8+ Safe Ways: How to Extract a Loose Tooth at Home


8+ Safe Ways: How to Extract a Loose Tooth at Home

The process of removing a tooth that exhibits significant mobility from its socket within the alveolar bone is a common dental occurrence, particularly prevalent in childhood as primary teeth naturally loosen to make way for permanent dentition. This event signifies the final stage of exfoliation, where the periodontal ligaments attaching the tooth to the bone weaken, leading to increased tooth displacement.

Facilitating the removal of a mobile tooth can alleviate discomfort and prevent potential complications such as accidental swallowing or interference with speech and eating. Historically, various methods have been employed, ranging from simple manual techniques to the use of dental instruments. Early intervention, when appropriate, contributes to maintaining proper oral hygiene and can ease anxiety, especially for younger individuals anticipating the loss of a tooth.

Understanding the appropriate methods and precautions involved is paramount to ensuring a safe and painless experience. The subsequent sections will detail recommended techniques, potential risks, and essential aftercare instructions to guide individuals through this procedure effectively.

1. Assessment of Mobility

The initial step in addressing a loose tooth involves a comprehensive evaluation of its mobility. This assessment directly informs the subsequent extraction method, guiding the decision on whether manual removal is appropriate or if professional dental intervention is required. Premature attempts at extraction without adequate mobility can result in unnecessary pain and potential damage to the surrounding gingival tissue and alveolar bone. For instance, a tooth exhibiting only slight movement may require a period of continued natural loosening, while a tooth with significant mobility might be amenable to gentle, at-home extraction. Observing the degree of movement, along with any associated discomfort or inflammation, is crucial for determining the appropriate course of action.

The assessment also helps differentiate between naturally loosening primary teeth and loose teeth resulting from trauma or periodontal disease. In the latter scenarios, professional dental evaluation is essential to address the underlying cause and prevent further complications. For example, a loose tooth caused by gum disease may require scaling and root planing to stabilize adjacent teeth and prevent further bone loss. Failure to accurately assess the cause of mobility can lead to inappropriate extraction attempts and potentially exacerbate the underlying dental condition. A real case may involve taking a patient who is taking a medication that causes tooth loss, and that should be address by a professional dentists.

In summary, accurate assessment of tooth mobility is paramount for safe and effective tooth extraction. It dictates the appropriate method, minimizes the risk of complications, and ensures the procedure is tailored to the individual’s specific needs. This initial evaluation serves as the foundation for responsible and informed decision-making in managing loose teeth, preventing unnecessary pain and ensuring optimal oral health outcomes.

2. Proper Hygiene Maintained

Maintaining meticulous oral hygiene is not merely a pre-requisite but an integral component of the process to extract a loose tooth safely and effectively. The oral cavity naturally harbors a diverse microbiome, and when a tooth is loose, the surrounding gingival tissues become more vulnerable to infection. Prior to attempting any extraction, ensuring a clean oral environment significantly reduces the risk of introducing pathogenic bacteria into the extraction site. This can be accomplished through diligent brushing, flossing, and the use of an antibacterial mouthwash. For instance, if a child with poor oral hygiene attempts to extract a loose tooth, the risk of localized infection increases substantially, potentially leading to pain, swelling, and delayed healing. In such instances, meticulous cleaning serves as a critical safeguard.

The importance of proper hygiene extends beyond the immediate pre-extraction phase. Post-extraction, maintaining a clean environment is crucial for promoting optimal healing and preventing complications such as dry socket or infection. Gentle rinsing with saltwater solutions helps to dislodge food particles and debris, preventing bacterial build-up in the extraction site. Failure to maintain adequate hygiene post-extraction can lead to prolonged healing times, increased discomfort, and the potential need for antibiotic intervention. Consider the scenario of an individual who neglects post-extraction hygiene, leading to the accumulation of food debris and bacterial colonization in the extraction site. This, in turn, can trigger an inflammatory response, delaying the formation of a blood clot and hindering the healing process.

In summation, proper oral hygiene represents a foundational element in the safe and successful removal of a loose tooth. It mitigates the risk of infection both before and after extraction, promoting optimal healing and minimizing the potential for complications. The application of diligent hygiene practices is not simply an adjunct to the extraction process but a critical determinant of its outcome. Therefore, emphasizing and implementing rigorous oral hygiene protocols is paramount in guiding individuals through the process to extract a loose tooth safely and effectively, contributing to overall oral health and well-being. The absence of proper practices can trigger a series of potential adverse outcomes, emphasizing the inseparable link between hygiene and successful management of loose teeth.

