This World Oral Health Day, celebrate the ‘dentured smile’

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In the past few decades, tooth loss has continued to be a major public health problem globally. It is considered a useful indicator of the general condition of oral health because it indicates the overall effects of oral diseases, an individual’s behaviour towards dental hygiene, the accessibility of dental services, and also beliefs/cultural values about oral health.

Tooth loss may be quite distressing – and is considered a serious life incident that necessitates substantial social and psychological alteration. Teeth replacement is an art in which missing teeth are replaced by artificial teeth or dental prosthesis and there are many reasons why it’s important to replace missing teeth, as shared by Dr Anand Raj, prosthodontics expert.

Sporting a full set of teeth can make you more self-confident. When teeth are lost, the area of the jawbone that held those teeth start to reduce in size. A prosthesis supported by a dental implant benefits in preserving the bone and the shape of your jaw.
Losing teeth can lead to changes in your speech. Tooth loss affects how well you chew and what foods you are able to eat. It is seen that difficultly in chewing usually leads to food avoidance – therefore, some people who have missing teeth have poor nutrition, which can affect overall health.

Missing teeth can alter your bite, the way your teeth come together, and result in problems with your jaw joint.

There are many dental prosthesis/teeth replacement options available and a dentist/dental expert advises individuals on the best option for him/her. However, dentures are one of the most affordable removable dental prosthesis in the market and are, by far, the most common way that most individuals choose to replace their missing teeth. Today, one in every seven adults above the age of 45 years wears a denture in India. These dentures can be complete or partial.

World Oral Health Day, World Oral Health Day 2021, importance of oral health, tips for oral health, how to maintain dentures, who needs dentures, how to keep dentures clean, oral health It is essential for adults wearing dentures to brush gums, tongue, and palate with a soft-bristled brush every morning before putting the dentures in. (Photo: Getty Images/thinkstock)

Complete Denture – Complete dentures are prepared using a plastic base that is coloured for replicating gum tissue and provides support to a full set of plastic or porcelain teeth.

Partial Denture – Partial dentures are made using a plastic base or a metal framework that supports the number of teeth that require to be replaced. It is detained in the mouth by using clasps and rests that are judiciously adapted around the natural teeth.

Implant-supported Denture – An implant-retained overdenture is a detachable dental prosthesis supported by the residual oral tissues and uses dental implants for retention.

Dentures can re-establish or even improve a person’s appearance and be virtually untraceable. However, it takes some time to get adjusted to dentures – finding the best way to insert and take out dentures, or for gums to adapt. It is important to visit the dentist often during the first few weeks of denture fitting, so that the parts of the denture that are irritating the oral tissues can be adjusted.

Denture fit can differ from person to person and some denture wearers with heavily resorbed ridges may have to face unease and embarrassment due to their ill-fitting dentures. A denture fixative or adhesive offers a good fit and comfort to denture wearers. Denture fixatives/adhesives are agents that stick readily to both the tissue surface of the denture and gums. When saliva mixes with adhesive material, it expands and plugs spaces between the denture base and gum tissue – thus providing a good retention force. Denture fixatives result in the following:

*Reduced denture movement and improvement in chewing function
*Increase in maximum biting force, retention, stability
*Development in oral hygiene for denture wearers by reduction or prevention of dental plaque
*Decrease in mucosal irritation due to reduced food entrapment beneath the denture base
*Enables the psychological well-being of denture wearer

Age, sex, occupation, socioeconomic background, and literacy greatly factor in the need for dental prosthesis from patient to patient. However, replacement of teeth is only successful when the patient is motivated and made aware of various prostheses available, their use and maintenance. Everyday maintenance of oral hygiene, cleaning and proper use of dentures, use of denture fixative/adhesive are all a lifelong commitment. While it might sound a bit tedious, nothing’s better than a beautiful-yet-hygienic smile.

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World Oral Health Day: Importance of oral care for diabetics – Times of India

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Did you know diabetes can cause oral health problems?

People with diabetes have a low resistance to infection and a slow healing process, hence they are more likely to have oral health problems. In India, there are 77 million diabetics, according to the International Diabetes Federation (IDF), in 2020 and over 90% of people with diabetes have some type of oral health problem as mentioned in a study of Open Access Macedonian Journal of Medical Sciences.

Some of common diabetes and oral care issues are:


Gum disease or Gingivitis

This is one of the most common issues of diabetes sufferers. Gum disease occurs when plaque accumulates over time and hardens. Gums become red, swollen and may also bleed. This could lead to the advanced stage called periodontitis if not addressed timely. Also, it is a two-way journey, not only can diabetes lead to gum problems, but also worsen uncontrolled diabetes and affect blood glucose levels.

All one needs to do is follow diabetes precautions along with diligent holistic oral hygiene practice. The oral care routine should involve brushing regularly with a soft bristles toothbrush. Floss to remove stubborn plaque and use of mouthwash. A mouthwash cleans the whole mouth and removes germs and plaque which are the root cause of gum problems. Also one should let their dentist know about their diabetic condition.

Loss of teeth


People with diabetes are at more risk to lose their teeth than people without diabetes. There are many factors that can cause this, one of the main reasons is uncontrolled sugar levels. Higher sugar levels in a diabetic can cause more bacteria to grow in the mouth which can lead to gingivitis and periodontal disease. In case an infection sets in the mouth, a diabetic will take more time to heal which can also cause direct impact on the bone that supports the teeth, ultimately leading to loss of teeth. Hence it is better to stay cautious by doing timely dental check-ups and maintaining an oral hygiene routine.

Dry mouth


A diabetic can also experience symptoms like dry mouth due to lack of saliva. It is mostly because of the medications they take. Dry mouth could lead to increased infections in the mouth like thrush, and tooth decay. One might also get bad breath issues.

Fortunately, there’s an easy fix for this. Consuming more water and chewing sugar-free gum will lessen dryness in the mouth. Regular dental check-ups are essential if you have dry mouth. Brush and floss every day. If you can’t brush after eating, rinse with a mouthwash. Using a mouthwash with essential oils with antibacterial function and anti-fungal properties is the best way to fight bad breath and address thrush. Highlighting these conditions to your doctor is also important.

Tooth decay

Higher blood sugar levels lead to a greater supply of sugars and starches which results in more acid wearing away the teeth, causing decay. Tooth decay could lead to cavities which can be immensely painful. It is best prevented though it can be treated.

While diet plays an important role, having an oral hygiene routine can make a difference in the prevention of tooth decay. High sugar and refined carbohydrates should be avoided as they can increase the risk of dental decay. Using a fluoride toothpaste is recommended. Flossing should be followed by rinsing the mouth with mouthwash regularly. This regime will keep your teeth strong to fight off cavities. It also helps in cleaning areas like under the tongue and the roof of the mouth, making the entire mouth clean.

Therefore, keeping good control of blood sugar levels, having smart and healthy lifestyle choices along with a good oral care routine at home with regular dental check-ups can help people with diabetes have a healthy mouth. On this ‘World Oral Health Day’ let’s pledge to raise awareness about the need for proper oral care hygiene in diabetes. Diabetes management is a lifelong task and oral care is a vital part of it.

To be attributed to Dr. Anirban Chatterjee, Periodontist and Implantologist, President Elect of Indian Society of Periodontology

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