Oral health is closely related to general health.
In 1981, the World Health Organization established standards for oral health: clean teeth, no cavities, no pain, normal color of the gums, and no bleeding. But there are very few people who can really meet the standards.
Oral health is an indispensable part of general health. For patients with severe periodontal disease, it is equivalent to a chronic wound about 23 centimeters long in the mouth. It is difficult to heal for a long time. The wound can become a channel for bacteria to enter the body. Can cause a variety of diseases.
Oral health status is closely related to many systemic diseases. For example, oral ulcers may indicate Behcet’s disease, Crohn’s disease, Littrell’s syndrome, and sexually transmitted diseases. Pale faces and bleeding gums may be markers of hematological disorders. Periodontitis may aggravate hypertension, diabetes, kidney disease and other chronic diseases, but also can cause lung infection and other infectious diseases, and may make repeated attacks of gastric ulcer.
So 60% of people with tooth extraction have periodontitis
Periodontal, or periodontal bed, as it is commonly called, is covered with a thin layer of gum, on which the teeth are firmly planted. Periodontitis is inflammation of periodontal tissue. The periodontal health rate of Chinese adults is only 9.1 percent, and periodontitis is the main cause of tooth loss in Chinese adults.
60% of tooth extraction patients have tooth extraction because of periodontitis. Periodontitis is mainly caused by dental plaque and dental calculus. Dental plaque is a microbiome adhering to the surface of teeth. For every 1 mg of dental plaque, there are about 100 million bacteria. Rinsing your mouth and rinsing with water cannot remove dental plaque, and brushing can remove most of them.
If you don’t brush your teeth one night, you wake up the next morning and touch your teeth with your tongue, and you feel an astringency on the top of your teeth. This is called plaque. Brush tooth not time or brush tooth method is incorrect, cannot remove dental plaque effectively.
After a month, plaque builds up and becomes hard dental calculus. Some are black and some are yellow, hard and tightly bound to the teeth, making them hard to remove.
Periodontitis is an important reflection of oral health, and its common symptoms include bleeding, bad breath, periodontal pocket formation, periodontal abscess, etc. In severe cases, teeth will become loose and eventually fall out.
Compared with dental plaque and dental calculus, the dental bed is always a vulnerable group. If dental plaque and dental calculus challenge, periodontal tissue is doomed to be unable to resist, and can only be defeated. Once the alveolar bone is damaged, it is not reversible. Got periodontitis, do not have medicaments to be able to treat, medicaments can alleviate only symptom, only wash a tooth and deep periodontal curettage is effective.
The most basic treatment is scaling. Early periodontitis, through scaling can be well controlled, moderate above periodontitis, in addition to cleaning teeth, also do deep periodontal curettage. Deep periodontal curettage requires anaesthesia, and the whole teeth need 2~4 times to complete the treatment. Severe periodontitis can be further treated by surgery. It is worth noting that whether it is scaling or deep periodontal, blood routine and coagulation function should be tested in advance and infectious diseases should be checked to avoid accidents.
Some people believe that scaling will remove the enamel, widen the gap and loosen the teeth. In fact, scaling is high-frequency ultrasonic vibration that won’t damage teeth. Before teeth cleaning, the crevice is occupied by dental calculus, after tooth scaling, tooth calculus is removed, gum swelling, the crevice will appear naturally. In addition, dental calculus tightly covers the surface of the teeth, reaching deep inside the gums. Therefore, it is normal to have slight bleeding and pain when cleaning the teeth.
These three special groups should be cautious in the treatment of oral diseases.
There are many misconceptions about the treatment of oral diseases in children, pregnant women and the elderly.
Children: the prevention of dental caries in children is crucial. If a child has dental problems, do not wait for a change of teeth, to the regular hospital in time for treatment. Because if the child produces tooth decay and do not treat in time, can form an infection focus, affect child whole body health. In addition, the tooth falls out prematurely or produce cavities, can affect the child’s occlusal function, affect its jaw bone development, make tooth arrangement is not neat, can affect the facial development of the child even.
Pregnant woman: pregnant women should do the appropriate oral examination and treatment before pregnancy. Otherwise, once oral problems occur, may have adverse effects on the fetus, treatment is more troublesome. In the first three months of pregnancy, if oral bacteria or viruses cause intrauterine infection, it may increase the probability of fetal malformations. Intrauterine infections and discomfort from oral diseases increase the likelihood of preterm birth during the third trimester of pregnancy. The treatment of oral diseases in pregnant women is relatively troublesome, and the choice of medication is very strict. In general, if there are no special cases, it is recommended that pregnant women be treated in the fourth, fifth, and sixth months of pregnancy, and doctors need to be very careful in handling them. Minimize or avoid bleeding.
Elderly: the elderly are often complicated with some chronic diseases, oral diseases need to be fully evaluated, pay attention to monitoring the patient’s blood pressure, blood sugar, and so on, if there is abnormal, the need to control the corresponding indicators of stability before treatment; There is also a need to check the patient’s clotting function, because if the patient takes anticoagulant drugs such as aspirin and warfarin for a long period of time, there may be a clotting disorder. If these examinations are ignored, the patients are prone to infection, bleeding, wound healing and other risks. When the elderly go to the dental clinic, it is best to inform the doctor of their basic health status in a timely manner.
Eight ways to protect teeth.
1. Brush your teeth effectively twice a day. Brushing your teeth before bedtime is even more important. Insist on brushing your teeth sooner or later and gargling after meals.
2. Promote the use of fluoride toothpaste. For children over three years of age, the dosage is about the size of soybeans. For adults, only 0.5 g or 1 g (0.5 cm, 1 cm) of toothpaste is required for each toothbrush.
3. A healthy diet protects your teeth. Try to reduce the number of times you eat sugar every day, drink less carbonated drinks, and don’t eat again after brushing your teeth before going to bed at night.
4. Take regular oral checkups. At least once a year for oral health examination, timely detection of oral diseases, early treatment.
5. Don’t get pregnant with oral diseases. Women should take the initiative to receive oral health examination before planning pregnancy, and timely detect and deal with oral diseases or hidden dangers.
6. Children’s oral health is the responsibility of parents. From birth, parents should clean the mouth of infants, parents should help and monitor children brush their teeth to help children get rid of bad oral habits as soon as possible.
7. To apply fluoride to young children of suitable age or to do pit and fissure sealing.
8. Missing teeth should be repaired in time. No matter how many teeth are missing, restoration should be carried out in time.