Prevention of dental caries is a complex activity. Its proper implementation depends on the establishment of preventive measures, and the responsibility for this is split evenly between the patient and the dentist.
We should not miss the fact that each treatment in one degree or another is an invasive event in terms of biological structures as a result of which our teeth never recover 100%. For prevention of dental caries we can distinguish the following factors:
1) regular and proper cleaning of teeth
2) use of mouthwashes to reduce the bacterial flora
3) dietary and fluoride prophylaxis
4) silanized deep pits and fissures
5) regular screening and treatment of small caries
Teeth cleaning is executed by different means – brushes – ordinary, electric, interdental; thread for teeth and showers (irrigator).
It is desirable that the head of the toothbrush is consistent with the possibility to reach all surfaces of the outermost teeth. In strict compliance with the rules of brushing your teeth, cleaning with a regular toothbrush is not less efficient than with an electric one.
Stitches are used for teeth cleaning in difficult places where the hairs of the toothbrush cannot reach. In places where the teeth contact each other occurrence of caries long remained hidden from patients and often when the first symptoms occur it has already become a deep caries or even a pulpit.
Oral showers (irrigator)
With their help it is possible to reduce plaque and gum inflammation. Rinsing may be carried out as plain tap water and with antiseptic solutions, which greatly increases their effectiveness.
Chemical control of plaque. Mouthwashes, toothpastes.
They act by different mechanisms: inhibiting the formation of plaque, prevent its attachment to tooth or decay it and facilitate the mechanical cleaning. Plaque inhibiting agents are included as active ingredients in pastes, solutions for rinsing (gargling or washing with irrigators), chewing gum, pills, etc.
You should know that rinsing the mouth with mouthwash is subsidiary and ancillary importance of basic mechanical cleaning with traditional tools – brushes, interdental brush and floss teeth. Regular use reduces the amount of plaque and reduces the risk of caries and gingivitis.
Toothpaste can be divided into two main groups: preventive and curative. The main function of prophylactic toothpastes is good washing action, and further imports of fluoride. Therefore, these compounds should foam well.
In medical toothpastes we can distinguish several groups depending on the disease.
The use of chewing gum can offset somewhat the lack of brush and toothpaste. The process of chewing is associated with excess saliva, which through its buffering capacity normalizes pH in the oral cavity and reduces the risk of caries. The use of chewing gum for more than five minutes is not useful and leads to the synthesis of diluted saliva.
This is the most effective way for caries prevention nowadays. We can distinguish two main ways of fluoride prevention:
1) endogenously introduction of fluoride in the body
2) direct effect on tooth enamel – topical