Saving The First Permanent Molar
January 24, 2011
Nature has signified the importance of first permanent molar by giving it the first rank in eruption sequence of the permanent dentition. First permanent molar erupts at the age of 6 to 7 years and hence is also known as “six year molar”
With the advancing age of the child the diet pattern also starts changing as intake of hard diet increases leading to a requirement of stronger biting force. The change in dentition from deciduous to permanent is due to this reason and the eruption of the first molar is from where this change starts.
Importance of first permanent molar is due the following features of 1st permanent molar;
1. occlusal morphology,
2. root surface area,
3. early timing of eruption and
4. anatomical location of 1st permanent molar
1. Occlusal Morphology
Large occlusal table of this tooth allows it bear maximum occlusal loads during mastication. This allows children to switch to hard diet with ease and comfort. It can bear forces upto 800 N which is sufficient to resist forces transmitted during biting and chewing of hard diet.
Occlusal morphology also has the most basic role in occlusion. Inter molar relationship is the 1st of the six keys of occlusion by Andrew and it depends a lot on the occlusal morphology of the 1st molars.
It has deep pits and fissures hence making the occlusal morphology for the cariogenic bacteria to survive and proliferate in. therefore it requires great care to prevent caries in it.
2. Root Surface Area
These molars are multi-rooted teeth with 3 roots in the maxillary (upper) and 2 roots in the mandibular (lower) first permanent molars. This gives them a larger surface area to grip the bone strongly. This grip is utilized for anchorage in orthodontic tooth movements. Therefore presence of healthy first permanent molars makes treatments concerned with tooth movements much easier
3. Early Timing of Eruption
It is often mistaken as a deciduous tooth which makes it more prone to the usual careless behavior of the parents towards their child’s deciduous dentition. The tooth due to this careless attitude ends up with pulpitis and is then either saved with endodontic treatment or is extracted.
4. Anatomical Location In The Arch
It erupts posterior to the 2nd decidous molar as a non-succedaneous tooth, this location allows it to play a primary role in establishment of arch perimeter
Early loss may in addition lead to increased risk of caries in adjacent teeth and it also leads to malocclusion because of distal and mesial drift of adjacent 2nd pre molar and 2nd molar respectively. It may also result in an early eruption of the 3rd molar of that side than that of the contra lateral side
GENERAL SAFETY MEASURES
All the above stated key features of first permanent molars lead us to the title phrase that we must save this tooth at any cost. It is essential to go for prevention and/or early treatment of this tooth. Following measures should be adopted
1. tooth brushing with approved tooth brushes and with recommended tooth brushing techniques
2. using recommended dentrifices twice daily
3. using dental floss and tongue scrapper
4. visiting dentists regularly for routine dental check up
Saving the first permanent molar may seem not that important but negligence may lead to serious problems so… save the first permanent molar!!!
Periodontitis And Causes
January 3, 2011
This article is about the problems that you can face with your teeth. There are several dental problems that a person can face in his life time. Every dental problem has some specific symptoms and curing methods. In this article, I am going to discuss a dental problem that is quite common these days and if you ignore this problem then there are chances that you can face unwanted and disgusting results. The dental problem is “Periodontitis”.
Periodontitis is a dental problem and it affects the gums, teeth and the whole structure of the bone of the teeth. In short, this problem is very serious and if someone is influenced by this problem he may be able to lose the ability of chewing hard substances and food items. So, to avoid thus horrible disease I will recommend you to go for authentic and reliable oral hygiene. This technique is the only way to avoid such type of horrifying circumstances and conditions. In short, this disease a bacterial infectivity that destroys the whole structure of teeth including teeth bones and jaws.
Most of the dental doctors and surgeons have mutually agreed upon a statement that it is not that hard to prevent the infection of this disease. The only natural technique that can help others or especially those who are influenced by this problem is brushing twice, dental flossing, bleaching process etc. So, if a person is undertaking all these methods then I am sure that he can overcome his problem of dental infections. According to a specific survey almost 70-75% of Americans over the age of 30 are under the influence of dental diseases. It’s because they do not pay proper attention on their teeth.
Below, few symptoms or causes of Periodontitis are given that you should avoid.
SMOKING:
Those people who smoke and categorized themselves in chain smokers then they should beware of this bad habit. Certain germs and bacteria start increasing in the mouth and if proper care is not applied, they can easily harm your mouth and also cause severe oral cancer. In short, smoking a cigarette or any other related stuff is not a good or to be proud of habit because you are losing your life instead of gaining anything.
CHANGES IN HORMONES:
Changes in hormones are also a main and major factor that results in such type dental diseases. The very common hormone change when this disease affects human body is duration of pregnancy. You can take care of yourself by having good teeth bleaches, proper tooth brushing because these are the only techniques that can save an individual from these worst conditions.
STRESS & ANXIETY:
Stress and anxiety in your body and mind also affects the defending system of your body and your defending system start losing control over germs. This results in Periodontitis.