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Teeth Disease Prevention       

Topical or local application of effective agents, such as a fluoride, is an essential part of Teeth Disease Prevention. Self-applied over-the-counter (OTC) products are available as dentifrices, mouthrinses, and chewing gum. They may be applied by toothbrushing and rinsing.

Key Benefits

  • Benefit 1 -- Prevention of dental caries
  • Benefit 2 -- Remineralization of white spots under bacterial plaque in the tooth enamel
  • Benefit 3 -- Desensitization properties

Items for Consumption

Fluoride dentifrices are available as toothpastes. Fluoride mouthrinses  are a practical and effective means for self-application. It is better for safety reason to use the seal of acceptance by the American Dental Association (ADA) for any product containing fluoride.

1. Fluoride Dentifrice
Fluoride dentifrice approved by the American Dental Association (ADA) should be recommended for each patient as part of the complete preventive program.
2. Fluoride Mouthrinse
ADA approved mouthrinses with a fluoride preparation may have effect as a general prevention of dental caries in young persons during the high-risk (soccer/basketball players)  preteen and adolescent years. The only persons excluded from the practice of mouthrinsing are children under 6 years of age.
 3. Effective Toothbrush
Conforms to individual requirements in size, shape, and texture.
       Is easily and efficiently manipulated.
       Is durable and inexpensive.
       Is readily cleaned and aerated.
       Has properties of flexibility, softness, and diameter of the bristles, and of strength, rigidity, and lightness of the handle.
       Has end-rounded filaments or bristles.
       Is designed for utility, efficiency, and cleanliness.     
4. Chewing Gum with Recaldent
Recaldent is a naturally occurring component of milk. When used as an ingredient in oral care products, Recaldent promotes the mineralization of the tooth enamel.

Guidelines and Instructions

1.  Effective Method of Toothbrusing
The Bass method is widely accepted as an effective method for bacterial plaque removal adjacent to and directly beneath the gingival margin.
A. Position the Brush
Filaments. Direct the filaments up for maxillary, down for mandibular teeth at a 45 angle.
       Gingival sulcus. Place the brush with the filament tips directed straight into the gingival sulcus. The filaments will be directed at approximately 45 to the long axis of the tooth.
B. Strokes
       Press Lightly Without Flexing so the filament tips enter the gingival sulci and embrasures and cover the gingival margin. Do not bend the filaments with excess pressure.
       Vibrate the Brush back and forth with very short strokes without disengaging the tips of the filaments from the sulci. Count at least 10 vibrations.
       C. Reposition the Brush
         Apply the brush to the next group of two or three teeth. Take care to overlap placement.
       D. Repeat Stroke
       The entire stroke (steps A through C) is repeated at each position around the maxillary and mandibular arches, both facially and lingually.
       E. Position Brush for Lingual and Palatal Anterior Surfaces
       Hold the brush the long narrow way for the anterior components. The filaments are kept straight and directed into the sulci.
2.  Selection of Fluoride Dentifrice
A. Place a small amount of dentifrice on the toothbrush
Child. Use only a small amount, the size of a small pea and explain that the child should not swallow excess amount of dentifrice.
Toddler and other small children. About one-half the size of a small pea  should be spread along the brushing plane.
Older children and adults. Use 1/2 inch or less.
       B. Spread dentifrice over the teeth with a light touch of the brush
        C. Proceed with correct brushing for sulcular removal of bacterial plaque
        D. Keep dentifrice container out of reach of children
3.  Patient Instructions for OTC Fluoride Mouthrinses
A. Use aqueous solutions - not alcohol-based mouthrinses
B. Alcohol content preparations is not advisable for children
C. Alcohol-containing mouthrinses should never be recommended for a recovering alcoholic person
D. Bottle must have child-proof cap
E. Label must indicate that the rinse is not to be swallowed
F. Rinse daily with 1 teaspoon (5 ml) after brushing before retiring
G. Swish between teeth with lips tightly closed for 60 seconds; expectorate

4. Instructions for Use Chewing Gum

A. Chewing gum with Recaldent four times a day for 15-20 minutes to receive the maximum benefit.
       B. May cause an allergic reaction to those who have a severe allergy to casein.



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