Mentioned below is the relevance of a few common medical conditions prevalent among the Indian population, to dental treatment.
To avoid such a situation the patient should religiously control his or her Blood pressure before visiting a dentist for any treatment.
There is failure in the breakdown and removal of the drugs taken, before during and after the procedure. This results in poisoning of the body due to increased circulation of the drugs in the system.
Liver produces certain substance, which help in the normal clotting of blood. Thus damage to the liver can also result in increased bleeding.
Therefore it is essential to test the normal functioning of the liver following an episode of jaundice to avoid the above mentioned complication.
For e.g. Dental treatment particularly tooth removal will have to be postponed for a period of six months following an episode of heart attack. The stress experienced during a dental treatment in such a patient is sufficient to trigger off another attack on the dental chair.
For eg. Oral Cancer, which develops due to persistent smoking and pan chewing shows change in the inner check, tongue and the gums much earlier than the actual lesion. These changes if picked up early can be treated and restored to normalcy there by preventing the disfiguring and life threatening lesion which is bound to follow.
Similarly, measles can be spotted much earlier by a dentist rather than by a physician. This is because of the small spots or boils called koplik spots, which develop a couple of weeks in advance on the inner cheek.
ROOT CANAL TREATMENT OF MILK TOOTH
ROOT CANAL TREATMENT
The portion of the tooth seen in the oral cavity is called the crown of the tooth and portion which is anchored within the jaw bone is called the root. Depending on the size location and function a tooth may have one or more roots. The tooth has this inner core of soft tissue called pulp. The pulp comprises of all the nerves and blood vessels, which keep the tooth alive. In the crown, the pulp is present within a chamber called pulp chamber and it extends into the root via a narrow tapering canal called root canal. The blood vessels and nerves, which travel through this canal, leave the tooth through a small opening present in the lower end of the tooth ultimately joining with the other major blood vessels and nerves running within the jawbone.
What is a root canal treatment?
2. Biomechanical preparation: In this step the hollow space which once contained the infected pulp is cleaned and shaped. Cleaning is usually done with the help of saline water and thin dental files. These files are moved along the surface of the root canal making it large and smooth. This procedure not only removes traces of bacteria from the root canal, but also makes the root canal more receptive to the filling that is to follow.
3. Obturation: Once the canals have been cleaned with the files, the canals are filled with a special filling material. The purpose of this filling material is to seal the canals and prevent future infections inside the tooth.
DIET AND DENTAL HEALTH
Some of them are:
1. All sugars (including honey)
2. Soft drinks such as colas and
3. Nearly all cereals
4. Cakes, biscuits and puddings.
5. Jam on your bread, marmalade on your toast.
6. Chocolates, sweets and toffees.
7. Peppermint sweets (they are the most dangerous because people believe the peppermint taste to be ‘medicinal’. These sweets are almost pure sugar).
As has been shown already, both dental caries and periodontal disease are the result of bacterial action, in the plaque, which collects on the teeth and gums.
A chocolate candy bar of about 50 grams may contain the equivalent of ten teaspoons of sugar! A slice of two-layer chocolate cake may be the equivalent of fifteen teaspoons of sugar!
These sugars are not an essential part of a normal diet. Hence reducing the total intake, will not only benefit the teeth, but also the general health. However, it is the frequency of sugar intake, more than the total consumption, which is important in influencing tooth decay. It was shown that the acid formed on the tooth in seconds from sugar might take twenty minutes or more to disappear from the mouth. Thus, small sugary snacks every two or three hours throughout the day will keep the teeth bathed in a dangerous acid state.
If Children must have sweets, they should have them only once a day (preferably during meal time). But it is better to recommend sugar-free snacks. A good list would contain:
Fruits: Apples, Oranges, Pears, Bananas
Vegetables: Carrots, Celery, Tomatoes, Lettuce, Cucumber, also Nuts, Crisps, Cheese (in cubes), Eggs, Milk, Yogurt.
In this way if we eliminate sugar, we reduce the formation of plaque by depriving the bacteria of the food, from which they form the acid.
The damage by erosion that, say, lemon juice can do to the enamel will have to be seen to be believed, So avoid frequent tooth contact with lemons, grapefruit, vinegar and other strongly acid substances.
The chemist’s shop may also be a source of danger to the teeth, many cough and throat sweets, lozenges, syrups, and elixirs are loaded with sugar, sometimes up to 50-60 percent. This is to make the product palatable.
Many people worry about bad breath, either their own or someone else’s. The advertising media have made much of the social stigma arising from ‘offensive breath’ to their own advantage. Bad breath or halitosis may indicate a dental problem, but this may not always be the case.
