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THE DYNAMICS OF THE HUMAN MOUTH
Turkey Medicals Co-ordinator, “To understand what happens when your teeth decay, let’s take a look at what is naturally in your mouth.” was said. Let’s sort out some of the items below.
1- Saliva:
Your mouth and teeth are constantly washed with saliva. Although we don’t pay much attention to our saliva, this simple liquid is very important for the health of the oral tissues. Saliva keeps our teeth and other oral tissues moist and slippery, removes food residues left in the mouth after eating, keeps the acid level in the mouth low, and protects against viruses and bacteria.
2- Microbial Dental Plaque:
Microbial dental plaque is seen as a sticky soft structure that adheres to the teeth, just like jam adheres to a spoon. In fact, plaque consists of a gel-like organic carrier in which bacterial colonies, protozoa, mycoplasmas, molds and viruses cluster.This mixture also contains bacterial residues, white blood cells, food residues, and body tissues. Microbial dental plaque begins to grow with the adhesion and proliferation of bacteria to the teeth. Microbial dental plaque begins to form immediately after brushing teeth, plaque reaches measurable sizes within an hour. Over time, different types of microorganisms are seen and the plaque begins to thicken.
3- Tartar:
If enough time passes, plaque becomes mineralized by absorbing calcium, phosphorus and other minerals from saliva, turning into tartar or tartar. These minerals harden the plaque structure by forming crystals. The new plaque forms the top layer of this formed stone and will petrify in the future in this layer.
4- Bacteria:
We all have a lot of different types of bacteria in our mouths already. Some bacteria are good. These work in the control of bad bacteria. When it comes to the formation of caries, Streptococcus mutans is the most damaging type of bacteria. It easily adheres to the tooth and produces acid.
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HOW ARE DENTAL CARIES FORMED?
Food is necessary for caries, especially soft and sticky foods, bacteria attack the enamel of the tooth (the outer face of the tooth) by producing acid. Sugars, especially sucrose, react with bacteria to form acids. Acids formed by bacteria rot your teeth. It’s not just about sweets and ice cream. All carbohydrate foods are broken down into simple sugars such as glucose and fructose when they are digested. Part of digestion begins in the mouth. Foods that are broken down by simple sugars in the mouth are called fermentable carbohydrates. In this group, cookies, cakes, light drinks, confectionery, as well as pretzels, crackers, bananas, potato chips and oatmeal for breakfast can be given as examples. The sugars in these foods combine with the bacteria in the mouth to produce acid. These acids cause the dissolution of mineral crystals found in the teeth.
Dental caries occurs when these acids begin to dissolve the enamel that covers the outer face of the tooth. Dental caries begins with the progression of the tooth from the enamel to the inner layers of the underlying tooth. Initial decayed lesions can be recycled by the mechanism of our body repairing itself, there are many auxiliary products related to this, the most effective among them is fluorine. Fluoridated mouthwashes for home use, fluoridated toothpastes, which are very widely used, can be shown as examples of these products. The bacteria that are in your mouth every time you eat produce acid. Thus, the more often you eat, the more often your teeth will suffer acid attacks.
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HOW DO TEETH ROT?
Tooth decay first begins inside the tooth. A white spot appears on the enamel in the area where the tooth is weakened from the inside. During this phase, the weakened tooth surface repairs itself with the help of fluoride and minerals contained in saliva. But if the decay continues and there are fractures on the enamel surface, the damage will be permanent. When the caries starts to progress, it should be cleaned by the dentist and the tooth should be filled. Untreated tooth decay gets worse and gets worse, passing through the enamel to the dentin, which forms the substrate, and from there to the tooth essence and nerve, which is at the bottom. In young children, the enamel of the teeth that have just lasted is weak and quite resistant to acid caries. The type of caries known as bottle caries or early childhood caries destroys enamel quickly and is very common in children. This type of bruise quickly destroys the enamel and forms a large bruise within a few months. Chronic caries may occur in older adults. Such bruises do not get worse, and progress is also very slow. Teeth with chronic caries look much darker in color because normal meals and drinks stain the edges of the caries. Root cavities are much more common in older adults. Older adults have gums that have been pulled due to hard brushing or periodontal diseases. In addition, dry mouth is also observed in these individuals, which increases the risk of tooth decay. Dry mouth is caused by many known medications. Ask your doctor or pharmacist to make sure that the dry mouth is caused by a medication that you have taken. Bruises can occur under fillings and under other restorations, such as crowns. Sometimes bacteria and nutrients can infiltrate the space left by fallen fillings, broken gaps of the tooth, or between poorly made fillings and form decays. Decays can be caused by bacteria and nutrients.
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METHODS OF PROTECTION FROM DENTAL CARIES
Do you or someone in your family often go to the dentist because of tooth decay? Recent research conducted in dentistry has revealed the risks of caries formation. You can do two things to protect your teeth from decay, the first of which is fissure coverers, and the second is to increase the resistance of your teeth and reduce the number of bacteria in your mouth with proper oral care. Fluoride makes your teeth durable by replacing the lost minerals in the tooth areas damaged by acid. We need to brush our teeth with fluoridated toothpaste every day. In addition to these, various pastes, gels and mouthwashes may be recommended in dental offices. Fissure coverers are applied to protect the upper surfaces of the chewing teeth (small and large). They protect the teeth from the bad effects of bacteria and acids by applying to small cavities and recesses located on the teeth. Although you can’t remove all the bacteria in your mouth, brush your teeth every day, floss, and visit your dentist frequently to control the number of bacteria. Some mouthwashes given by prescription help to protect against caries by reducing the number of bacteria in the mouth. Chewing sugar-free gum reduces the risk of caries and increases the flow rate of saliva.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.