To Avoid Baby Bottle Tooth Decay, Caregivers Should:

Tooth decay syndromes.

– How tooth decay can touch on child and developed populations. | Infant-bottle tooth decay, Root caries, Gum-line cavities, Chronic dry mouth (xerostomia).

At dissimilar points in their life, a person may struggle with experiencing diverse tooth disuse syndromes (a cavity rate or pattern that's shared with other members of their population grouping).

This page provides descriptions of some of the more than common ones, and solutions for combating them.

Preventing
cavities using:

A) Syndromes affecting children and adolescents.
  • Babe-bottle tooth disuse (baby-canteen caries).
  • White-spot lesions. (Nosotros now encompass this subject on its own page.)
B) Syndromes affecting adults (specially seniors).
  • Root caries (gum-line tooth decay).
  • Heightened risk for cavities due to xerostomia (dry mouth).

Baby-bottle molar decay.

Babe-bottle caries refers to a design of tooth decay that occurs with infants and preschoolers who are allowed to nurse from a bottle that contains a sugary beverage, either oft, or else for prolonged periods of time (i.eastward. napping, sleeping), or both.

Other names for this syndrome are: Early Childhood Caries (ECC), nursing bottle caries, or just nursing caries.

Animation illustrating the tooth decay pattern usually displayed with baby-bottle caries syndrome.

The disuse pattern typically displayed past baby-canteen caries syndrome.

a) Only specific teeth are affected.

In nigh cases, this condition displays a characteristic pattern of rust-covered teeth.

  • The upper front end teeth are affected the most. These teeth may have very extensive disuse.
  • The child's upper and lower molars are oftentimes affected too.
  • The lower front teeth are ordinarily spared from crenel formation. That's because they are somewhat protected from exposure to the sugary potable past the nursing position of the child'due south natural language.
  • Sometimes the lower canines (eyeteeth) receive protection from the tongue'due south coverage. When not, they are at take chances for decay formation too.

b) Why does the decay form?

There is nothing special or unique about nursing caries syndrome. Information technology's but a instance of cause and effect.

  • A sugar supply (the drink) is available to the child's oral bacteria often, or else over extended time periods.
  • This excessive exposure simply tips the tug of war between demineralization and remineralization in favor of the former, and therefore a syndrome of cavity formation.

c) What can you lot do to prevent baby-bottle molar disuse?

Here are some of the things that you can practise to reduce your kid's chance of experiencing this trouble:

  • Anticipate (unless you specifically know otherwise) that anything you place in a child'southward bottle could be a sugar source. Breast milk, bovine milk, formula, and fruit juices are all sources of dietary sugars.

    (Whether or not milk promotes an environs for tooth decay is debated.)

  • Never let your child to nurse for long periods of time, or autumn asleep with (napping or nighttime), a bottle that contains a sugary beverage.
  • Extended use of a sippy or no-spill cut can effect in the aforementioned decay pattern.
  • Never give your child a pacifier that has been dipped in dear or whatsoever other type of sugary liquid.
  • Frequent breastfeeding (more than than 7 times daily afterward 12 months of age) tin can exist associated with nursing caries syndrome besides.

Section references – Dean


Root caries / Mucilage-line tooth decay.

Root caries is a decay syndrome that takes place in situations where a person has a receded gum line (oftentimes involving many of their teeth), and thus exposed root surfaces on which dental plaque can accumulate.

The enamel-covered portion of a tooth is its "crown."

Animation showing that tooth crowns are covered with enamel. Tooth roots are made up of dentin.

Exposed root surfaces are composed of dentin.

a) Dental beefcake equally it pertains to this problem.

Yous may not be aware of this fact but a molar's enamel covering ends correct at its gum line. The enamel-covered portion of a tooth is termed its "crown."

The remaining aspect of a tooth, the function that lies across its crown and usually beneath the gum line, is its root.

b) A tooth's root is "softer" than its crown.

The root portion of a tooth is non covered past enamel. Instead, it'due south primarily composed of another mineralized tissue called dentin.

Since dentin contains less mineral content than enamel (information technology'southward less "hard"), information technology's more than easily and more quickly damaged past tooth demineralization (cavity formation).

c) How glue recession can increase your risk of decay.

When gum recession occurs, a tooth's root is referred to as existence "exposed," significant aspects of it are no longer covered over by gum tissue and bone.

The recession may occur as a result of several different scenarios:

  • Abrasion, such as toothbrush abrasion (acquired past inappropriate brushing technique).
  • A upshot of periodontal (gum) disease, or a event of its treatment.
  • It'due south commonplace that with age a person will detect that they've accumulated some degree of glue recession (due to assorted reasons and episodes).

Gum recession exposes root surfaces.

Animation illustrating how gum recession places a tooth's root at risk for cavities.

As a result, the roots are placed at greater gamble for developing cavities.

Exposed root surfaces = A new fix of cavity risks.

Due to gum recession and subsequent root surface exposure, a person may find that they're now at adventure for a second set of cavity-prone years. (The commencement ones being during childhood and on into their teenage years.)

Here's why:

  • Every bit mentioned above, root surfaces are relatively "soft," at to the lowest degree in comparing to tooth enamel, and therefore decay more than readily.
  • Anatomical considerations associated with teeth that accept a receded gum line tin can brand them more challenging to thoroughly clean.

    Equally a result, dental plaque (a key factor in the formation of tooth decay) may remain on their surface for extended periods of time.

d) Seniors are especially at risk for this syndrome.

