Caries diagnosis Part 1

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1. What are the best methods for detecting early and advanced dental caries (validity and feasibility of traditional methods; validity and feasibility of emerging methods)?

Observations and studies during the past two decades have indicated that diagnostic and treatment paradigms may differ significantly for large, cavitated lesions versus early, small lesions and demineralized areas on tooth surfaces. The essential anatomic-pathophysiologic problem is that the carious lesion occurs within a small, highly mineralized structure following penetration through the structure’s surface in a manner which may be difficult to detect using current methods. Additionally, carious lesions occur in a variety of anatomic locations, often adjacent to existing restorations, and have unique aspects of configuration and rate of spread. These differences make it unlikely that any one diagnostic modality will have adequate sensitivity and specificity of detection for all sites. The application of multiple diagnostic tests to the individual patient increases the overall efficacy of caries diagnosis. Existing diagnostic modalities require stronger validation, and new modalities with appropriate sensitivities and specificities for different caries sites, caries severities, and degrees of caries activity are needed. Continue reading

Dental care for osteogenesis imperfecta patients Part 1

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Osteogenesis imperfecta (OI) is always associated with bone fragility. In addition, OI may affect the growth of the jaws and may or may not affect the teeth. About half of the people who have OI have teeth that appear normal, and their major concerns are routine care. However, the other half has a defect in the teeth called dentinogenesis imperfecta (DI), sometimes referred to as opalescent teeth or brittle teeth. These teeth may be misshapen, may chip or break easily, and will require special care. Continue reading

How to Use a Fluoride Rinse

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mouthwash How to Use a Fluoride Rinse

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Fluoride rinsesare one of the many ways fluoride can be delivered to our teeth to prevent cavities. Studies on fluoride rinses have been made and in general, fluoride rinses resulted in significant cavities reduction of about 30 to 35%. On the basis of these findings, the simplicity of administration, and the lack of need for professional dental supervision, weekly fluoride-rinse programs in schools are becoming increasingly popular and are being aggressively promoted by dental public-health agencies. Fluoride rinses were approved as safe and effective by the FDA in 1974 and by the Council of Dental Therapeutics of the ADA in 1975. Continue reading

Professional Fluoride Applications by Dentist

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fluoride b1 Professional Fluoride Applications by Dentist

Fluoride is proven to be excellent for preventing tooth decay. If we spot early lesions on the teeth or if a child is at high risk of decay we often recommend professional fluoride application 2-3 times per year. Usually this is in the form of fluoride varnish application, which has been shown to reduce decay by 33-45%. Topical fluorides are directly applied to the erupted teeth. There are several solutions and gels used by the dentist in the clinics for topical fluoride applications.

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How Neem Works

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In the old days the people in India did not use neem toothpaste. They used neem toothbrushes instead. Chewing on a neem twig has for many centuries been the commonly preferred way to prevent gum disease and maintain healthy teeth. These rural people had never used a “real” toothbrush, didn’t know Crest or Colgate, yet they had perfect teeth. A perfect natural solution. Researchers believe the tradition of using neem twigs for dental care has helped Indian villagers to avoid cavities and tooth loss, although they have no access to modern dental care facilities or products. Continue reading

Foods for Good Teeth and Gums Part 2

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quest for nutrient density 300x199 Foods for Good Teeth and Gums Part 2

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Some individuals, with a particular behavior, medical problem or relevant biological factor are of particular risk to cavities because of dietary factors.

Who Needs Diet Guidance Cavities Prevention

Dietary education and guidance are important for the prevention and control of tooth decay. Since tooth decay is a multifactorial disease the relationship is not simple. It cannot be said that all in a particular group will have problems with cavities but should be taken note by dental professionals. Continue reading

How to Clean and Reduce Plaque With Saliva

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excessive saliva How to Clean and Reduce Plaque With Saliva

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Saliva is a complex fluid found in the mouth consisting of a mixture of secretions from the major salivary glands and the minor glands of the tissues in the mouth. Majority of saliva is produced by the three pairs of major glands – the parotid, submandibular, and sublingual glands. The rest of it is produced by thousands of minor salivary glands distributed throughout the mouth and throat. Continue reading

The History of Pepsodent Toothpaste

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Pepsodent: the beginning

Pepsodent was a popular brand of toothpaste back in the mid-20th century. It was probably introduced in the earlier parts of the 20th century as a dentrifice in powder form, but eventually took on the recent-day paste form. Pepsodent was owned by the company Unilever, a British and Dutch company that sells an assortment of consumer products throughout the world, and was advertised through commercials and ads to be able to fight tooth decay and whiten teeth. Its most popular slogan was the catchy phrase, “you’ll wonder where the yellow went, when you brush your teeth with Pepsodent”, as evident in the youtube video below. Pepsodent was well-known for its minty flavor derived from sassafras, and was claimed to contain the key ingredients:

  • Irium is actually sodium lauryl sulphate, a type of surfactant (detergent) that is commonly found in toothpastes nowadays. Lauryl sulphates help to clean teeth and provide foam that helps to carry away debris. It also has antibacterial properties and can penetrate and dissolve plaque.
  • The other ingredient, “I.M.P” was purpoted to whiten teeth. What its letters individually stand for remains unknown.Pepsodent The History of Pepsodent Toothpaste Continue reading