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DENT 371
Dental
Factors
that facilitates and favor plaque retention and accumulation are LOCAL PREDISPOSING FACTORS conditions that alter the host response (i.e. make a person more susceptible to disease) are SYSTEMIC FACTORS. These will be covered next lecture
Systemic
Mineralized
Supragingival
Subgingival
Inorganic
Same
as subgingival calculus with some differences: Magnesium Whitlockite Brushite and Octacalcium phosphate calcium to phosphate ratio No salivary proteins (because its minerals are derived from the gingival fluid)
Four
Four
It is mineralized 50% in 2 days and 60-90& in 12 days Plaque concentrates calcium ions 2 -20 times its level in saliva
Source of minerals:
Calcification
begins along the inner surface of supra-gingival plaque toward the tooth surface calculus is formed in layers, which are separated by thin cuticle that embed in calculus as the calcification progresses time required for calculus to reach its maximum level is 2.5 to 6 months
Therefore,
The
Anti-calculus (anti-tarter) agents have been incorporated into some dentifrices to reduce the calculus formation These toothpastes may be help in heavy calculus formers However, plaque control measures are the cornerstone in reduction of calculus rate
Local rise in saturation of Ca++ & P++ leads to their precipitation. This precipitation is due to any of the following factors:
pH Colloidal proteins in saliva bind Ca++ & P++ hydrolysis of organic phosphate due to the action of phosphatase enzyme from desquamated epithelial cells and bacteria
Epitactic concept or heterogenous nucleation: Seeding agents (e.g. intercellular matrix) induce small foci of calcification that enlarge and coalesce to form calcified masses
Covered
in previous lecture
Interfere
with the oral hygiene measures favor the multiplication of disease-associated microorganisms
They
Margins
Dental
Over-contoured
crowns and restorations accumulate and retain more plaque than under-contoured restorations
Integrity
of proximal contacts prevents food impaction that deteriorates the periodontal health plunger cusp
Malocclusion
interferes with plaque control by the patient roots are associated with gingival recession and less adequate attached gingiva
health deteriorates in mouth-breathers
Prominent
Gingival
Interfere
They
Bands
The
misuse of toothbrushes may result in gingival abrasion and alteration of teeth shape