Health & Medical Dental & Oral

Elastomer Sealant and Toothpaste Applicator Prevents Tooth Decay and Improves Oral Health Promotion

Tooth decay is our most common disease affecting every family, including 11 million Australians each year.
Dental costs are expected to blow out 154% from $5.
9 billion in 2003 to $ 14.
9 billion in 2033.
New evidence based approaches that help communities are needed to reverse chronic diseases like tooth decay from acid demineralisation where food is left on teeth.
Communities should lobby government to initiate development of a better evidence based national Oral Health Promotion project, and easy better low cost preventive treatment as in 'A healthier future for all Australians' recommendation 86.
Over 80% of cavities occur inside pits and fissures where brushing, saliva, Recaldent and fluoride toothpaste etc.
, cannot reach to ensure that remineralisation exceeds carbohydrate fuelled acid demineralisation like on easy to reach surfaces where few cavities occur.
Sealants placed over occlusal surfaces block food being trapped inside pits and fissures, halting acid demineralisation and the caries process, but sealants are costly and have a short effective life, probably because they do not gain access inside pits and fissures.
Photos of sealants after teeth were dissolved in acid show that biting on a strip of elastomer can force sealant deeper inside pits and fissures of all upper and lower occluding teeth at once, retaining occlusion while sealing out saliva contamination, reducing chair time, cost and life expectancy of the sealant.
A glass model of a fissure replicates how food is trapped under chewing pressure, how liquids are easier to displace than solids and how toothpaste has no access while brushing but trapped toothpaste is hard to displace after forced access.
Also the glass model shows how the elastomer strip can force fissure sealants and toothpaste between the two glass squares and any solid food, paste, etc.
present will be an obstruction that blocks access inside pits and fissures for a time.
The chewing skills of young children are better than manual skills and the elastomer strip can force fluoride toothpaste inside pits and fissures where brushing cannot reach for remineralisation similar to that on those surfaces where brushing has easy access.
This indicates that chewing fibre like celery after eating, forces saliva inside food in pits and fissures to dilute soluble carbohydrate, neutralise acid and remineralise demineralised tooth better than chewing gum, which does not absorb and expel saliva under pressure.
Chewing the first bite of any meal or snack is forced deepest inside pits and fissures than the rest of the meal or snack indicating that chewing carbohydrate free food first will reduce acid demineralisation and that Oral Health Promotion needs a better evidence base to improve.
This is a clear indication that new approaches can reverse chronic diseases like tooth decay and communities should lobby government to initiate development of a better evidence based national Oral Health Promotion project.
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