Amma towers, AN 307-A, Adarsh nagar
Thekkummoodu road, Pattom (P.O),
Thiruvananthapuram
0471- 2550461 / +91 9846571329
Preventive
Fluorides
What is fluoride?
Fluoride is a natural mineral that is very effective in protecting teeth against decay

How does fluoride work?
Tooth decay begins with dental plaque, a soft sticky substance that builds up on your teeth. Plaque is mostly bacteria, which feed on sugar from food and drink, producing acid as a waste product. The acid attack the teeth by dissolving the minerals in the tooth structure, if this happens too often, tooth decay results. Minerals in saliva can mend the teeth. If fluoride is present in the mouth, it helps themselves. And if fluoride is consumed in appropriate amounts by young children, it helps to make teeth more resistant to decay. Fluoride preparations can be applied on to young tooth also to prevent decay.
Pit and fissure sealants
Fissures are grooves usually found in the chewing surfaces of back teeth. They are difficult to keep clean so there is more risk of decay. Fissures can be sealed with tough plastic to protect them. The plastic is runny first but sets hard, like paint sealants may be see-through or tooth colored. They are normally done for children and only on their permanent teeth. Fissure sealants protect teeth from decay. They can last for years, Or, if they fallout or wear out ,they can usually be replaced if there is no decay underneath.
The need for sealants will depend on
• The shape of each tooth
• How many teeth have already decayed
• How much decay a brother or sister has had (because there can be family patterns in tooth decay
• Childs general health(because general health problems can make it especially important to avoid dental problems)
Bad breath and gum diseases
Many people worry about bad breath, either their own or someone else’s. The advertising media have made much of the social stigma arising from ‘offensive breath’ to their own advantage. Bad breath or halitosis may indicate a dental problem, but this may not always be the case.

Causes
The odour may be caused by factors in the mouth or by changes occurring in other parts of the body.

Local factors:
• Decaying food particles on or between the teeth.
• A coated tongue covered by growing microorganism.
• Unclean dentures.
• Smell of tobacco.
• Alcohol.
• Gum diseases with pus production involved.
• Healing wounds after a surgery or extraction.
Causes arising away from the mouth:
  • Head cold with infected nasal air passages
  • Acute inflammation of air spaces present within the facial bones (often filled with a great deal of pus)
  • Tonsillitis.
  • Many waste products are broken down from food and drink are excreted through the lungs and this applies to alcoholic drinks as well as pungent foods like onion, garlic etc.
  • Diabetes in which the patient has a sweet acetone breath.

  • Bad breath is not a disease; it is rather a symptom, which indicates the presence of disease either within the mouth or away from the mouth. Odours, which may appear unpleasant to many, may not be the same to some one else.
    Mouth cancer screening
    Oral cancer may initially present without any symptoms. Patients are most often identified only after a significant progression of the disease. Discomfort is the most common symptoms that compels a patient to seek medical care Majority of oral cancers involve the tongue, the posterior region of the oral cavity and the floor of the mouth. The lips, gums, the under surface of the tongue and the palate (bones separating the mouth from the floor of the nose) are less frequently involved.

    Mouth cancer screening
    Warning signs of Oral Cancer:
    Certain pre-cancerous lesions occurring in the oral cavity may indicate the person’s susceptibility to cancer. These lesions can be in the form of
  • o  White patches in the mucous membrane covering the oral cavity and along the lateral border of the tongue, which cannot be removed by rubbing the affected     area.
  • o  Red patches seen on the mucous membrane lining the mouth and the tongue.
  • o  Increase in fibrous content of the mucous membrane lining the cheek, which presents itself as thick fibrous bands running along the inner aspect of the    cheek. Commonly seen in betel nut chewers this condition results in inability to open the mouth.

  • All the above lesions will cause a burning sensation when consuming spicy food. We recommend regular screening for people in the high risk category (like smokers, tobacco chewers or people with positive family history) for early detection of these lesions so when complete recovery is possible.
    Diabetic oral care
    Diabetes, elevated blood sugar levels can damage many parts of the body — including the mouth. Diabetes increases the risk of cavities, gum disease and tooth loss, dry mouth, and a variety of infections. Also, poor oral health can make diabetes more difficult to control. Infections may cause blood sugar to rise and require more insulin to keep it under control.

    Tooth and gum damage prevention:
    Teeth is normally covered by an invisible film of bacteria, saliva and food particles (dental plaque). The bacteria feed on the sugars and starches in the foods and beverages you consume and produce acids that damage the hard enamel coating of your teeth. High blood sugar levels in diabetes give the bacteria a greater supply of food, allowing them to produce even more acid. The damage from this acid increases the possibility of tooth decay (cavities).

    Gingivitis and periodontitis are the most common oral complications of diabetes. If you have diabetes, you're three times more likely to develop gum disease than is someone who doesn't have diabetes. Diabetes lowers your body's resistance to infections and slows your ability to heal which means your teeth and gums aren't the only parts of your mouth at risk. The extra sugar in the saliva that you do have — can allow the fungus to cause an infection called candidiasis (thrush)
    Diabetic oral care
    Diabetic dental care
    • As you know that you require more care due to diabetes please make a habit to make regular preventive dental checkups.
    • You need to remind your dentist that you have diabetes. Also
    • Remember to eat before your dental visit. CHANGE TO ( NEVER FORGET YOUR MEALS BEFORE YOUR DENTAL VISIT) The best time for dental work is when your blood sugar is in a normal range, which allows for better healing.
    • If your blood sugar level is out of control when you have a dental surgery scheduled, you may need to postpone the procedure until it's in control.
    • Take your usual medications. Your dentist should consult with your doctor about whether you need to adjust your diabetes medications