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Northern Devon Healthcare NHS Trust Healthy mouths for young adults Presenter

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Page 1: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Healthy mouths for young adults

Presenter

Page 2: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

We’ll be looking at Tooth decay

• What it looks like

• What causes it

• How you can stop it from happening

How to look after your own teeth

How to look after your mouth

Healthy Eating

Page 3: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

We use our teeth for

• Eating

• Smiling

• Speaking

Page 4: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Tooth decay

…is one of the most common diseases

…largely, it can be prevented

Page 5: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Stages of tooth decay

Healthy teeth

Starts as small brown or white lesion

See a dental

professional

now

Enamel breaks down

exposing the dentine –

painful!

Get URGENT

dental treatment

now

Rampant, widespread

decay

Root caries can be more common in some of our population as

gum recession exposes root surfaces not protected by enamel

Page 6: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

What can cause tooth decay?

• Eating and drinking lots of sugary snacks and drinks

• Not brushing teeth twice a day with fluoride toothpaste

Page 7: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Decay

Tooth, plaque bacteria + food = decay

Page 8: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Impact of sugar on the teeth

Demineralisation

Remineralisation

Oa

tca

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f w

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with

an

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with

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tom

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Din

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atim

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with

su

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Neutral

pH

Alkaline

pH

Acid pH

Page 9: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Detrimental eating pattern for teeth

Bre

akfa

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with

su

ga

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Lu

nch

with

su

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Din

ne

r/te

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with

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Bis

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Ca

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Me

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Bis

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ith

su

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Cup

s o

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a w

ith

su

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Alkaline

pH

Neutral

pH

Acid pH

Remineralisation

Demineralisation

Page 10: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

How to prevent tooth decay

Eat well Drink well

Clean well

Play well Stay well

Page 11: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Eatwell

Page 12: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Healthy snacks

Bread Breadsticks

Vegetables

Fruit Sandwiches Crackers

Page 13: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Snacks that should be kept to mealtimes

Dried fruit

Biscuits

Sweets Cakes

Page 14: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Drink well

Only have tap water between meals. Rinsing mouth with water after

eating is a good way to help prevent decay. Sugary drinks can cause

decay and wearing away of teeth.

Page 15: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Drinks that damage your teeth

Low sugar doesn’t mean no sugar. Sugary and acidic drinks can

damage teeth – it’s best to avoid these drinks or at least have them with

a meal

Page 16: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Clean well

• Cleaning between teeth (interdental) with floss or mini bottle brushes

• Brush teeth twice a day to stop decay and gum disease. Last thing at night and at one other time during the day

• Use a small, medium textured bristle toothbrush

• Use fluoride toothpaste > 1350 ppm (see on tube)

• Spit out the toothpaste but don’t rinse

Page 17: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Toothbrushing

1 2

3 4

Page 18: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Gum disease

Gum disease is caused by the build up of plaque. A lack of brushing will

compound the problem.

– Bleed more easily

– Smelly

– Risk of toothloss

Requires high standard of oral hygiene

1. Thorough tooth brushing

2. Interdental cleaning

3. Regular dental checks

Page 19: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Progression of gum disease

Periodontitis

Some health conditions make individuals more

susceptible to gum problems

Healthy gums Gingivitis

Page 20: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Disclosing tablets

Disclosing plaque on your teeth is an

effective way of improving your

toothbrushing.

- Brush teeth

- Chew disclosing tablet

- Spit excess saliva out

- The staining shows the areas on the teeth

that you’ve missed when brushing

Page 21: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Toothbrushing

1 2

3 4

Page 22: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Change your toothbrush every three months

• Pressure should not be more

than small orange

• Change brush every three

months or when the bristles

start to splay

• Don’t share toothbrushes – this

can spread bacteria

Page 23: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Interdental cleaning

• For reaching in between the

teeth where the tooth brush

does not reach

• Reduces the chances of decay

(in between teeth) and gum

disease

Page 24: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Play well

• Encourage the use of a good

fitting mouthguard for contact

sports

• If you hurt your mouth or teeth get

advice straight away

Page 25: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Oral cancer

If in doubt, get

it checked out!

Risk factors include smoking, alcohol consumption, poor diet and HPV

(human papilloma virus)

Page 26: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Drugs

After

Before

Page 27: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Drug use

• Xerostomia – dry

mouth

• High decay rate

• Tooth loss

• Taste impairment

• Burning mouth

• Eating difficulties

• Infections

• Gum disease

• Cannabis – oral cancer

• Heroin – dental decay

even if oral hygiene is

good

• Cocaine – perforation of

palate & gum recession

• MDMA - grinding

Page 28: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Piercings

• Infection

• Cysts

• Nerve damage

• Increase risk of hepatitis, HIV,

tetanus

• Damage to teeth

Page 29: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Eating disorders

• Eating disorders are often

noticed by a dentist

• The patient doesn’t get all of

the essential vitamins needed

for healthy gums

• Often lips and soft tissues are

affected – they can become red

and blistered with sores

Page 30: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Visit the dentist regularly

Page 31: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Think carefully

• Unhealthy eating

• Smoking

• Excess alcohol

• Drugs

• Piercing

Page 32: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Oral health improvement team Oral Health Improvement Team

Salaried Dental Service

Third Floor Dental Access Centre

Royal Devon & Exeter Hospital (Heavitree)

Gladstone Road

Exeter

EX1 2ED

Email: [email protected]

Tel: 01392 405705

www.healthyteethdevon.nhs.uk

Page 33: Healthy mouths for young adults · Gum disease Gum disease is caused by the build up of plaque. A lack of brushing will compound the problem. – Bleed more easily – Smelly –

Northern Devon Healthcare NHS Trust

Questions?


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