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manual for 1976 evinrude 70 hp outboardMany patients have periodontal disease without realizing it, as the symptoms aren’t always obvious. Fortunately, gum disease is preventable. Visiting your dentist every 6 months, brushing twice daily, and flossing at least once daily are among the most effective ways to protect your oral health. Periodontal disease progresses through 3 stages: Gingivitis, periodontitis, and advanced periodontitis. It occurs when the accumulation of plaque and tartar at the gum line cause the gum tissue to become inflamed and irritated. The bacteria within plaque feed on sugar, and give off toxic byproducts that damage the gums. If patients do notice symptoms of gingivitis, they are typically bad breath and bleeding while brushing or flossing. Routine dental check-ups allow dentists to detect gingivitis, and at this early stage, it’s easily reversible with a thorough, professional cleaning and improvements to at-home oral care routines. When left untreated, gum disease progresses to the next stage—periodontitis. Normally, gum tissue adheres snugly to the teeth. As periodontitis develops, the tissue begins to pull away from the teeth, forming increasingly deep pockets. The pockets between the gums and the teeth make the infection worse by harboring food debris and plaque. Additionally, the recession of the gum line can cause tooth sensitivity. The gums start to look puffy, swollen, and dark red, and patients will likely notice persistent bad breath. Periodontitis is typically treated with scaling and root planing—a deep cleaning method. As a result, the teeth become loose. Patients may notice their upper and lower jaws no longer fit together properly. Eventually, tooth loss will occur, and patients will need oral surgery. You can count on our friendly team to help you keep your smile beautiful and healthy. Give us a call today at (646) 783-3529. When sufficient bone has been lost the tooth loosens and either falls out or is removed.http://drhkltd.com/upload/compaq-presario-cds-520-manual.xml

  • manual for 1976 evinrude 70 hp outboard, manual for 1976 evinrude 70 hp outboard motor, manual for 1976 evinrude 70 hp outboard, manual for 1976 evinrude 70 hp outboard motor for sale, manual for 1976 evinrude 70 hp outboard motor fuel connector problems.

Monday 8:00am - 8:00pm Tuesday 8:00am - 8:00pm Wednesday 8:00am - 8:00pm Thursday 8:00am - 8:00pm Friday 8:00am - 5:00pm Saturday 9:00am - 4:30pm Our aim is to provide a friendly service for all the family.We also offer a private hygienist service. The 13-digit and 10-digit formats both work. Please try again.Please try again.Please try again. Used: GoodMay contain limited notes, underlining or highlighting that does affect the text. Possible ex library copy, will have the markings and stickers associated from the library. Accessories such as CD, codes, toys, may not be included.Large print and full-color images and X-rays cover healthy gums, gingivitis, mild to moderate periodontitis, advanced periodontitis, treatment options, if left untreated, oral hygiene instruction, and prevention. Wire-spiral binding. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Register a free business account Full content visible, double tap to read brief content. Videos Help others learn more about this product by uploading a video. Upload video To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. New Study Suggests the Ideal Sequence for Removing Plaque Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed. Am I Depressed? View all Tools EXPLORE Latest Features Health Videos About Us Authors Recipes Quizzes Try our Symptom Checker Got any other symptoms?http://filippodelvita.com/demo/userfiles/compaq-presario-cm2040-manual.xml PROFESSIONAL PRO ARTICLES Bronchiolitis Osmolality Haemorrhagic Fevers Relapsing Fever Abdominal Pain in Children Subdural Haematoma Obesity in Adults Depression View all Pro Articles MEDICAL CALCULATORS PHQ-9 GAD-7 6CIT GPCOG AUDIT CAGE View all Medical Calculators Upgrade to Patient Pro Medical Professional. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find the Dental Plaque and Gum Disease article more useful, or one of our other health articles. Treatment of almost all medical conditions has been affected by the COVID-19 pandemic. NICE has issued rapid update guidelines in relation to many of these. This guidance is changing frequently. Please visit to see if there is temporary guidance issued by NICE in relation to the management of this condition, which may vary from the information given below. In this article Background Dental disease Periodontal disease Systemic diseases affecting the teeth and gingiva Oral healthcare Further Information In This Article Some Dental and Periodontal Diseases In this article Background Dental disease Periodontal disease Systemic diseases affecting the teeth and gingiva Oral healthcare Further Information Background This is a broad topic and does not form part of the routine training of medical staff, so it is usually best dealt with by a dental general practitioner. However, current NHS dentistry provision is increasingly patchy, so such problems are presenting to medical primary care and emergency departments more frequently. Dental disease Toothache Local causes - this usually arises as a result of irritation of the nerve supplying the affected tooth. This can be due to a number of local problems, including inflammation of the pulp (pulpitis), infection and, most commonly, decay. Gum disease, grinding teeth (bruxism), tooth trauma and an abnormal bite are also causes. In babies and young children, consider the growth of unerupted teeth.http://www.jfvtransports.com/home/content/bose-lifestyle-music-center-manual Systemic causes - systemic problems should also be borne in mind. Think of temporomandibular joint, sinus or ear infections and tension in the facial muscles which can cause discomfort which resembles a toothache (these are often accompanied by a headache). Angina should also be considered in your list of differentials. Management - once you are sure that this is a local problem, it is appropriate to refer to a dental practitioner. Whilst waiting to be seen, advise patients to take regular oral analgesia (non-steroidal anti-inflammatory drugs (NSAIDs) are a good starting point) and some patients find that application of a cool compress on the cheek overlying the affected tooth helps. Dental caries Nature of the problem - dentine is protected by a hard layer of enamel but if this is broken then caries follows. This can result from trauma or inadequacy of the enamel; the most common cause of breakdown of enamel is by lactic acid that is formed by bacteria when sugars are left in contact with the teeth. Risk factors are therefore a diet high in sugars and poor dental hygiene. Dental caries (or decay) is a common problem in all industrialised and in many developing countries. Treatment - destroyed structures of the tooth do not regenerate so treatment is aimed at preventing further decay. Decayed material is removed by drilling and a substance is used to fill the tooth. Many different materials are now available, including silver amalgam, gold and high-strength composite resin. Crowns are used if decay is extensive and there is limited tooth structure which may cause weakened teeth. The decayed or weakened area is removed and repaired and a covering jacket or crown is fitted over the remainder of the tooth. Crowns are often made of gold, porcelain or porcelain fused to metal. If the nerve root dies, a root canal filling may be required. Prevention - attention to diet and regular tooth brushing are the main preventative strategies.http://www.acquaproget.com/images/canon-dc320-manual-free.pdf There is a wealth of material concerning dietary factors, particularly in young children. In summary: Human breast milk and unmodified cow's milk are not cariogenic, unlike infant formula milk (theoretically, soya infant formula milk is the worst offender). Drinks containing free sugars (including natural fruit juices) are cariogenic and shouldn't be given in a bottle. Foods and confectionary containing free sugars should be minimised and restricted to meal times. Cheese may actively protect against caries and is a good high-energy source for toddlers. Sugar substitutes are better than free sugars for teeth, although beware of salt content and additives used to make the food as appealing. Brushing (supervised in young children) removes both sugar and organisms, and antiseptic mouthwashes may be beneficial too. Fluoridation There has been a lot of research into the fluoridation of products and its protective effects against dental caries. The favoured areas are mostly in the north-east of England and the Midlands. In 2004 health ministers were still insistent that fluoridisation of water supplies is a matter for local decision and this remains the case to date. It is the responsibility of strategic health authorities to bring pressure upon local water boards. Fluoridation of milk and salt has also been examined as a possible approach, although the effectiveness of such measures is yet to be proven. It most commonly originates in the centre (pulp) of the tooth - a periapical or dentoalveolar