3. Gentle Wiggling Technique

The gentle wiggling technique serves as a cornerstone in the process to extract a loose tooth, leveraging the natural weakening of periodontal ligaments to facilitate painless removal. This approach prioritizes gradual separation over forceful extraction, minimizing trauma to surrounding tissues and promoting a positive experience, especially for younger individuals experiencing tooth loss.

  • Controlled Application of Force

    The controlled application of force is central to the wiggling technique. The aim is not to yank or pull the tooth, but rather to apply gentle, consistent pressure in multiple directions. This encourages further breakdown of the remaining ligament attachments without causing excessive discomfort or injury to the gingiva. An example is alternating between forward-backward and side-to-side movements, observing the tooth’s response. The tooth should gradually loosen with each iteration, indicating successful weakening of the ligaments. Premature forceful extraction can lead to bleeding, pain, and potential damage to the alveolar bone.

  • Assessment of Tooth Mobility

    Prior to and during the wiggling process, continuous assessment of tooth mobility is crucial. The technique is most effective when the tooth exhibits significant looseness. Attempting to wiggle a tooth that is not adequately mobile can be counterproductive and cause unnecessary pain. For example, if a tooth only displays slight movement, it is advisable to wait for further natural loosening before attempting any manipulation. Overly aggressive wiggling of a stable tooth can irritate the surrounding tissues and delay the natural exfoliation process.

  • Maintaining a Clean Environment

    Throughout the wiggling technique, maintaining a clean oral environment is paramount. This minimizes the risk of introducing bacteria into the socket as the tooth further detaches. Regularly rinsing the mouth with an antibacterial mouthwash or saltwater solution can help to keep the area clean. For instance, after each wiggling session, a gentle rinse can dislodge any food particles or debris that may have accumulated around the loose tooth. Failure to maintain hygiene can lead to inflammation, infection, and delayed healing after the tooth is extracted.

  • Patience and Persistence

    The gentle wiggling technique requires patience and persistence. Rushing the process can lead to unnecessary discomfort and potential complications. The tooth should be wiggled periodically over several days or even weeks, allowing the natural loosening process to progress gradually. For instance, a child may wiggle their loose tooth for a few minutes each day until it eventually detaches on its own. It is important to avoid forcing the tooth if it does not come out easily. Continued gentle wiggling, coupled with good oral hygiene, will eventually lead to successful extraction without trauma.

The facets of controlled force, mobility assessment, hygiene maintenance, and patience underscore the holistic nature of the gentle wiggling technique. This technique, when executed properly, transforms the removal from a potentially traumatic event into a comfortable step within the natural process of tooth exfoliation. By understanding and applying these principles, the extraction can be performed with minimal discomfort and reduced risk of complications, thus achieving the safe and successful removal of a loose tooth.

4. Pain Management Strategies

Effective pain management strategies constitute an indispensable element in the process to extract a loose tooth. The anticipation and experience of pain can significantly influence an individual’s perception of the extraction procedure, particularly in children. Inadequate pain control can lead to heightened anxiety, resistance to necessary manipulations, and potential long-term negative associations with dental procedures. Pain experienced during attempted extraction typically stems from the stimulation of nociceptors in the periodontal tissues and adjacent gingiva. Implementation of appropriate strategies aims to mitigate these stimuli and minimize discomfort. Topical anesthetics, for instance, can desensitize the area prior to manipulation, thereby reducing the sensation of pain. A practical example involves the application of benzocaine gel to the gingiva surrounding the loose tooth several minutes before attempting extraction. This numbing effect can substantially reduce the discomfort associated with the procedure.

Beyond topical analgesia, other pain management strategies encompass psychological preparation and distraction techniques. Clearly communicating the steps involved in the extraction process and reassuring the individual can alleviate anxiety and foster a sense of control. Distraction techniques, such as engaging in conversation or focusing on a visual stimulus, can divert attention away from the extraction site, reducing the perceived intensity of pain. In some instances, over-the-counter analgesics like ibuprofen or acetaminophen may be considered, particularly for individuals with low pain tolerance. However, these should be administered with caution and in accordance with recommended dosages. Furthermore, the gentle wiggling technique, as previously discussed, inherently contributes to pain management by minimizing trauma to the surrounding tissues. This stands in contrast to forceful extraction methods, which are more likely to elicit pain and inflammation.

In conclusion, pain management strategies are not merely ancillary but are integral to the successful and humane removal of a loose tooth. These strategies, encompassing topical analgesia, psychological preparation, distraction techniques, and gentle extraction methods, aim to minimize discomfort, reduce anxiety, and promote a positive experience. Their absence can transform a simple procedure into a potentially traumatic event, underscoring the practical significance of integrating effective pain management protocols. The thoughtful and deliberate application of these strategies reflects a commitment to patient comfort and contributes to fostering positive attitudes toward dental care. Addressing pain effectively is thus a crucial element in achieving a successful extraction and promoting overall oral health.

5. Safe Extraction Methods

Safe extraction methods are paramount in the context of how to extract a loose tooth, ensuring minimal trauma, reduced risk of complications, and promotion of optimal healing. Selecting and implementing appropriate techniques necessitates careful consideration of the tooth’s mobility, the individual’s pain tolerance, and the surrounding tissue’s integrity.

  • Use of Clean Materials

    The utilization of clean materials constitutes a foundational element of safe extraction. Direct contact with oral tissues necessitates sterile or thoroughly sanitized instruments to mitigate the risk of infection. For instance, employing a clean tissue or gauze pad to gently grasp and wiggle the tooth minimizes the introduction of bacteria into the extraction site. Conversely, using unclean fingers or improperly sterilized tools elevates the probability of localized infection, potentially leading to pain, swelling, and delayed healing. In the context of how to extract a loose tooth, clean materials represent a simple yet crucial safeguard.

  • Avoiding Excessive Force

    The principle of avoiding excessive force is central to safe extraction practices. Applying undue pressure can damage surrounding tissues, including the gingiva, alveolar bone, and adjacent teeth. Gentle manipulation, as opposed to forceful yanking, encourages the natural separation of the tooth from its socket, minimizing trauma. An instance of improper technique would involve attempting to forcibly remove a tooth that exhibits minimal mobility, potentially resulting in fractured roots or damage to the alveolar bone. Emphasizing gentle wiggling and gradual detachment, within the scope of how to extract a loose tooth, is crucial for preventing iatrogenic injury.

  • Proper Hand Placement and Grip

    Ensuring proper hand placement and grip techniques are adhered to, can affect the individual using this knowledge on how to extract a loose tooth, as it is vital for maintaining control and minimizing the risk of slippage or injury. A secure but gentle grip allows for controlled application of force and precise manipulation of the tooth. The area surrounding a child or individual with a loose tooth should be thoroughly cleaned with sterilized materials to avoid bacteria entering the mouth. Insecure or awkward hand placement increases the likelihood of accidental trauma to surrounding tissues or improper force application. A scenario demonstrating proper technique involves using the thumb and forefinger to gently grasp the tooth through a clean tissue, ensuring a firm yet comfortable grip that allows for controlled wiggling motions. This technique facilitates safe and efficient extraction.

  • Recognizing When to Seek Professional Help

    Knowing when to abandon at-home extraction attempts and seek professional dental assistance is a critical aspect of safe extraction. Persistent bleeding, severe pain, or inability to remove the tooth after gentle manipulation are indicators that professional intervention is required. Attempts to extract a tooth exhibiting significant resistance can lead to complications such as fractured roots or damage to surrounding tissues. For example, if a tooth remains firmly lodged despite gentle wiggling and displays signs of significant bleeding or pain, consulting a dentist is essential. In the context of how to extract a loose tooth, understanding these limitations and seeking timely professional assistance prevents potential complications and ensures optimal outcomes. This can save a person time and frustration when taking the information on how to extract a loose tooth.

The aforementioned elementsthe use of clean materials, avoidance of excessive force, proper hand placement, and awareness of when to seek professional helpcollectively constitute safe extraction methods. When implemented appropriately, these strategies minimize trauma, reduce the risk of complications, and promote optimal healing in the context of how to extract a loose tooth. Neglecting these principles can lead to adverse outcomes, underscoring the significance of adhering to safe extraction practices.

6. Avoidance of Force

The principle of “Avoidance of Force” is paramount when considering how to extract a loose tooth. Applying excessive pressure or forceful techniques can lead to unnecessary pain, tissue damage, and potential complications. Adhering to gentle, controlled methods ensures a safer and more comfortable experience.

  • Minimizing Trauma to Periodontal Tissues

    Forceful extraction can traumatize the periodontal ligaments and surrounding gingival tissue, causing pain, bleeding, and delayed healing. A loose tooth has already undergone significant natural separation from its socket, making gentle manipulation sufficient for removal. For instance, an attempt to forcibly pull a tooth that is not sufficiently loose can tear the remaining ligament attachments, resulting in unnecessary discomfort and inflammation. By avoiding force, the risk of such tissue damage is significantly reduced.

  • Preventing Alveolar Bone Damage

    Excessive force can potentially damage the alveolar bone surrounding the tooth socket. This is particularly relevant in children, whose bones are still developing and more susceptible to injury. A forceful extraction could lead to bone fractures or displacement, complicating the healing process and potentially affecting the eruption of subsequent permanent teeth. Employing gentle wiggling and allowing the tooth to detach naturally minimizes the risk of such bone damage.

  • Reducing the Risk of Root Fracture

    Applying excessive force during extraction can result in root fracture, leaving fragments of the tooth embedded in the socket. These retained root fragments can cause infection, inflammation, and delayed healing, often necessitating surgical removal. Gentle techniques, which rely on the natural loosening process, significantly reduce the risk of root fracture. Consider a scenario where forceful pulling breaks off the root tip, requiring a more invasive procedure to retrieve it. Adherence to “Avoidance of Force” helps to prevent such complications.

  • Promoting a Positive Experience

    Forceful extraction can create a negative and potentially traumatic experience, particularly for children. Pain and discomfort associated with excessive force can lead to anxiety and fear of future dental procedures. A gentle, controlled approach, focused on minimizing discomfort, promotes a more positive and cooperative attitude toward dental care. For example, a child who experiences a painless and gentle tooth extraction is more likely to have a favorable perception of dental visits in the future. Thus, “Avoidance of Force” plays a crucial role in shaping attitudes toward oral health.

These elements underscore the vital importance of “Avoidance of Force” when considering how to extract a loose tooth. By prioritizing gentle, controlled techniques, individuals can minimize trauma, reduce the risk of complications, and promote a more positive and comfortable experience. The deliberate avoidance of forceful methods is thus a cornerstone of safe and effective tooth extraction, fostering better oral health outcomes and attitudes toward dental care.

7. Post-Extraction Care

The connection between post-extraction care and the process to extract a loose tooth is one of direct cause and effect. The extraction event, regardless of the method employed, creates a wound in the oral mucosa and underlying tissues. Proper post-extraction care is essential for promoting clot formation, preventing infection, minimizing discomfort, and facilitating optimal healing. Without appropriate aftercare, the extraction site is susceptible to complications that can significantly delay recovery and compromise oral health. For instance, failure to control bleeding can lead to prolonged discomfort and impede the formation of a stable blood clot, crucial for initiating the healing cascade. Conversely, diligent adherence to post-extraction protocols minimizes these risks and supports a smooth recuperation.

Post-extraction care encompasses several key elements, each playing a crucial role in the healing process. These include gentle rinsing with saline solution to remove debris and inhibit bacterial growth, avoiding vigorous activities that could dislodge the clot, and adhering to dietary recommendations to prevent trauma to the extraction site. The absence of these practices can have tangible consequences. As a real-life case, a person who disregards post-extraction instructions and engages in strenuous exercise may experience increased bleeding, swelling, and pain. This, in turn, can prolong the healing period and potentially necessitate further dental intervention. Furthermore, a connection to the process to extract a loose tooth is the person is likely to feel discomfort after the extraction, proper medicine prescribed by doctor can help reduce the pain.

In conclusion, post-extraction care is not merely an ancillary consideration but an integral component of how to extract a loose tooth successfully. Its implementation directly impacts the healing trajectory, influencing the incidence of complications and the overall comfort of the individual. The practical significance of this understanding lies in its ability to empower individuals to take proactive steps that optimize their oral health outcomes. Understanding and diligently following recommended post-extraction protocols represents a commitment to responsible oral care, ensuring a smooth transition from extraction to complete healing.

8. Monitor Bleeding

The process to extract a loose tooth invariably results in some degree of bleeding from the extraction site. Diligent monitoring of this bleeding is not merely a precautionary measure but a critical component of post-extraction care, influencing the healing trajectory and overall success of the procedure. Overlooking or neglecting to monitor bleeding can lead to complications that may impede clot formation, increase the risk of infection, and prolong discomfort.

  • Initial Clot Formation

    Following the extraction, the body’s natural response is to initiate clot formation at the extraction site. This clot serves as a protective barrier, preventing further bleeding and providing a scaffold for tissue regeneration. Monitoring the extraction site during the initial hours post-extraction is crucial to confirm that a stable clot has formed. An absence of clot formation or prolonged, excessive bleeding may necessitate intervention, such as applying pressure with a sterile gauze pad or seeking professional dental advice. Without vigilant monitoring, a failure in initial clot formation can lead to complications like dry socket, characterized by intense pain and delayed healing.

  • Assessment of Bleeding Duration

    The duration of bleeding following the procedure to extract a loose tooth provides valuable insights into the healing process. While some degree of oozing is expected, prolonged or excessive bleeding is indicative of potential complications. Monitoring the duration of bleeding allows for timely intervention. For example, if bleeding persists for more than several hours despite applied pressure, it may indicate underlying factors such as a bleeding disorder or interference with the clot. In such instances, seeking professional evaluation is warranted. Regular assessment of bleeding duration facilitates proactive management and prevents escalation of potential issues.

  • Observation for Secondary Hemorrhage

    Secondary hemorrhage, or bleeding that occurs several hours or even days after the extraction, represents a potential complication that necessitates vigilant monitoring. This type of bleeding may be triggered by factors such as dislodging the clot, infection, or trauma to the extraction site. Individuals should be instructed to monitor for any signs of renewed bleeding, even if initial clot formation appeared successful. For instance, if a person experiences a sudden onset of bleeding several days after the extraction, accompanied by pain or swelling, it warrants prompt assessment by a dental professional. Early detection and management of secondary hemorrhage are essential for preventing more severe complications.

  • Distinguishing Normal Oozing from Excessive Bleeding

    A key aspect of monitoring is the ability to distinguish between normal post-extraction oozing and excessive bleeding. Normal oozing is typically characterized by a slow, steady flow of blood that gradually diminishes over time. Excessive bleeding, on the other hand, involves a rapid or profuse flow of blood that does not subside with gentle pressure. Educating individuals on the characteristics of normal and excessive bleeding empowers them to make informed decisions and seek appropriate care. A practical example involves observing the saturation rate of a gauze pad. If the gauze pad becomes fully saturated within a short period despite applied pressure, it indicates excessive bleeding and the need for professional intervention.

The facets of initial clot formation, bleeding duration, secondary hemorrhage, and distinguishing normal oozing from excessive bleeding underscore the critical role of monitoring bleeding in the context of how to extract a loose tooth. By diligently observing and assessing these parameters, individuals can facilitate optimal healing, minimize the risk of complications, and ensure a smoother recovery process. Neglecting to monitor bleeding can have tangible consequences, emphasizing the significance of this aspect of post-extraction care. Such awareness helps to promote a proactive approach to oral health management following tooth extraction.

Frequently Asked Questions

This section addresses common inquiries and concerns related to the safe and effective extraction of loose teeth. The information provided is intended to supplement, not replace, professional dental advice.

Question 1: At what point is a loose tooth ready for extraction at home?

A tooth is typically ready for extraction at home when it exhibits significant mobility with minimal attachment to the surrounding gum tissue. If the tooth is still firmly anchored or causes significant discomfort when wiggled, allowing additional time for natural loosening is advisable.

Question 2: What materials are considered safe for grasping and wiggling a loose tooth?

Clean materials are paramount. A sterile gauze pad or a clean tissue are suitable for grasping and manipulating the tooth. Direct contact with unsterilized fingers or instruments increases the risk of infection.

Question 3: How much bleeding is considered normal after extracting a loose tooth?

Some bleeding is expected following extraction. Normal bleeding typically presents as a slow oozing that diminishes within a few minutes to an hour. If bleeding is profuse or persists beyond this timeframe, applying continuous pressure with a clean gauze pad is recommended. If bleeding continues despite these measures, seeking professional dental assistance is warranted.

Question 4: What steps should be taken to manage pain following the removal of a loose tooth?

Over-the-counter analgesics, such as ibuprofen or acetaminophen, can be administered according to recommended dosages to manage discomfort. Topical oral anesthetics can also provide localized pain relief. In instances of severe or persistent pain, consulting a dentist is advisable.

Question 5: When is it necessary to seek professional dental care for a loose tooth instead of attempting extraction at home?

Professional dental care is indicated in several scenarios, including persistent pain, excessive bleeding, signs of infection (swelling, redness, pus), or if the tooth is loose due to trauma or underlying dental disease. Attempting extraction in these situations may exacerbate the problem.

Question 6: What are the potential risks associated with forceful extraction of a loose tooth?

Forceful extraction can result in damage to surrounding tissues, including the gums and alveolar bone. It can also lead to root fracture, leaving fragments of the tooth embedded in the socket. These complications can cause pain, infection, and delayed healing, often requiring professional dental intervention.

Key takeaways from this FAQ section underscore the importance of assessing tooth mobility, utilizing clean materials, monitoring bleeding, managing pain effectively, and recognizing the limitations of at-home extraction. Prioritizing gentle, safe techniques and seeking professional assistance when necessary promotes optimal oral health outcomes.

The subsequent section will delve into the long-term implications of proper management of loose teeth and strategies for maintaining optimal oral health throughout life.

Essential Tips for the Safe Extraction of a Loose Tooth

The subsequent guidelines aim to offer succinct, actionable advice that minimizes risks and promotes successful tooth removal.

Tip 1: Evaluate Tooth Mobility

Prior to any intervention, assess the degree of looseness. A tooth should exhibit significant mobility before attempting extraction. If the tooth remains firmly anchored, it indicates premature intervention, increasing the potential for trauma.

Tip 2: Maintain Rigorous Hygiene

Ensure the oral cavity is clean before proceeding. Brush thoroughly and use an antibacterial mouthwash. This reduces the risk of introducing bacteria into the extraction site, preventing potential infections.

Tip 3: Employ a Gentle Wiggling Motion

Apply consistent, but gentle, pressure in multiple directions. Avoid yanking or forceful pulling, which can damage surrounding tissues and cause unnecessary pain. Patience is crucial for allowing the tooth to detach naturally.

Tip 4: Utilize Clean Materials Exclusively

Always use clean gauze or tissues when handling the loose tooth. Unsterilized fingers or instruments introduce bacteria, increasing the risk of infection. Prioritize hygiene at all stages of the process.

Tip 5: Manage Discomfort Effectively

Over-the-counter pain relievers, administered according to the label, can help minimize discomfort. Topical oral anesthetics can also provide localized relief. Addressing pain reduces anxiety, especially in children.

Tip 6: Monitor Post-Extraction Bleeding

Observe the extraction site for prolonged or excessive bleeding. While some oozing is normal, persistent bleeding may indicate a complication. Apply continuous pressure with a clean gauze pad; if bleeding persists, seek professional dental advice.

Tip 7: Know When to Seek Professional Help

If encountering significant resistance, experiencing severe pain, or observing signs of infection, discontinue at-home attempts and consult a dentist. Attempting to force the extraction can result in further complications.

Adherence to these essential tips supports a safer and more successful removal. They underscore the importance of careful assessment, meticulous hygiene, gentle techniques, and timely intervention when complications arise.

The subsequent conclusion will synthesize the information presented throughout this article, emphasizing the key principles for responsible management.

Conclusion

This discourse has comprehensively addressed how to extract a loose tooth, emphasizing the critical aspects of assessment, hygiene, technique, and post-operative care. The information presented underscores the importance of a measured and informed approach, prioritizing patient safety and minimizing the risk of complications. The success of the procedure hinges on gentle manipulation, strict adherence to cleanliness protocols, and a thorough understanding of potential adverse outcomes.

While the extraction of a loose tooth may appear to be a simple undertaking, the principles outlined herein serve to elevate the process from a casual act to one of responsible oral health management. Individuals are encouraged to internalize these guidelines and seek professional counsel when uncertainties arise, ensuring optimal outcomes and fostering a lifelong commitment to dental well-being. The application of this knowledge will contribute to the safe management of oral health.