Gum recession frequently accompanies advanced historic period, which means that seniors are specially likely to experience root caries.

  • Information technology'southward been estimated that roughly half of all people over the age of 50 have had at least ane root surface cavity, ii for those age 70, and 3 for ages 75 and beyond. (Leake)

As an added factors:

  • Seniors oftentimes feel a decrease in oral wet. A gene that increases their risk for disuse. (Encounter next section.)
  • They also frequently have diminished transmission dexterity, which makes brushing and flossing effectively more than difficult. (The use of an electric toothbrush may be beneficial.)

Section references – Leake

due east) The treatment of root caries tin be difficult.

Successfully treating this syndrome can be a challenge.

  • Just as cleaning a tooth's nooks and crannies that have get exposed when its gum tissue recedes, your dentist will accept difficulty in identifying, accessing and treating the cavities that have formed on these surfaces too.
  • To brand matters worse, the decay involves comparatively softer molar dentin, as opposed to enamel. That means the rate at which cavities start and advance is accelerated.

All of these factors combined pb to an outcome where experiencing this syndrome often results in tooth loss.

f) What can you practise to minimize your potential for gum recession?

  • Brushing incorrectly (like besides forcefully or brushing back and forth in a "sawing" movement) tin cause gum tissue to recede. So tin can brushing with a toothbrush whose beard are too stiff.
  • Gum illness (periodontal disease), too every bit those procedures required for its treatment, typically result in some amount of mucilage recession. Be diligent with your oral home intendance so you don't develop this condition.
  • Bruxism (a habit of tooth clenching and grinding) tin can create changes with teeth that issue in glue-line recession.

g) What tin yous do to help forestall root caries?

  • If dental plaque doesn't accrue on your root surfaces, cavities tin't form. And towards this goal, the utilise of an electric toothbrush may help to make your brushing efforts more effective.

    Our page "The all-time power toothbrushes for senior citizens" discusses this consequence.

  • Ask your dentist about the apply of fluoride molar varnish. This type of production is painted onto your teeth and root surfaces (twice-a-twelvemonth application is mutual). It helps to ensure that fluoride, and therefore the anticavity do good it provides, is bachelor precisely where information technology's needed.

Section references – Hilton


Xerostomia / Chronic dry oral fissure.

Hyposalivation refers to the situation where a person has macerated salivary flow (a reduced amount of saliva in their rima oris). In situations where this condition is a chronic (long-standing) one, the term xerostomia is used.

I trouble associated with this condition is that a lack of saliva tin tip the residuum between demineralization and remineralization in favor of the former, and therefore create a syndrome of crenel formation.

a) What role does saliva play in crenel prevention?

Saliva plays a very important role in fighting molar decay. Here is a list of some of the benefits that it provides:

  • It contains buffering agents that help to neutralize the acids that cause molar demineralization.
  • It contains the minerals that must be present for the molar remineralization process to occur.
  • It contains antibacterial agents that can help to inhibit the growth of oral bacteria.
  • Its presence and menstruum aids in the clearance of sugars from the rima oris (the food source for leaner that crusade cavities).

As these protections are lost, the decay charge per unit of the person tin can be expected to rise, peradventure significantly.

b) What can cause xerostomia?

Avant-garde historic period.

A person'due south salivary glands tend to piece of work less effectively equally they age. And as a effect, the quantity (and composition) of their saliva may change.

Wellness status.

Both a person'due south medical condition and/or the consequences of its treatment can inhibit their product of saliva.

Problematic treatments can include: radiation therapy of the head and cervix, radioactive iodine therapy, immunosuppressive therapy.

Problematic conditions tin can include: autoimmune diseases (Sjogren'southward syndrome especially), HIV infection.

Medicines.

Oral dryness is a side effect of some types of medications. In fact, hundreds of drugs are known to accept an inhibitory effect on salivary period.

This includes items such as: Antihistamines (allergy and common cold medications), blood pressure level agents, diuretics, urinary incontinence drugs, narcotics as well as antidepressant, antipsychotic and anti-anxiety drugs.

This cause of xerostomia can be especially likely for seniors since it's and then mutual for them to be taking a regimen of multiple medications.

Tips for preventing tooth decay –

Fact – Having a chronically dry out mouth tin increment a person's run a risk for cavities.

Cavity prevention suggestions :

  • Since salivary flow decreases when we sleep, be certain to brush and floss thoroughly before going to bed so to ensure that your mouth is as plaque-free equally possible.
  • Beverage and rinse with water oft throughout the day, or when up at night.
  • Salivary flow increases when we chew food, so chewing sugarless gum can be a adept way to heave a person's output of saliva.
  • Consult with your medico about your condition. The medications pilocarpine or cevimeline are sometimes prescribed every bit salivary gland stimulants.

    In cases where salivary gland stimulation isn't an option, the regular use of an oral moisturizer may provide a solution. (Some of these products take been found to demineralize tooth dentin, then ask your dentist for guidance when making a selection.)

Section references – Hilton

 Page references sources:

Dean JA, et al. McDonald and Avery'due south Dentistry for the Child and Adolescent.

Leake JL. Clinical decision-making for caries direction in root surfaces.

Hilton TJ, et al. Summitt'southward Fundamentals of Operative Dentistry: A contemporary approach.

All reference sources for topic Tooth Decay.

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Source: https://www.animated-teeth.com/tooth_decay/t8-tooth-decay-conditions.htm

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