caring for hearts by caring for mouths karen howard consultant paediatric dentistry rbhsc
TRANSCRIPT
Structure
• Link between teeth and hearts• Caring for teeth– Eating habits– Tooth brushing– Fluoride
• Regular dental care
Hearts and Teeth• Infective Endocarditis• Dental infection causes infection in heart– Gum disease– Tooth decay
• Potentially fatalAt risk• acquired valvular heart disease• valve replacement• structural congenital heart disease• hypertrophic cardiomyopathy• previous infective endocarditis
Hearts and Teeth
• Treating Dental decay– Visits to dentist– Time off school– Stress and anxiety?– General Anaesthetic
2008
• ‘the importance of maintaining good oral health’
• ‘Managing infection• Investigate and treat promptly any episodes
of infection in people at risk of infective endocarditis to reduce the risk of endocarditis developing.’
Structure
• Link between teeth and hearts• Caring for teeth– Eating habitsEating habits– Tooth brushing– Fluoride
• Regular dental care
Safer snacks
• Fresh vegetables• Toast• Savoury sandwiches• Cheese and crackers• Low sugar cereal• Seeds/nuts• Homemade soup• Natural popcorn• Fresh fruit
• Milk• Water
• Tea/coffee (no sugar)
Cariogenic Sugars
• Sucrose• Glucose• Dextrose• Fructose• Maltose• Galactose• Lactose
• Glucose Syrup• Hydrolysed Starch• Invert Sugar• Molasses• Treacle, honey
etc.
Reducing Amount
• Average Sugar Consumption per person per
annum in UK 44kg
– SUCROSE 36kg pppa
• Recommended 15kg pppa (Sheiham 1991)
– (10kg if no Fluoride used)
Lesser known problems
• Eating/ drinking at bedtime• Eating drinking during the night• Eating very slowly• Appetite• Supplements• Medicines
Structure
• Link between teeth and hearts• Caring for teeth– Eating habits– Tooth brushingTooth brushing– Fluoride
• Regular dental care
What toothpaste/brush?
Toothpaste• 0-3 years- Smear
1000ppm fluoride
• 3-6 years- Pea 1350-1500ppm fluoride
Structure
• Link between teeth and hearts• Caring for teeth– Eating habits– Tooth brushing– FluorideFluoride
• Regular dental care
Fluoride
• Toothpaste• Varnish• Mouthwash• Tablets• High fluoride toothpaste
• All available- discuss with your dentist
Structure
• Link between teeth and hearts• Caring for teeth– Eating habits– Tooth brushing– Fluoride
• Regular dental careRegular dental care