The Teeth and Gums

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• The Teeth and Gums

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What are they good for?

• Talking

Talking
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Eating
Self-Confidence
Relationships
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Healthy at all Ages!!
WHY??
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Mouth Infection
Pneumonia
Diabetes
Low Birth Weight
Heart Disease
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Periodontal Disease
(Infection)
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Overproduction of cytokines

• Interleukins
• Interferons
• TNFa
• Prostaglandins
• C-reactive proteins

Leads to
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Diabetes
Infection
Glycemic Control
TNFa
Insulin resistance
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Heart Disease
Damaged arteries
Blood clots
Body sends plaques
Foam cells
C-reactive proteins plaques
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Pre-term / Low birth weight
Inflammation
shorten gestational age
Prosthaglandins
Increased levels of inflammatory mediators
Enters bloodstream
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Pneumonia
Inflammation
Aspiration of oropharyngeal flora into the lower
respiratory tract
Pneumonia
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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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Decays effect on children?
Nuitrition
or
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• Self-Esteem

Missed school days
Poor school work
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Death
and even
Deamonte Driver 12 years old
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Prevention
Fluoridated water
Sealants
Brushing
Diet
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Sealants
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Solutions???

• School dental screenings
• Assessment and referral
• School based dental clinics
• Wakefield Elementary
• Sugar bans
• Vending machines
• Rewards
• Oral Health curriculum
• Fluoridated water systems

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A smile at every age!
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Emergencies
Dental First Aid Kit Gloves Mask Eyewear Sterile
gauze Flashlight Tongue blade Ice pack Saline
Solution Orthodontic Wax Tea Bags
Injured teeth Toothache Soft Tissue Broken
Jaw Braces Knocked out tooth Ulcers
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Injured Teeth

• Do Not attempt to move
• tooth into correct position
• Gently cleanse with warm
• water
• 3. Take to dentist immediately

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Teeth are jammed into the gum
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Teeth that are pushed out of the gum tissue and
bone
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Toothache

• 1. Do not place aspirin on
• tooth or gum tissue
• 2. Take childs temp and
• observe for respiratory
• distress
• 3. Take to dentist immediately

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Early Childhood Caries
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Decay in the crevices on the chewing surfaces of
back teeth
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Abscessed tooth
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Soft Tissue Injury

• Gently Clean Area
• Apply cold compress to minimize
• swelling
• 3. Refer to dentist or emergency room

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Braces

• If wire loose, refer to orthodontist
• Cover wires with wax sugarless gum, or gauze

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Ulcers

• Apthous Ulcer
• Cold/Canker sore
• Fever blister
• 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 socketHold in place
• 4. Transport tooth in saline solution,
• saliva, or milk
• 5. Do not let dry out!
• 6. Get to dentist within 30 min.

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Knocked out (avulsed)
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Questions??