg/day low Calcium & Vit. D: may increase clinical attachment loss and tooth loss Chronic PD lowers HDL and raises C-reactive protein (inflammation marker) Dental Caries Process • Bacterial plaque colonize in protected areas • Metabolize simple sugars to acid • Acid demineralizes enamel •Bacteria and acid invade dentin • Bacteria can invade pulp and migrate throughout the body Abscess Tooth Decay (Dental Caries) is an Infectious Disease 1-2 Plaque bacteria (s.mutans et. al) on enamel turns dietary sugars to acids 3. Acid irritates gums and destroys tooth enamel 4-6 Bacteria & acid enter area under enamel and destroy tooth How Tooth Decay Occurs Other Important Medical Considerations • Preventing osteoradionecrosis • Preventing VAP ventilatorassociated pneumonia Oral Problems are Preventable Fluoride Systemic nutrition Anti-microbial rinses Tools for Plaque Removal Fluoride Fluoride • Consistent topical is best • “halo” effect • may blunt carbo effects Sugars Fluoride • Fluoride supplements ONLY in nonfluoridated areas or in fluoridated areas ONLY IF: • totally breast fed • using formulas made with nonfluoridated water • not drinking ANY fluoridated tap or bottled water Fluoride Su...
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