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Which type of cosmetic dentistry is most suited for you?

Ad Min - Monday, July 26, 2021

Improving the dental appearance of a person using any of the dental procedures available is the main emphasis of Cosmetic dentistry. It is not limited to teeth whitening alone, besides changing the colour of the teeth, this branch also helps to change the alignment, position, size etc. of the teeth.  So basically, cosmetic dentistry involves adding material to the teeth or removal or it might also involve neither but only altering the appearance of the teeth or reshaping the teeth.

Through its numerous procedures oral health of the person is improved along with improving the overall dental appearance. It is just not flaunting one’s pristine white teeth but also improving dental health. There are different procedures available to suit each person’s requirements, some of the major ones are discussed.

Improving colour of the teeth

Teeth lose its colour due to aging, food or medicines, trauma to the mouth region can also bring on discolouration of the teeth. Teeth either become yellow due to aging or black or brown due to trauma or decay. By checking on the colour of the teeth experienced dentists will be able to find out the cause of discolouration.

Teeth whitening is the process in cosmetic dentistry that helps to bring back the colour to the teeth. Many types of products are available in the market that helps with this. But if one is not sure, then it is best to go for this process at the dental clinic. There are chances of allergic reactions also if the products in the market are not suited.

The outer protective coating of the teeth which is the dental enamel gets eroded over time. It can also absorb stains from food and medicines or smoking. All of this can cause discolouration. After proper cleaning of the teeth to remove food debris and plaque, the dentist will place a whitening tray on the teeth. These are custom made and the gels in the tray will help to change the colour of the teeth. Whitening agents are placed on teeth and then a laser is applied to hasten the whitening process.

Repairing teeth

Teeth get chipped or broken sometimes they even get roughened edges. This can happen if someone bites into hard food like nuts or ice. Sports accidents can also cause teeth to be chipped or broken. When teeth are affected in this manner, teeth bonding is done to restore and repair the teeth. Teeth that are chipped or broken can be restored by this method. A composite resin is applied to the teeth to restore their shape and size and colour. The tooth is roughened so that it absorbs this resin very effectively. Using ultraviolet light the resin is hardened. Even after it is hardened, dentists can sculpt the teeth to change them to the desired shape.

If teeth are decayed then teeth bonding is also a method that can help promote oral health and appearance. These composite resins that are used in this treatment can be used to fill dental cavities. If there is a gap between teeth, or to change the shape of the teeth – this method is used by dentists. There are different views regarding this procedure. Some dentists prefer this method when they are looking at small restorations or small cosmetic changes whereas others do not have such distinctions. Having a discussion with dentists and finding out which type of restorative treatment is best suited will help in getting the best possible treatment.

Reshaping teeth

This is one of the simplest procedures in cosmetic dentistry. Reshaping the teeth is called dental contouring. To reshape and realign the teeth, dental enamel is removed a bit and the teeth are reshaped to make a perfect set. Overlapping teeth, chipped teeth all can be set right using this procedure. Dentists will use dental contouring and bonding techniques to achieve the perfect look if needed.

In the reshaping method, X rays are done for the dentists to evaluate the position of the teeth. This will help to make sure there is good support for the teeth for continued dental health. Each teeth position is checked by the dentists to examine the gums and teeth as well. Each tooth which needs to be reshaped is trimmed – long teeth are made short, wide teeth are shaped to remove the width and so on.

Reshaping teeth will also help to have even correct spaced teeth that do not attract food debris between them as they do not overlap.

Removing stains, reshaping teeth and correcting the alignment are the procedures that are done in cosmetic dentistry. Dental veneers, braces, enamel abrasion are all the different types that are used. Depending on the need of the person and the type of services that are offered by the dentists all the different types can be availed for having a good set of teeth along with oral health.

To know which type of service is suited most, one needs to for dental consultation. Going for consultation twice a year is recommended so that any dental issues that might crop up can be checked at the earliest. Dental consultation will be done vis oral examination, X rays and other specialised tools to get a proper picture of the oral region. Issues that are seen during this examination are discussed and treatment procedures will be planned. During these consultations, it is best to ask the dentist about any issues that have cropped up during recent times. This will help to make sure all dental problems are addressed and proper treatment is done.

Promoting oral health along with restoring white sparkling teeth is made cosmetic dentistry aims at. It is important to understand the significance of reshaping and contouring teeth and how it helps achieve oral health. Cosmetic dentistry is very vast and has different procedures to help promote dental health and finding the right type of treatment is possible after discussion with a dentist.

Why Dental Implants Fail and How to Prevent That

Ad Min - Friday, July 16, 2021

A dental implant is actually a metal screw usually made of titanium which is implanted in the jaw bone and allowed to stay there till it is surrounded by dental tissues and is fixed in its place and does not move. Once it is entrenched totally in the bone, an abutment is placed on top of it so that a replaced crown can be set on top. The implant now can act as a natural tooth root which can support the artificial teeth and act as a support for a bridge if need be.

Dental implants do not fail generally. It has the highest success rate among all other dental replacement procedures, but sometimes it does happen due to one of the many reasons despite all precautions. The dental implant failure may happen because of ‘rejection’ by the body’s immune system. But it can also happen because of other reasons apart from In almost all the cases the rejection of the body’s immune system to a foreign body placed inside has been taken care of already, because the implant stays in the jawbone for many months before any artificial tooth crowns are placed on it.  The other reasons could be your general health, post operation complications or the process of surgery.

Reasons for dental implant failures

Dental implants can fail within months of surgery or after a few years of the surgery. The implant that gets dislodged in early stage of implantation; it is possible that the implant did not get enough bone tissue grown around it to fix it properly so that it gets rooted in the bone. If the surgery is performed without letting the implant get really embedded in the bone, the implant gets dislodged after the pressure of chewing is put on it.

