Because of automatic translation, the expression is sometimes not accurate now.  
We are trying to correct them.
For expectant mothers
For children
For adults
  About Preventive
The average life expectancy of Japanese is the longest in the world, it is 83 years old, but life span of our teeth is the worst in advanced nations. Why this happene?
Japanese do not tend to have decayed teeth as compared to foreigners. Preventive is established among people or not. This is the reason.
Recently, “preventive” is focused in medical community.
We find and treat the factor of disease early and prevent disease.
This medical care is given importance now.
As in dental medical community, this treatment is also highly valued.
There are treatments which protect and prompt oral health before patients
have pain.
In other words, these are fundamental and preventive treatments which remove the factors of disease.
・Polish and fill when people have decayed teeth
・Remove nerves when people feel pain
・Extract teeth when people have teeth moving
・・・ These are traditional dental treatments.

As above picture, because the factor of decayed teeth is not removed in traditional
treatment, diseases will occur again and again.
We should polish your original teeth and life span of teeth will be shorter accordingly.

In our clinic, however, we plan preventive program (=i-Preventive) in line with patients’ life stages. We then achieve our policy “eat by my own teeth for life.”

  i-Preventive along with life stage
 1. For expectant mothers
a.Difference and problems of intra-oral
Many expectant mothers hard to brush their teeth as usual because of hormone imbalance and morning sickness. Plaque and dental tartar increase and intra-oral will change acid. They tend to have decayed teeth and periodontal disease.
b.Preventive treatment from minus 1 years old ~Prevention for mother-to-child transmission~
Q.When is the best time children start to receive preventive treatment?
Before their birth, when they are in mother’s belly.
“Preventive treatment from minus 1 years old” means that it is important to prevent decayed teeth of babies from when they are in their mother’s belly.
New babies have no bacteria in their mouth and bacteria are transmitted through saliva of babies’ family, especially mothers. From 18 months old to 3 years old babies have bacteria in their mouth. To prevent your babies from bacteria, their mothers and family should receive treatment and preventive therapy.
It is important to decrease bacteria in mouth.
That graph shows the amount of bacteria in mother’s mouth and means
rate of children who get decayed teeth.
The more mothers have bacteria, the easier children get decayed teeth.
For child’s prevention of decayed teeth,
mothers should think a great deal of their own oral health at first.
c.Prevention of periodontal disease during pregnancy
There is shocking data. If mothers have periodontal disease, they have 7.5 times greater risk of premature birth and low-weight baby.
Periodontal treatment is essential to avoid those troubles. In case of gingivitis in an early stage, it is of considerable benefit that you get just cleaning and removing plaque.
d. i-Preventive for expectant mothers~Contents~
We examine decayed teeth and periodontal disease and instruct you eating habits and self-care in line with your oral condition and life style.
In addition, we remove dental tartar, provide PMTC (Professional Mechanical Tooth Cleaning) and apply concentrated fluoride.
We aspire to establish a conformist which every mother get comfortable treatment and we also hope to protect babies and healthy teeth.
 2. For children
a. To keep oral health for life ~Preventive treatment for babies and children~
Oral health is connected to general health.
If people receive dental treatment from when they are children, it is possible that they keep a lot of permanent teeth and enjoy meals with their own teeth even when they get old.
According to statistics, over 24 years olds seldom have new decayed teeth. From when they are children, preventive treatment is important to protect their healthy teeth.
Growing children tend to have decayed teeth but teeth are going to be strong.
After the age of 20, the number of new decayed teeth decrease dramatically.
Reference Text of child dentistry
b. Decayed teeth prevention  Scheme of decayed teeth
Bacteria, which are in plaque, make up acid when they eat sugar. This acid melt teeth and teeth will be decayed.
Decayed teeth are not going to become normal again. Children’s decayed teeth progress quickly and treatments are hard for children. Therefore, preventive treatment is very important.
The risk of having decayed teeth is different with each other. The more you have bacteria in mouth, the higher you have risk.
In our clinic, we examine saliva test (i-oral cavity check) to research quantity and quality of your saliva. We get the information of predisposition toward decayed teeth and why you have them.
With this i-oral cavity test, we can plan and provide the preventive program for each patient.
5 points in our preventive treatment of child’s decayed teeth
①Proper eating habits
②Teeth brushing habits
③Fluoride
④Regular check-up & maintenance
⑤Sealant
①Proper eating habits
It is important to decide eating and snack time and the size of them. According to the risks each child has, we guide about meals and nutrition.
②Teeth brushing habits
Daily teeth brushing is a base of prevention of decayed teeth. We doctors and dental hygienists tell you how to brush teeth in polite way.
③Fluoride
