Even using water or antibacterial mouthwash right away could help remove the
bacterial plaque. Drinking juices, such as cranberryjuice, with a straw is a good choice because it limits the liquid's contact with the teeth.
In addition, newly erupted enamel tends to be more susceptible to demineralisation and acid attack from
bacterial plaque. [3] Furthermore, the consequences of untreated dental caries may lead to the inability to eat, thereby affecting nutritional intake in young children, lowering the body mass index and resulting in an inability to thrive.
Thus, this study aimed to investigate the association between these factors and the presence of mucosal changes and
bacterial plaque accumulation in the oral cavity of community-dwelling elderly.
Furthermore, the components of the appliances tend to reduce the physiological mechanism of self-cleansing by the tongue, cheeks, and saliva, thereby leading to increased accumulation of
bacterial plaque and the number of retentive sites for the sub layers and cause compression effects damaging the oral mucosa (31).
Before the placement of the RME appliances in the study group, oral hygiene training was given to the patients to manage
bacterial plaque. The appliances were then cemented to the patients' maxillary teeth, and the expansion screw was turned twice per day (1 turn= 0.25 mm) until the required expansion was achieved (Figure 1).
Bacterial plaque accumulation is the main cause of periodontal disease.
Regular removal of the plaque is important for the maintenance of good oral and dental health.14A consensus statement on oral hygiene concluded that
bacterial plaque can cause tooth decay, bad breath and gum diseases; that effective removal of dental plaque can result in the prevention or reduction of these diseases.12 Mechanical cleaning of the teeth is considered a reliable mean of controlling plaque, provided that cleaning is done thoroughly and performed on a regular basis.15,16
The weak sealing ability of the peri-implant nonkeratinized tissue [10], thecritical
bacterial plaque control in some patients [7], pain, and discomfort are the main reasons for justifying a gingival graft on the implant site [11] with absence of KM using a mandibular fixed implant.
The
bacterial plaque becomes calcified into a bacterial tartar, which will require scaling off under general anaesthetic.
Whilst mechanical controls such as twice daily brushing and daily flossing can help control the microbial populations, it has been proposed that additional methods are required to control
bacterial plaque formation, such as with the use of antimicrobial dentrifices or anti-plaque mouthwashes.
The most likely cause is food and
bacterial plaque on the tongue and teeth -- especially when this causes gum inflammation.
