非龋疾病和口腔预防 english.ppt

2-3 planes, smooth, neat edges. Classification: shallow, deep and pulp exposure Sites: most commonly occur on the buccal surface of bicuspids symmetrically and combined with gingival recession. The size of abrasion increase with age. Dentine Hypersensitivity It is a sensitive feeling when the nerves inside the teeth are exposed to the environment. The sensation can range from irritation all the way to intense, shooting pain. This sensitivity can be caused by several factors, including wear, decaying teeth or exposed tooth roots. Etiology Teeth abrasion, wedge-shaped defects, decayed tooth, tooth fracture, periodontal recession, etc. Clinical Features Sensation to irritation especially mechanical stimulus range from all the way to intense, shooting pain. Easy to locate Diagnosis Probing Test Thermal Test with cold and hot stimuli Patient Evaluation Treatment Treatment measures Desensitization ( medication, laser) filling crown restoration Diagnosis Fixed point of occlusal pain, without any other tooth or peridontal defects. A bite-test (dental explorer or cotton roll) Crack lines will be stained with iodine. Treatment Stabilization , occlusal adjustment and balance occlusal force Enamel-dentin level: light-cured bonding material Middle dentin level: basing and glass ionomer. Deep cracks: root canal treatment, then Crown Extraction Three grades of Prevention Primary: prevent the initial occurence. Secondary: arrest the diseases in early stage. Tertiary: deal with the effects of the diseases prevent further recurrence. Methods for individual oral health care 1、rinse 2、tooth brushing 3、interdental brushes 4、gum care I Mouth Rinse 1、Fluoride liquid: prevent caries 2、Chlorhexidine: both gram+ and gram- bacteria 3、Metronidazole: anaerobic bacterra Fluoride Mouth Rinsing 0.2%NaF、0.05%NaF solution, once a week Age: 5-6 , 5ml 1minute Above 6 10ml 1minute not recommend for children under 5 Chlor