Caries control in the individual levelcaries control in public level

By: Dr A. Rashed M.

A. Assistant prof. of Pediatric Dentistry

Caries, is a multi-factorial disease

Vulnerable host/tooth

• Fluoride application

• Fissure sealants

• ACP CPP

What is fluoride?

• How were the effects of fluoride discovered?• How does fluoride strengthen the tooth?• How may fluoride be applied?• Are there disadvantages with fluoride therapy

(topical and systemic)?

How may fluoride be applicated?

• Tooth pastes• Mouth rinses• Fluoride tablets and drops• Fluoridated salt• Water fluoridation• Fluoride therapy in clinic:

varnish

gel

foam

Tooth pastes

Tooth pastes are the most useful dental products introduced up to now. More than compostion, their usefullness is attributed to their popularity and Regular application by people.

Toothpaste constituents

• Water 20-40%• Abrasive 20-40%• Humectants 20-40%• Soaps and detergents (foaming agents) up to 2%• Flavoring agents up to 2%• Theraputic agents up to 2%• Coloring or preservatives less than 1%

Mouthwashes

• How should fluoride mouthrinses be applied?

• How often should fluoride mouthrinses should be applied?

• At what age are fluoride mouthrinses allowed to be applied and why?

Fluoride therapy in clinic

• Why is fluoride therapy in clinic suggested?

• Why should it not be done at home?

Water fluoridation

• One of the four great advances in public health!

Advantages or disadvantage?• benefits people of all ages• does not exclude any group• a continuous protection with no

compliance or conscious effort required by consumers, other than drinking optimally fluoridated water

Fissure sealants

• What are fissure sealants and how do they reduce the risk of caries?

Amorphous calcium phosphateCaseine phosphopeptide

Cariogenic bacteria

• Deferring plaque accumulation:

• tooth brushing frequency, duration

• using dental floss frequency, best time

• antibacterial mouthrinses

• restoring/extracting decayed teeth

• Chewing gums• xylotol gums, frequency

substrate?!

What is a tooth friendly diet?

Fats ?

acids ?

carbohydrates ?

proteins ?

water and juices ?

Vitamins and minerals ?

Sugar consumption pattern?

Time?!

Two stages that caries development needs time!

Management in individuals…management in populations…

What is ECC?

What is SECC?

What bacteria, are the primary colonizers in caries?

What are the differences between rampant caries and chronic caries?

Be Happy!