If in case proper modus operandi was not in place, there is a chance for the implant to fail. Proper sterility of the mouth and the environment is important while performing the surgery. If overheated bone is not prevented, it lets the implant fall off because of lack of enough bone tissues around it.

When implants do not integrate with jaw bone one of the reasons is insufficient depth of jaw bone for the implant, it may fail.

If any infection present in the mouth was not taken of properly before the implant surgery, it can interfere with the bone tissue growth around the implant and make it come loose. Sometimes the surgeon may assume that the infection has gone totally, but it may have some remnants and may grow again which becomes detrimental for the implant.

In other cases, the implant is not given enough time to heal and get a base and it gets in use, putting pressure onto the implant which it cannot take, and comes loose.

Implant failure in later stages

When the implant failure occurs after many months or many years, the reasons could vary, a few among them could be peri-implantitis and poor osseointegration.

Medicines
One of the major reasons for implant failure after many years can be medicines taken for cancer or any other diseases which depletes the bone mass, making the implant loosen from the jaw bone and come out.

Chronic disease
Diseases like diabetes, gum disease, cancer, and heart conditions play a major role in making the implant unstable. Medicines for these diseases also are responsible to make the implant loose because of their effect on the tissues. Chronic health conditions like osteoporosis, auto immune disease, and problems in vital organs like kidney failure also affects the safety of the implant. apart from these diseases also are responsible for making the implant come loose.

Bruxism
People who have the habit of grinding teeth in sleep, damage the crowns placed on the implant and bring pressure on the implant making it loose from the dental tissues supporting it.

Smoking and alcohol use
Excessive alcohol leads to bone loss and prevents osseointegration responsible for stability of the implant. Excessive smoking also is found to be having a bad effect on getting implant stay in place because lack of osseointegration.

Lack of oral hygiene
For normal oral health it is very important to brush and floss your teeth daily twice a day, or after every meal. As you well know, the food particles wedged between teeth or teeth and gums can play havoc with your teeth. Gum disease and decay in teeth can make the implant fail because the osseointegration will fail in the wake of bacteria and decay. If you do not follow strict oral hygiene, the result can be peri-implantitis.

Location of implant
If your implant is way back in your mouth, it undergoes a lot of stress and pressure of chewing. The constant pressure may sometime lead to dislodging of the implant resulting in implant failure.

The process of surgery

The surgeon has to have a complete study of the patient before he decides on the course of action. They must have a complete medical history of the patient so that they can decide whether there is enough bone mass in the jaw bone to support the implant. The dentist should also check for any other disease apart from gum disease which must be treated before going in for implant surgery.

The surgeon should also consult the general physician for the medicine the patient is taking for any other disease, and the effect of the same on the healing and osteointegration process of the implant. The surgeon has to consult the special doctors if the patient is under any other treatment to discuss the effects of the specific medicine on the surgery and post-surgical effects.

How to prevent dental implant failure?

It is very unfortunate to have your dental implants fail. The preventive measures include review by the dentist after implant has been placed to check whether enough tissues are forming at the bone itself, and not only around the implant.

Strict oral hygiene schedules are important so that no bacteria can thrive in the mouth putting dental implant in danger.

The patient’s medical history, and the medicines he is taking should be taken into consideration to avoid interfering effect of the medicine on success of dental implants.

A Complete Overview of Dental Bonding

Ad Min - Monday, June 21, 2021

Repairing damaged teeth and restoring them to their normal form is what this procedure does. Dental bonding helps teeth regain their structure and function. It is a boon to those who have chipped or cracked teeth. It helps restructure decayed or discoloured teeth and even useful when there is a gap between teeth. Using dental bonding it is possible to change the shape of the teeth and make them longer and attractive. In some cases it is used as an alternative to fillings.

Along with aesthetic function, the function and structure of the teeth are restored through this innovative procedure. To change the shape of the teeth, in this procedure a composite resin is applied. The best part of this treatment is that one need not plan many visits to the dentist. This procedure is completed in a single visit. This method is used for both adults and children. In the case of children, many dentists prefer this as the jaws/arches are still developing.

How is it done?

If due to accidents or trauma to the mouth region causes broken or chipped teeth, then dental bonding is the ideal treatment. Dental examinations are conducted by dentists and after considering the dental damage and the oral health of the person, this treatment is decided on. Before the actual treatment some preparation needs to be done.

Anaesthesia is not generally required, it is used when the bonding is done for decayed teeth. The resin material will be filled in the tooth and this procedure will cause pain and discomfort. Shaping the tooth is also needed in some cases. Other than these special cases anaesthesia is not used. Dentists will select the material which is similar in colour to the natural teeth. This will help to make sure that the bonded tooth does not stand out from the natural teeth.

After the resin is selected, the tooth is prepared. In this stage, the dentist will slightly be roughened, this is to make the tooth more accommodating. Next a conditioning material is applied to the tooth. This material helps in attaching the resin firmly to the teeth. Later the tooth coloured resin material is applied. Then it is then shaped and smoothed as required. Laser light is applied to the material to make it harden and stick to the tooth surface firmly. Once the material is hard, the it is then shaped and polished it to make it as similar to the natural teeth as possible. The procedure usually gets completed within an hour.

There are two main types of dental bonding. In adhesive bonding, an etchant is used for the restoration procedure. This is usually used by the dentist in the case of porcelain veneers, inlays and onlays. Direct composite bonding is the common bonding that is done in dental clinics. This involves applying the resin material to the teeth and reshape and restore them. If there is extensive damage to the tooth, then it will take some time to be fully restored.