abscess. A periodontal abscess originates in the tissue surrounding the tooth. Their pathophysiology and management are different but, in the context of primary care, they can be treated as the same entity. Presentation - a dental abscess presents with worsening pain (hours to days) which may radiate to the ipsilateral ear, jaw and neck. It is more likely to occur where there are risk factors for dental caries (see 'Dental caries' above) and a history of previous dental procedures. Other risk factors include diabetes, immunocompromise, smoking and drug-induced gum disorders. Look for facial swelling, regional lymphadenopathy, altered tooth appearance and gum swelling. Alternative diagnoses to consider include: Infections such as mumps, sinusitis, acute otitis media and facial cellulitis. Intraoral or salivary gland neoplasm. Management in primary care - the patient needs to be seen by a dental practitioner. Advise the patient to consume cool, soft food and to avoid very hot or cold foods and drinks. Patients should avoid flossing the affected tooth. Consider antibiotics only in the absence of immediate attention by a dental practitioner and if: The infection appears to be severe (fever, lymphadenopathy, cellulitis, diffuse swelling). Patients are at risk of developing complications (eg, people who are immunocompromised or have diabetes or valvular heart disease). Suitable antibiotics include amoxicillin or metronidazole for five days or a course of amoxicillin 3 g repeated after eight hours may be offered for adults. Avoid repeat prescriptions and changing antibiotics - these patients should be managed by dental practitioners. Wisdom teeth and their problems Impacted wisdom teeth should not be removed unless they have associated significant dental or other oral disease. Cellulitis, abscess and osteomyelitis. Fracture of the tooth. When a tooth is involved in, or within the field of, tumour resection. Postsurgical complications A post-extraction bleeding tooth socket should be treated by using a wad of wet gauze placed over the socket and the patient should be advised to bite down and arrest the haemorrhage through pressure; any medications that promote bleeding should be considered for temporary discontinuation and the patient should seek dental advice if the symptoms do not settle, as suturing may be necessary. Trauma Tooth loss: permanent dentition - traumatic tooth loss should be managed in adults and children with permanent teeth, initially, by trying to replace the tooth in the socket. If this is not possible, store the tooth in milk or the patient's own saliva. Attendance at a dental clinic as soon as possible (within 24 hours) gives a chance of replacing the avulsed tooth successfully. Tooth loss: primary dentition - in children with 'milk teeth', replacement of the tooth is not advised due to the danger of damaging the underlying permanent tooth. Store the avulsed tooth in saliva or milk and get the patient to attend a dental practitioner as soon as possible. Pulp necrosis may ensue (seen as the tooth going dark). This should be managed by a dental practitioner. Problems with fillings and crowns - these can be affected by external trauma (eg, a fall). This is likely to be associated with more extensive injury - or by more minor trauma - eg, biting on a hard fragment of food. It is best to get the tooth checked out by a dental practitioner, as loosening or chipping of the filling results in pain in the short-term and risk of further dental caries later on. Periodontal disease is most commonly a chronic bacterial infection which affects the gums and bone supporting the teeth. If left untreated it can lead to loss of teeth. Worrying symptoms and signs of periodontal disease warranting urgent referral to an appropriate specialist Rapid progression of symptoms - see 'Aggressive periodontitis', below. Unexplained tooth mobility for more than three weeks. Unexplained swelling or ulceration on the oral mucosa, lasting for more than three weeks - malignancy needs to be ruled out. Other suspicions of malignancy: unexplained painful, swollen and bleeding, red or red and white patches on the oral mucosa and unexplained tooth mobility lasting more than three weeks. If a lesion in the oral cavity cannot be diagnosed definitively as benign, follow up for six weeks and, if resolution does not occur, refer urgently to a specialist. Non-urgent referral to a dentist This should be considered for: People who cannot use a toothbrush or dental floss. Gingivitis not responding to the usual oral hygiene measures. Periodontitis. Unexplained red and white patches (including suspected lichen