Saturday, August 22, 2009

Dentistry

Cavities

What Causes a Cavity?

Your mouth is a busy place. Bacteria - tiny colonies of living organisms are constantly on the move on your teeth, gums, lips and tongue.

Cavity AnimationHaving bacteria in your mouth is a normal thing. While some of the bacteria can be harmful, most are not and some are even helpful.

Certain types of bacteria, however, can attach themselves to hard surfaces like the enamel that covers your teeth. If they're not removed, they multiply and grow in number until a colony forms. More bacteria of different types attach to the colony already growing on the tooth enamel. Proteins that are present in your saliva (spit) also mix in and the bacteria colony becomes a whitish film on the tooth. This film is called plaque, and it's what causes cavities.

Braces

How Do Braces Work?

Opening Animation

Having straight teeth is important. Teeth that are crooked or out of place (misaligned) affect the way a person chews and talks and how their smile looks. Because they have unnatural spaces, crooked teeth are harder to clean and are more likely to have cavities.

In some cases, crooked teeth can affect the way the jaws line up and can cause pain and discomfort.

picture of Severe Malocclusion
Severe Malocclusion

One method to correct this is to have Orthodontic treatment (or braces and retainers as they are sometimes called). Orthodontic treatment works by exerting a gentle pressure over time to straighten teeth that are growing, or have already grown, out of place.

Braces have three basic parts:
1) Brackets - brackets that are attached to each tooth
2) Bonding or band - the material that attaches the bracket to the tooth
3) Arch Wire - a thin metal wire that runs from bracket to bracket

Braces have come a long way from the "train track" look of years ago. Today, many orthodontic patients can get braces that attach to the backs of the teeth, or use transparent brackets.

A retainer is a custom-made, removable appliance that helps keep teeth in their new, straightened position after braces have been removed. Retainers can also be used to treat more minor orthodontic problems.

Prevention

Fluoride:How Does It Work?

Fluoride is a natural element that can be found in many things, like the water we drink and the food we eat. Decades ago, scientists began to notice that children who lived in places where fluoride occurred naturally in the water, had fewer dental cavities.

Fluoride that is absorbed by your body is used by the cells that build your teeth to make stronger enamel. Topical fluoride - fluoride that is applied to the outside of the enamel - makes the crystals that form enamel more durable. Tooth enamel crystals that have fluoride are much more resistant to acid. They are less likely to breakdown and cause the tooth surface to become porous.

If your dentist recommends a fluoride treatment during your next dental visit, you'll be receiving topical protection. The fluoride your dentist puts in your mouth will help make the crystals in your tooth enamel stronger. Always use a toothpaste with fluoride. Look for the Canadian Dental Association seal of approval on the toothpaste tube in your bathroom.

For an experiment on the protective power of Fluoride, check out the Healthy Teeth Dental Experiments Page!

Teeth and Gums

Tooth Growth and Development


What's the difference between "baby" teeth and permanent teeth? At between six and ten months of age, most infants begin to get their "baby" teeth.

The Central Incisors (front middle teeth) usually come in first, and then teeth begin appearing on either side and work their way back to the second molars. By the time a child has reached three years old, most of the "baby" teeth should be present.

The process begins to repeat itself when the child is about seven years old. The Central Incisors fall out first and are replaced by permanent teeth. By the age
of 21, most people have all of their permanent teeth.


Diagram of First Teeth


"Baby" teeth are important because they hold the place for permanent teeth and help guide them into correct position. "Baby" teeth play an important role in the development of speech and chewing.

Experiments

The Power of Fluoride


This experiment simulates the protection
power of Fluoride.

What you'll need:

1 bottle of Fluoride rinse solution (available from your dentist, local dental supply company and some pharmacies)
2 eggs
1 bottle of white vinegar
3 containers

What to do:
Pour four inches of Fluoride rinse solution into one of the containers and then place an egg in the solution. Let it sit for five minutes. Remove the egg. Pour four inches of vinegar into each of the remaining two containers. Put the egg that has been treated with the Fluoride into one container of vinegar and the untreated egg in the other container of vinegar.

What will happen:
One egg will start to bubble as the vinegar (an acid) starts to attack the minerals in the egg shell. Which egg do you think will start to bubble?

No Butts About It

Tobacco and Healthy Teeth Don't Mix

Do you smoke? If you don't, you probably know some friends or see other students at school who do. Too many young people today are getting addicted to tobacco, and the results are showing up in their mouths.

Smoking or using smokeless "chewing" tobacco can make you four times more likely of developing oral cancer (especially on the rise in women as more younger girls take up smoking) - and it's not just something that older adults get anymore.

