Oral health is one of the most important for the good social, mental and physical wellbeing of a person. Consequently, from a wider perspective, neglected and incomplete teeth or even impassability can lead to a loss of well-being and self-esteem. Moteness can even be our placement in society because, because of “bad” teeth in society, we can not even openly laugh. In contrast, preserved or substituted teeth significantly influence our self-esteem.
The importance of oral hygiene has been known for a very long time. The reason probably lies in the fact that dental pain on the scale of pain is classified as the worst that can be experienced. It is important that people take care not only of their teeth, but also for the gums and other tissues in the mouth. In fact, some traditional medical systems, such as the 5,000-year-old Indian Ayurveda, give a very high emphasis to oral health, as the state of the mouth is likely to affect the whole organism. Modern science has also come to similar conclusions, which in the last 20 years have made great progress in understanding the processes of periodontal disease (old paradentosis), dental diseases and other conditions of the condition, such as autoimmunity, plague, cancer, and many others.
In professional circles, the term periodontal medicine is used to study the influence and association of periodontal disease with some modern diseases. The bacteria in the toothpastes that hold on the edge of the gums, more precisely on the dental neck, are the primary cause of the onset of chronic inflammation of the dental tissue. The rate of progression of periodontal disease depends on many systemic factors that are present in the body and affect the defensive ability of the organism. It has been proven that inflammatory periodontal disease can also cause various systemic illnesses, such as: cardiovascular disease, chronic obstructive pulmonary disease and aspiration pneumonia, and poor metabolic urethral diabetes . Periodontal disease can affect systemic health in several ways:
- Inflammation can spread from gastric tissue directly to the surrounding area and deeper tissues.
- Microorganisms and their products can enter the bloodstream, causing inflammation in the remote organs.
- Harmful substances that develop in inflamed areas can get into the bloodstream and affect the distant tissues (atherosclerosis), but they can alter the epithelium of the airway or gastrointestinal tract and create conditions for inflammation there.
Apparently, the agents of the periodontal disease, due to their action, can participate in the onset of illness elsewhere in the body. This fact puts oral hygiene in a completely different perspective, and we must be aware that mouth is not just a teeth, but a contact between the external and internal environment of the human body.
How does gum inflammation and how do we detect it?
Take a clean and healthy tooth surface that has just been properly cleaned and see what happens to it if it is not cleaned regularly. Additionally, around each tooth in the mouth, an average pocket is normally present, which measures 3 mm in depth and takes place around and around the tooth, even in the interdental space.
During the day, the components of saliva, food, beverages, etc., which form soft tooth lining, are deposited and bound to the surface of the tooth. Typical for soft toothbrushes is to collect on the dental neck, both on free surfaces as well as in interdental spaces. The tooth gate is the location where the bacteria from the toothpicks get the necessary nutrients. As a result, the bacteria multiply and in the first phase cause inflammation of the gums, and in the later stages, without exception, inflammation of the gums progresses to periodontal disease.
If the soft padding is not removed at least once a day, the bacteria in the wax pocket have a constant supply of nutrients, and the protective environment of the pocket provides ideal conditions for smooth reproduction. Because saliva is an ionic solution, unclean soft toothbrushes eventually “harden” and form a toothstone. Because of its porous structure, the tooth stone acts as a shelter for food and bacteria residues, which leads to their lush growth even outside the gentle pocket. The experiments found that the sterile tooth does not cause inflammation of the gums, but clearly it is clear that the sterile environment in the mouth can not be reached, so it is extremely important to remove the tooth stone in the oral hygiene or dentist.
Within a few days of non-hygiene, inflammation of the gum occurs. The characteristic of inflamed gums, which we all know, is bleeding. As a consequence, every gum bleed and can hurt us, and because of the increased number of bacteria, there are characteristic inflammatory signs, such as redness, swelling, pain, etc. Healthy gum is pink and never reddish-purple, but never cleans when cleansing. This should be a statement that will keep you up to date with every dental cleaning.
If we forget about our mouth and toothpaste in the daily haste, and they stay on our dental surfaces for a long time, inflammation from the gums also spreads to the bone in which our teeth are “implanted”. Over time, the pocket-shaped pocket, due to the loss of bone, is deepened to 4 and more millimetres, so we can begin to talk about the different stages of periodontal disease. The results of the study carried out at the Ljubljana Dental School say that if the pockets are deeper on all teeth, the surface of the inflammation can be compared with a 4cm x 4cm large purulent wound on the arm. What we have to do if we have a wound on the arm, we all know, but when it appears in the mouth, where it is hidden under the surface of the gum, we respond to it ourselves. Usually, we do not act, at least until the teeth become mothers.
The bone is essential for the stability of the tooth. In the event of inflammation, the bone, as mentioned above, is resorbed “dissolving” and the teeth are losing support. The process does not happen overnight, but it has a chronic course and takes place for 20, 30 and more years. First of all, the teeth become a loom, there is a risk of severe pain and swelling as a result of periodontal inflammation or abscess, and ultimately without exception, due to the disappearance of the bone, followed by the loss of often perfectly healthy teeth.
At the Faculty of Dentistry in Ljubljana, they performed an extremely interesting study, in which they studied the relationship to oral health in Slovenia. At 247 of the 35-85 age-old residents of Ljubljana, after 20 years, a periodontal check was performed and the need for periodontal treatment was determined. They found that VSI the subjects need motivation, instruction and control of oral hygiene, so 98.7% of them need peeling and rooting of the roots, which means cleaning up the pockets in the office and eliminating overpasses, and 47.3% need complex periodontal surgical treatment. The results of the research indicate the need for significantly more effective preventive and curative approaches to prevent periodontal disease among the inhabitants of the city of Ljubljana. The study was conducted in Ljubljana for ease of patient monitoring over a longer period of time, but the generalisation of results to the entire Slovenian population is justified.
Let us also emphasize at this point that the most common cause of an unpleasant odor from the mouth is the backlog of foods and linings in the interdental spaces and in the language. We assure you that your breath will disappear as you clean the interdental spaces and the surface of your tongue daily.
You may have noticed that we do not say practically anything about tooth decay through the article. as we professionally call it, about caries. This is due to soft coatings on the tooth surface. This has already been largely written and said, so that we may touch upon these topics in the next article, as we also try to understand the advantages and disadvantages of the use of fluorides and alternatives that appear in science and slowly already on the market.
Poor hygiene leads to the retention of soft cloths on the tooth surface. Soft liners are bacterial foods that reside in the clutter pocket. If we notice bleeding while brushing and we still do not act, inflammation of the gum spreads to the bone, and it begins to disappear. At the same time, we risk the occurrence of a fire, and in the end, the tooth loses all support and falls out. This is related prosthetic rehabilitation and then we think about bridges, implants and prostheses.
Science has unequivocally demonstrated that we can easily keep our teeth with proper daily oral hygiene to a high age and avoid all the inconveniences associated with tooth loss. What is right, we will try to describe in the next article, although it is much easier to show this in the office.\
If you are looking to get a job in this line on work please follow this link to the JPS medical website for a list of open positions.