Dental caries Gingival disease Periodontal disease Dental Plaque - - PowerPoint PPT Presentation

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Dental caries Gingival disease Periodontal disease Dental Plaque - - PowerPoint PPT Presentation

Jan 08, 2023 366 likes •752 views

The role of dental plaque as : a main factor in the etiology and progress of prevalent oral diseases (i.e) Dental caries Gingival disease Periodontal disease Dental Plaque /Microbial Plaque Definition Of Nolte (1973): The

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The role of dental plaque as : a main factor in the etiology and progress of prevalent oral diseases (i.e)

 Dental caries  Gingival disease  Periodontal disease

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Dental Plaque /Microbial Plaque

Definition Of Nolte (1973):

“The non-mineralized microbial accumulation that adhered tenaciously to tooth surfaces, restorations, and Prosthetic appliances, shows structural organization with predominance of filamentous forms, is composed of an organic matrix derived from salivary glycoproteins and extra cellular microbial products, and can not be removed by rinsing or water spray”

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Dental plaque can be defined as the soft deposits that form the biofilm adhering to the tooth surface or other hard surface in the oral cavity

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The term biofilm describes the relatively undefinable microbial community associated with a tooth surface or any other hard, non-shedding material.

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 Hard-Non shedding surface.  Natural aqueous environment.  A regular nutrient supply to the bacteria

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Significance of the biofilm environment

 Produce of extracellular polymers is typicall for

biofilms.

 Importance of E.P as a mediate for bacterial

attachment.

Biofilm bacteria behave differently from liquid-pluse

cells.

 Biofilm effectively protect bacteria from host defence

mechanisms and antimicrobial agents.

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Stages in the formation of dental plaque. Dental plaque is formed in three basic steps:

Pellicle formation Bacterial colonization Plaque maturation

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  • Microorganisms 70%-80%
  • Intermicrobial matrix 20%-30%
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Loe etal, 1965: Gingivitis and enamel caries were induced in healthy young adults in the absence of oral hygiene with in 3 weeks.

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Lindhe etal, 1975 saxe etal, 1967:

Experimental studies in animals have shown that untreated, plaque-induced gingivitis can eventually progress to periodontitis

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(Recommenden by ADA) 1-Total brush length: about Total brush length: about 15 15to to 19 19cm cm 2-Head: Head:

  • a. Brushing plane/surface,
  • a. Brushing plane/surface,

*width ,from *width ,from 7.9 9 to to 9.5mm mm *length,from *length,from 26 26.4 4 to to 31 31.8mm mm B Filaments, B Filaments,

* * diameter,from

diameter,from 0/005 005inch( inch(0/1mm)to mm)to0/014 014inch( inch(0/4mm) mm) *Height from *Height from 8/7mm to mm to 11 11mm mm

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Handle of toothbrush

 Composition  Shape  Variations

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Brush head

 Design  Brushing plane (profile)

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Factors influencing stiffness of filaments Diameter of filaments Length of filaments Number of filaments in a tufts Angle of filaments Distanc among tufts Nature of Nilon

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Numbers of tufts & filaments

* Number of tufts in the width, 2 to 4 tufts * Number of tufts in the length, 5 to12 tufts * Number of filaments per tuft 80 to 86.

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