The odour may be caused by factors in the mouth or by changes occurring in other parts of the body.
· Decaying food particles on or between the teeth
· A coated tongue covered by growing microorganism.
· Unclean dentures
· Smell of tobacco
· Gum diseases with pus production involved
· Healing wounds after a surgery or extraction
Causes arising away from the mouth:
· Head cold with infected nasal air passages
· Acute inflammation of air spaces present within the facial
bones (often filled with a great deal of pus )
· Many waste products are broken down from food and drink
are excreted through the lungs and this applies to alcoholic
drinks as well as pungent foods like onion, garlic etc.
· Diabetes in which the patient has a sweet acetone breath.
Bad breath is not a disease; it is rather a symptom, which indicates the presence of disease either within the mouth or away from the mouth. Odours, which may appear unpleasant to many, may not be the same to some e.g. People in the Mediterranean area are accustomed to the scent of garlic, a scent which many people around the world find obnoxious.
Bad breath, or halitosis, is a very common oral health problem. People of any age may have halitosis, including:
Those who practice poor dental hygiene.
The elderly, disabled people and young children, who find dental hygiene difficult.
People who use mouth appliances, like dental braces and dentures.
Smokers are more prone to halitosis and periodontal disease (another contributor to bad breath).
People with certain medical conditions, including tooth decay, impacted teeth, abscessed teeth, periodontal disease, alcoholism, uncontrolled diabetes, kidney & liver disease, digestive disorders, sinusitis, throat and lung infections (such as bronchitis), post-nasal drip, allergies and dry mouth. Dry mouth may result from a high-protein diet, non-fibrous diet or medical condition.
People on certain medications, including certain vitamin supplements, antihistamines, calcium blockers, cardiac medications, blood pressure pharmaceuticals and psychiatric drugs. These substances can inhibit saliva flow or produce dry mouth, which may lead to halitosis. Dry mouth may also lead to excessive thirst and tooth decay – a good foundation for halitosis once again.
Poor dieters who are dehydrated because of certain foods they eat may have bad breath. Foods that contribute to halitosis include diet soda, onions, spices, garlic, curry, cabbage and coffee. High-protein food debris lodged between the teeth can produce halitosis as well.
Bacterial Origins of Bad Breath
Researchers have determined that bad breath typically begins when the waste produced by bacteria in the mouth, nose or stomach comes into contact with the air.
There are numerous nasal triggers for bad breath. Nasal dysfunction, including a genetic abnormality in the nasal passage, may inhibit proper mucus flow. The bacteria found in sinusitis, post-nasal drip and allergies may pass from the nose to the back of the tongue where it can lie dormant due to improper saliva flow or poor dental hygiene.
When bacterial plaque is not removed from the teeth, the gums or between the teeth, it continues to grow and ultimately may lead to halitosis, tooth decay and gum disease.
DENTAL IMPLANTS FAQs
Implant treatment normally has two stages. First, the implant is placed in the jaw. Then, when the gum has healed, replacement teeth are attached to the implant. In some situations it is possible for temporary teeth to be attached to an implant at the time of fitting.
Are implants safe? How long will they last?
Implants are a well-established, tried-and-tested treatment. 90 per cent of modern implants last for at least 15 years.
I have some of my own teeth. Can I still have implants?
Yes. You can have any number of teeth replaced with implants - from one single tooth to a complete set.
Can implants always be used to replace missing teeth?
It depends on the state of the bone in your jaw. Your dentist will arrange for a special radiograph to assess the amount of bone still there. If there is not enough, or if it isn't healthy enough, grafting or placing of bone may be required prior to placing implants in that area first.
Do implants hurt?
Placing the implants requires a small operation. This will be carried out under local anaesthesia itself- the same that is given for removal of teeth. You will not feel any pain at the time, but you may feel some discomfort during the week following the surgery. This is usually due to having stitches in place, and the normal healing process which is relived by the medication prescribed.
Can I have the new teeth straight away?
No. The implants need to bond (integrate) with the bone after they have been placed. This takes at least 3 months in the lower jaw and 6 months in the upper jaw. If you are having one, two or three teeth replaced, you will have a temporary restoration in the meantime. If you have complete dentures, then you can wear them throughout the healing period once they have been adjusted after the surgery.
How long does treatment take?
It takes up to 6 months from the initial assessment to the time when the artificial teeth or dentures are finally attached to the implants. However, if only the lower jaw is involved then it may only take around 5 months.
