2. Dentistry is the branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body. Dentistry is widely considered necessary for complete overall health. Those who practice dentistry are known as dentists. The dentist's supporting team aids in providing oral health services, which includes dental assistants, dental hygienists, dental technicians, and dental therapists.
3. Specialties The American Dental Associationrecognizesnine dental specialties: PublicHealthDentistry, Endodontics, Oral & MaxillofacialPathology, Oral & MaxillofacialRadiology, Oral & MaxillofacialSurgery (Oral Surgeon), Orthodontics, PediatricDentistry, Periodontics, Prosthodontics, and General Dentistry.
4. Dental plaque Dental plaque is a biofilm, usually colorless, that develops naturally on the teeth. It is formed, as in any biofilm, by colonizing bacteria trying to attach itself to a smooth surface (of a tooth). It has been also speculated that plaque forms part of the defense systems of the host by helping to prevent colonization by microorganisms which may be pathogenic. The film is soft enough to come off by using finger nail. It starts to harden within 48 hours; in about 10 days the plaque becomes dental calculus (tartar), rock-hard and difficult to remove. Dental plaque can give rise to dental caries (tooth decay)—the localised destruction of the tissues of the tooth by acid produced from the bacterial degradation of fermentable sugars and periodontal problems such as gingivitis and chronic periodontitis.
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6. Calculus (dental) In dentistry, calculus or tartar is a form of hardened dental plaque. It is caused by the continual accumulation of minerals from saliva on plaque on the teeth. Its rough surface provides an ideal medium for further plaque formation, threatening the health of the gingiva. Brushing and flossing can remove plaque from which calculus forms; however, once formed, it is too hard and firmly attached to be removed with a toothbrush. Routine dental visits are necessary so that calculus buildup can be professionally removed with ultrasonic tools and specialized sharp instruments.
7. Plaque accumulation causes the gingiva to become irritated and inflamed, and this is referred to as gingivitis. When the gingiva become so irritated that there is a loss of the connective tissue fibers that attach the gums to the teeth and bone that surrounds the tooth, this is known as periodontitis. Because dental plaque is the sole cause of periodontitis, it is referred to as the primary etiology. Plaque that remains in the oral cavity long enough will eventually calcify and become calculus. Calculus is detrimental to gingival health because it serves as a trap for increased plaque formation and retention; thus, calculus, along with everything else that causes a localized build-up of plaque, is referred to as a secondary etiology of periodontitis.
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9. Prevention The best way to prevent the build up of calculus is through twice daily toothbrushing and flossing and regular cleaning visits based on a schedule recommended by the dental health care provider. Calculus accumulates more easily in some individuals, requiring more frequent brushing and dental visits. There are also some external factors that facilitate the accumulation of calculus, including smoking and diabetes. While toothpaste with an additive ingredient of zinc citrate has been shown to produce a statistically significant reduction in plaque accumulation, it is of such a small degree that its clinical importance is questionable.
10. Dental caries Dental caries, also known as tooth decay or a cavity, is a disease where bacterial processes damage hard tooth structure (enamel, dentin, and cementum). These tissues progressively break down, producing dental caries (cavities, holes in the teeth). Two groups of bacteria are responsible for initiating caries: Streptococcus mutans and Lactobacillus. If left untreated, the disease can lead to pain, tooth loss, infection, and, in severe cases, death. Today, caries remains one of the most common diseases throughout the world. Cariology is the study of dental caries. The presentation of caries is highly variable; however, the risk factors and stages of development are similar. Initially, it may appear as a small chalky area that may eventually develop into a large cavitation. Sometimes caries may be directly visible, however other methods of detection such as radiographs are used for less visible areas of teeth and to judge the extent of destruction.
11. Enamel Enamel is a highly mineralized acellular tissue. Tooth enamel along with dentin, cementum, and dental pulp is one of the four major tissues which make up the tooth invertebrates. It is the hardest and most highly mineralized substance in the human body.Tooth enamel is also found in the dermal denticles of sharks. It is the normally visible dental tissue of a tooth because it covers the anatomical crown and must be supported by underlying dentin. Ninety-six percent of enamel consists of mineral, with water and organic material composing the rest. In humans, enamel varies in thickness over the surface of the tooth, often thickest at the cusp, up to 2.5 mm, and thinnest at its border with the cementum at the cement enamel junction.
12. Dentin Dentine (AE: dentin) is a calcified tissue of the body, and along with enamel, cementum, and pulp is one of the four major components of teeth. Usually, it is covered by enamel on the crown and cementum on the root and surrounds the entire pulp. By weight, seventy percent of dentin consists of the mineral hydroxylapatite, twenty percent is organic material and ten percent is water. Yellow in appearance, it greatly affects the color of a tooth due to the translucency of enamel. Dentin, which is less mineralized and less brittle than enamel, is necessary for the support of enamel.
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14. Dental restoration A dental restoration or dental filling is a dental restorative material used to restore the function, integrity and morphology of missing tooth structure. The structural loss typically results from caries or external trauma. It is also lost intentionally during tooth preparation to improve the aesthetics or the physical integrity of the intended restorative material. Dental restoration also refers to the replacement of missing tooth structure that is supported by dental implants.
15. Amalgam Amalgam is widely used for direct fillings, mainly for posterior teeth, and completed in single appointment. Cast gold is used for indirect restorations. Amalgam leaches tiny amounts of mercury and while some concerns have been raised, there is currently no evidence that any of this mercury remains in the body nor that dangerous levels are ever reached.
16. resin Dental composite resins are types of synthetic resins which are used in dentistry as restorative material or adhesives. Synthetic resins evolved as restorative materials since they were insoluble, aesthetic, insensitive to dehydration, easy to manipulate and reasonably inexpensive. Composite resins are most commonly composed of Bis-GMA monomers or some Bis-GMA analog, a filler material such as silica and in most current applications, a photoinitiator. Dimethacrylates are also commonly added to achieve certain physical properties such as flowability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent. Unlike Amalgam which essentially just fills a hole and requires retention features to hold the filling, composite cavity restorations when used with dentin and enamel bonding techniques restore the tooth back to near its original physical integrity.
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18. Pediatric Dentistry: Dental Care for Children and Infants Infants and children are not immune to oral health problems. In 2002, "Oral Health in America: A Report of the Surgeon General" found that dental caries (tooth decay or cavities) is the most chronic childhood ailment – five times more common than asthma and seven times more common than hay fever.
19. Some babies are born with neonatal teeth (teeth that develop in the first month) that require dental hygiene or a visit to the dentist for their removal. At least one baby tooth erupts by six months of age. And, yes, it requires cleaning.
20. From six months to 24 months, children begin teething in earnest, indicated by irritability, biting on objects, drooling and ear pulling. As a parent, you can help teething progress by using strategies such as massaging your child's gums, offering a chilled teething ring or cold, wet washcloth and asking your dentist for a teething ointment recommendation.
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22. By three years of age, most if not all baby teeth have erupted. Soon after four years, spaces for permanent teeth begin to appear as the jaw, supporting bone structure and facial bones begin to grow. From six to 12, it is typical for your child to have both baby teeth and permanent teeth in their mouth.
24. Baby Teeth Cleaning: Baby teeth should be cleaned as soon as they erupt. Clean your baby's teeth with a soft washcloth or gauze after every bottle or meal. When more than one tooth erupts, you can soak a small-bristled child-sized (age-appropriate) toothbrush in warm water before using it on your baby's teeth, as instructed by your dentist. It is important that your child see a dentist by age one to establish a long-term dental hygiene and professional dental cleaning plan.