On top of cancer, tobacco causes:

bad breath
stained teeth
bone loss
shrinking gums
mouth sores
decreased senses of taste and smell
poor healing of mouth sores
hairy tongue
leukoplakia

Really Gross Pictures

Young people who think that smokeless "chewing" tobacco is somehow safer than lighting up are putting themselves at terrible risk of illness. Chewing tobacco releases a variety of chemicals into the body and often causes mouth sores, cracked and bleeding lips and gums, and can lead to cancer of the throat, mouth and gums.

How does Tobacco
affect oral health?

Tobacco contains many substances known to be cytotoxic (destructive to your body's cells and tissues). Smokers have more calculus (hardened dental plaque) than nonsmokers, and heavy smokers have more calculus than light smokers. The Nicotine in tobacco causes something called vasoconstriction (narrowing the blood vessels). Blood circulation - certainly an important thing! - has been shown to decrease by as much as 70% in your mouth during the smoking of a cigarette. Tobacco smoking, furthermore, also affects your body's immune responses (defense system).

New studies are even showing the possibility that second-hand tobacco smoke (the smoke from someone else's cigarette) causes periodontal disease (gum disease).

Sugar? In tobacco?

We all know that sugar is a major cause of tooth decay. More than one-fifth of the content of some brands of smokeless "chewing" tobacco is sugar, and causes a much greater risk of developing cavities.

Cut the Sugar, Grab the Milk!

Hey, what's in that School Lunch or Snack?

Each time you eat a snack containing sugar or starch (carbohydrates), the resulting acid attack on your teeth can last up to 20 minutes, and a lot of snacks and drinks contain sugar. How much sugar? A single can of pop contains up to 10 teaspoons of sugar, and if you think that natural sugar (like the sugar in raisins or other fruit) is better for your teeth it’s not. Sugar is sugar, and the average Canadian consumes over 40 kilograms of sugar each year! Click here for a list of how much sugar your favorite snack might contain.


Beat the Clock - foods that are eaten during a meal usually pose less of a threat to teeth because of the additional saliva produced during mealtime eating. Saliva helps to wash food particles from your mouth and lessen the damage from acid.

Brush & floss those teeth - toothbrushing is important, and you should brush twice a day. Did you know that if you don’t floss, you miss cleaning up to 35% of each tooth? If you’re not sure how to floss, just ask your dentist.

Stock up on Dairy Products - yogurt and cheese, milk and milk products contain things that are good for your teeth. Everything that’s made from milk is a good source of calcium - an essential nutrient for the development of bones and teeth. Some scientific studies have shown that eating cheese might actually help to protect your teeth from cavities by preventing something called demineralization (the loss of important calcium in your teeth).



Dentistry


Dentistry is the known evaluation, diagnosis, prevention, and treatment of diseases, disorders and conditions of the soft and hard tissues of the jaw (mandible), the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered necessary for complete overall health. Those in the practice of dentistry are known as dentists. Other people aiding in oral health service include dental assistants, dental hygienists, dental technicians, and dental therapists.

Dentistry is that branch of medicine which deals with the study and practice of diagnosis, prevention, and treatment of diseases of the mouth, the maxilla, and the face.

Surgery

Dentistry usually encompasses very important practices related to the oral cavity. The most common treatments involve the dental surgery on the teeth as a treatment for dental caries. Decayed teeth can be filled with dental amalgam, dental composite, dental porcelain and precious or non-precious metals. Oral and maxillofacial surgery is a more specialized form of dental surgery. Dentists can prescribe medication, radiographs (x-rays), and devices for home or in-office use. Many oral diseases (such as bilateral odontogenic keratocysts) and abnormalities (such as several unerupted teeth) can indicate systemic, neural, or other diseases. Most general practitioners of dentistry perform restorative, prosthetic, endodontic therapy, periodontal therapy, and exodontia, as well as performing examinations. Many general practitioners are comfortable treating complex cases, as well as placing im

plants and extracting third molars(wisdom teeth). All dentists must achieve a certain degree of skill in various disciplines in order to graduate from dental school and become an accredited dentist.

Prevention

Dentists also encourage prevention of dental caries through proper hygiene (tooth brushing and flossing), fluoride, and tooth polishing, although excessive brushing can cause damage to the gums. Dental sealants are plastic materials

applied to one or more teeth, for the intended purpose of preventing dental caries (cavities) or other forms of tooth decay. Recognized but less conventional preventive agents include xylitol, which is bacteriostatic, casein derivatives,and proprietary products such as Cavistat BasicMints.



Education and licensing

The first dental school, Baltimore College of Dental Surgery opened in Baltimore, Maryland, USA in 1840, and in 1867, Harvard Dental School became the second dental school affiliated with a university.
Studies showed that dentists graduated from different countries, or even from different dental schools in one

country, may have different clinical decisions for the same clinical condition. For example, dentists graduated from Israeli dental schools may recommend more often for the removal of asymptomatic impacted third molar (wisdom teeth) than dentists graduated from Latin-American or Eastern European dental schools.

In England, the 1878 British Dentists Act and 1879 Dentists Register limited the title of "dentist" and "dental

surgeon" to qualified and registered practitioners. The practice of dentistry in the United Kingdom became fully regulated with the 1921 Dentists Act, which required the registration of anyone practicing dentistry. The British Dental Association, formed in 1880 with Sir John Tomes as president, played a major role in prosecuting dentists practicing illegally. A dentist is a healthcare professional qualified to practice dentistry after graduating with a degree of either Doctor of Dental Surgery (DDS), Doctor of Dental Medicine (DMD), Bachelor of Dentistry (BDent), Bachelor of Dental Science (BDSc), or Bachelor of Dental Surgery/Chirurgiae (BDS) or (BChD) or equi

valent.[citation needed] In most western countries, to become a qualified dentist one must usually complete at least 4 years of postgraduate study[citation needed]; within the European Union the education has to be at least 5 years. Dentists usually complete between 5–8 years of post secondary education before practicing. Though not mandatory, many dentists choose to complete an internship or residency focusing on specific aspects of dental care after they have received their dental degree.

Specialties

Official specialties

In addition to

general dentistry, there are about 9 recognized dental specialties in the US, Canada, and Australia. To become a specialist requires one to train in a residency or advanced graduate training program. Once residency is completed, the doctor is granted a certificate of specialty training. Many specialty programs have optional or required advanced degrees such as a masters degree: (MS, MSc, MDS, MSD, MDSc, MMSc, or MDent), doctoral degree: (DClinDent, DMSc, or PhD), or medical degree: (MD/MBBS specific to Maxillofacial Surgery and

sometimes Oral Medicine).

Specialist

s in these fields are designated registrable (U.S. "Board Eligible") and warrant exclusive titles such as orthodontist, oral and maxillofacial surgeon, endodontist, pediatric dentist, periodontist, or prosthodontist upon satisfying certain local (U.S. "Board Certified"), (Australia/NZ: "FRACDS"), or (Canada: "FRCD(C)") registry requirements.

The American Board of Dental Sleep Medicine (ABDSM) provides board-certification examinations annually for qualified dentists. These dentists collaborate with sleep physicians at accredited sleep centers and can provide oral appliance therapy and upper airway surgery to treat sleep-related breathing disorders. While Diplomate status granted by the ABDSM is not one of t

he recognized dental specialties, it is recognized by the American Academy of Sleep Medicine (AASM).

A few other post-graduate formal advanced education programs: GPR, GDR, MTP residencies (advanced clinical and didactic training with intense hospital experience) and AEGD, SEGD, and GradDipClinDent programs (advanced training in clinical dentistry) are recognized but do not lead to specialization.

Other dental education exists where no postgraduate formal university training is required: cosmetic dentistry, dental implant, temporo-mandibular joint therapy. These usually require the attendanc

e of one or more continuing education courses that typically last for one to several days. There are restrictions on allowing these dentists to call themselves specialists in these fields. The specialist titles are registrable titles and controlled by the local dental licensing bodies.

Other specialties

  • Dental anesthesiology, the study of how to relieve pain through advanced use of local and general anesthesia techniques is not yet considered to be one of the recognized dental spe cialties. However, CODA is in the process of accrediting all dental anesthesiology programs.
  • Special needs dentistry is dentistry for those with developmental and acquired disabilities. It is a recognized specialty by the Royal Australasian College of Dental Surgeons. It has also been recently recognised as a specialty by the General Dental Council in the United Kingdom. The American Board of Special Care Dentistry is hoping to also obtain accreditation for special needs dentistry by CODA.
  • Forensic odontology consists of the gathering and use of dental evidence in law. This may be performed by any dentist with experience or training in this field. The function of the forensic dentist is primarily documentation and verification of identity.
  • Geriatric dentistry or geriodontics is the delivery of dental care to older adults involving the diagnosis, prevention, and treatment of problems associated with normal ageing and age-related diseases as part of an interdisciplinary team with other health care professionals.
  • Aviation dentistry, a subcategory of (military) aviation medicine deals with dental topics related to aircrews, e.g., dental barotrauma and barodontalgia. In addition, the aircrew population is a unique high-risk group to several diseases and harmful conditions due to irregular work shifts with irregular self-oral care habits and irregular meals (usually carbonated drinks and high energy snacks) and work-related stress.

List of dentists

Real-life dentists