A lot depends on how complicated your treatment is. Your dentist will be able to give you a timetable once the surgery has been done. In the meantime however, immediate loading teeth or temporary crowns are placed.
Are the teeth difficult to clean?
Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth. However, you'll be shown methods to help keep your implant area clean and healthy.
If I had gum disease when I had my own teeth, will I get it with the teeth attached to the implants?
Only if you don't care for them well enough. If you keep them clean, then you should not have any problems.
Can I take the teeth out if they are fixed to implants?
Most artificial teeth attached to implants can only be placed and removed by the dentist. However, if you have complete dentures fixed to the implants by bars, then you'll be able to take them out for cleaning.
Do I have an implant for each missing tooth?
No, unless you're only having a single tooth replaced. Normally, four to six implants are used to replace all the teeth in one jaw, as each implant can usually support two teeth. For a few missing teeth, two or three implants may be sufficient.
What happens if the implant does not bond (integrate) with the bone?
This happens very rarely. If the implant becomes loose during the healing period or just after, then it is easily removed and healing takes place in the normal way. Once the jaw has healed, another implant can be placed there. Or, the dentist can make a bridge, using the implanted false teeth that have 'taken'.
Is the treatment expensive?
Unfortunately, yes. However, in many situations, the cost of the treatment is only a little more than the cost of more conventional treatment with crowns and bridges.
There are advantages to it, too. An implant to replace a single tooth avoids the need to cut down the teeth either side for crowns to support a bridge. Also the implants serve a lifetime and not only till your adjacent teeth remain healthy like in bridges. Moreover, with age as all other teeth are lost, the implants already present can be used to provide fixed complete dentures. Normal dentures often mean you can't eat or speak well, due to the dentures moving about. But teeth attached to an implant don't cause this problem. Also, the implants integrate into bone preventing bone loss unlike crowns and bridges, thus delaying the signs of aging.
Your child needs to eat a variety of foods: grains, milk and milk products, meat, vegetables and fruits. Try to avoid establishing a “sweet tooth” by limiting foods high in sugar.
Tips to better oral hygene:Snacks containing sugar increases a child’s risk of developing cavities. Each time your child eats sugar, plaque in the mouth combines with sugar to produce acid. These acid attacks the teeth & over a period of time can destroy the tooth structure
Your child needs to eat a variety of foods: grains, milk and milk products, meat, vegetables and fruits. Try to avoid establishing a “sweet tooth” by limiting foods high in sugar.
• Cut down on high sugary snacks and offer your child snacks which are low in sugar such as vegetables, cheese etc. These do not promote tooth decay.
• Cut down on the sugary and sticky food stuff and snacks. With frequent snacking, the acidity of the mouth stays high. This exposes the tooth to acid for extended time periods. Frequency of snacks will increase the risk of developing cavities more than the amount eaten at one sitting.
• Avoid soft, sticky sweets that lodge in and between tooth surfaces, such as toffee, dried fruits, etc. Sticky foods are retained in the mouth longer and as a result, the acid which destroys the tooth is produced for a longer period of time. The consistency of the snacks increases the risk of developing cavities more than the amount eaten.
• Natural sugars (found in breast milk, fruit, milk, bananas) have the same effect on your child’s teeth as refined sugars (found in soda pop, ice-cream, cake). Healthy foods should not be avoided, however, brushing afterwards is important in the prevention of tooth decay.
• Don’t give your child sugar-rich foods that stay in the mouth and prolong the acid attack, such as gum, hard candies, lollipops, etc.
• If you do serve sweets, serve them with meals. Increased saliva flow during meals helps neutralize the effects of sugar.
• Brushing and flossing after snacks and meals is important in preventing cavities.
|Diabetes Mellitus is a condition whereby the sugar (glucose) from food is not used by the body. The reason the body is not able to use the sugar could be due to one of the following:|
Type I Diabetes: The body does not produce enough insulin ( a hormone that is needed to absorb glucose)
Type II Diabetes: The cells in the body don’t interact with the insulin.
Therefore, the type of diabetes an individual has will dictate how it can be controlled. Those people who do not produce enough insulin can receive insulin injections. Individuals whose cells don’t react with the insulin can try to control their diet and the types of food they eat (reduce the amount of sugar and fat)
A disease such as diabetes affects the entire body including the mouth. Here is some information in a question and answer format that may shed some light on how diabetes affects the teeth, gums and breadth.
Q: Are diabetics more at risk for getting cavities than non-diabetics?
A: Not necessarily. If the condition is monitored and controlled the diabetic is at no greater risk for getting cavities than a non-diabetic.