planus ) or the oral mucosa where there is no swelling, bleeding or pain. Gingivitis Gingivitis refers to inflammation of the gum of any cause. However, it is most often associated with plaque. Plaque is the soft, sticky bacterial deposit that readily forms on exposed surfaces of teeth. It is easily removed by brushing and flossing. It calcifies over time, forming tartar (calculus) which can only be removed by a dentist or dental hygienist using special instruments. Plaque results in a local inflammatory reaction, gingivitis. Gingivitis is the mildest form of a spectrum disease and can progress to periodontal disease. Presentation - in plaque-associated gingivitis, the gums become red, swell and bleed easily. There is usually little or no discomfort. The most important risk factors for this disease are: Ineffective oral hygiene Cigarette smoking Diabetes mellitus Older individuals as well as immunocompromised patients are also at risk. It is extremely common, with some degree of the disease occurring in up to 90 of the adult population in the UK. It is estimated to affect a little over 40 of UK teenagers too. Other causes of bleeding gums: Platelet disorders Vitamin C deficiency Vascular conditions Leukaemia HIV infection Management - this condition should be managed by a dentist. However, in the interim, advise good oral hygiene (see 'Oral healthcare', below) and use of antiseptic mouthwashes (eg, chlorhexidine or hexetidine). This is also an opportunity to address the issue of smoking cessation, as this also contributes to periodontal disease. Herpetic gingivostomatitis This is a condition caused by primary infection with the herpes simplex virus, often by contact with someone who has cold sores. It predominantly (but not exclusively) affects toddlers and young children and is characterised by an acute onset of fever, malaise, pain and ulceration of both gingiva and oral mucosa. The episode should fully resolve over about 14 days. Although it is not thought to be infectious, it may occur in epidemic form, especially in institutions (eg, prisons). Presentation - sudden onset, acutely painful, bleeding gums, excess salivation and ulceration, swelling and sloughing off of dead tissue. There may be difficulty in swallowing or talking and some report a metallic taste in the mouth. Occasionally, it is accompanied by severe halitosis. Risk factors include immunocompromise, malnutrition, smoking, stress and ineffective oral hygiene. Management - these patients should be referred to dentists urgently for immediate treatment and management. Whilst they wait to see the dentist, patients should be prescribed metronidazole or amoxicillin for three days, paracetamol or ibuprofen for pain relief and chlorhexidine (0.12 or 0.2) mouthwash or hydrogen peroxide 6 mouthwash. They should carry on brushing their teeth if possible, using a soft toothbrush. Prognosis - if left untreated, it can spread to involve all the gingiva and spread into the bone, forming intraosseous craters (necrotising ulcerative periodontitis). If inadequately treated, it may lead to recurrent ulcerative gingivitis for many years with halitosis, gingival bleeding and recession of the gums. Inadequate treatment can also (rarely) lead to noma (rapidly spreading gangrene of the lips and cheeks) - more likely in malnourished or immunocompromised individuals. Periodontitis Untreated gingivitis can advance to periodontitis which is an inflammation of the periodontal ligament (which attaches the tooth to the bone) and bone. Toxins produced by the bacteria in plaque irritate the gums and stimulate a chronic inflammatory response in which the tissues and bone that support the teeth are broken down and destroyed. Halitosis or a foul taste in the mouth. Recession and associated root sensitivity. Up to 30 of the population may be genetically susceptible to periodontal disease but a number of other factors (see 'Gingivitis', above) also increase risk. Look for bleeding, pus and debris expressible from gingival pockets, loosening or drifting of teeth (there may eventually be tooth loss) and the presence of a periodontal abscess. Management - this is the same as for gingivitis. Ultimately, patients should be seen by a dentist. Prognosis - untreated, periodontal disease can lead to permanent damage to the periodontal ligament and alveolar bone. There may be recurrent gum abscesses or detachment of the gum from the tooth with the formation of periodontal pockets. Progressive deepening of periodontal pockets and recession of the gums can lead to drifting and loosening of the teeth, with loss of multiple teeth. Aggressive periodontitis A severe form of periodontitis (formerly known as early-onset periodontitis) occurs in patients (usually under the age of 35) who are otherwise clinically healthy. It tends to be associated with Actinobacillus actinomycetemcomitans. There is rapid loss of dental attachments with loss and destruction of bone. Familial aggregation may suggest a genetic predisposition or a poor family tradition of attention to dental hygiene. Periodontal surgery In the early stages of periodontal disease, attention to dental hygiene will suffice. Eating less refined carbohydrate and stopping smoking will also help. Scaling and root planing will also help but surgery may be necessary. There are four types of periodontal surgery: Pocket reduction surgery - folds back the gum tissue and removes the bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where bacteria are sequestered. This allows the gum tissue to reattach to healthy bone. Regenerative procedures - these fold back the gum tissue and remove the bacteria. Membranes, bone grafts or tissue-stimulating proteins can be used to encourage the ability to regenerate bone and tissue. Crown lengthening - is a procedure to remove excess gum and bone tissue to reshape and expose more of the natural tooth. This can be done to one tooth, to even the gum line, or to several teeth to expose a natural, broad smile. It is a restorative or cosmetic dental procedure. If the tooth is decayed or broken below the gum line, or has insufficient tooth structure for a restoration, it can be extracted and a bridge can be used. Soft tissue grafts - stop further dental problems and gum recession and improve the aesthetics of the gum line. Soft tissue grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. Gum tissue from the palate or another donor source covers the exposed root. This can be done for one tooth or several teeth to even the gum line and reduce sensitivity. A soft tissue graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve the aesthetics of the smile. Other risk factors include puberty and pregnancy as well as bruxism (clenching and grinding of teeth) which can put stress on the structures around the teeth and loosen them. Smoking is also a significant factor in the development and progression of periodontal disease; this is another opportunity to think about stopping smoking. Systemic diseases affecting the teeth and gingiva Gastrointestinal disease - the mouth is the first part of the alimentary canal and so, in theory at least, history and examination of the gastrointestinal tract should start with the mouth. Think of this when considering Crohn's disease, for example. Non-gastrointestinal systemic disease - conversely, when looking at lesions in the mouth, bear in mind that there could be a systemic explanation - eg, mouth ulcers caused by leukaemia, pemphigus or systemic lupus erythematosus. Secondary problems affecting the mouth - the problem you are looking at in the mouth may actually be a secondary problem such as due to insufficient saliva (which is both lubricating and antibacterial, being a good source of immunoglobulin A (IgA)). Disease of both teeth and gums is more common if saliva flow is impaired. Congenital problems - it could be that the problem occurred before you met the patient: all women are screened for syphilis at booking for pregnancy and so congenital syphilis is now very rare in Western societies. One feature is widespread peg-shaped teeth called Hutchinson's teeth. Childhood problems - developing teeth are also affected by the use of tetracycline which discolours teeth. Profound neonatal jaundice may also stain teeth. Poor intake of calcium in the very early years of life can lead to poor calcification of permanent dentition. Gastrointestinal malabsorption may be to blame but, if a child has cow's milk intolerance and animal milk is replaced by soya milk, this will contain insufficient calcium. Iatrogenic problems - finally, drugs may affect both adults and children; for example, phenytoin can lead to hyperplasia of the gums. Therefore, when a patient presents with dental or periodontal problems, take a full history (including medical and drug history), consider gastrointestinal causes, systemic causes and iatrogenic causes and, once you are satisfied that these do not apply and the problem is related purely to the teeth or gums, refer the patient on to a dental practitioner. Below is a synopsis of the current advice about basic oral healthcare. Floss teeth three times a week. Visit a dental practitioner or dental hygienist regularly. Intervals between visits vary depending on the condition of the teeth and any treatment received. However, there is a severe shortage of dentists in many parts of the country. Problems may be experienced due to: Barriers in accessing adequate oral care due to lack of perceived need, inability by the individual to express need and a lack of ability to self-care. Fear and anxieties, which are also significant contributors to poor access to oral care providers. The knowledge and skills of carers may be inadequate. Concurrent illness may take priority and oral healthcare takes a back seat. Detailed guidance for these specific patient groups are more within the remit of dental practitioners. Further Information The NHS Choices link provided below can be used to find a local NHS dentist: names, locations and opening hours are provided. It also provides information regarding charges and a number of helpful links to related websites. The British Dental Health Foundation logo signifies that the product has been approved by them and is a useful guide as to the quality of the item. Are you protected against flu. See if you are eligible for a free NHS flu jab today. Check now Join our weekly wellness digest from the best health experts in the business Enter your email Join now Please enter a valid email address. Further reading and references Oral health for adults in care homes; NICE Guidelines (July 2016) Oral health promotion: general dental practice; NICE Guidance (December 2015) Tooth decay - HealOzone; NICE (2005) Find and choose services; NHS Choices Marinho VCC, Higgins JPT, Logan S, Sheiham A.; Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Gingivitis and periodonitis; NICE CKS, August 2012 Nasser M, Fedorowicz Z, Khoshnevisan MH, et al; Acyclovir for treating primary herpetic gingivostomatitis. Jeffcoat MK, Geurs NC, Reddy MS, et al; Periodontal infection and preterm birth: results of a prospective study. J Am Dent Assoc. 2001 Jul132(7):875-80. Lopez NJ, Smith PC, Gutierrez J; Periodontal therapy may reduce the risk of preterm low birth weight in women with periodontal disease: a randomized controlled trial. J Periodontol. 2002 Aug73(8):911-24. Moore S, Ide M, Coward PY, et al; A prospective study to investigate the relationship between periodontal disease and adverse pregnancy outcome. Br Dent J. 2004 Sep 11197(5):251-8 Oliveira AM, de Oliveira PA, Cota LO, et al; Periodontal therapy and risk for adverse pregnancy outcomes. Clin Oral Investig. 2010 May 22. Shetty M, Shetty PK, Ramesh A, et al; Periodontal disease in pregnancy is a risk factor for preeclampsia. Acta Obstet Gynecol Scand. 2010 May89(5):718-21. Simpson TC, Needleman I, Wild SH, et al; Treatment of periodontal disease for glycaemic control in people with diabetes. Cochrane Database Syst Rev. 2010 May 125:CD004714. Coventry J, Griffiths G, Scully C, et al; ABC of oral health: periodontal disease. BMJ. 2000 Jul 1321(7252):36-9. Harris R, Nicoll AD, Adair PM, et al; Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004 Mar21(1 Suppl):71-85. Sanders TA; Diet and general health: dietary counselling. Caries Res. 200438 Suppl 1:3-8. Dental recall - Recall interval between routine dental examinations; NICE (2004) Pitts NB, Boyles J, Nugent ZJ, et al; The dental caries experience of 14-year-old children in England and Wales. Community Dent Health. 2004 Mar21(1):45-57. Atkinson JC, Grisius M, Massey W; Salivary hypofunction and xerostomia: diagnosis and treatment. Dent Clin North Am. 2005 Apr49(2):309-26. Related Information Dental Plaque and Gum Disease Oral Hygiene Dental Abscess Knocked-out Tooth Facial Pain Hi there,Really hoping someone on here can offer me some help or advice. I hope this is the correct forum (if not, could someone move it?)I am in real discomfort, as I have the feeling of a hair or.Assess your symptoms online with our free symptom checker. Start symptom checker Article Information Last Reviewed 03 July 2014 Next Review 02 July 2019 Document ID 2792 (v23) Author Dr Roger Henderson Peer reviewer Dr Helen Huins The information on this page is written and peer reviewed by qualified clinicians. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. Health Information Medicine directory Community Symptom Checker Medical professionals About us Authors Contact us Terms and conditions Privacy policy Advertise with us Our clinical information is certified to meet NHS England's Information Standard. Registered in England and Wales. All rights reserved. Patient does not provide medical advice, diagnosis or treatment. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Patient is a UK registered trade mark. Connect with us twitter facebook youtube pinterest instagram close newnav-down newnav-up.