Old person tooth four major problems and prevention method

Editor's note: The human often said that,The human old tooth falls first, therefore very many old people do not lose teeth work as matter.But the world health the goal which decides to the old person is: To 80 years old, must hold 20 teeth at least.Actually, achieved this goal is not difficult, so long as the academic society correct protects the tooth method.September 20, 2008 is 20th “the nation loves the tooth date”, its subject is “pays attention to the middle-aged person and old person oral cavity health”.Therefore, this edition invites the expert especially, the oral cavity health care proposed the concrete proposal for the old person.

　　The World Health Organization once set the goal in 2001 to the middle-aged person and old person tooth health care: When 80 years old, some 20 teeth can chew normally at least.But in our country, this June, the third national oral cavity healthy epidemiology investigation result which the medical department announces demonstrated that, in 65-74 year-old senior citizen, the dental caries prevalence rate reaches as high as 98.4%, the tooth week health rate 14.1%; Has the tooth flaw to have 86.1%, preserves the tooth number is equally 20.97.

　　Regarding this, the expert indicated that, the gum withers, the root of a tooth appears externally is the present middle-aged person and old person most main oral cavity question.


The dental caries are sick seriously.Because the dental caries morbidity by the bacterium primarily, the old person the root of a tooth exposition increases, causes the root face decayed tooth disease incidence rate ascension.In addition, the remnant root remnant crown is the middle-aged person and old person decayed tooth gets sick the most serious performance.

　　Tooth body damage and abrasion.When earliest permanent tooth 6 years old sprouts, if 80 year old of this tooth has not fallen, has used the entire 74 years.After the such long time, some people clean the teeth the method not to be correct in addition, even if the tooth is again hard, also can have the damage and the abrasion unavoidably.Therefore, protects the tooth first to want the standard to clean the teeth the method: With wool toothbrush; The insistence will clean every day sooner or later the teeth; The use contains the fluorine toothpaste; After the food rinses mouth; Use toothpick thread and so on.

　　Periodontosis worsening.Although periodontosis is not the middle-aged person and old person “the patent”, but its morbidity situation is actually more serious than other age section.If some people on have never washed the tooth from the birth, accumulates along with the time, the tooth stone product are more, suffers from the tooth week disease the probability to become more and more high.

　　Oral cancer disease incidence rate rise.The expert reminds, the oral cancer quite is common in the senior citizen, if has the incisive remnant root, the remnant crown as well as repairs the body to bite cheek, tongue or the oral cavity ulcer several months repeatedly not good cannot convalesce and so on, should as promptly as the hospital inspection.

　　Except above question, the cuneate damage, oral cavity mucous membrane sickness and so on is also affecting our country senior citizen's oral cavity health.The expert suggested, in order to achieve as soon as possible the World Health Organization proposed the goal, achieves at least:

　　1. insistences correct cleans the teeth the custom.

　　2. every half year goes to the hospital inspection to 1 year, had the gum hemorrhage, when in particular Leng Retong or the mastication the toothache and so on, must go see a doctor immediately.

　　3. toeet are less more must treasure.Many middle-aged people and old people when are left over several teeth, disliked the trouble then wanted all to pull out the tooth the peaceful artificial tooth.Actually, not only retains the natural tooth to be able as far as possible to avoid the tooth socket bone the absorption, also may enhance the artificial tooth the stability and the mastication function.

　　In addition, says from the Chinese medicine angle, suitable “the hitting of upper teeth against lower” and “transports the tongue” all is the oral cavity health care good method.“The hitting of upper teeth against lower” namely “fights” for on lower teeth, every day sooner or later each one time, each time 15; “Transports the tongue” is refers with the tongue back and forth rotates in the mouth, the promotion sialorrhea, to prevents the mucous membrane mouth to have certain effect dryly.In the diet aspect, the middle-aged person and old person should little eat the sweets, the soft food.▲

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People tend to suffer from diabetes 5 oral diseases

Expert memoirs

　　Liu is grand, professor, physician-in-charge, incumbent Beijing University Stomatological hospital Chinese medicine mucous membrane branch director, the Chinese oral cavity medical society oral cavity mucous membrane gets sick specialized committee assistant director committee member.Has the rich clinical experience and the profound attainments in the oral cavity mucous membrane sickness aspect.


　　The social civilized degree has been high, everybody hoped oneself flushes air like blue, as soon as but the diabetic patient opens mouth, often has an unusual smell.The expert explains that, this is accompanied by the oral cavity disease with the patient to concern.Beijing University's Stomatological hospital and the Beijing University first hospital just cooperated an item which completed to involve more than 2600 human of investigations to demonstrate that, the diabetic merged a series of oral cavity disease, in which by the infectious disease primarily.Thus it can be seen, except organs and so on kidney, eye, heart, nerve, the oral cavity also should become the diabetic “the protection object”.