If the condition is not controlled and the diet consists of foods high in sugar and starch, the diabetic’s chances of getting cavities will increase. It is understood that diabetics sometimes eat smaller meals, requiring more meals per day. This means frequent doses of sugar (in various forms) throughout the day. A diabetic needs to ensure he/ she brushes teeth after every meal and flosses daily.
Some diabetics have noted their mouths feel dry. If this is the case, then the risk of cavities is definitely increased. Normally, saliva washes over the teeth collecting some (not all) sugar and is then swallowed. Without enough saliva in the mouth, sugar is allowed to remain on the teeth. This allows the sugar an opportunity to cause decay.
Q: What can gum disease mean for a Diabetic?
A: Diabetics are known to have a decreased dental healing response. Gingivitis is an infection within the gums caused by bacteria found in plaque. A diabetic’s body doesn’t respond as quickly to fight this type of infections as a non-diabetic. If the infection persists it can become worse leading to the infection of underlying bone that anchors the teeth in place. It has been shown that diabetics who keep their condition under control have a better chance of combating infections than those who are poorly controlled.
In addition to controlling the condition of diabetes, the importance of maintaining good oral health is essential. Brushing and flossing help to reduce plaque and bacteria that cause infection and thereby decreasing the risk of gum disease.
Q: Will a Diabetic lose their teeth sooner that a non-diabetic?
A: Many factors contribute to the loss of teeth in someone who has diabetes. A poor healing response combined with gum disease and the destruction of bone anchoring the teeth in place may result in teeth that become loose and eventually fall out. Although diabetics have no control over their response to infection, they can practice good oral hygiene habits (brushing and flossing). Removing plaque will reduce or eliminate infection. Ensuring the diabetes is controlled (taking insulin, altering diet) is also a way of decreasing the risk of tooth loss.
It should be noted that a diabetic may have excellent oral hygiene and still suffer from gum disease and bone loss. If this is the case, additional measures can be taken. A dentist can recommend a special prescription mouthwash which kills various bacteria in the mouth that contribute to gum disease. Your dentist can write the prescription. Diabetics should be encouraged to ask their dentist any questions they have regarding their oral health status.
Q: Many Diabetics have unpleasant “Fruity – Sweet” smelling breadth. Is there anything they can do about it?
A: Unfortunately, no. The “fruity-sweet” breadth is caused by the disease itself as a result of the body’s natural defense against decreased glucose use. There are some methods of masking the odor, but they are only temporary and do NOT eliminate the problem. Some things that may help are:
Chewing gum (make sure it’s sugarless)
Using a mint flavored mouthwash
While there are many other concerns that people with diabetes may have, these are the basics pertaining to the oral health. If you have any questions that have not been answered, or would like more detail, please don’t hesitate to contact your dentist.
IMMEDIATE IMPLANTS DETAILS
When ever a dentist puts an implant – he checks the general and dental health of the patent. Dentist will get some investigations done like an O.P.G. x-ray, a C.T.Scan for jaw bones your blood analysis and also the bone quality check up too. If any pre-existing dental condition is there it will be treated first prior to the implant surgery.
Procedure for Implant Placement –
The dentist will give you local anesthesia and will reflect the gum tissue, then will drill a hole in your bone where dental implant has to be placed. After preparing the site well an implant will be placed and secured with in the bone. Once the surgery is over a time period is given to the implant to get integrated with the bone. For Conventional implants time is 3 to 6 months depending upon the bone condition. For Immediate implants we can put the crown with in 2 to 3 days.
Low Cost and best price of dental implant dentist treatment procedure in India –
At dental implant centers in Chennai and dental implant clinics in India, best implant dentist in Chennai and India offers best price low cost and affordable dental implants treatment procedures as compared to dental implants treatment in Thailand, dental implants treatment in Hungary, dental implants treatment in London, dental implant treatment in U.S.A.
Generally the cost of implant in India ranges between 15,000 to 45,000 INR. Depending on which system the person is interested in. As a general cost – this cost can go as high as 60,000 to 70,000 INR. This steep increase in price is associated with the dental health of the patient as he may require - bone grafting – sinus lift – gum surgery procedure – prior or during the dental implant surgery in Chennai and India.
The overall cost of dental implant treatment will include – initial dental implant Consultation, X-rays for dental implants, Blood tests , cost for the dental Implant in India, any Additional Surgery as bone grafting etc, Type of Abutment used Type of Crown that will be place on implant.
So for people who are considering this treatment as tooth replacement option, they should inquire about the full cost involved before finalizing the treatment.
All implant surgeries in Chennai and India are done under strict sterilization and sedation to minimize any pain or discomfort.