Do you benefit from this procedure?

Dental bonding is one of the easiest and also cheapest procedures to restore teeth. It completes the restoration process within a small frame of time like other procedures like dental veneers. They also require multiple visits to the dentist, unlike the bonding procedure which is completed in a single consultation. Preparing the tooth for the procedure is one common method in both restorative procedures. But in the case of dental bonding, the amount of dental enamel that is removed is very less. One aspect that needs to be remembered is that bonding materials can chip off and are not fully resistant to stains. Besides this disadvantage, dentists prefer this method for minor cosmetic corrections to other types of methods.

Care for bonded teeth

Caring for teeth should also consist of brushing daily- twice a day and also flossing once a day. This will help to keep the mouth cavity clean from food debris and other particles that are stuck between teeth. Caring for teeth after dental bonding is easy. As there is a chance of bonding being chipped off, one must be careful when consuming hard chewy food. The edges of the teeth might get rough if one bites too hard on nuts or ice. If the edges feel rough, then getting it checked with the dentist can help to set right the issue. Avoiding food that causes stains like coffee, wine or fruits like berries will help the bonded teeth. They will not absorb the stain that is given out by these materials.

The life span of bonded teeth depends on the habits of the person. If healthy food habits are followed and care is taken when biting hard food products, then teeth do not get damaged. If proper care is not taken and habits such as smoking are not cut down, then stains are absorbed by the teeth and they will have to be replaced earlier than the usual lifetime of ten years.

One can think of dental bonding as not being a permanent bonding. After few years, due to wear and tear they can fade or be chipped but in no way do they cause damage to the dental enamel or oral health of the person. It is important that small chipped teeth are restored, as otherwise chewing function gets affected and so also the dental health of surrounding teeth.

Caring for teeth also means that one needs to go for dental check-ups at least twice a year. This will help you get a heads up on the possible dental concerns that can come up due to your lifestyle. Changing habits, lifestyles all will help to restore and maintain oral health. Visiting the dentist only at the time of a major dental problems can result in complex dental procedures. This can be avoided through regular check-ups.

Can Teeth Whitening Cause Damage to Your Teeth?

Ad Min - Tuesday, June 15, 2021

Teeth whitening is a chemical process by which you can make your teeth look whiter either at home of at the dentist’s office. Teeth whitening is quite common in all parts of the world, and the products for teeth whitening are available over the counter. The main procedure followed in majority of teeth whitening procedures is bleaching, but sometimes teeth whitening can be only cleaning the teeth thoroughly and remove impurities and debris of food from them. Bleaching products contain peroxide which removes stains from the teeth, causing them to appear lighter in shade.

How does teeth whitening work?

Teeth whitening can be achieved in 2 ways. One simple way is to get your teeth cleaned by a professional dentist in his office, where he will clean your teeth with special tools and remove debris of food particles, and clean and remove plaque from between the teeth which will remove stains and make your teeth appear lighter in shade. Another way is bleaching the teeth to remove stains which are deeper in the teeth. This is done by a chemical process. The bleaching agents, hydrogen peroxide or carbamide peroxide are applied on the surface of the teeth. Hydrogen peroxide is the active ingredient (carbamide peroxide breaks down into hydrogen peroxide) which breaks down the stains into very tiny pieces and they get dispersed so that they are not visible anymore. These chemicals can work not only on the surface but can reach deeper in the tooth enamel and break down stains. The whole chemical process can take a few minutes to a few hours, and as a result you will have your teeth appear lighter and whiter.

Who can benefit from teeth whitening?

Teeth whitening is a very much in demand procedure all over the world but it is most popular in the field where people have to face other people during their work environment. In fact, everyone wants to have a beautiful smile because smile is one of the earliest things with which we make an impression on others. Teeth whitening helps people who have their teeth stained because of their lifestyle choices or due to the medication they are on like tetracycline, or simply because of age.

Anybody who is healthy in general can make use of teeth whitening products. People who have stains on the teeth because of food habits like having an excess of coffee, tea, red wine, tobacco, and foods that contain food colours.

Where kind of stains and conditions that cannot be corrected by teeth whitening products?

  • People who have porcelain veneers, dental fillings and dental bonding as a corrective treatment for broken and chipped teeth or who have dental crown as a replacement of lost teeth cannot benefit with teeth whitening products.
  • Yellow stains can be removed with these products, but brown stains are difficult to remove with bleaching.
  • Discoloration from a dead tooth cannot be corrected with bleaching. 
  • Conditions such as sensitivity of teeth may get worsened with bleaching.
  • People with the habit of grinding teeth(bruxism) are not advised to do teeth whitening at home.
  • People who are on special medicines cannot be helped with bleaching.

What are the regular products available over the counter for teeth whitening?

Teeth whitening products are becoming more popular because they allow to do the procedure at home. These over-the-counter products contain lesser amount of hydrogen peroxide for safety reasons and get good results for some people although it takes little longer to get the desired results. The products include, teeth whitening trays, gels, rinses, toothpastes, stripes even toothbrushes.

Teeth whitening strips
This is one of the most popular products used. It is a thin, flexible plastic strip which has a coating of bleaching agent. They are supposed to be placed on the front of your teeth for a stipulated time, usually half an hour, removed and discarded after the time is up. They are applied twice a day for a week or so. Strips may cause irritation in the gums and sensitivity in the teeth. If you have a wide tooth line, then strips can run short of the width. Be careful while using strips. Avoid using strips that contain chlorin dioxide because it can affect tooth enamel.

Teeth whitening trays
These trays are best if made by your dentist. It is a tray that contains the chemical and made after making a mould of your teeth so that it fits snug on your teeth and the teeth remain in contact with the chemical which is filled in the tray. If it is custom made by your dentist it is very effective because the concentration of the bleaching agent is higher so the effect will last longer. Since the trays fit on the teeth the saliva cannot dilute the solution. It also saves the gums from irritation because there is minimum leakage. When you get readymade trays it may not fit snug on your teeth and there is a question of leakage. When the tray is prepared by the dentist, he can give you desensitizing agents to be used either before or after the application. The dentist also know about your medical history and therefore the solution he will fill in tray will suit your body properly.

Teeth whitening rinses
In addition to refresh your breath, these products contain teeth whitening bleaching agents to whiten your teeth. They are to be kept in mouth for a few minutes, swished around and spit out. This needs to be done twice a day. Since the product remains in the mouth for a very short while.

Teeth whitening toothpastes, gels
These tooth pastes work with abrasives and cleaning agents like baking soda, silica and calcium carbonate which can remove surface stains. But they cannot bleach teeth from inside therefore they may not help with deeper stains. The gels too can work only on the surface stains.

If you want to do whitening at home, it is advisable to do it under the supervision of your dentist. The first option of course is to get it done in your dentist’s office.

Taking Care of Oral Health in Children

Ad Min - Monday, May 24, 2021

It is every parent’s worry when it comes to taking care of oral health in children. Some questions that crop up are - Are they taking the correct measures to protect their child’s oral health? Is anything lacking in the child’s diet that can lead to dental issues? Mostly the focus of parents will be on protecting the child from getting dental cavities.

Caring for dental health in children and making sure that a good foundation in oral health and hygiene is given to children is the goal every parent wishes for. Some of the major aspects of maintaining and protecting oral health in children are discussed here.

Cleaning

For good clean teeth, brushing comes top in the list, followed by flossing and mouthwashes. Dental care ideally should begin before even the first tooth makes its appearance. The focus is on maintaining a good healthy gum line. If the gums are not strong, then they will not be able to provide good support to the emerging baby teeth.

Another reason is that the baby teeth are already formed and they are present just below the jaw line. Cleaning the gums of babies with a moist soft cloth will help to remove harmful bacteria. Baby food is mostly sugary and this will attract bacteria to the areas where food debris is seen. If the baby’s mouth is not cleaned after each drink of milk or juice, then it becomes a favourite site for bacterial action.

After the baby tooth erupts it can be cleaned using a baby brush which is soft and suited for your child. Using toothpaste is also recommended, there is a wide range of toothpaste available for children. Some dentists even suggest using toothpaste that have fluoride in them to offer extra support to the teeth. After more teeth erupt, care should be taken to clean between the teeth as food particles can get stuck between them.

When children grow older, they should be taught how to brush and floss. Depending on how capable the child is more free hand should be given to them but under the supervision of parents. This way parents can guide children to the right way of brushing and flossing. Making it a fun activity will help in making it enjoyable and something the kids look forward to.

Food habits

As with general health, oral health is also dependent on food and food habits. The majority of the food that is given to babies and toddlers has sugar content in them. Sugar is one major factor that aids the formation of dental cavities. It is also seen in children and not just in adults. Sugar attracts bacterial action. The food that is acted upon by bacteria releases harmful acids that harm the teeth. Because the baby food is loaded with sugar, the chances of bacterial action are more.

So it is important to clean the baby’s mouth after each meal or drink. It also helps to start children to drink water when they go for their naps. If it is milk or juice drink before they go to sleep, then there are higher chances of bacterial action as food will stay in the mouth as it is not cleaned before the baby goes to sleep. Changing from bottles to cups will also help to prevent food from staying around the child’s teeth. As children grow up also, it is important to introduce healthy food options to the child. Including more fruits and cutting down on food that has high sugar content will help in promoting good oral health.

Professional help

Most people see dentists when they have dental problems that they are unable to take care of at home. Toothache is one of the common symptoms seen and because of this very reason it is brushed aside with the thought that it will go away in a few days. Since babies do not have teeth yet or there are only a few many feels that help from a dentist is not needed.

Consulting a dentist when the child is around one year old is recommended. The first visit to the dentist is helpful for most parents as experts will guide them on how to brush their child’s teeth, how to take care of gums, what are the possible dental/gum issues crop up if proper care is not given – all these will be discussed.

All these are very important as this helps to lay a base to good and healthy dental care for the child. During these consultations, dentists will also be able to diagnose if the child is at risk for cavities. They will even recommend toothpaste with fluoride to help ward off this issue. Fluorides offer extra support to the dental enamel and protect the teeth.

Common dental problems

Genetics plays a major role in oral health. So, if parents have dental issues, then there are high chances of this being passed on to children. When going for a dental consultation with your children it will be good to discuss these aspects with the dentists so more proactive measures can be taken to preserve the oral health of your children.

When the child grows older, another dental concern that can come up is bite and alignment of teeth. Overcrowding teeth can cause teeth to overlap, or they might be problems of overbite and under bite. This will require corrective action – by using braces or by surgery if the problem is a bit more complex.

Now unlike the earlier times, it is not just metal braces available, there are coloured ones and invisible braces if your child is feeling embarrassed about using them. Making sure to make dentist’s consultation every six months and seeking dental care if there is pain and bleeding in the gums will all help to fix dental problems before they develop into compound issues.

What Is Dental Emergency And What Is Not?

Ad Min - Monday, May 17, 2021

Anyone who has experienced sudden toothache during middle of a night, or a holiday or while travelling, would be well aware about the misery one has to go through when dentist is not available and you have to deal with the pain yourself.

When you encounter anything to do with teeth, suddenly, outside of office hours, which involves severe pain of severe bleeding, then it is considered as a dental emergency.

Dental emergencies are common. One fifth of the population feel severe pain in the teeth at least once in their lifetime. But all the dental pains cannot be considered as emergencies. It is important to know if the situation you find yourself in can be counted as an emergency or not.

What is NOT a dental emergency?

Any dental problem that can wait till you see your dentist in a day or two or which you can take care of on your own is not an emergency.

Toothache
Toothaches are common. When you have toothache which is not unbearable, and which does not indicate deeper problem of dental infection, or fever, or any swelling in the mouth, then it can wait till you see your dentist can wait for treatment till you see your dentist.

Lost crown or dental filling
If you find that your tooth has lost its filling, it can wait till you see your dentist. You can fill the cavity temporarily with a sugar free chewed chewing gum. Even with a lost crown, try to put it in place with dental adhesives or dental cement which are available over the counter. Do not use common super glue.

What IS a dental emergency? How to deal with it?

Any situation where immediate medical attention is required to save the life is an emergency. In addition to severe pain and bleeding, a lost tooth which can be saved, or severe infection which threatens life is also considered dental emergencies. In these emergencies you must call your dentist or seek treatments in any nearby hospital in their outpatient department.

The conditions that are considered as dental emergencies include severe pain, severe bleeding in the mouth, gums, or teeth, sudden loss of tooth, adults having loose teeth, infection or abscess in the mouth.

Cracked OR chipped tooth
Cracked and chipped teeth are emergency because cracked tooth can develop into a fracture where there is a possibility to lose a tooth and if not treated properly it may develop infection. As quickly as possible you should try and get an appointment with your dentist when you find you have a cracked tooth. A chipped tooth can an emergency if the chipped end is sharp and injures the inside of your mouth or tongue. It will soothe your mouth if you can wash your mouth with warm water. Apply cold compress to relieve pain and stop swelling.

A knocked-out tooth
A tooth that has come lose because of an impact on the face because of collision with a hard surface like tiled or cemented floor or a wall, or due to an accident, needs to be reinstalled immediately. It is considered an emergency because each minute lapsed between the accident and start of the treatment reduces the chance of getting the tooth reinstated in its socket. When you find that your tooth has been knocked out, first thing you do is pick up the tooth gently, by the crown not the root- because roots have delicate nerves attached to it- and put it in a small container or if possible in a cup of milk. If you can see your dentist immediately, the dentist can put the tooth back in its socket and there are fair chances that your tooth get reattached in its socket with roots. If your tooth has been dirtied the surrounding area, then wash it gently with cold water taking care not to drop it in the sink. Put a towel in the sink so that it doesn’t get into the drainage hole.

Infected tooth
A dental abscess is life threating situation if not treated immediately. The infection in the root of the tooth or gums, can spread into the jaw and create unbearable pain. This abscess is very painful and has the potential to erupt in other part of the face and body. Because of its potential for severe pain, and further damage to the tooth and gums, an abscessed tooth is considered an dental emergency. While you are waiting for the appointment with the dentist, you can rinse your mouth with saltwater many times. This will reduce the pain the abscess inflicts, and also draws the pus to the surface so that it will be easier to take it out.

Severe bleeding in the mouth: When you have had an accident and find yourself bleeding from the mouth, you must call your dentist immediately. Bleeding in the mouth can have many causes. A loose tooth if uprooted from the gums cause profuse bleeding because of the severed blood vessels which are feeding oxygen to the tooth. Sometimes the inside of the mouth or tongue get cut causing high bleeding. If your tongue seems to be cut, draw it out and press a soft towel onto it till the bleeding stops. A sharp edge of a broken tooth also may hurt your cheeks and make them bleed. Cold compress on the cheeks can help in clotting the blood till you reach your dentist.

All the dentists normally keep some time in their daily timetable for unscheduled emergencies. Keep the numbers of your dental workers handy in your wallet or phone all the time. It is advisable to ask the dentist for the calling numbers when not in office. Out of office hour numbers can help you find the dentist when an emergency strikes at odd hour.

Considering Dental Implant Options?

Ad Min - Monday, May 03, 2021

A very effective teeth replacement option is provided by dental implants. They are different from other options as they provide replacement of a whole tooth. The tooth right from the root to the outer visible portion is replaced. This type of procedure is not seen in other teeth replacement techniques.

This complete artificial tooth replacement procedure is opted by many as it is durable and also provides extra support and strength to the nearby teeth and gum tissues. The best feature of this is that single tooth replacement or replacing many teeth is possible with this procedure.

Types of dental implants

When considering the different types of dental implant options- one will come across mainly two types – endosteal and subperiosteal. In the endosteal type of dental implant, the implant is placed in the bone and in superiosteal it is placed on the jaw bone. But after considering the stability and support provided by subperiosteal, it is not much in vogue. Endosteal is the option almost all dentists go to as this lasts almost a lifetime.

Single tooth replacement

As the name suggests, this is best suited for those who wish to replace a single tooth. Teeth are lost due to aging or decay or trauma and they can be replaced by placing the dental implant. Usually when one needs tooth replacement, then the neighbouring teeth also need to be ‘worked on’ so that the single tooth replacement can be placed. In the implant process, the health of the neighbouring teeth will not be affected at all. In single tooth replacement the structure is placed inside the jaw bone.

This will not weaken the jaw bone but will offer extra reinforcement. This single tooth dental implant offers a better aesthetic value when compared with other single tooth replacement options. This implant will blend in with the natural teeth in the mouth and there is no embarrassment to the user.

Implant - supported bridge

This replacement option is a great method to replace more than one tooth. Due to any reason, if one has lost many teeth and they are all adjacent to each other in a row, then dentists prefer to provide this dental implant option. A dental bridge typically has a bridge with supporting crowns on the ends. This will act as the replacement teeth for the ones that are lost. The teeth in between also will have dental crowns placed on them.

But in the dental implant option the crowns will be connected or fixed to the dental implants. Unlike the other replacement option, the natural teeth in between the lost teeth do not have crowns. This procedure is similar to a single tooth dental implant, only that more than one tooth is replaced. The other features like stability, support, or durability all remain the same.

Complete teeth replacement

As the name suggests, if there is a need to replace the complete set of teeth then there is an option available. Implant retained denture is the best option if a replacement is needed. One can go for this procedure, if all the teeth are missing in the lower jaw or upper jaw or both. In this treatment option, usually dentists four dental implants are placed, using which replacement teeth can be placed. In some clinics, only two strategically placed dental implants are used instead of four.

Custom-made dentures will be placed on these implants and the wearer has one again a complete set of teeth. Studies have shown that compared to dentures, this dental implant option gives complete restoration of chewing and works as effectively as natural teeth. More stability is provided to lower jaw dentures when compared to common dentures. 

Procedure and benefits

This is a dental surgery procedure and is conducted under anaesthesia. The jaw bone will receive an implant on which rests the replaced teeth. For this procedure, after the anaesthesia is injected, the jaw bone is cut open. Then the implant is placed inside and is left to heal. This will later receive an abutment on which the replacement teeth can be placed. There are different materials to choose from to make artificial teeth. They will be tailored by the dentists to suit your need and mimic even the colour of the natural teeth. Awkwardness from having to wear artificial teeth is something unknown to those who wear implants.

There are numerous benefits one obtains when dental implants are used. The foremost is of course replacing teeth in the way natural teeth are. Tooth is replaced right from the root to the tip by this method. Due to this very reason, the stability and permanence offered by dental implants is something unique. The facial structure of the person does not change by this method and there is no problem with speech or with chewing.

There is also no danger of replacement teeth slipping off when one is talking as they are anchored to the jaw bone. One does not need to do any extra care for dental implants, the usual cleaning routine followed for natural teeth needs to be done. And the best of all is one is saved from cavities as dental implants are made from a material that is safe from decay.

Before choosing dental implants are the option, one needs to go for a dental examination. This is needed to find out if this treatment option is suited after checking the oral health of the person. One of the first things that is checked are bone loss. When a tooth is lost, there is also bone loss seen in the surrounding it.

To place the implant, there needs to be a certain amount of bone. If the bone is not present in the amount needed or if it is not able to provide the essential support, then a dental implant might not be an option. The age of a person is also considered as this the best option for those who are adults. So usually children or youth are not ideal candidates for this treatment.

7 Common Dental Issues In Children And How To Deal With Them

Ad Min - Saturday, April 24, 2021

Dental issues in adults and children are different. Dealing with dental issues in children is relatively easier because it is possible to detect them earlier and acted upon them in time before they get out of control and become serious. It is very important to start the children on the way to good dental health from the beginning to avoid later trouble of the teeth kind.

The common dental issues of children include:

  1. Dental cavities

Tooth decay is one of the most common problem in young children. Tooth decay occurs in children because of their high sugar diet. Mothers have a habit of adding sugar in their weaning food to make it more appealing to children, and thereby create a lifelong problem of giving children a sweet tooth. There is no need to add sugar to any of the food that is offered to children because most foods have a certain amount of inbuilt sugar and it is naturally palatable to children without added sugar. The sugar in the foods remain in the mouth long after mealtime. The mouth has micro-organisms of both kinds, good and bad. The bad organisms work on the leftover sugar in the mouth and build plaque, a thin layer on the teeth. Acid is produced as a by-product when bacteria is working on sugar. The acid in turn eats away the enamel on the teeth and slowly create cavities which will turn painful when bacteria reach roots and soft tissues in the inner layer of the tooth. The treatment requires the root to be cleaned and the cavity filled with a dental filling.

  1. Paediatric gingivitis

Gingivitis and gum disease are common in children. Gingivitis leads to gum disease in children and adults. The signs that something is wrong in the gums are swelling and reddish hue in the gums. There could be slight bleeding also if gums are not in perfect health. The reason for gum disease in children is poor dental hygiene due to poor oral care routine. Not all the time poor dental hygiene is the cause though. Sometimes when children have crowded and crooked teeth, the brushing is difficult and may not reach all areas of teeth, where plaque builds up leading to serious gum problems.

  1. Sensitivity in teeth

Teeth sensitivity is painful and hinder the growth of the child because it distracts child from whatever activity the child is involved in. There are many reasons for teeth sensitivity in children. The tooth decay is very common reason for tooth sensitivity because due to decay, the roots are exposed and open to sensation, which otherwise are protected by hard enamel of the exterior tooth surface. In some cases, eruption of permanent teeth may cause teeth to become sensitive, which is temporary and will go away after all teeth have erupted. Some children have a habit of grinding their teeth in sleep, called bruxism. This may cause teeth to wear out and expose inner surfaces which makes teeth sensitive. Sensitivity in children is treated by the paediatric dentist by treating the underlying cause.

  1. Orthodontic problems

Many children have teeth which are not perfect. The branch of dentistry and oral care has developed very fast, and we notice less than perfect teeth early on in children which was not the case in the past. When children are taken for their routine check-ups to the dentist, the dentist can show the anomaly in the teeth and may suggest orthodontic treatment. Most orthodontic problems are genetic. The common orthodontic problems in children are overbite, underbite and problems of spacing between teeth, like crowded or crooked teeth.  All these problems can be dealt with orthodontic treatment if you take the child for regular dental appointment.

