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Oral Hygiene Aids Health Article

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Author Info: Liz Swain, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Nursing and Allied Health, 2002
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Definition

Oral hygiene aids are the tools used in the mouth to remove food residue and plaque, a bacterial film that causes tooth decay (dental caries), periodontal disease, and halitosis (bad breath).

Bacterial plaque must be removed daily. The toothbrush and dental floss are the primary oral hygiene aids for this process. The toothbrush is a brush used to clean the teeth by removing plaque from the teeth and stimulating the gums. Dental floss is thin, thread-like material used to clean the areas between teeth and under the gum line. A dental toothpick may be used to clean between teeth.

Also used in conjunction with mouth care are toothpaste and mouthwash. Toothpaste is a preparation used on the toothbrush to clean teeth. Some of the ingredients of toothpaste are as follows:

  • polishing agents that aid in cleaning
  • fluoride, to prevent dental caries
  • antitartar agents, to prevent buildup of calculus
  • antiplaque/antigingivitis agents, to control plaque and gingivitis
  • whiteners, to remove dental stains
  • sensitivity agents, to decrease sensitivity to heat, cold, and sweets

Mouthwash is a liquid product that patients gargle or use as a rinse to fight bacteria. It is used to control:

  • halitosis
  • plaque
  • gingivitis
  • tartar and calculus

Most mouthwashes contain fluoride, which helps to control caries.

Purpose

Oral hygiene aids such as the toothbrush, dental floss, mouthwash, and toothpicks are used in the daily battle against germs that live in the mouth. Plaque is formed when bacteria in the mouth feed on the food residue—particularly sugar residue—and dead epithelial cells (the covering of internal and external body surfaces). Depending on the bacterial pathogen present in the plaque, plaque can cause tooth decay or periodontal disease. When periodontal disease is not treated, it can lead to the loss of teeth when the supporting tissue that keeps teeth in the jaw is destroyed.

Although oral hygiene aids date back thousands of years, many people don't correctly use preventive tools like toothbrushes and interdental aids. In the United States, one-third of people in all age groups have untreated tooth decay, according to Oral Health 2000, the United States Surgeon General's report from May 2000. By age 17, 78% of youths have a cavity and 7% have lost at least one tooth, according to the report by Surgeon General David Satcher, M.D.. His report also stated that 48% of adults between the age of 35 and 44 suffer from gingivitis.

Oral hygiene's long history

People have been concerned about oral health for thousands of years. Ancient civilizations used urine as a mouthwash. The earliest record of this usage dates back to China 5,000 years ago when the rinse was used for toothaches and bleeding gums. Although this form of mouth rinse seems disgusting, urine is sterile in a healthy person. Furthermore, historians believe that the urine rinse may have aided in preventing tooth decay.

Ancient civilizations used the toothpick to clean the teeth. The Roman poet, Pliny, wrote in the first century about cleaning the gums with a toothpick made from the bones of puffin fish. Other toothpick materials included gold, ivory, and bronze.

Toothbrushes were in use by the 18th century. While some people cleaned their teeth with small sponges, others used brushes made from the root of a marshmallow. People also brushed their teeth with horsehair bristles.

Contemporary oral hygiene

In modern times, the toothbrush and dental floss are the most important oral cleaning aids. The American Dental Association (ADA) calls brushing and flossing the "dental care twins," the activities crucial to a healthy mouth. The dental toothpick and interdental brush may sometimes be utilized in place of floss, and the household toothpick can be used to remove food from the teeth.

The ADA Seal of Acceptance on products indicates that they were tested for safety and effectiveness.

Contemporary oral hygiene aids are used to remove food residue that can create plaque and cause tooth decay. The residue, especially that from sugar, provide nutrients for germs.

BRUSHING AND INTERDENTAL CLEANING. The toothbrush and dental floss are used to remove plaque. The toothbrush is used to remove plaque from the teeth and stimulates the gums. Dental floss or a dental toothpick is used to remove plaque and food from the areas between teeth. Plaque is a waste product that causes tooth decay. If not removed, it calcifies (hardens) and forms tartar (calculus). This hard, calcified substance must be removed by a dentist or dental hygienist.

MOUTHWASH AND TOOTHPASTE. The ADA recommends that people use mouthwash and toothpaste that contain fluoride, a mineral that helps fight tooth decay. Toothpaste is used on the brush to clean teeth. Mouthwash is used as a rinse. While a fluoridated toothpaste is essential for daily oral health care, mouthwash can supplement a mouth care regimen and is best recommended on a patient-need basis.

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