All dental implants used at centers in India are CE and ADA certified.
Bridges are tooth replacements attached to adjoining natural teeth. They’re best for people with a few missing teeth.
The two most common kinds of bridge are fixed bridges and Maryland (bonded) bridges. Both require that the adjoining teeth be healthy and have good gum and root support. Bridges take two or three visits to put in place and can be removed only by your dentist.
Implants, artificial tooth support surgically set in the jaw, can be used to replace any number of missing teeth. This procedure is best for adults who experience discomfort with conventional dentures but who have healthy gums, adequate bone to support the implant, and a commitment to oral hygiene.
Implants usually require outpatient or office surgery and take from three to nine months to complete.
Maryland (Bonded) Bridge
• A Maryland (bonded) bridge consists of one or more artificial teeth between metal clasps. The anchor teeth are reshaped slightly, and the clasps are bonded to them.
A denture is a set of removable artificial teeth that rest directly o the gums.
Partial dentures are best for people with several teeth missing and whose adjoining teeth are too weak to hold a bridge.
Full dentures replace all the teeth on a jaw. They’re best for those who have lost all their upper or lower teeth because of such problems as decay or gum disease.
- Brush and floss regularly. All tooth replacements are potential food and plaque traps, so good dental habits are more important than ever. Use a special toothbrush with a small, tapered head to reach hard-to-clean areas. Your dental professional can recommend one.
- Rinse your mouth with water after every meal, and if you wear dentures, rinse them out too. Rinsing will prevent food from getting trapped in or around your fixture.
- Ask your dentist or hygienist about alternatives to using floss if you can’t floss properly because of age or a handicap.
- Clean dentures thoroughly every night. Your dentist or hygienist can recommend a cleaning solution, but be sure to rinse it all off before putting the dentures back in your mouth or before storing them.
- Store dentures overnight in a moist denture box to keep them from drying and warping.
- Keep your mouth clean as well as your dentures. Brush your gums and the roof of your mouth with a soft brush (whose bristles can be further softened in a warm-water soak). You’ll clean away food particles and keep your gums healthy.
THE BIG FIX
Tooth repair can make the difference between saving and losing damaged tooth. Dentists can repair a tooth that has decayed or been injured and can restore it to its normal function. The three most common procedures are fillings, crowns, and root canals.
When decay creates a cavity in a tooth, the dentist usually fills it with durable material-most often gold, a composite resin (a tooth-colored plastic), or a metal alloy called amalgam.
Visits needed: One.
Durability: The lifespan of a filling depends on its location, the material used, and the care you give your teeth. Gold can last from five to more than 20 years: amalgam or a composite resin can last five to 15 years.
How Teeth Are Filled
A crown is cover for a tooth that’s been weakened by decay (right) or by recurrent fillings. A crown may also be required after a root canal or when a tooth has broken or cracked. The most common material used include gold, porcelain, and metal alloys.
Visits needed: Two
Durability: Crowns can last from five to more than 20 years, depending on the material used. Gold is the most durable.
If a tooth’s which contains nerves and blood vessels, becomes infected or damaged because of deep decay or an injury, root-canal treatment may be the only way to save the tooth. The procedure cleans out the pulp chamber and repairs the damage.
Visits needed: One to three, depending on the condition of the pulp. If the tooth is abscessed (meaning the pulp has died and the infection has entered the bone anchoring the tooth), the infection may have to drain before the empty root can be filled.
Durability: The material used to fill the root canal will probably last the rest of your life. But you may eventually need to have the filling or crown replaced.
HOME H CARE
- Avoid hard or chewy foods for 24 hours if you’ve had an amalgam filling. It may continue to harden during this time.
- Eat normally if you’ve had a composite-resin or gold filling, it’s as hard as it’s going to get when you leave the dentist’s office.
- Call your dentist if a filling falls out or feels loose.
FOR CROWNS AND ROOT CANALS
- Don’t be surprised if your tooth is sensitive for a few days if you’ve had a crown or root canal done. A crowned tooth may be temporarily sensitive to heat and cold, and a tooth that has had a root canal may be tender because the surrounding tissue is inflamed. Over –the-counter pain relievers can reduce discomfort following a root canal.
- Floss around the edges of your crown. The tooth may be protected by the crown,, but the gumline and adjacent teeth are still susceptible to trapped food and plaque buildup, which can result in gum disease or additional decay.
- Call your dentist if a crown falls off or feels loose.
Asked questions about
WHAT IS ORTHODONTICS?
