In South Africa it is reported that 90 per cent of dentists work in the private sector, seeing only, approximately, 16 per cent of the population.
This means most South Africans are forced to look to the public sector for their oral healthcare needs.
“Unfortunately, the public sector is under immense pressure and is ill-equipped when it comes to oral and dental healthcare.
“They, therefore, focus largely on extraction rather than any restorative procedures, let alone preventative support,” said Nirvada Niranjan.
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Niranjan, head of coding and nomenclature at the South African Dental Association (SADA), the leading professional membership body for dentistry and the voice of oral healthcare in South Africa, highlighted that without the required support and greater oral and dental health education, particularly in impoverished communities, many South Africans remain unaware of the significant importance of good oral hygiene and find themselves dealing with unpleasant consequences.
She further explained that while the majority of the population are somewhat aware that good oral hygiene is associated with preventing bad breath and tooth decay, as well as ensuring a great-looking smile, there is still a great deal of education required in South Africa on the importance of prioritising oral and dental health for overall health – avoiding infections and exposure to harmful bacteria.
“With this in mind, it is still very common for South Africans to experience certain oral health issues which, if left untreated, can result in more serious health problems, as well as unwelcome changes to one’s smile,” she added.
Niranjan shared the current top five oral health issues affecting South Africans:
• Gum disease:
Gum disease, also known as gingivitis, is the inflammation of the gums.
If left untreated, gum disease can worsen and turn into periodontal disease or periodontitis, which causes the bone supporting the teeth to weaken and disintegrate, leaving teeth feeling loose and eventually resulting in them falling out altogether.
Gum disease can be caused by poor oral hygiene and smoking.
• Caries:
Caries, also known as cavities or tooth decay, refers to the breakdown and crumbling of teeth caused by acids associated with high levels of bacteria.
While preventable by incorporating good oral hygiene habits such as regular brushing and flossing, untreated caries can result in infection, pain and even tooth loss.
Niranjan explained that cavities and periodontal or gum disease are the two most prevalent general health conditions in the world and South Africa is no exception.
Caries can be caused by poor oral hygiene and a high sugar diet.
• Sensitivity:
Tooth sensitivity (or dentin hypersensitivity) refers to the sensation of pain or discomfort that patients experience when they eat hot, cold, sweet or acidic food, or when breathing particularly cold air.
Sensitivity is often a symptom of another oral health problem as it generally occurs when either the enamel or the gum, both of which protect the teeth, are reduced or thinned.
Tooth sensitivity can be caused by gum recession and inappropriate brushing techniques.
• Tooth loss:
The loss of a tooth, or teeth, occurs either as a result of loosening and naturally falling out, or professional extraction.
Tooth loss is often linked to untreated, continued issues relating to oral hygiene practices and healthcare support.
Tooth loss can be caused by untreated caries or periodontal disease, which cause pain or the loosening of teeth, and may be a result of trauma.
• Pain and discomfort:
Oral pain and discomfort are associated with various ailments including infection, sensitivity, trauma and tooth decay.
It can be caused by trauma, caries or periodontal disease.
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Niranjan highlighted that, in terms of treatment options for all five of these common oral health issues, regular consultations with a dentist are vital to prevent further deterioration and pain.
“South Africans can, however, do their best to avoid these problems from occurring by adopting good oral hygiene habits and adjusting to a healthier lifestyle.
“Some examples, beyond brushing and flossing twice daily, include reducing dietary sugar intake and regularly visiting a dentist or oral hygienist,” she said.
“While these are the most common oral healthcare issues currently experienced by South Africans, it is important to note that oral cancer is also on the rise.
“The eighth most common cancer in the world, it is a growing concern among the country’s leading oral healthcare professionals.
“Recognising and addressing the increasing prevalence of all kinds of oral health problems, big and small, is crucial for communities and leaders in healthcare to begin increasing awareness in this regard and give South Africans the information they need to protect their health – and their smiles,” Niranjan said.
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