How to Prevent Dental (Tooth) Decay . Malaysia . ?

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What Are Dental Caries?

There has been remarkable progress in the reduction of dental caries (tooth decay) Malaysia over the past 30 years. The existence of children with no dental caries, a rarity in the past, is no longer unusual. The use of fluoride in public water supplies, in toothpaste, and in professional dental products, improved oral hygiene, and increased access to dental care have played major roles in this dramatic improvement.

Tooth enamel can be damaged and weakened due to various factors such as decalcification . This movie shows that treating teeth with fluoride can repair the damage and make the teeth strong again.

Regular brushing of tooth surfaces using a fluoride-containing dentifrice, reduces caries risk. Conversely, inadequate exposure to fluoride confers increased risk. 

Mutans streptococci (the bacteria) is an established etiologic agent for caries, and its presence clearly indicates the potential for cariogenic activity. However, its presence alone is no more than weakly predictive of clinical caries activity.


Prevention of Dental Caries

Acidulated phosphate fluoride gel (APF): Evidence for the efficacy of APF gel applied 1-2 times per year was consistently positive.

Fluoride varnish: The evidence for the benefit of applying fluoride varnish to permanent teeth is generally positive. In contrast, the evidence for effectiveness of fluoride varnish applied to primary teeth is incomplete and inconsistent.

Chlorhexidine gels: The evidence for the use of chlorhexidine gel is moderately strong, although many of the studies demonstrating its effectiveness used concomitant preventive measures.

Pit and fissure sealants: Pit and fissure sealants have been demonstrated to be effective in the primary prevention of caries, and their effectiveness remains strong as long as the sealants are maintained.

Products containing noncariogenic sweeteners: Noncariogenic sweeteners have been delivered to teeth as constituents of chewing gum, hard candy, and dentifrices. The evidence for both sorbitol and xylitol is positive, although the evidence for xylitol is stronger. Almost all studies of these agents included other interventions, such as fluoridated dentifrices, dietary modification, and oral hygiene instruction.

Treatments of Early Dental Caries

The caries process is endemic and potentially both preventable and curable. The latter can be achieved by identifying and arresting or reversing the disease at an early stage.

- Fluoride. The research data on fluorides in water and dentifrices support their efficacy. The data also support the use of fluoride varnishes. For rinses and gel applications the evidence is promising but not definitive.

- Chlorhexidine. For varnishes and gels, the data are promising. Research data showing effectiveness of chlorhexidine rinses are lacking.

- Antimicrobials. Although mutans streptococci is recognized as part of the pathology of caries and therefore an antimicrobial approach would seem reasonable, current data are inadequate to support antimicrobial treatments other than chlorhexidine and fluorides, both of which have antibacterial properties.

- Salivary Enhancers. Although there are indications that pathologically low salivary flow, as a consequence of Sjˆgren’s syndrome or as an effect of head/neck radiation treatment or xerostomic medications, is associated with caries, there is no evidence that low normal salivary flow produces a similar outcome.

- Behavioral Modification. Most interventions require patient adherence, and current data provide some support for the efficacy of office-based behavioral interventions.

Regular Visits To Your Dentist – You can easily find a Malaysian dentist through dentistsnearby.com

6 – 7 months or 1 year check-ups are very important in detecting early caries and can prevent small decays to become big over time. Malaysian dental consultation fees are relatively cheap that costs from RM 30-100. This habit alone in the long term may be able to save you thousands of ringgit .

Professional Dental Scaling (Cleaning) : Scaling or “Cuci Gigi” if important to be done regularly to prevent build up of plaque and subsequently leads to calculuc (tartar) / (karang gigi) build up. Calculus or tartar can be only removed through ultrasonic devices which basically vibrates out the harden build up in between your teeth. Hence, professional dental scaling is important to reveal if there is any hidden decay underneath.

Acidulated phosphate fluoride gel (APF): Evidence for the efficacy of APF gel applied 1-2 times per year was consistently positive.

Fluoride varnish: The evidence for the benefit of applying fluoride varnish to permanent teeth is generally positive. In contrast, the evidence for effectiveness of fluoride varnish applied to primary teeth is incomplete and inconsistent.

Chlorhexidine gels: The evidence for the use of chlorhexidine gel is moderately strong, although many of the studies demonstrating its effectiveness used concomitant preventive measures. Pit and fissure sealants:

Pit and fissure sealants have been demonstrated to be effective in the primary prevention of caries, and their effectiveness remains strong as long as the sealants are maintained. Products containing noncariogenic sweeteners:

Noncariogenic sweeteners have been delivered to teeth as constituents of chewing gum, hard candy, and dentifrices. The evidence for both sorbitol and xylitol is positive, although the evidence for xylitol is stronger. Almost all studies of these agents included other interventions, such as fluoridated dentifrices, dietary modification, and oral hygiene instruction.

Dental Sealants : Who Should Get Sealants? Children should get sealants on their permanent molars as soon as the teeth come in — before decay attacks the teeth. The first permanent molars — called “6 year molars”– come in between the ages of 5 and 7. The second permanent molars –”12 year molars”– come in when a child is between 11 and 14 years old.

The tooth is rinsed and dried. Then new cotton is put around the tooth so it stays dry.
The tooth is rinsed and dried. Then new cotton is put around the tooth so it stays dry.
The sealant is applied in liquid form and hardens in a few seconds.
The sealant is applied in liquid form and hardens in a few seconds.
The sealant in place
The sealant in place

AND MOST IMPORTANT , BRUSH YOUR TEETH WELL !!


About Baby Bottle Tooth Decay

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