The process of straightening teeth, is called Orthodontics. It may be loosely defied as the science of moving teeth, straightening irregular, crowded or improperly placed teeth. Dentists who are specially qualified in this area of expertise are referred to as Orthodontists.
- Small jaw
- Bad lip and tongue habits
- Other habits like breathing through the mouth, nail biting
- Incompetent lips
- Injury / accidents
In some cases a patient may need to get some teeth extracted in order to fix the braces. Teeth are only removed after serious consideration. However, if the patient is referred to a qualified orthodontist at a young age and the problem is not severe, then the entire treatment may be carried out without tooth removal. It is critical therefore to visit a dentist at the earliest sign of irregular teeth so that he may refer you to an orthodontist.
The treatment is certainly not painless, but the pain is mild and lasts from 3to 7 days after a visit to the Orthodontist. After this, there is no pain. During subsequent adjustments or wire changes, there may be mild pain.
Recent advances in Orthodontics have made treatment far more comfortable. The braces become a part of you, just like a pair of spectacles.
DO I HAVE TO MODIFY MY DIET?
You can continue to eat your favourite foods but they will have to be prepared specially. Your food will have to be softened. Or cut into small pieces, or he well-cooked before eating. Ice creams and colas may be had as usual but corn will have to be sliced off the cob, hard fruits will need to be sliced, nuts and chikki ground and chocolate must not be eaten after refrigeration.
Foods that are best avoided are popcorn, sticky chocolates, hard nuts and fruits, hard crusts and chewing gum. These food can break or loosen your braces making you uncomfortable and can delay treatment.
- Use a soft bristled toothbrush or an orthodontic toothbrush
- Brush twice a day in gentle circular motions with special emphasis to dislodge food that is lodged between teeth and the braces. Use a mouthwash to rinse additionally.
- Never allow plaque or food to accumulate on the teeth and braces.
You may have to wear small elastic bands which you change regularly. Some treatment requires a retractor or head gear, a lip bumper and other functional appliances which your orthodontist will show you how to use. Report any untoward change or damage of the braces immediately.
Not at all. You will only need to take reasonable care of your braces during contact sports like boxing, football, hockey, cricket etc. to prevent damage to the braces and injury to the teeth and lips.
Take this simple quiz
Your teeth are
Irregular / Crowded / Overlapping/
Have gaps / Back teeth / Rabbit teeth /
2. The chief causes of irregular teeth that
Will require orthodontic treatments are
Small jaws / Thumb sucking / Nail biting /
Injury / Accidents / incompetent lips /
All of these
3. The things I give up during treatment are:
Pop com / Hard & sticky chocolates /
Chewing gum / Hard nuts & fruits
The correct answers are
2. All of these
3. All of these
How can I care for my child’s teeth?
Remember that the teeth of babies, who sleep with a bottle of milk, formula or fruit juice in their mouth can suffer from decay known as Milk Bottle Tooth Decay. So the bottle should be removed as soon as the feed is over and do not use the bottle as a pacifier.
Even though primary (milk) teeth eventually fall out, they do serve a very important function. Besides helping in chewing, speech and good looks. Milk teeth reserve space for permanent teeth, so if a tooth is lost too early, new teeth could grow in crooked. If the milk teeth are well looked after, then it is more likely that the permanent teeth will grow in their correct position.
There are many ways to help prevent early decay, beginning with regular checkups. But if a cavity does develop in a milk tooth, be sure to have it filled. And if your child accidentally knocks a tooth out, place it in cool milk or the baby’s saliva or water and get to the dentist within half an hour so it can be replanted in your child’s mouth. This should be followed even for permanent teeth.
When your child is about a year old, it’s time he or she sees a dentist. Early visits can prevent minor problems from becoming major ones, and even though you are checking your child’s teeth, you may not recognize a problem. Don’t wait until there is a decayed or injured tooth to introduce your child to a dentist; make the first visit a positive one.
Imitation is the best way to teach your child how to brush and floss. Children as young as 2 or 3 can learn to brush by watching you, although you should follow up with a thorough brushing of their teeth.
A well balanced & nutritious diet promotes good oral health. However try and reduce ‘between-meal’ snacks specially of foods which contain sugar or carbohydrates in order to inhibit acid formation in the mouth. Do not get into the habit of giving your child a sweet to stop a tantrum or as a reward.
And remember, regular dental checkups are the key to healthy oral development.
- Thumbsucking is a natural occurrence for many babies and new-borns and they derive satisfaction from it. During the first year of life, thumbsucking should not be discouraged.
