Showing posts with label Info Kesihatan Pergigian. Show all posts
Showing posts with label Info Kesihatan Pergigian. Show all posts

Tuesday, November 29, 2016

True or False: Dental Myths – Dr. Husna Razak

Post from : http://www.mmgazette.com/true-or-false-dental-myths-dr-husna-razak/

http://www.mmgazette.com/wp-content/uploads/2016/04/Dental-myths.jpg


Even though modern dentistry has come a long way since the days of dentists removing teeth without anaesthetic and gloves using panic-inducing, gigantic extraction ‘pliers’ that had never been sterilised on barbershop chairs, several myths circulating the field remain and even still strongly believed by certain parts of our community. Whether this stems from lack of education or mistrust from ‘Western’ medical practice, it is important to be knowledgeable and updated as delay or non-treatment of certain dental diseases that could have been prevented or treated early, could potentially be life-threatening for some of us, especially those with weakened immune system.

Myth 1: “Milk teeth are going to fall off eventually, so why treat them?”
False. Humans have two sets of dentition; primary or milk teeth, and secondary or permanent teeth. Milk teeth start to appear as early as 6 months of age and will naturally be exfoliated one by one to be replaced by a new set of permanent teeth from 6 years old. Although the milk teeth are temporary, they play important roles in jaw development and ensure your permanent teeth erupt in a correct position. Removing primary teeth before they’re supposed to naturally fall off could result in their permanent successor to appear in a haphazard way. Misaligned permanent teeth, other than being aesthetically unpleasant, could cause difficulty in cleaning them thoroughly. You know what happens if you don’t clean your teeth thoroughly.

Myth 2: “When we get old, we’ll lose all our teeth as a part of natural the ageing process.”
False. This is not necessarily true, as the longevity of your teeth has depends heavily on the good oral hygiene practice since a young age. Common dental diseases such as tooth cavities and gum diseases are preventable. Preventing tooth loss isn’t that difficult either. Aside from the usual twice daily tooth brushing with fluoridated toothpaste, flossing and limiting the frequency of sugar intake, seeing a dentist regularly is very helpful to get early lesion treated. Early treatment means better outlook, and better outlook means you’re more likely to retain the pearly whites until way past your retirement. Retaining your teeth also means the quality of life will be maintained; you will be able to enjoy an occasional steak or burger, at 16 or 61!

Myth 3: “If a tooth goes bad, just take it out. The filling is going to fail anyway.”
False. It is true that dental fillings can fail, but not all fillings are doomed to fail. If a tooth filling is done at an early stage of dental caries when the cavity is still small, there is a higher chance that the filling can survive for a long time; provided that you practice good oral hygiene habit and care for it like how you care for a natural tooth. This is why regular check-up is necessary; to detect early lesions of dental diseases and to get immediate intervention. Bear in mind that a tooth that has been filled can still get a new cavity if you neglect brushing and flossing. Removing the teeth doesn’t solve anything. You may get temporary relief from pain, but as time passes and several tooth removal later, you will realise that eating, speaking and socialising are not as enjoyable anymore. So you get a denture made to replace them, which doesn’t feel quite the same. You will get used to denture discomfort sooner or later, but it will never be able to replicate natural teeth.

Myth 4: “My teeth are yellow.”
True. Your teeth are yellow. And it is completely natural and healthy to have slightly yellow teeth. Enamel, the outermost layer of your teeth, is translucent. Dentine, the layer underneath the enamel, is yellow in colour. This gives the yellowish tint that is visible through the translucent enamel. If you have a fair complexion, your teeth can appear more yellow due to lack of contrast against your natural skin colour, and this is totally normal. As you age, your enamel will be gradually worn out from years of grinding and chewing, and become thinner, so that the dentine colour is even more visible. However, yellow teeth can also be caused by other reasons; smoking, pigmented beverages such as coffee and soft drinks, staining due to poor oral hygiene and tetracycline intake during tooth development stages. What is more important than having Hollywood-star-like white teeth is making sure that your teeth are clean and your breath doesn’t smell! However, if the yellowness bothers you, there are treatments that can be undertaken to lessen it, which can be discussed during your next dentist visit.

Myth 5: “Tooth extraction can cause eye damage.”
False again. Tooth extraction is completely safe for the eyes and doesn’t cause short or longsightedness or blindness. Although they may seem to be closely placed, the nerves supplying the teeth and the eyes are different. The nerves supplying the eyes go directly into the eyes as they emerge from the brain, while the nerves supplying the teeth go towards your facial structures. This is why you feel numbness in your cheek and lips after local anaesthetics injection. You may also feel numbness of the skin below your eyes if you get an injection for upper front tooth removal, but rest assured that the numbness only affects the skin. Your vision and eyeball movements remain unaffected, even if you get your ‘eye tooth’ removed.

