1. By Smile 360 Dental Specialists

2. Outline Introduction Stress Diet Alcohol and Smoking Bad bite Systemic conditions and oral manifestations Conclusion

3. Stress

4. effects Mouth sores, including mouth ulcers and cold sores Clenching of teeth and teeth grinding (bruxism) which leads to TMJ disorders Poor oral hygiene and unhealthy eating routines

5. Mouth ulcers

6. Management To reduce irritation, avoid spicy and hot foods. Drink more water. Rinse with Warm salt water.

8. Practice proper dental care. Take a pain killer Visit your Dentist for proper medication

9. bruxism Grinding your teeth can lead to problems with the temporo-mandibular joint (TMJ), located in front of the ear where the skull and lower jaw meet.

10. Signs and symptoms of TMJ disorders  Pain or stiffness of your jaw  Earache  Difficulty or discomfort while chewing  Radiating pain involving the head,face or  neck

11. Painful Jaw Clicking - Locking of the joint, making it difficult to open or close your mouth - Headache - An uncomfortable and uneven bite, because one or more teeth are making premature contact

13. Management Stress management(remove causative factor:change jobs??) Jaw rest Occlusal therapy-(night guards,crowns,inlays,occlusal adjustment)

15. Physical therapy(sports) Medications Heat and Cold packs

16. Diet

17. If you consume too many sugar-filled sodas, sweetened fruit drinks or non-nutritious snacks, you could be at risk for tooth decay and other health risk

20. management Drink plenty of water. Eat a variety of foods from each of the five major food groups, including: whole grains,vegetables, fruits lean protein such as lean beef, skinless poultry and fish; dry beans, peas and other legumes low-fat and fat-free dairy foods

21. Caries and treatment options Restorative options Crowns Bridge implants

22. Alcohol and smoking Periodontal disease Drymouth haliotosis

23. Periodontal diseases Gum disease, also known as gingivitis and periodontal disease, is where the gums become swollen, sore or infected Gum disease is caused by a build-up of plaque on the teeth severe cases of gum disease result to periodontitis

25. Signs of gum disease Gums that bleed when you brush or floss your teeth Red, swollen or tender gums Gums that have receded or shrunken away from your teeth Pus between your teeth and gums A change in your bite Bad breath (Halitosis)

26. untreated gum disease leads to: gum abscesses (painful collections of pus) gum abscesses damage to the periodontal ligament (the tissue that connects the tooth to the socket) damage to the alveolar bone (the bone in the jaw that contains the sockets of the teeth) receding gums loose teeth loss of teeth

28. management Proper brushing Flossing Choice of oral products Profesional cleaning(S&P)

29. Dry mouth A dry mouth is not an illness in itself. It can have several causes. In many cases there is a problem with the function of the salivary glands.

30. management Treat underlying cause Frequent sips of water Sugarfree gum Fruits(pineapple,watermelon) Reduce caffeine and alcohol(diuretics) Saliva stimulants

31. Causes of drymouth Medicine Radiotherapy Mouthbreathing Anxiety Dehydration Sjogren’s syndrome

32. halitosis a) Exogenous (transient) ***Food-induced( eg raw onion, garlic, spices, smoking, alcohol, and dairy products that contain protein) ***Morning breath b) Endogenous (true oral halitosis) ***Oral(periodontal disease,infected extraction sites,debris under appliances,drymouth)

33. ***drug induced ***systemic diseases c) Psychogenic ***Pseudohalitosis ***Halitophobia

35. How to keep a fresh breath 1. oral hygiene instruction(reinforce brushing, flossing tongue cleaning) 2. mechanical approach ( scaling and root planing) 3. chemical approach(mouthwash) 4. dietary advice( mouth cleaning after eating causative substances) 5. regular review.

36. Bad bite Human teeth are rarely perfectly aligned. Misalignment require orthodontic treatment in order to restore proper mouth function, improve dental health or even just restore the patient’s self esteem.

37. Dental problems caused by 'bad bite' Untreated orthodontic problems such as crooked, crowded and overlapping teeth usually lead to a combination of the following dental or general health conditions : Tooth decay and gum disease Injury to the gum

38. Systemic conditions ************DIABETES Oral manifestations:*periodontal diseases *taste and salivary dysfunction *oral infections *poor oral wound healing *caries and tooth loss *neurosensory disorder

40. *********HYPERTENSION Oral manifestations:*drymouth *altered taste sensation *gingival enlargement

42. ********HIV Oral manifestations:*drymouth *periodontal diseases *ulcerative conditions *infections(candidiais etc)

44. Dental Care Tips for People With systemic conditions Monitor values (BP,blood sugar). Strict oral hygiene measures Bring your dentist a list of all the names and dosages of all medications Postpone nonemergency dental care procedures if values are not good Regular dental checks

45. ORAL CANCER Oral cancer is the most common type of head and neck cancer, and it includes throat cancer, tongue cancer, tonsil cancer and mouth cancer Regular checkups can detect the early stages of oral cancer or conditions that may lead to oral cancer.

46. At risk if: You are over the age of 40 You use cigarettes or chewing tobacco You consume alcohol daily You are suffering from a viral infection You have a poor diet that is low in fruits and vegetables

47. symptoms A lesion in your mouth lasting longer than two weeks A hard lump in your cheek White or red splotches anywhere in your mouth

50. Difficulty chewing or swallowing food Numbness in any area of your mouth, especially the tongue Having a chronic hoarse voice

51. BEFORE MEETS AFTER

55. A Confident Smile