Beijing University first hospital internal secretion branch Director Professor Guo Xiao Hui pointed out that, diabetes are one kind of body-wide disease, so-called “generalized”, is said each organ all possibly receives implicates, the oral cavity is not exceptional.When blood sugar ascension, in the human saliva sugar minute also increases, therefore is advantageous in the oral cavity bacterium breeding.Moreover, in the diabetic body the immunity condition is not normal, namely organism resistivity drops, also is the infection “gave the green light”.

　　According to Beijing University Stomatological hospital Professor Liu grand introduced that, in human's oral cavity reaches 300 kind of microorganisms, in each milliliter saliva has 500,000,000 bacteria, regardless of the type and quantity all far surpass the large intestine.In normal condition, because the immunity function is normal, these bacteria, the fungus and the human live in peace with each other, once the immunity balance is broken, original “the common people” can “stir up trouble”, initiation infection.The in which most common 5 kind of diseases include:

　　1. parodontitises.Most sees the symptom was the gum hemorrhage, the time steadily, the tooth could become less crowded.Generally speaking, if treats not positively, about 10 years the tooth can fall.The research indicated that, the diabetic patient contracts the specific weight parodontitis the risk to be higher than 8.5 times the average person, also flaw tooth risk high 2 times.

　　2. oral cavity fungus infection.Many for the rosary fungus infection, the performance is in the mouth appears the sclera, the red spot, the perleche.Average person this gets sick the prevalence rate is 8%, but the diabetic patient achieves 16%.

　　3. vesicant flat messes.This sickness is only inferior to recurrence oral cavity ulcer oral cavity mucous membrane sickness, displays for oral cavity mucous membrane lattice Bai Wen, blushes, some patients have the mucous membrane erosion, therefore initiation ache.This gets sick cannot look like the recurrence oral cavity ulcer to be able the self-recovery, the duration is often long.Because in oral cavity long-standing injured area, has the canceration possibility.

　　4. jaw face soft tissue infects.Mainly is the bacterium infection, causes the partial cellular tissue inflammation, displays red for, swells, the heat, the pain, the whole body has has a fever.

　　5. decayed tooth sickness.The research discovered that, diabetic's saliva quantity reduces obviously, weakens to the oral cavity clean function.And, the saliva acidity increase, this kind of environment favors extremely sends the decayed tooth fungus the growth.

　　In the investigation, the researcher discovered, on the one hand, on diabetic easily many kinds of infectious oral cavity disease; On the other hand, had oral cavity disease, like oral cavity ulcer, the parodontitis and so on, display on diabetes person body feel embarrassed control, manifest suddenly repeatedly.Moreover, a half above (56%) diabetic contracts the oral cavity mucous membrane sickness.

　　Professor Liu grand pointed out that, diabetic patient's oral cavity mucous membrane has 4 kind of performance: The groove tongue, namely the tongue surface has the longitudinal gully, is similar to on the human face the wrinkle, this is the metabolism not normal performance, the formation rate is normal person's 2 times; The mucous membrane hyperemia, its formation rate is normal person's 3 times; The white keratinization spot, is normal person's 5 times; The pigmentation, after this often is the trace which the inflammation leaves behind, the formation rate is normal person's 9 times.

　　Finally, Professor Liu grand indicated that, oral cavity disease and so on parodontitis seeing a doctors rate are very low, very many people all not positively treat, but in the diabetic, oral cavity disease is easier to neglect.But, in the oral cavity infects if does not treat, can aggravate diabetes; In turn, must treat the oral cavity disease, must in the control blood sugar foundation, be able to obtain the good effect.Obviously, the oral cavity health and diabetes are affect mutually, the diabetic patient must inspect the oral cavity frequently, found the problem seeks the treatment promptly.▲


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The belt baby looks at dentist's 4 big knacks happy

After baby long tooth, 3~6 months need to lead the baby approximately to go to the dentistry to accept the regular oral cavity inspection, but discover the oral cavity disease besides may the early time to rectify or the treatment as soon as possible,DentistThe teacher also can suggest suitably how the child does use the fluoride (to use likely in the home contains the fluorine toothpaste, whether has inDentistShi Chu makes the tooth to spread the fluorine), as well as makes “the nick in the molar linking surface to seal fills in the medicinal preparation” to prevent the dental cavity.

However many children repel lookedDentistHow can let the baby in the happy environment the custom dentistry treatment? Following suggestion might as well tries to look that,


1 front looked examines and looked when examines, plays with the baby looked the tooth the game, for example lies down is letting the parents look the tooth, with the mirror inspection tooth, and gives the commendation and the encouragement.

2 first time looked examines when asks the dentistry personnel to lead the child to be familiar with the environment, not necessarily must make the treatment immediately, reduces the tense feeling.

3 do not have to use the threat the way, do not have to look the belt childDentistThe regard punishes he not clever method, in order to avoid the child first has the negative impression in the heart, thus repels lookedDentist。

4 choice suitable opportunities look examine, for example the child has rested full, eats to the full period of time, such child's mood is good, also quite good communication; And chooses the dentistry patient few time intervals, can give the baby many comforting with the happy interaction.

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Helps the baby to clean the teeth 5 big knacks

1 chooses the toothbrush

Helps when the baby chooses the toothbrush, toothbrush head length, by quite in 4Front toothThe width is suitable; Toothbrush soft degree of hardness, then take does not brush the pain child gum as the principle, in order to avoid lets the child have the uncomfortable feeling to repel cleans the teeth.

The market child special-purpose toothbrush promising various stages baby designs slightly brushes the head, the easy thorough child's tiny oral cavity, soft to brush the wool and the cushioning brushes the head, may protect the baby young tender gum.Designs Cheng Cu the fat handle, suits the palm of the hand muscle not yet to grow the complete baby to grasp, some also has the lovable cartoon design, receives the child to welcome very much, father and mother may use.

2 cleans the teeth the posture

Father and mother may help the posture which the baby cleans the teeth to include:

1 lets the baby sit on own thigh, face-to-face brushes front, or two human of planes of contemporaneity face brush.

2 also may let the baby lie down brushes on own thigh or the lower abdomen, best baby forehead toward left or cast off 45°, prevented baby's saliva chokes up in the throat.



3 districts clean the teeth

Baby oral cavity each region, should brush lightly 15~20, after brushes a region, may let the child swallow the saliva, again continues to brush another region.

4 cleans the teeth the strength and the direction

The strength must be moderate, if too makes an effort to brush, can cause the baby because of the ache to repel cleans the teeth.In addition, does not have to use shell to clean the teeth the law, brushes horizontally by the short distance vibration way then.

5 happy atmosphere are most important

Just started not to have to demand first brushes cleanly, after lets the baby custom clean the teeth first, then gradually requests to brush cleanly.The suggestion may using the game, say the story or the coordinate music way, lets the baby the custom clean the teeth in the happy atmosphere, then studies oneself cleans the teeth.


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The baby night the toothache must be careful

Because the baby had the dental cavity recently frequently toothache, ate cannot have a good sleep not well, night did the toothache let the baby be specially uncomfortable, what takes Yan Di the medicine also not to have to affect, ask what means had to be possible to solve? Thanks! Baby three years old of eight months, looked this yearDentistAll said too has been small, cannot pull a tooth, also does not have the special effect medicine. How but does the present toothache solve?

Ask the baby has been big? Has been the dental cavity or must trade the tooth?
This selects you to be possible to result in ascertains oh.
But the toothache best method is on the dentistry looks. The toothache is very uncomfortable, therefore please do not have to tow oh, does not want own to apply drugs randomly. Gives dentist to look as soon as possible.


　　The babies and infants feed the decayed tooth are severely impair young denture serious destructive disease, how does this disease also is occur? Recently,BeijingThe university oral cavity medical school special investigation discovery, the child feeds the way, the diet custom and the oral hygiene custom with “feeds the decayed tooth” the close correlation.


The milk teeth dental caries already became affect one of our country child health main diseases, the second national oral cavity epidemiology investigation indicated, 5 year old child's trouble decayed teeth rate were 76.55%.Along with the living standard enhancement, the milk teeth trouble decayed tooth rate also has year by year the trend of escalation.

　　In order to study feeds the decayed tooth to be sick the situation in our country preschool children, discusses its easy feeling factor,BeijingUniversity oral cavity medical school master's degree student Xu Zheng in Teacher Professor Deng Hui under instruction in rightBeijingThe city 8 kindergarten 408 1~4 year old children, launch the home environment, the whole body state of health, the diet custom and the oral hygiene custom and so on an investigation, the analysis cause to feed the decayed tooth to have primary and the possible dangerous factor.

　　Result demonstration: Feeds the decayed tooth prevalence rate is 40.19%, in which boy is 45.07%, the girl is 34.87%.The research discovered front that, (because the baby sleeps uses the milk bottle to feed the decayed tooth in milk bottle many to sweeten or pure milk easily for milk), feeds the decayed tooth prevalence rate to increase along with the age increases; The mother the degree which educates is been lower, the mother's milk feeds the time to be longer, the child cleans the teeth the number of times to be less, feeds the decayed tooth to be higher; Every day drinks the number of times which many and cleans the teeth including the sugar drink number of times few and so on to be able to cause to feed the decayed tooth occurrence.These dangerous factors may cause from or a many aspect varying degree to feed the decayed tooth the occurrence and the development.

　　The researcher suggested from this that,Will develop positively to the future parents' education, will grasp the correct mother's milk to feed with the milk bottle feeds the method, after will achieve the baby to be born the regular clean oral cavity, after will bud starts to clean the teeth; The early time carries on the specialized oral cavity inspection, half year old to one year old between for suitable; May right amount use the fluorine to the dental caries high-risk child.

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