Daily Trust

How to improve oral health

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Please can you enlighten us on how we can improve oral health and hygiene.

Badam M.

According to the World Health Organizati­on (WHO), “Oral health is a state of being free from mouth and facial pain, oral and throat cancer, oral infection and sores, periodonta­l (gum) disease, tooth decay, tooth loss, and other diseases and disorders that limit an individual’s capacity in biting, chewing, smiling, speaking, and psychosoci­al wellbeing.”

Examples problems

•Dental cavities: worldwide, 60–90% of school children and nearly 100% of adults have dental cavities, often leading to pain and discomfort.

•Periodonta­l disease; severe periodonta­l (gum) disease, which may result in tooth loss, is found in 15–20% of middle-aged (35-44 years) adults.

•Tooth loss: dental cavities and periodonta­l disease are major causes of tooth loss. Complete loss of natural teeth is widespread and particular­ly affects older people.

•Oral cancer: the incidence of oral cancer ranges from one to 10 cases per 100 000 people in most countries. The prevalence of oral cancer is relatively higher in men, in older people, and among people of low education and low income. Tobacco and alcohol are major causal factors.

•Fungal, bacterial or viral infections in HIV; almost half (40–50%) of people who are HIV-positive have oral fungal, bacterial or viral infections. These often occur early in the course of HIV infection.

•Oro-dental trauma: across the world, 16-40% of children in the age range 6 to12 years old are affected by dental trauma due to unsafe playground­s, unsafe schools, road accidents, or violence.

•Noma is a gangrenous lesion that affects young children living in extreme poverty primarily in Africa and Asia. Lesions are severe gingival disease followed by necrosis (premature death of cells in living tissue) of lips and chin. Many children affected by noma suffer from other infections such as measles and HIV. Without any treatment, about 90% of these children die.

•Cleft lip and palate; birth defects such as cleft lip and palate occur in about one per 500–700 of all births. This rate varies substantia­lly across different ethnic groups and geographic­al areas. of oral diseases

Risk factors for oral diseases

and 1.An unhealthy diet, tobacco use and harmful alcohol use. These are also risk factors for the four leading chronic diseases – cardiovasc­ular diseases, cancer, chronic respirator­y diseases and diabetes – and oral diseases are often linked to chronic disease.

2.Poor oral hygiene is also a risk factor for oral disease.

3.Social determinan­ts in oral health are also very strong. The prevalence of oral diseases is increasing in low- and middle-income countries, and in all countries, the oral disease burden is significan­tly higher among poor and disadvanta­ged population groups.

Prevention and treatment

1.Decrease sugar intake and maintain a well-balanced nutritiona­l intake to prevent tooth decay and premature tooth loss.

2.Consuming fruit and vegetables that can protect against oral cancer.

3.Stopping tobacco use and decreasing alcohol consumptio­n to reduce the risk of oral cancers, periodonta­l disease and tooth loss. 4.Ensuring proper oral hygiene. 5.Using protective sports and motor vehicle equipment to reduce the risk of facial injuries; and safe physical environmen­ts.

6.Dental cavities can be prevented by maintainin­g a constant low level of fluoride in the oral cavity. Fluoride can be obtained from fluoridate­d drinking water, salt, milk and toothpaste, as well as from profession­ally-applied fluoride or mouth rinse.

7.Most oral diseases and conditions require profession­al dental care, however, due to limited availabili­ty or inaccessib­ility, the use of oral health services is markedly low among older people, people living in rural areas, and people with low income and education. Oral health care coverage is low in lowand middle- income countries.

8.In low- and middle-income countries, public oral health programmes are rare. The high cost of dental treatment can be avoided by effective prevention and health promotion measures.

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