- If thumbsucking continues beyond four to five years of age, consult your dentist. If the habit is allowed to continue, it can lead to crooked teeth (Malocclusion).
Parents, too, play an important role in a child’s dental development, because better oral health for your child begins with you.
1. Hold the toothbrush just under the gum line at an angle of 45° Gently jiggle the brush or move in tiny circles over the teeth and gum. Repeat for each tooth.
|2. Use tip of toothbrush to brush behind each front tooth, both top and bottom.|
3. Brush the insides of each tooth using the same jiggling action in step I.
|4. For the chewing surfaces, use a light back and forth motion.|
5. Floss your toddler’s teeth regularly. Floss is wrapped round the middle fingers and then gently eased between the teeth with the aid of the forefinger and thumb. By the age of ten children can begin flossing by themselves.
1. To clean the outer surfaces, tilt the brush so its bristles point toward the gumline. Use gentle side-to-side strokes, moving across your teeth in a circular motion.
2. To clean the biting surfaces of the olars, hold the brush flat. Gently scrub your teeth by moving the brush back and forth.
3. To clean the inner surfaces of your back teeth, hold the brush horizontally and use the same gentle back-and-forth strokes.
4. To clean the inner surfaces of your front teeth. Hold the brush vertically and use gentle up-and-down strokes.
1. Break off about 18 inches of floss and wind most of it around your middle fingers. Hold it as shown above.
2. Slide the floss between teeth using a gentle sawing motion until it reaches the gumline. Curve the floss around the tooth and gently slide it into the space between the gum and tooth.
3. Scrape the sides of the tooth by moving the floss away from your gums. Unwind clean floss as you work.
- Use fluoride. Fluoride strengthens tooth enamel and helps prevent the bacteria in plaque from causing cavities. Some drinking water is fluoridated, and toothpastes and mouthrinses with the American Dental Association seal of approval contain adequate amount of fluoride.
- Eat a balanced diet, including fruits and vegetables, careals, dairy products, and meat. Calcium is essential for strong teeth and bones. Good sources include milk, cheese, yogurt, and tofu.
- Cut back on sugary and starchy foods, which can cause tooth decay. Beware of the hidden sugars some processed foods, such as peanut butter, ketchup, canned vegetables, and nondairy creamer.
- Don’t chew on hard substances, such as ice or popcorn kernels, or grind or clench your teeth. These habits can damage tooth enamel.
- Don’t smoke or use chewing tobacco, which can stain your teeth, contribute to gum disease, or cause oral cancer.
- Don’t drink too much coffee or tea, and avoid foods that may stain your teeth.
- See your dentist at least every six months for a general checkup and professional cleaning.
WHAT IS TOOTH DECAY?
Tooth Decay describes the condition wherein the tooth, under a variety of harsh conditions, breaks down leading to the formation of a cavity. It starts with a hole/opening in the enamel. If this is not treated, it progressively reaches the deeper sections of the tooth, where the pulp and the nerves are causing the tooth to become sensitive to a variety of stimuli, a variety of gum problems such as inflammation and swelling, pain, and ultimately tooth loss.
Tooth decay is a common dental ailment that may occur at any time or time or age. However, since the onset of tooth decay is strongly related to the unregulated consumption of sweet foods and beverages; it tends to affect the young and adolescents more than any other age. One form is diagnosed in nursing infants and is referred to as nursing caries.
WHAT IS ‘BABY BOTTLE TOOTH DECAY’?
A serious form of tooth decay affects nursing infants and is called ‘Nursing caries’ or ‘Baby bottle tooth decay’. In infants who are nursed continuously with a bottle/formula milk/ pacifiers; the milk is retained in the mouth as the child falls asleep with the bottle. This milk is an excellent nutritive media for a variety of gems present in the mouth. The milk is broken down by the germs to form harsh acids which lead to the formation of a cavity on the tooth.
1. POOR ORAL HYGIENE: Irregular & improper brushing, not flossing between teeth, not rinsing with water or mouthwash after meals speed up the process of tooth decay.
2. UNREGULATED DIET OF SWEET FOOD AND DRINKS: Periodic snacking on aerated drinks, jam, marmalade, even potato chips can lead to the formation of acidic by – products which damage the surface of the tooth enamel. This is the reason why most young children adolescents suffer from tooth decay.
3. BAD OR WORN OUT DENTAL FILLINGS: Tooth decay might develop again from exposed tooth surfaces.
If you have developed black or brown spots of decay on your teeth either in the fissures or on the smooth surfaces and it is associated with discomfort and /or sensitivity to hot and cold and / or frank pain, it is likely that you have tooth decay. Your dentist will evaluate you comprehensively and based on his clinical and radiographic findings he will do one of the following:
1. Make an opening in the crown and remove decay, shape the cavity and fill it with a tooth coloured filling or an amalgam filling. This could also be done under local anaesthesia.
2. If the dacay is very deep and the pulp (never, root canal) is involved in the decay process he will, under local anaesthesia go deeper into the pulp chamber, remove the pulp and the nerve, render it free of infection, do a root filling and later put an amalgam or a tooth coloured filling. Subsequently he will put a veneer or a crown on the tooth as the case may be.
Brush your teeth twice a day. Hold a soft a brush at the gum line at a 45° angle. Brush in a circular motion to massage the gums and an up-down motion to dislodge plaque. Do this gently on the outer as well as inner surfaces of teeth.
Dentists recommend using a toothbrush with soft bristles and a small head. Replace your toothbrush every 3 months or as soon as it loses it’s original shape. Once a brush loses its shape, you require more pressure for the same cleaning action. This extra pressure is damaging to gums as well as the protective enamel layer.
CHOOSE THE RIGHT TOOTH BRUSH
Floss daily to remove plaque from between teeth. Take about 18” of floss and wrap most of it around your middle finger and the rest around the middle finger of the other hand, leaving a 2” length between them. Using your thumb and forefinger, gently scrape the side of each tooth away from the gum.
D I E T
Reducing the frequency of in take of sweets during the day, decreases the number of ‘acid attack’ by the digestive breakdown of these foods in the mouth. This prevents further damage to the tooth.
Expectant mother must be particularly careful with their diet and must make sure that it contains all the necessary nutrients and vitamins [described below] since the foundation of a child’s teething is laid early in the second trimester [3 to 6 moths]
A balanced diet that includes all food groups such as fresh fruits, vegetables, bread, cereals as well as other grain products, Dairy products such as milk, cheese, yogurt; meat, poultry, fish provides the essential nutrients required for dental growth.
- Oral prophylaxis
- Diet Counselling
- All of these
- 6 Months interval
- Ages 3, 7, 10, and 13 years
- Patients need
- Smaller diameter bristles
- Softer Bristles
- An angled head
The Correct answers are
Simple answers to frequently asked questions about
WHAT IS PERIODONTAL DISEASE?
A disease which affects the gums and other supporting structures of the teeth is known as Periodontal disease. It is commonly known as gum disease. The early
Stage of the disease is referred to as Gingivitis and is characterised by inflammed gums which bleed easily. In the more advanced stage, the disease affects the bone and other supporting structures and is known as periodontitis.
WHAT CAUSES GUM DISEASE?
The early stage of gum disease, gingivitis, starts with plaque. Plaque is a soft, sticky colourless film of bacteria that constantly forms on teeth. If you do not clean your teeth properly, the plaque builds and enzymes that can irritate the gums. Gums can become red, swollen, sensitive and can bleed on provocation.
WHAT HAPPENS IF GINGIVITIS IS NOT TREATED?
WHO CAN GET GUM DISEASE?
HOW DO I KNOW IF I HAVE IT?
Some early warning sings of impending gum disease are:
Gingivitis Red, swollen or tender gums. Gums that bleed while brushing,
Periodontis Gums separated from your teeth. Pus between teeth and gums.
Change in the way teeth fit together. Loose or shifting teeth.
Bad breath or bad taste.
Should you notice any of the above sings and symptoms, visit your dentist immediately. It is prudent to meet your dentist at least twice a year thereafter.
- The only, effective way is to prevent build-up of plaque. Brushing and flossing twice a day & after meals can control plaque build-up
- Eat a balanced diet, especially one rich in dietary fibre. Fresh fruits and vegetables, milk and fish are recommended.
- Visit your dentist at least twice a year. He is trained to recongnise early symptoms of gum disease and offer curative procedures.
SO GUM DISEASE IS CURABLE!
Advanced gum disease, now referred to as periodontitis, may require surgery to help save teeth. Only very advanced stages are incurable.
HOW DO I PREVENT THE ONSET OF
GUM DISEASE IN THE FIRST PLACE!
Certain preventive measures are known to prevent the re-settling of plaque at the gum-line and therefore, reduce the risk of gum disease. You must practice these good dental habits:
- Brush your teeth twice a day. Hold a soft brush at the gum line at a 45* angle. Brush in a circular motion to massage the gums and an up-down motion to dislodge plaque. Do this gently on the outer as well as inner surfaces of teeth.
- Replace your brush every 3 or 4 months.
Floss daily to remove plaque from between teeth. