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Photo: Marcus Perkins

From: Household healthcare – Footsteps 74

The importance of health care at the household level

The condition of a person’s teeth and gums can affect their whole health. Strong teeth are needed to eat food like nuts, maize, fruits and meat, which are important for good health. Mouth pain can make eating difficult and lead to malnutrition. Oral health problems such as tooth decay and gum disease are caused by not cleaning teeth properly.

Here are some guidelines for maintaining healthy teeth and gums:

Diet and dental health

Instead of growing and preparing their own food, many people are now eating more processed foods bought from shops, such as bread, sweets, chocolate and biscuits. It is especially important for children, older people and pregnant women to eat the right foods. Try to eat a lot of fresh fruits and leafy green vegetables. Vegetables have fibre in them and this prevents food from sticking in the mouth. Fresh fruits contain vitamins and minerals that help ensure healthy gums. If it is difficult for you to bite into fruit, squeeze it and drink the juice.

Soft and sweet food, and drinks with a lot of sugar are bad for both teeth and gums. Sweet food can mix with germs and make cavities – holes in the teeth. Soft food sticks to teeth more easily and can mix with germs to cause gum disease if you do not clean your teeth. 

Sensitive teeth

Sometimes people experience sharp pain in their teeth when they eat hot, cold, sweet, or sour foods and drinks. If you often eat foods such as lemons and other citrus fruits, then the acid that these contain can damage the enamel coating of your teeth. To help with this sensitivity, it is important to maintain good oral hygiene, and continue to clean all parts of your teeth and mouth thoroughly.

Babies’ teeth

Tooth decay is a common problem even in babies and young children. Their teeth become painful and appear brown or dark in colour. It can cause infection of the gums and an early loss of teeth. This condition is often found in babies who are bottle-fed. Babies tend to drink slowly from bottles and the constant dripping effects of the sugar in the milk onto the front teeth causes rapid decay.

To avoid this:

Dr Mathew George is Coordinator of Oral Health Services for the Emmanuel Hospital Association.

The Duncan Hospital
Bihar 845305


Case study

Ms Sudesh Kumari is a community dental nurse working in the remote Rajmahal hills in Sahibganj District of Jarkhand State of India. She works in seven villages, providing dental health education as well as dental treatment. She works with the women’s groups, youth clubs and primary schools in the villages, teaching them about oral hygiene. By working with women and children she has encouraged whole families to follow her dental hygiene guidelines. Since they are too poor to buy either toothbrushes or toothpaste, she encourages them to use supple twigs from local neem trees instead. These twigs are freely available, cheap and effective, and studies show that the sap of a neem twig may have beneficial properties.

Cleaning teeth

If you do not clean your teeth properly, the food that is left on your teeth can damage the teeth and gums. It is important to clean your teeth carefully every day. Use a soft toothbrush. A soft brush will not damage your gums. If you do not have a toothbrush you can make a brush yourself:

Whatever kind of brush you use, clean your back teeth as well as your front teeth. Scrub all sides of each tooth, paying attention to the tops and sides where the grooves are. Use a circular cleaning motion while moving horizontally along the gum. Do not brush too hard. Then push the hairs of the brush between the teeth and scrub.

If you do not have toothpaste you can use salt dissolved in clean water. Baking soda can also be used as a substitute for toothpaste by mixing 1 teaspoon of soda in 3 teaspoons of water and dipping the brush into it. When your teeth are clean, rinse away the loose pieces of food with clean water.

Photo: Steve Adams

Photo: Steve Adams

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