Dr. Husna Razak (BDS) (KLE VK) is a dental officer working in the Kelantan. Know more about her in The Team page.

Wednesday, January 13, 2016

Program Penjagaan Kesihatan Pergigian untuk Anak-anak Pelajar Pra-Sekolah.


INTRODUCTION

Pre-school children are one of the major target groups under the primary oral healthcare programme of the Ministry of Health. Oral healthcare for  pre-school children is given due priority as their oral health will determine the oral health status of future generations.

Several large-scale dental epidemiological surveys of 5 to 6-year-old children have been conducted in Malaysia. Findings show that caries prevalence in this group of children remains high although the rate is  declining. In the latest studies, caries prevalence of 87.1% was noted among 5-year-olds while in 6-year-olds, 80.6% had at least one or more  carious teeth in the deciduous dentition. For both groups, there was a  very high level of unmet treatment needs.

A structured pre-school programme has been in place in Malaysia since 1984. This programme focuses on preventive and promotive activities for pre-school children attending kindergartens (Taman Didikan Kanak-Kanak or tadika). A systematic referral system is also in place for the referral of children requiring curative care to the nearest government clinic.

In 1992, strategies and guidelines to implementation of all oral health programmes and activities were outlined in the document entitled “Strategi Ke Arah Perkhidmatan Pergigian Yang Cemerlang dan Bermutu” .

In view of the many changes that have taken place since then, there is a need to review the existing pre-school programme and to formallydocument the guidelines for the implementation of this programme. This would also facilitate planning of resources for the programme.


BACKGROUND

Since its launch in 1984, the pre-school programme has been mainly a preventive and promotive programme, with the objective of creating awareness and inculcating positive oral health habits and attitudes.

Through three visits to identified kindergartens or pre-schools, dental nurses and other auxiliaries carry out activities, which include dental health talks and tooth brushing drills. For a pleasant and fun introduction to the clinical aspects of oral healthcare, role-play is also carried out on the third visit. Through the years, implementation of the pre-school programme has seen some modifications. A kindergarten was previously considered “covered” when three visits were made. However, due to resource constraints, this was reduced to two visits in certain locales. This was supported by a local study, which found no difference in effectiveness between a two–visit and a three-visit programme.

In recent years, some districts took it a step further by undertaking the task
of treating pre-school children as an outreach programme. Treatment has been made more acceptable to these younger children with the development of the minimally invasive technique of Atraumatic Restorative
Treatment (commonly referred to as ART). This pre-school outreach programme was further facilitated with the establishment of pre-school  teams under the 7th Malaysia Plan (1996 - 2000).

In August 2000, the Oral Health Division, Ministry of Health, organised a seminar on “Atraumatic Restorative Treatment in The Management of Dental Caries” in Kota Bharu, Kelantan. Participants, comprising dental officers and nurses, were trained to undertake ART in concurrent workshop sessions in local kindergartens. The guidelines to implementation of the ART programmewere adhered to. Similar workshops were organised at state level.

Through the pre-school programme, nearly 100% of government-aided kindergartens and pre -schools registered with the Ministry of Education are “covered” each year.


extracted from Guidelines on Oral Health Care for Pre School Children by Bahagian Kesihatan Pergigian, Kementerian Kesihatan Malaysia.

Tuesday, June 9, 2015

Gigi saya semakin Pendek?

Apakah Gigi Haus? – Dr. Anis Ezrina

Source: topnews.in

Apabila bercakap tentang  gigi haus, ia adalah satu keadaan yang menggambarkan bahawa gigi telah kehilangan strukturnya bukan disebabkan karies atau lubang pada gigi atau perkembangan abnormal gigi. Ia adalah proses fisiologi yang normal berkaitan dengan peningkatan usia. Satu kajian  telah menyatakan bahawa setiap orang mengalami kehausan gigi sebanyak 20-38µm dalam setahun. Namun begitu, gigi haus menjadi suatu masalah sekiranya kadar kehausan melebihi  20-38µm setahun sehingga menyebabkan pendedahan saraf gigi.
Bagaimana  gigi menjadi haus?
Terdapat beberapa faktor yang menyebabkan gigi menjadi haus.  Antaranya ialah:
  1. Memberus gigi  menggunakan berus gigi keras  dan terlalu lama
  2. Mempunyai sikap mengunyah gigi semasa tidur atau dalam keadaan stress
  3. Pengambilan minuman berkarbonat, minuman tenaga (REDBULL), jus buah, alkohol
  4. Pengambilan jeruk, buah yang berasid seperti limau, cuka
  5. Pengambilan ubat tertentu seperti Vitamin C, aspirin secara berlebihan, ventolin
  6. Pesakit yang mengalami anorexia nervosa dan bulimia nervosa (self-induced vomiting) GORD (gastro-oesophageal reflux disorder)
Apakah ciri-ciri pada pesakit?
  1. Muka pesakit akan nampak lebih tua dan seakan-akan memakai gigi palsu
  2. Pembesaran otot muka, terjadi terutama kepada pesakit yang mempunyai sikap mengunyah gigi
  3. Pembesaran kelenjar parotid terutama pesakit bulimia
  4. Xerostomia (kurang air liur)
Untitled09
Selepas rawatan
Sebelum rawatan
Sebelum rawatan
Apakah tanda-tanda gigi haus?
  1. Gigi menjadi pendek dan bergerigi
  2. Permukaan gigi berbentuk lopak/facet
  3. Jika ada tampalan, tampalan itu akan kelihatan terbonjol keluar, tidak disokong oleh struktur gigi
  4. Gigi nipis
Bagaimana rawatan?
Sebelum menjalankan  rawatan, pegawai pergigian perlu mengenal pasti apakah faktor penyebab gigi haus, adakah faktor pemakanan, faktor  ‘habit’ yang suka mengunyah gigi, atau faktor perubatan. Jika ia melibatkan faktor perubatan, rujukan kepada pegawai perubatan perlu dilakukan terlebih dahulu sebelum pegawai pergigian menjalankan rawatannya. Selalunya, rawatan perlu jika berlaku:
  1. Kecacatan estetik – gigi yang pendek, patah, gigi berubah warna
  2. Kesukaran mengunyah
  3. Gigi terasa sensitif dan sakit
Pada awalnya, pesakit akan dinasihat untuk mengubah gaya hidup dengan mengurangkan pengambilan minuman atau makanan yang berasid. Rawatan akan dimulakan dengan merawat gigi yang bermasalah seperti gigi berkaries, ada masalah gusi  dan gigi yang perlu dicabut.
Splint
Splint
Kemudian ia diteruskan dengan rawatan pencegahan di mana pemberian fluoride 0.7% di klinik diikuti penggunaan fluoride stannous 0.4% di rumah. Pesakit juga dicadangkan menggunakan “Tooth Mousse ACP (GC)” yang boleh membantu ‘remineralization’ pada permukaan gigi. Terapi splint juga akan diberi kepada pesakit untuk digunakan pada jangka masa tertentu. Selain daripada itu restorasi gigi menggunakan tampalan sewarna, korona atau jambatan juga akan dilakukan. Objektif utama pengurusan pesakit ‘gigi haus’ adalah mengelakkan dari proses gigi haus secara patologi (pathological wear) itu menjadi berlanjutan. Justeru itu, pesakit akan  diperiksa secara berkala agar masalah gigi haus ini dapat dikawal. Pada akhir rawatan, pegawai pergigian akan mengambil gambar  pesakit dan acuan gigi pesakit sebagai ‘baseline’ untuk kita menyelia proses masalah gigi haus pada pesakit. Jika kita dapati masalah ini kekal dan sama seperti temujanji sebelumnya, maka kita boleh membuat kesimpulan bahawa proses gigi haus adalah stabil dan berada dalam keadaan normal iaitu 20-38µm/tahun.
Dr. Anis Ezrina (DDS) (UKM), (MRestDent) (Newcastle, UK) adalah seorang doktor gigi yang bekerja di Kedah.
Rujukan
  • Current concepts on the management of tooth wear: Part 1 Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear. BDJ 2012; 212:17-27

Tuesday, May 12, 2015

Kesan Penyusuan Ibu kepada Perkembangan Mulut & Muka Bayi – Dr. Marini Ismail

Susu ibu telah terbukti dapat memberikan banyak maslahat kepada bayi yang baru lahir termasuklah dari segi bekalan nutrisi dan kesihatan bayi. Namun begitu, tahukah anda bahawa kaedah penyusuan samada menerusi payudara atau botol sebenarnya memberikan impak yang berbeza kepada bayi dari segi perkembangan muka dan rahang serta susunan gigi dalam jangka masa yang panjang?
Sebenarnya teknik bayi menghisap susu melalui payudara memerlukan kemahiran otot yang berbeza berbanding dengan penyusuan melalui botol.

Apabila bayi menyusu badan, lidah dan rahangnya perlu bergerak seiring. Lidah bayi perlu berada di bawah areola iaitu kawasan berpigmen (coklat) di sekeliling puting payudara dan menekannya ke lelangit. Keadaan itu menyebabkan tisu di bahagian berkenaan mengalami tekanan dan memanjang mengikut corak hisapan penyusuan bayi terbabit. Pada masa yang sama, bayi perlu berusaha untuk mengeluarkan susu dan dengan demikian, otot muka bayi terpaksa bekerja keras untuk mengulangi proses hisapan dengan kuat. Keadaan lelangit keras (hard palate) semasa dewasa berbeza dengan semasa bayi. Lelangit bayi masih lembut dan mudah berubah bentuk selari dengan tekanan yang dikenakan ke atasnya. Semasa proses hisapan, pergerakan otot muka bayi dan kedudukan puting payudara yang ditekan ke lelangit akan membantu dalam perkembangan lelangit yang rata, lebar dan berbentuk ‘U’.

Oleh yang demikian, penyusuan susu ibu melalui payudara memberikan kesan positif terhadap pembentukan rahang dan otot muka, iaitu dengan penggunaan otot dan tulang secara sinergistik yang seterusnya menghasilkan rahang yang berkembang dengan cantik dan simetri. Apabila rahang berkembang dengan baik, gigi susu juga akan tumbuh dengan teratur dan tersusun rapi. Manakala wajah dan struktur muka bayi akan kelihatan lebih terbentuk dengan baik mengikut perkembangan umur.
dental

Keadaan ini berbeza apabila bayi menghisap susu melalui botol. Sekiranya anda memegang botol susu dalam keadaan yang terbalik, susu mudah sahaja terpancut keluar dengan laju. Oleh yang demikian, semasa bayi menghisap susu menerusi botol, dia hanya akan mengangkat lidahnya untuk menahan aliran susu yang laju dari botol untuk mengelakkannya dari tersedak atau tercekik sahaja.

Sepanjang proses menyusu, bayi hanya perlu menekan puting getah yang keras tanpa menggunakan rahangnya untuk menghisap susu. Penggunaan otot muka dan rahang yang sedikit dan tanpa usaha gigih semasa menghisap susu melalui puting getah boleh membantutkan perkembangan rahang dan otot muka yang optimum, seterusnya lelangit tidak dapat berkembang dengan baik.

Kesan penggunaan jangka lama botol susu dan puting pada gigi kanak-kanak berusia bawah tiga tahun akan menyebabkan proses pertuturan mereka lambat berkembang.

Disamping itu, bayi yang menyusu melalui botol juga mudah terdedah kepada masalah tabiat menghisap jari yang berlarutan sehingga berumur 5 tahun dan ke atas. Tabiat menghisap jari yang berpanjangan boleh menyebabkan gigitan gigi depan terbuka dan menghasilkan lelangit yang sempit dan berbentuk ‘V’. (Rujuk: http://www.mmgazette.com/is-your-child-a-thumb-sucker-dr-husna-razak/)
dental2

Pertubuhan Kesihatan Sedunia (WHO) dan American Academy of Pediatrics (AAP) menyarankan penyusuan susu ibu secara eksklusif bagi bayi sepanjang 6 bulan pertama kelahirannya. WHO juga seterusnya menyarankan tempoh menyusukan bayi ditambah sehingga bayi berumur dua tahun atau lebih.
Kesimpulannya, penyusuan susu ibu bukan sahaja penting dalam memberi manfaat kesihatan kepada bayi malah dapat membantu membentuk rahang muka dan susunan gigi yang rapi serta menjimatkan kos rawatan pergigian dan ortodontik dikemudian hari.

Sekiranya anda mempunyai masalah berkaitan dengan penyusuan susu ibu, segeralah dapatkan khidmat nasihat dari pakar.

Penghargaan khusus kepada Dr. Aida Nur Ashikin Abd.Rahman, Timbalan Dekan (Akademik) Fakulti Pergigian UiTM Shah Alam dan Associate Prof. Dr. Siti Adibah Othman, Pakar Ortodontik & Pensyarah di Fakulti Pergigian Univ. Malaya di atas nasihat dan sokongan terhadap artikel yang diterbitkan.

Dr. Marini adalah seorang pegawai pergigian yang berkhidmat di Selangor.

Rujukan:

Saturday, April 11, 2015

Tahniah Penerima Anugerah Perkhidmatan Cemerlang Perlis 2014

Pepatah Arab ada menyebut

"Man Jadda Wajada" - Sesiapa yang berusaha dia akan berjaya
Saya teringat satu kisah klasik yang sering diceritakan ketika kecil dahulu iaitu perlumbaan di antara Kura-Kura dan Arnab. Walaupun logik fitrahnya arnab akan memenangi perlumbaan itu, tetapi hakikatnya kemenangan di pihak kura-kura di atas usaha gigih tanpa jemu dan lelah. Ini bertepatan dengan pepatah arab di atas iaitu sesiapa yang berusaha dengan gigih tanpa jemu pasti kemanisan akan dicapai pada suatu masa nanti.

Sekalung tahniah diucapkan kepada semua penerima Anugerah Perkhidmatan Cemerlang Perlis 2014 terutamanya dari Bahagian Kesihatan Pergigian Perlis.


Dr. Maizura Binti Abd. Rahman, Dr. Shanthi A/P Muniandy, Dr. Arzreanne Binti Abdul Rahim, Zaidah Binti Juli, Lau Moi Lan, Yuzana Binti Yussoff, Rohgayah Binti Tasu, Soo Cheng Yong, Noor Hafizah Binti Hashim, Suzana Binti Md. Suaain, Manirah Binti Hashim, Dahlia Binti Ani, Norazurin Binti Taharin, Zaimah Binti Mohamad, Che Badrul Sham Bin Che Idris, Shartini Binti Mat Suboh, Abdul Muhaimin Bin Mohammad, Siti Nur Syakiroh Binti Zainal Abidin, Norhayati Binti Mohd Abu, Mohd Sabri Bin Saad, Salmieh Binti Salleh, Sukri Bin Ismail, Badrul Hisham Bin Che Amla dan Saiful Zamani Bin Hashim


Majlis yang berlangsung pada 2 April 2014 di Mes Pegawai PDRM baru-baru ini turut diserikan dengan kehadiran Datuk Farida Mohd ali, Ketua Setiausaha Kementerian Kesihatan Malaysia. Sudah pasti para penerima anugerah berbesar hati kerana menerima sendiri sijil anugerah perkhidmatan cemerlang daripada Datuk Farida sendiri.

Teruskan usaha gigih anda semua, jadikan anugerah ini sebagai batu loncatan untuk terus maju pada masa hadapan. ingatlah pepatah arab ini

Man Jadda Wajada

Selayang pandang sekitar Majlis Anugerah Perkhidmatan Cemerlang Perlis 2014






Wednesday, April 8, 2015

Gigi Tercabut? Apa Yang Boleh Anda Lakukan? – Dr. Marini Ismail

Kemalangan mungkin terjadi kepada kanak-kanak sama ada semasa bermain atau semasa kegiatan sukan yang boleh menyebabkan kecederaan pada muka, mulut mahupun gigi. Namun begitu, tahukah anda apa yang perlu anda lakukan sekiranya kemalangan itu terjadi kepada anak anda yang menyebabkan gigi kekal hadapan teravulsi? Gigi teravulsi ialah gigi yang terkeluar dari soket (lubang tulang tempat gigi tertanam).
Gigi yang teravulsi ini masih boleh diselamatkan dengan meletakkan gigi tersebut semula ke dalam soketnya. Cara ini di panggil reimplantation atau implantasi semula.

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http://www.uniondentalsurgery.com/v1/wp-content/uploads/2012/05/API-3.jpg

Sekiranya gigi susu yang teravulsi, anda  tidak perlu lakukan implantasi semula. Berikut adalah langkah-langkah yang anda perlu lakukan pada gigi yang teravulsi:

teeth3
PERINGATAN:
  • Jangan memegang gigi pada bahagian akar gigi
  • Jangan memberus permukaan gigi dan akarnya
  • Jangan membalut gigi dengan kertas tisu atau sapu tangan
  • Jangan bawa gigi dalam keadaan kering, dibalut kain atau tisu
  • Jangan bawa gigi dalam air paip
  • Pastikan gigi sentiasa dalam keadaan lembap
Langkah-langkah awal perlu dilakukan bagi mencegah kecederaan pada bahagian mulut bagi mengelakkan kehilangan  gigi sekiranya gigi tercedera. Antaranya ialah memakai alat pelindung gigi semasa melakukan sebarang aktiviti fizikal seperti bersukan. Namun begitu, sebagai ibubapa dan penjaga, kita juga perlu menyiapkan diri dengan ilmu pengetahuan agar dapat menghadapi dan mengambil tindakan yang sepatutnya sekiranya terdapat masalah yang tidak diundang seperti masalah gigi teravulsi ini.

Dr. Marini adalah seorang pegawai pergigian yang berkhidmat di Selangor.

Rujukan: