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The Teeth and Gums
What are they good for?
Talking
Talking
Office of Oral Health
Eating
Self-Confidence
Relationships
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Healthyat all Ages!!
WHY??
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Office of Oral Health
Mouth InfectionMouth Infection
Diabetes
Heart Disease
Low Birth Weight
Pneumonia
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Periodontal Disease
(Infection)
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Overproduction of cytokines
• InterleukinsInterleukins
• InterferonsInterferons
• TNFTNFαα
• ProstaglandinsProstaglandins
• C-reactive proteinsC-reactive proteins Leads to…
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Infection
Diabetes
TNFα Insulin resistance
Glycemic Control
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Heart Disease
C-reactive proteins
+ plaques
Damaged arteries
Body sends plaques
Foam cells
Blood clots
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Pre-term / Low birth weight
Inflammation
Enters bloodstream
Prosthaglandins
shorten gestational age
Increased levels of inflammatory mediators
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Pneumonia
Inflammation
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Aspiration of oropharyngeal flora into the lower respiratory tract
Pneumonia
Extent of Disease• #1 childhood disease• Of 4,300 children screened from 2004-
06:– 57% current or previous decay– 27% untreated decay– 9% needed urgent dental care
• 15% of children have sealants• 62% of water has fluoride• Dentists per population
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Decay’s effect on children?
Nuitrition
or
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Self-Esteem
Missed school days
Poor school work
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DeathDeathand even…
Deamonte Driver12 years old
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Office of Oral Health
Prevention
Fluoridatedwater
SealantsSealants
Brushing
Diet
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SealantsSealants
Office of Oral Health
Solutions???• School dental screenings
– Assessment and referral
• School based dental clinics– Wakefield Elementary
• Sugar bans– Vending machines– Rewards
• Oral Health curriculum• Fluoridated water systems
Office of Oral Health
Office of Oral Health
Office of Oral Health
Dental First Aid KitDental First Aid Kit
GlovesMask
EyewearSterile gauze
FlashlightTongue blade
Ice packSaline Solution
Orthodontic WaxTea Bags
Emergencies
Injured teethToothacheSoft TissueBroken Jaw
BracesKnocked out tooth
Ulcers
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Injured Teeth
1. Do Not attempt to move tooth into correct position
2. Gently cleanse with warm water
3. Take to dentist immediately
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Office of Oral Health
Office of Oral Health
Teeth are jammed into the gumOffice of Oral Health
Teeth that are pushed out of the gum tissue and bone Office of Oral Health
Toothache
1. Do not place aspirin on tooth or gum tissue
2. Take child’s temp and observe for respiratory distress
3. Take to dentist immediately
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Early Childhood CariesEarly Childhood Caries
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Decay in the crevices on the chewing surfaces of back teeth Office of Oral Health
Soft Tissue Injury
1. Gently Clean Area
2. Apply cold compress to minimize
swelling
3. Refer to dentist or emergency room
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Braces
1.If wire loose, refer to orthodontist
2.Cover wires with wax sugarless gum, or gauze
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Ulcers
1. Apthous Ulcer2. Cold/Canker sore3. Fever blister4. Herpes
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Sores can also be inside the mouth on the tongue, floor of the mouth, throat and cheeks.
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Knocked Out Tooth (Avulsed)
1. Handle by crown of tooth (not the root)
2. Rinse gently (never scrub)3. Replant in socket—Hold in place4. Transport tooth in saline solution, saliva, or milk5. Do not let dry out!6. Get to dentist within 30 min.
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42Knocked out (avulsed) Office of Oral Health
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Questions??
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