Tooth pathology is any condition of the
teeth
A tooth (: teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tear ...
that can be congenital or acquired. Sometimes a congenital tooth disease is called a ''tooth abnormality''. These are among the most common
disease
A disease is a particular abnormal condition that adversely affects the structure or function (biology), function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical condi ...
s in
human
Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...
s The
prevention
Prevention may refer to:
Health and medicine
* Preventive healthcare, measures to prevent diseases or injuries rather than curing them or treating their symptoms
General safety
* Crime prevention, the attempt to reduce deter crime and crimin ...
,
diagnosis
Diagnosis (: diagnoses) is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in a lot of different academic discipline, disciplines, with variations in the use of logic, analytics, and experience, to determine " ...
, treatment and rehabilitation of these diseases are the base to the
dentistry
Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the Human tooth, teeth, gums, and Human mouth, mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, dis ...
profession, in which are
dentist
A dentist, also known as a dental doctor, dental physician, dental surgeon, is a health care professional who specializes in dentistry, the branch of medicine focused on the teeth, gums, and mouth. The dentist's supporting team aids in provi ...
s and
dental hygienist
A dental hygienist or oral hygienist is a licensed dental professional, registered with a dental association or regulatory body within their country of practice. Prior to completing clinical and written board examinations, registered dental hygie ...
s, and its sub-
specialties, such as
oral medicine
An oral medicine or stomatology doctor/dentist (or stomatologist) has received additional specialized training and experience in the diagnosis and management of oral mucosal abnormalities (growths, ulcers, infection, allergies, immune-mediated an ...
,
oral and maxillofacial surgery
Oral and maxillofacial surgery (OMFS) is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the Human mouth, mouth, Human head, head and neck, and jaws, as well as facial plastic surgery including clef ...
, and
endodontics
Endodontics () is the Specialty (dentistry), dental specialty concerned with the study and treatment of the dental pulp.
Overview
Endodontics encompasses the study (practice) of the basic and clinical sciences of normal dental pulp, the etiolo ...
. Tooth pathology is usually separated from other types of dental issues, including
enamel hypoplasia
Enamel hypoplasia is a defect of the teeth in which the enamel is deficient in quantity, caused by defective enamel matrix formation during enamel development, as a result of inherited and acquired systemic condition(s). It can be identified as ...
and
tooth wear
Tooth wear refers to loss of tooth substance by means other than dental caries. Tooth wear is a very common condition that occurs in approximately 97% of the population. This is a normal physiological process occurring throughout life; but with i ...
.
Examples
Congenital
*
Anodontia
Acquired
*
Dental caries
Tooth decay, also known as caries,The word 'caries' is a mass noun, and is not a plural of 'carie'.'' is the breakdown of teeth due to acids produced by bacteria. The resulting cavities may be a number of different colors, from yellow to black ...
—Dental caries are known as cavities or tooth decay.
Bacteria in the mouth use foods that contain
sugar
Sugar is the generic name for sweet-tasting, soluble carbohydrates, many of which are used in food. Simple sugars, also called monosaccharides, include glucose
Glucose is a sugar with the Chemical formula#Molecular formula, molecul ...
or
starch
Starch or amylum is a polymeric carbohydrate consisting of numerous glucose units joined by glycosidic bonds. This polysaccharide is produced by most green plants for energy storage. Worldwide, it is the most common carbohydrate in human diet ...
to produce
acid
An acid is a molecule or ion capable of either donating a proton (i.e. Hydron, hydrogen cation, H+), known as a Brønsted–Lowry acid–base theory, Brønsted–Lowry acid, or forming a covalent bond with an electron pair, known as a Lewis ...
s which eat away at the tooth’s structure causing destruction to the
enamel of the teeth. Meanwhile, the minerals in
saliva
Saliva (commonly referred as spit or drool) is an extracellular fluid produced and secreted by salivary glands in the mouth. In humans, saliva is around 99% water, plus electrolytes, mucus, white blood cells, epithelial cells (from which ...