  1. Thumb sucking

Thumb sucking in children is common. Babies have an instinct to suck, and thumb or finger sucking for the first few months is considered normal. Not all children suck their thumbs, and those who do usually leave the habit after a few months. But many children continue with thumb-sucking well into their preschool years due to various factors. Sucking the thumb puts pressure on the jaw and the teeth are pushed out and create overbite or underbite as the case may be. Overbite makes it difficult to chew and can affect the speech of the child. The paediatric dentist will help parents to wean the child away from thumb sucking and pacifiers as far as possible. Parents of children with a severe thumb sucking habit may be advised to opt for orthodontic treatment by the paediatric dentist.

  1. Dental Emergencies

Dental emergencies arise when children are involved in school sports, games or just playing outdoors. Outdoor play in preschools, with swings, jungle gym or cycling can create mishaps. These accidents can result in cracked or chipped teeth. A tooth may come loose also if the accident is severe. If a permanent tooth has been knocked out, it is imperative to see the dentist immediately, so that he can try to reinstall the tooth with the help of a retainer so that the tooth can regrow the necessary roots and tissues which will make tooth rooted in its place again.

  1. Anxiety and fears related to dentist’s chair

Many adults are scared of visiting the dentist. The chair in the dental office is quite intimidating when you see it for the first time. To avoid dental fears of visiting the dentist can be reduced in children by introducing the child in a friendly environment for the first time. The first visit to the dentist should be congenial, and happy. Make it a social event rather than a compulsory visit. When the child is introduced to the dentist quite early on, he will be used to the idea of going to dentist as a routine, and chances are, he will take it as part of life.

The best way to avoid dental issues in children is to present a good role model for the children to copy. If you as a parent follow a healthy oral care routine, your child will follow in your footsteps. Some dental issues are unavoidable. Early intervention always helps. Make regular appointments with your dentist to avoid serious dental problems in later in your child’s life.

When Does Teeth Whitening Not Work?

Ad Min - Wednesday, March 17, 2021

Teeth whitening is a process by which the stained or yellowed teeth are bleached and made whiter. Teeth whitening process can be done professionally in the dentist’s office or it can be carried out by individuals at home. The products that can be used for teeth whitening are available over the counter and can be obtained from your dentist. You can carry out teeth whitening at home under the supervision of your dentist or according to instructions given along with the product.

How does teeth-whitening work?

Teeth whitening products either available at the dentist’s office or over the counter, use two common combinations of chemicals namely, carbamide peroxide or hydrogen peroxide. They are available in the form of pastes or powders which must be mixed with water. These products, when applied to the teeth sets off a chain of reactions, which is responsible for removing stains from the teeth. These chemical reactions are oxygenation and diffusion. Oxygenation breaks down the molecules of the stain and diffusion is for diffusing the debris away created by breaking of molecules. This is a cyclical process which starts at the surface of the tooth, the enamel and proceeds further down. This is how stain removing action gets completed.

Reasons why teeth whitening does not work

There are many reasons for teeth whitening procedure to go wrong.

Doing it on your own
The best thing to do about teeth whitening is, get it done by your dentist in his office. There are very few chances of it being going wrong. Dentists are experts. They know what they are doing. They use the best products they know should work and moreover they know your requirement, your medical history and your teeth. When dentists do the teeth whitening in the office, they already have asked you about what medicine you are on. How bad the stains on your teeth are, and how much chemical will be needed, and for how long, for it to take effect.  So, if you have a choice and budget for this, you must opt for the teeth whitening done by the professional at the clinic.

Lack of preparation
One of the main reasons for failure in teeth whitening is the preparation or rather lack of it. The teeth will receive the chemicals well if they have been prepared to receive it. It means that when teeth whitening is done in the clinic, the dentist prepares the teeth by removing tartar, and cleaning them of any plaque. So when you apply the product, it will have to deal with the stains on the teeth only, nothing else.

Products bought over the counter
Another reason for failure to whiten the teeth can be the material itself. Many products contain abrasive material and do not contain the bleach at all, which clears the stains by polishing away at them rather than whitening the enamel. When the product you are using for bleaching the teeth is not strong enough, then the desired effect is not seen. Hydrogen peroxide is an active ingredient in most teeth whitening products. In some countries, hydrogen peroxide has to be less than 0.1% in the product sold over the counter, which is not enough to work on stains. This is why the home-kit used by individuals at home is not very effective at teeth whitening.

Strong chemicals in the product
Teeth whitening agents which are bought over the counter may also be more concentrated than you need. When you apply this paste, it may corrode the enamel on your teeth make them sensitive.

Not following instructions
Sometimes, the user does not follow the instructions fully. Like, you are asked to pour the content of the product into the mouth guard like tray and hold it for some time. If the tray is removed before suggested time, the chemical reaction doesn’t get completed. In this case, the stains do not get removed at all, or are removed in part.

Misinterpreting the stains on your teeth
Then there is misinterpreting the stains on your teeth. In some cases, the enamel on the teeth wears away and becomes thin, which allows the colour of dentin to show on the teeth. This colour is not a stain, but the natural colour of the teeth which cannot be whitened.

Skipping steps in the treatment
Some of the times the user does not read and follow the instructions fully and skips some of the steps. For example, when the treatment needs to be repeated every week for a few weeks and you forget to repeat it at the stipulated time, then the result may not be what you had expected.

Very high expectations from teeth whitening procedure
There are some people who expect too much from the teeth whitening procedure. It cannot totally whiten your teeth. The usual result you get is a shade or two lighters than your original shade. Do not expect to change your shade which is genetic.

Decay in the tooth
The less common reason could be a decay in the teeth which appears as a stain. This decay cannot be whitened with any product. It has to be treated by the dentist.

Rehydration
You must allow the tooth to rehydrate before reapplying the teeth whitening product.

Inhibited by previous dental work
When there is previous dental work done on the teeth, they prevent the chemicals in the product to work effectively.

Replaced teeth and crowns
You can whiten your original teeth only. Replaced teeth or crowns cannot be whitened.

Intensity of the stain
We must also remember that the darker the stain, the more intense treatment it will require. And even after repeated treatments, we cannot get rid of some stains at home.

Medicines taken for other diseases
Other reasons for teeth whitening not working includes medicines taken for any other ailment or diseases like cancer.

What we should remember is that we can whiten our teeth only to our original colour with which we are born, not whiter than that.

When should Wisdom teeth be removed?

Ad Min - Thursday, March 11, 2021

Teeth that appear after all the permanent teeth have erupted and appear right at the back of the mouth. They get their name as they erupt when a person is older and mature. A total of four wisdom teeth appear, two on the top jaw and two on the bottom jaw. But not every adult has wisdom teeth, it is not seen in many. They are the widest of the molar teeth, they aid in grinding food.

Many think that wisdom teeth bring immense pain and hence it is important or safer to remove them. Not everyone has problems with wisdom teeth, only some have associated issues. It is important to check with the dentist if there are symptoms that affect oral health. During daily brushing and cleaning, for maintaining good dental health any unusual symptoms or signs noticed should be checked with the dentist.

Signs that show the need for wisdom tooth removal

  1. Pain

This is one of the first signs noticed if there is some issue with wisdom teeth. But this should not be confused with the normal pain that comes with each tooth eruption. The pain felt with impacted wisdom teeth is severe and increases with time. Impacted wisdom tooth results when the teeth do not have space to erupt or develop normally. They will get caught in the jaw bone itself being embedded in it or stay just below the jaw line.

  1. Infection

When you see infection inside the mouth, especially in the last tooth it is an indication that further checking needs to be done. Inflammation is seen in the area where the wisdom tooth will emerge. Tissues get swollen, tenderness and redness are seen – these are signs of infection. When the wisdom tooth is partially impacted, infection chances are high. This condition though is seen mostly in the lower molars and not in the upper jaw areas.

  1. Cysts

Cysts developing in the teeth, particularly wisdom teeth, is also a sign that points to its extraction. Teeth will develop in a sac in the jaw bone. These sacs form over the partially erupted or impacted teeth. These sacs will attract bacterial infection, which can also spread to other neighbouring teeth and damage them. Along with the teeth decay, damage to the jaw bone is also noticed. Besides cysts, tumours also can develop when the wisdom teeth are impacted.

  1. Affecting neighbouring teeth

Sometimes, wisdom teeth may affect and damage the dental health of the neighbouring teeth. Wisdom teeth sometimes do not get enough space to erupt. They will then push against the adjacent teeth. The molars then will be pressured and overcrowding of teeth will be seen. This situation can also lead to increased chances of infection as food debris becomes lodged between crowded teeth. If the situation is severe it will also need orthodontic treatment.

  1. Gum disease

Another concern that crops up due to wisdom teeth is gum disease. An impacted wisdom tooth is stuck in the gums. This will cause the gum tissue to be swollen and tender. Bleeding from the gums can also be seen in some cases. Pain is felt severely as the gum tissues are also infected. The health of the gum tissues gets eroded and they are unable to provide support to the teeth.

  1. Widespread tooth decay

Decay is seen in the case of partially impacted wisdom teeth. It is very difficult to clean this type of teeth. Brushing and flossing will not be able to clean the wisdom tooth. This will attract plaque and tartar formation and attract more bacterial action. The decay will then spread to neighbouring teeth also and the dental health gets affected. If the wisdom tooth is crooked, then the root of the tooth can also affect the root of adjacent molars.

The procedure of wisdom teeth removal

Wisdom teeth removal is done when the tooth is impacted and will bring in decay to adjacent teeth and affected oral health. Impacted teeth – partial or full will need dental surgery to remove. This is because the wisdom tooth is stuck in the jaw bone and will need to be extracted by cutting the jaw bone. If there is an infection, then the procedure will be done after the infection is cleared. Dentists will prescribe antibiotics and pain killers to help with the infection cleaning.

The dental surgery is conducted under anaesthesia. After the area is numb, the dentists will begin the procedure. If there is any gum tissue over the tooth, then it is removed first. Then the anchoring of the tooth is removed. The root that connects the tooth to the bone is removed to ease the process. Then the impacted tooth is removed. Sometimes the dentist will remove the tooth in pieces and not as a whole tooth. After the surgery is done, stitches will be placed, they will dissolve in a few days’ time.

As surgery has been performed, the pain will be felt for a few days but it will soon diminish. Dentists will be prescribing pain killers to tide over this pain and to cut off any infection. Care should be taken after the surgery as this will aid in the easy recovery. Numbness in the area will be felt for some time after the surgery so one should be careful not to bite in the area where the surgery has been done. The swelling will be seen in the cheeks, placing a cold compress will help to bring down the swelling.

Consuming food and drinks should also be taken care of. Drinking from straw should be avoided for the first few days. This is because a blood clot will be formed while healing, using a straw will dislodge it and bring in more bleeding. Soft food can be taken as this will help to reduce the strain and pressure on the teeth in general. If the bleeding or the pain is severe and unbearable then check with the dentist, they will be able to guide you on what needs to be done.


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