From the dentist to the gastroenterologist: Plaque on teeth.

Author of the article:

Soldatova Lyudmila Nikolaevna

Candidate of Medical Sciences, Professor of the Department of Clinical Dentistry of the St. Petersburg Medical and Social Institute, Chief Physician of the Alfa-Dent Dental Clinic, St. Petersburg

Everyone wants to have straight white teeth. A beautiful smile is not only a symbol of health. This is the key to self-confidence, one of the key factors in successful and fruitful communication. Is it worth mentioning that the white-toothed handsome man smiling at you in the reflection in the mirror every morning gives you an excellent mood for the whole day?

But what to do if plaque stubbornly appears on even teeth every morning? Can two cups of coffee during the day and a couple of packs of cigarettes put an end to a beautiful snow-white smile? Let's try to figure out why plaque appears on the teeth of adults, how to avoid it and how to deal with it.

Saliva and its role in oral health.

Firstly, saliva is a source of calcium and phosphorus for enamel (remember we talked about remineralization).

Secondly, saliva has a buffer capacity.

The buffering capacity of saliva is the ability to neutralize acids due to the interaction of the main buffer systems of saliva: bicarbonate and

phosphate

Eating carbohydrate foods for a long time reduces, and eating high-protein foods increases the buffer capacity of saliva.

On average, the pH of saliva in the oral cavity of a healthy person is between 6.5 and 7.5.

Slight fluctuations in pH are possible during the day and night (slightly lower at night).

An adult produces an average of 1500 to 2000 ml of saliva per day.

The rate of secretion depends very much on many factors - age, food irritant (I saw my favorite dish and even salivated, nervous excitement.

During sleep, saliva is secreted 8–10 times less.

The high buffering capacity of saliva is one of the most important factors that increases the resistance of teeth to caries.

The components of saliva make up the pellicle - a thin film that covers all surfaces of both hard and soft tissues of the oral cavity.

The pellicle has many tasks, including regulating the microbiota of the oral cavity.

The deposition of cells and food debris from saliva onto the pellicle leads to the formation of dental plaque - a loose white substance made of bacteria, desquamated epithelium, leukocytes and food debris.

The compaction of a pellicle in a certain place and the accumulation of bacteria there is a bacterial plaque, the source of caries.

Now, with an understanding of what saliva is needed for and what a pellicle is, let’s return to the topic of plaque.

Injury

Children's outdoor games are accompanied by injuries that do not immediately manifest themselves. When a tooth is bruised, the thin blood vessels entering through the root apex may rupture, forming a hematoma in the pulp chamber. The crown part of the tooth remains intact, but changes color. If a child’s tooth has darkened after a blow, it is imperative to see a dentist to treat the injury. Otherwise, inflammation of the baby tooth can affect the development of the permanent follicle, which is located deep in the bone.

Dental specialists will tell you what to do if a child’s tooth has darkened. To detect hidden problems and eliminate them in a timely manner, it is necessary to undergo regular preventive examinations with a dentist. Doctors at the Shifa clinic will teach the child the rules of hygienic care and select a toothbrush and toothpaste appropriate for his age. If you have darkened teeth, our specialists will create a personalized program for restoring dental aesthetics. The clinic has all the necessary equipment to make your child’s teeth beautiful and healthy.

Which leads to a change in the color of the enamel.

Sometimes the tooth is already growing with spots due to some internal reasons.

But more often spots appear due to staining of the enamel or pellicle from the outside.

A very well-known option is teeth staining while taking medications such as iron or de-nol, which is popular among gastroenterologists.

But often plaque appears without any obvious external influence.

The most famous option is Priestley's plaque or, as it is called in English literature, “black stain”.

What to do if your child's baby teeth are brown

The scope and scope of therapeutic measures is determined only by the dentist after an examination. Usually this:

• correction of nutrition, introduction of foods rich in calcium into the diet, limiting the consumption of sweets and baked goods;
• training in oral hygiene rules;
• taking multivitamins;
• the use of rinsing solutions (these can be ready-made medications or self-prepared decoctions of chamomile, calendula, etc.);
• professional plaque removal;

• filling (if the volume of work is large, this procedure is sometimes performed under general anesthesia).

