Preventive care aims to prevent the formation of the teeth and periodontal diseases including teeth decay and periodontitis. Preventive measures require from us a lot of commitment and perseverance in order for them to become a daily routine in caring for our health. In reality we often neglect the advices concerning a healthy lifestyle. Educational programs which promote health in the field of teeth diseases do not achieve the desired objective.
The most important element in health promoting is to motivate people to take actions and provide them with advices on dental hygiene. Inner motivation of the patient is often not enough, external motivation is essential obtained through mass media such as TV, radio and the press. The potential patient shall be made fully aware of the activities related to the health of their mouth which shall be described to them in terms perceived as crucial in their lives.
Patients may think that the diseases such as caries and periodontal diseases do not apply to them but the problems associated with bad breath, loss of teeth whiteness or discomfort that appears when eating make them start thinking about their health.
It is relevant to show the patient the serious consequences of the periodontal diseases and caries and to encourage them to take preventive actions. The person responsible for the health education should also act as a personal advisor for the patient conveying information in a simple and clear way. The most important issue in this process is to listen to the remarks and expectations of the patient on the health of their mouth. Therefore, promoting dental hygiene requires excellent communication and motivation skills.
One should also remember that implementing any changes in the behavior of each of us requires a lot of time and support on the part of the dentist till achieving the full engagement of the patient.
Preventive care in our office involves:
- checkup every 6 months
- instructions on the oral hygiene
Oral hygiene is one of the most important methods of the caries and periodontal disease prevention. Proper and systematic hygiene reduces susceptibility to teeth decay by about 40%.
On the second day after bad oral hygiene plaque and tartar are formed. The period of 1-3 weeks of not brushing one`s teeth in healthy individuals will cause gum inflammation. Fortunately it is reversible. After careful removal of dental deposits and brushing teeth, the disease retreats.
In order to have a proper oral hygiene it is crucial to use a toothbrush, toothpaste, dental floss and toothpicks and to apply the correctly selected cleaning method. The most important, however, is the motivation, regularity and the patient`s awareness of the possible health problems that may arise due to the lack of oral hygiene.
Proper hygiene is also essential for the people with prosthetic restoration. Tartar forms on full and partial dentures as well as on crowns and bridges which reduces the lifetime of a prosthetic restoration.
Oral health has a significant impact on our mood. Despite the fact that the hygiene negligence do not evoke affection or credibility among other people, dental treatment isn`t common among adults and children. A small part of the population devotes adequate time for the systematic and proper performance of oral hygiene. Therefore, it is extremely important to increase efforts to improve the health awareness of people of different environments and age.
Pit and fissure sealing
One of the methods of caries prevention are pit and fissure sealants. They are applied mainly to the chewing surface of the milk molars and permanent premolars. Sealing is a preventive treatment in which a sealant (protective plastic coating) is applied to teeth hollows and grooves and then hardened under a blue light.
In that way the areas of teeth susceptible to caries are isolated from bacteria and sugar. Only healthy teeth free from caries can be sealed. The effectiveness of this method depends on the time the sealant remains on the teeth surface. With proper oral hygiene it can last even a dozen of years. Pit and fissure sealing should be applied only to completely erupted teeth – in case of children: as early as 6 – 8 years old and in case of adolescents: 11-13 years old ( permanent first molars).
Teeth varnishing is a preventive dental treatment. It allows the teeth to receive a concentrated dose of fluoride inaccessible during home fluoridation. Fluoride is crucial for teeth because it enhances their resistance to acids produced by bacteria that cause caries. Nowadays fluoride is present in the toothpastes, mouthwashes and special fluoridation rinse. They do not, however, have the same effect as varnishing.
Professional removal of plaque and tatar, both gingival and subgingival, with the polishing of the teeth surface
Periodontal diseases and caries are considered social diseases due to their prevalence and the complications they might cause. Using teeth and periodontium while eating food exposes the tissues to continuous contact with food. Particles of food that remain on teeth surface are convenient environment for the bacteria that cause teeth and gum plaque.
Plaque penetrates down into the gap between a tooth and a gum. It becomes yellow or brown, especially among smokers. Plaque mineralization starts form the very first day of its formation and gradually turns into tartar. Tartar is a calcified dental deposit that forms on a single tooth, a couple of teeth or can affect all of them.
There are two types of tartar: gingival and subgingival. Gingival tartar forms above the gum line and builds visible yellow discolored deposit with moderately hard consistency. It appears in various amounts from nearly invisible to almost covering the entire crowns of the teeth making them glue together.
The most harmful is subgingival tartar that forms under the gum line within teeth pockets. It may be completely invisible, sometimes it can be seen through the gums, it gradually causes destruction of the bone that surrounds the tooth. Such tartar has a very hard consistency and dark brown or dark green colour. Its surface is always covered by dental deposit. It is formed due to constant inflammation of the soft tissues and it is very hard to remove. Subgingival tartar is not the reason of the periodontal diseases but it is their consequence.
Teeth sandblasting is a dental procedure aiming to remove dental deposits and bad-looking discolorations by using dental sandblaster. Sandblasting helps to get rid of tartar and is the complementary treatment after scaling.