To prevent decayed teeth, it is important to use fluoride.
What’s fluoride?
Fluoride is one of natural elements which strengthen teeth. It is the most effective element to make teeth strong and it used to prevent decayed teeth.
Actually, we always eat fluoride which is essential nutrient. We should care our teeth at home and we should receive professional care in dental clinic.
This is the most effective.
A case of self-care by fluoride
Fluoride mouth-rinsing
We can prevent decayed teeth by this rinsing after tooth brushing .If with fluoride mouthwash..
④Regular check-up & maintenance
Unfortunately, it is difficult to find early decayed tooth. To prevent it, we need to remove bacteria and dental tartar. Checking your tooth brushing and applying fluoride on teeth are also needed, so we recommend you receive regular check-up and maintenance.
⑤Sealant
We fill teeth space with sealant which is composed of tree resin and fluoride because new adult teeth are week and they have deeper teeth space.
c. Prevention for afunctional occlusion
Prevention of afunctional occlusion and treatment; Oral Functional Orthodontic Therapy
Afunctional occlusion means that teeth are not lined straight or upper and lower jaw cannot engage. If you are in this condition, you are difficult to bite meals and cannot pronounce in right way. In addition, you become to have periodontal disease (gum disease) and decayed teeth easily.
When growing children have afunctional occlusion, it has an affect to their growth. We recommend you to approach dentists if you mind and of course we can treat it.
Oral Functional Orthodontic Therapy (OFOT) is the treatment which promote growth of body, head and jaw and get teeth straightened. Patients will get not only beautiful teeth arrangement but also heathy arrangement and occlusion. They support patients’ general health.
If you mind your or your child’s teeth arrangement, visit the page of OFOT.
d. Prevention for periodontal disease
Children, at the time of puberty, have a strong tendency to get periodontal disease. 12 or 13years old children have all adult tooth except for wisdom teeth and as this, more they have inflammation on their gum.
Correct teeth brushing and eating habits are preventive base of periodontal disease. We hope patients and their children to get regular instruction of brushing and PMTC (Professional Mechanical Tooth Cleaning) for prevention.
e. i-Preventive for children
We examine decayed teeth, occlusion and gingivitis at first. As oral condition and life style, we guide nutrition and tooth brushing enough. If children at earlier age, we instruct patients about finish brushing. We also get children to wash their mouth with fluoride by age and we apply highly-concentrated fluoride, sealant and PMTC.
The first goal is healthy permanent dentition.
First visit (Age 4) 8 years later (Age 12)
Most children receive our prevention, are caries free.
(Caries means decayed teeth.)
 3. For adults
a. To keep your oral health for life –Prevention for adults-
Adults should focus on caries on dental roots because of gingival recession. Especially we recommend to care about periodontitis. It is said that 60% people who lost their teeth had periodontitis. If we get periodontitis, gum will melt. When it proceed, we will lose teeth.
b. Prevention of periodontal disease
Most people after age 40 have periodontal disease. It becomes clear periodontal disease occur systemic illness such as cerebral stroke, heart attack, diabetes and pneumonia.
Prevention of periodontal disease is important to protect general health.
Systemic diseases which are involved in periodontal disease.
Relationship between periodontal disease and systemic disease Excerpts from the Q & A at good dentist 2012
Please check “Periodontics” page if you are interested in our treatment.
c. Needs of regular check-up and maintenance
We control oral condition regularly to keep oral health and this is the maintenance. Diseases will occur again if you do not care your mouth properly.
There are a little bit bacteria in mouth after periodontal treatment finished but when you get sloppy with tooth brushing and maintenance, bacteria will increase and become active again. This also cause periodontal disease.
Maintenance is essential to prevent periodontitis.
A number of caries
1.8 tooth surface/30y.
A number of lost teeth 
0.4本/30・・・0.4 teeth/30y.
Periodontal disease risk
Most of them will be cured
and preventable
A paper about 30 years effect of proper maintenance
Realization of 『Eat by your own teeth for life』
We can eat by our own teeth for life when we brush teeth and get proper maintenance.
It is demonstrated scientifically, for example, Dr. Axelson.
His program was provided to people who has over 20 vital teeth.
In the case, only 0.4 teeth was lost, only 1 caries was occurred and periodontal disease was nearly recovered in 30years.
There is a little difference based on age, so it shows that we can keep our teeth at any age. His program comes under the spot light and we also get achieve it.
First visit (Age 69) 12 years later (Age 81)
He had lost only 1 tooth in 12years and he has 24 vital teeth at the age of 81..
We have been focused on preventive treatment since we practiced.
Would you like to have our preventive program to achieve “eat by your own teeth” ?
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187 Kuranoue2-chome, Tosu-city, Saga-prefecture, 841-0056 JAPAN
Shin-Tosu Periodontal & Implant Dentistry Center
Ichimaru Dental Office KURANOUE, medical corporation    Phone number 0942-81-5410