Modern pediatric dentistry allows you to painlessly and without unnecessary stress cope with the problem of brown baby teeth and prevent damage to an already permanent bite.

What is Priestley's plaque?

This plaque looks like black specks or lines of specks along the neck of the tooth. Plaque is quite tightly attached to the surface of the tooth and is difficult to clean with a regular brush.

It is usually found in children, although it can occur in adults.

There is no evidence that this plaque is somehow related to the pathology of the gastrointestinal tract.

This plaque is called bacterial, and for good reason: if you look at the plaque, it turns out that these are plaques created by a community of special bacteria, with a predominance of Actinomyces (Actinomyces naeslundii).

Black plaques have higher calcium and phosphate contents than uncolored plaques.

The black color is the result of the interaction of iron and copper ions (they are in our saliva) and hydrogen sulfide, which is released by plaque bacteria - the same actinomycetes.

Preventing the reappearance of black plaque on teeth

Prevention of plaque formation includes:

• Regular dental and oral care. For babies, their gums are cleaned using cotton pads and special silicone tips. When the baby turns two years old, he needs to be taught to properly brush his teeth with a brush and toothpaste, as well as to regularly rinse after meals.
• Balanced diet. Your child's diet should include fewer sugar-laden foods and more natural fruits and a variety of vegetables.
• Timely limitation of the use of pacifiers and bottles. Long-term use of these items leads to the appearance of malocclusion, the development of a certain dependence, and the formation of so-called “bottle caries.” If a child can do without a pacifier and bottle, they should be disposed of.

In addition, you should constantly monitor the state of the child’s immune system and support it with the help of vitamins, which have a beneficial effect on the health of the teeth and the whole body. If you follow these simple recommendations, your child will always delight his parents with his beautiful and healthy smile.

How common is Priestley's plaque?

According to various sources, from 2.4 to 18% of people experience this plaque.

Plaque is found equally often in boys and girls.

The dependence of the frequency of plaque on the nature of nutrition and the level of oral hygiene is not yet clear.

Taking iron supplements by a child or even his mother during pregnancy makes plaque more likely.

Several authors have proposed their classifications of black plaque according to severity.

Encouraging fact: When the dentist removes plaque, there is usually good, strong, healthy enamel underneath. Most scientists believe that the presence of Priestley plaque even reduces the risk of tooth decay.

Studies have shown that the saliva of children with Priestley's plaque typically has a higher concentration of calcium and a buffer capacity - that is, the ability to resist acidification. Perhaps this fact explains the lower risk of caries.

As I mentioned, bacterial plaque doesn’t just affect children.

The photo below is a real clinical case, and not the actor’s preparation for filming the new part of Mad Max.

The photo shows a 60-year-old man with no bad habits and good oral hygiene.

The cause of his plaque turned out to be the bacterium Prevotella melaninogenica .

This bacterium may be part of the normal oral flora, giving the distinctive black color to plaque, especially in children. The bacterium produces hydrogen sulfide, which interacts with iron found in saliva. The result is black staining of the teeth and tongue.

In this case, she chose the oral cavity of an adult man.

By the way, this man still managed to get rid of plaque with the help of dentists and regular dental hygiene.

What can plaque on teeth be confused with?

Areas of enamel may appear yellowish due to severe erosion and dentin showing through

And teeth can also be green...

Reasons why plaque accumulates on enamel

1. The main reason is basic non-compliance with hygiene rules. In order to effectively remove plaque, it is necessary to brush your teeth in the morning and evening, and after eating (even if you ate liver or an apple), rinse your mouth with specially designed solutions,

Failure to comply with hygiene rules

Important!

In order to keep your teeth clean and healthy, it is enough to brush them twice a day: morning and evening. In this case, it is very important to select the right hygiene products, and the procedure itself should take at least 3-4 minutes. It is very important to thoroughly clean bottlenecks, as this is where plaque accumulates to a greater extent.

1. change in the “work” of teeth. If you chew on only one side, then the other side, accordingly, does not receive the load. This affects not only the condition of the teeth and ligaments that hold them in their sockets, but also causes their enamel to quickly become covered with plaque. Such problems can be caused by the presence of a diseased tooth or malocclusion, as well as diseases of the oral mucosa,
2. the use of toothpastes and brushes of dubious quality, or incorrectly selected ones (for example, soft ones, which are prescribed only for certain problems of the oral cavity and are completely unable to remove plaque),
3. eating mostly soft foods. This is often why plaque appears on children’s teeth. After all, solid food helps to naturally cleanse teeth of deposits.

On a note!

Dentists advise eating as many solid vegetables and fruits as possible - such as apples, carrots, and fresh cabbage.

1. diseases of the digestive or endocrine system can also lead to imbalance in the oral cavity.

Conclusion:

Typically, dental plaque has nothing to do with the pathology of the gastrointestinal tract.

I had separate observations that plaques (not like Priestley’s plaque in appearance) decreased in parallel with the treatment of reflux in children with specialized complaints, but global conclusions cannot be drawn from this.

If the dentist, when trying to clarify the cause of plaque that forms too quickly, reveals dyspeptic complaints and some suspicious symptoms (sour breath, thick coating on the tongue), a referral to a gastroenterologist seems quite logical.

5, total, today

Teeth cleaning

How to prevent deposits from appearing? Follow the advice of dentists:

• Pay more attention to the inside of the front teeth. Clean from top to bottom using short strokes with the brush positioned vertically.
• Cover only 2 teeth at a time.
• The length of the brush should be such that you can reach the wisdom tooth.
• Use dental floss to clean between your teeth.
• Change the brush once every 2 months.
• Choose a brush with medium-hard bristles.
• To rid your mouth of microorganisms, be sure to clean your tongue.
• For sufficient salivation, drink more clean water.

How to remove tartar at home

On the Internet you will find a dozen options for quickly removing tartar using available means: soda, hydrogen peroxide, vinegar, salt, herbal decoctions. We strongly do not recommend using any of them, because they are all ineffective and potentially dangerous. Why you can’t use home methods for removing tartar:

1. When using soda and salt, abrasive particles damage the enamel.
2. Solutions with vinegar and soda can damage the mucous membrane and cause burns.
3. These methods are ineffective. For example, subgingival deposits can only be removed in the dentist's office.
4. Herbal decoctions can stain the enamel, after which whitening will be required.
5. Partial destruction of the enamel is possible.
6. It is very easy to go overboard with the exposure time or dosage of these products.

How to remove plaque from teeth on your own

Many people do not like to visit the dentist again, especially when it comes to removing plaque, which does not cause much inconvenience. The reasons for this are clear: lack of free time and reluctance to pay for the procedure.

You can try to remove plaque from your teeth at home, but this will only work if there are no subgingival deposits and the plaque layer is thin.

The first method involves using a special toothpaste to remove plaque with abrasive substances. The label of such pastes must indicate the RDA indicator, indicating the degree of abrasiveness. In pastes that eliminate plaque, its value should exceed 100. But such pastes cannot be used on an ongoing basis. If the paste contains pyrophosphates, then it can help get rid of tartar, since they have the ability to dissolve its matrix.

The most effective of these pastes are:

1. President White Plus. The abrasiveness index is 200 units; in addition, the composition contains silicon dioxide, which has abrasive and polishing properties. You should not use the paste more than once a week.

2. Lacalut White. According to the abrasiveness index (RDA=120), it is more gentle than the previous sample. The composition contains pyrophosphates, which make the plaque loose.

The second method is to use a special toothbrush, which allows you to remove plaque yourself. Recommended use: