Objective of Oral Physiotherapy

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OBJECTIVE OF ORAL PHYSIOTHERAPY

The objective of oral physiotherapy are numerous,but for the purpose of our scope have
categorized them into the following groups: primary and secondary objective

1.CLEANLINESS:The cleanliness of the oral cavity will no doubt bring about the healthy
condition of the body,since the mouth is the gateway to the body .The primary objective are to
remove stains,plaque,and calculus from all surfaces of the oral cavity.

2.GOOD ORAL AND GENERAL HEALTH: Improvement of the health can be achieved through
proper oral physiotherapy.Good oral health will also improve the general health of the body.

3.IMPROVED SOCIAL STATUS:When the oral cavity is clean and healthy,the person concerned
will have confidence in talking to the public.Dirty oral cavity discourages public speech.

4.PREVENTION OF ORAL DISEASES: Thorough oral physiotherapy supported by clinical


prophylaxis will prevent oral diseases drastically.oral diseases such as mouth odour,dental
caries,periodontitis etc

5.PROVISION OF INTERCEPTIVE TREATMENT:Apart from the prevention of disease through


oral physiotherapy,the procedure has the ability of providing treatment for some oral diseases
already existing in the oral cavity especially at the rudimentary stages.

6.PREVENTION OF SECONDARY INFECTION:Oral physiotherapy has ability to prevent


secondary infection.For example, bacterial endocarditis which also is dental origin can be
adequately prevented if an early proper oral hygiene is observed.

7: MAINTENANCE OF OPTIMUM ORAL HEALTH:An optimum oral health already achieved


can be maintained through continuous adequate oral physiotherapy.

PHYSIOTHERAPY CLEANSING MECHANISM


Oral conditions vargvso extensively from individual to individual,so various oral physiotherapy
practices must be adopted to the particular case Due to the need for so many procedures,a wide
range of toothbrushes and other auxiliary aids have been developed.The toothbrush has become
the most universally accepted aids for cleaning the teeth and massaging the gum.
In the ancient times,many substances were used to clean the teeth with an abrasive scrubbing
action.In some part of Africa,things like charcoal,abrasive leaves, chewing stick ,sands,ashes,etc
were used.The various mechanisms used in physiotherapy cleansing can be categorized into three
namely: Toothbrushing, natural and traditional methods.

GINGIVA MASSAGE
Gingivae massage is the stimulation of the gingiva through mechanical means to improve
gingival tone ( normal physiological functioning).It involves series of rubbing actions on the
gingivae with certain aids,such as toothbrushes, interdental stimulator,rubber stimulator, wooden
stimulator etc.
Gum massage is also beneficial for those who have receding gums. Gentle massages can help to
reduce inflammation and strengthen weakened tissue. Additionally, it may help to reduce
sensitivity around the gum line, a common complaint among many individuals who suffer from
periodontal disease or other dental issues.

BENEFITS OF GINGIVA MASSAGE


Massaging the gums gently helps stimulate blood flow and improve overall oral health. The
following are the health benefits associated with gum massage.
A.Reduce plaque: One of the main benefits of gum massage is reducing plaque build-up on your
teeth by eliminating food debris from between the teeth and along the gum line. This helps prevent
bacteria from settling on the surface of your teeth and causing cavities or other painful conditions
such as gingivitis.
B.Increase blood flow: By increasing circulation in the gums and other areas of your mouth,
regular gum massage helps oxygenate your body's cells more efficiently, including those
contained within the dental pulp (the tissue inside teeth). This ultimately increases blood flow,
helping to promote healthier gum tissue and decrease gum sensitivity.
C.Promote healing: Massaging the gums helps promote healthy gums by accelerating healing time
between dental treatments such as tooth scaling or surgery. It also cleanses pockets within the
gums, helping them to stay healthy and free of infection.
D.Reduce bacterial growth: Massaging the gums also helps reduce bacterial growth, which can
lead to bad breath, cavities, and gum recession. By massaging the gums regularly, you're helping
to keep bacteria at bay and your mouth clean and healthy.
E.Prevent potential tooth extraction: Regular gingival massage is known to be an effective way to
treat periodontal disease, reducing the chances of tooth extraction due to decay or gum damage.

MATERIALS REQUIRED FOR MAINTENANCE OF GOOD ORAL HEALTH.


There are materials used for cleaning the mouth such as
1.Toothpaste
2.Toothbrush
3.Chewing Sticks
4.Dental Floss
5.Oral Rinse.

TOOTHPASTE
This is a paste or gel dentifrice used with a toothbrush as an accessory to clean and maintain the
aesthetic and health of the teeth.Toothpaste is used to promote oral hygiene.I serves as an abrasive
that aid the removal of dental plaque and food debris from the teeth ,assist in suppressing halitosis.

COMPOSITION OF TOOTHPASTE
Toothpastes generally contain the following components:
A.Water (20–40%)
B.Abrasives (50%) including aluminum hydroxide, calcium hydrogen phosphates, calcium
carbonate, silica and hydroxyapatite
C.Fluoride (usually 1450 ppm) mainly in the form of sodium fluoride. Stannous fluoride and
sodium monofluorophosphate have also been used
D.Detergents, mainly sodium lauryl sulfate (SLS) with concentration ranges of 0.5–2%
E.Antibacterial agents such as triclosan or zinc chloride
F.Flavourants including spearmint, peppermint, and wintergreen
G.Remineralizers in some toothpastes containing hydroxyapatite nanoparticles and calcium
phosphate
H.Humectants including glycerol, xylitol, sorbitol, polyethylene glycol, and propylene glycol
I.Antisensitivity agents in sensitive toothpastes containing strontium chloride and potassium
nitrate or arginine
J.Anticalculus agents such as sodium polyphosphate or zinc citrate.

IMPORTANCE OF FLUORIDE IN TOOTHPASTE


Fluoride is a chemical element which can be found in soil or some water sources,in many parts of
the world fluoride occurs naturally in water,it is present in foods,rice,tea,and fish in areas with
volcanic rock very high levels of fluoride may be vegetables,meat and milk.
Fluoride is beneficial to teeth because it helps to:
1.Rebuild (remineralize) weakened tooth enamel
2.slow down the loss of minerals from tooth enamel
3.reverse early signs of tooth decay
4.Prevent the growth of harmful oral bacteria
Fluoride toothpaste is very effective in preventing tooth decay. The amount of fluoride in
toothpaste is usually enough to reduce decay.
In areas where the water supply has fluoride added, fluoride toothpaste gives extra protection.All
children up to three years old should use a toothpaste with a fluoride level of at least
1000ppm(parts per million). After three years old they should use a toothpaste that contains
1350ppm to 1500ppm.Parents should supervise their children's brushing, and use only a pea-sized
smear of fluoride toothpaste until they are about 7 years old.
Spit out after brushing and do not rinse, so that the fluoride stays on your teeth longer

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