(
calcium
Calcium is a chemical element; it has symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar to it ...
and
phosphate
Phosphates are the naturally occurring form of the element phosphorus.
In chemistry, a phosphate is an anion, salt, functional group or ester derived from a phosphoric acid. It most commonly means orthophosphate, a derivative of orthop ...
) together with fluoride are repairing the enamel. Dental caries is a
chronic disease
A chronic condition (also known as chronic disease or chronic illness) is a health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term ''chronic'' is often applied when the ...
that can be prevented and show strongly in 6- to 11-year-old children and 12- to 19-year-old adolescents. 9 out of 10 adults are affected with some type of tooth decay. Prevention includes good
oral hygiene
Oral hygiene is the practice of keeping one's oral cavity clean and free of disease and other problems (e.g. bad breath) by regular brushing of the teeth (dental hygiene) and adopting good hygiene habits. It is important that oral hygiene be carr ...
that consists of brushing twice daily,
flossing
Dental floss is a cord of thin filaments, typically made of nylon or silk, used in interdental cleaning to remove food and dental plaque from between teeth or places a toothbrush has difficulty reaching or is unable to reach. Its regular use as ...
, eating nutritious meals and limiting snacking, and visiting the dentist on a regular basis. Fluoride treatments benefit the teeth by strengthening while sealants help chewing surfaces to not decay.
Severe cases can lead to
tooth extraction
A dental extraction (also referred to as tooth extraction, exodontia, exodontics, or informally, tooth pulling) is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reas ...
and
dentures
Dentures (also known as false teeth) are prosthetic devices constructed to replace missing teeth, supported by the surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable ( removable partial denture or comp ...
.
*
Dental abscess
A dental abscess is a localized collection of pus associated with a tooth. The most common type of dental abscess is a periapical abscess, and the second most common is a periodontal abscess. In a periapical abscess, usually the origin is ...
—A dental abscess is a collection of pus that accumulates in teeth or gums as a result of bacterial infection, giving rise to a severe throbbing pain at the site of the abscess. It is caused by consuming sugary or starchy food and poor dental hygiene and is treated by a dentist by draining the pus and, possibly, removing the infected tooth/teeth altogether.
* Periodontal diseases. Periodontal disease refers to infections of the gums and supporting structures of the teeth. Gingivitis, an early stage of periodontal disease, is characterized by inflamed and bleeding gums. If left untreated, the disease can progress to periodontitis, leading to gum recession, bone loss, and eventually tooth loss. Poor oral hygiene, tobacco use, genetic factors and certain systemic conditions increase the risk of periodontal disease. Treatment includes professional deep cleaning (scaling and root planning), antibiotics, and in advanced cases, surgery may be required.
* Pulpit. Pulpitis is an inflammation of the pulp, or the core of the tooth, where the blood vessels and nerves are located. One of the main signs of its appearance is sharp pain that intensifies with high or low temperature. In most cases, pulpitis occurs as a result of neglected caries, and if untreated, it turns into periodontitis.
In the initial stage, pulp inflammation is treated quite simply. The tooth nerve and pulp are not removed and the inflammation is relieved with therapeutic agents. In cases where a live nerve cannot be extracted, it is treated with a special paste containing arsenic or paraformaldehyde. 1-2 days after treatment, the pulp dies and is painlessly extracted.
See also
*
Oral medicine
An oral medicine or stomatology doctor/dentist (or stomatologist) has received additional specialized training and experience in the diagnosis and management of oral mucosal abnormalities (growths, ulcers, infection, allergies, immune-mediated an ...
*
Oral and maxillofacial pathology
Oral and maxillofacial pathology refers to the diseases of the mouth ("oral cavity" or "stoma"), jaws ("maxillae" or "gnath") and related structures such as salivary glands, temporomandibular joints, facial muscles and perioral skin (the skin aro ...
*
Tongue disease
References
External links
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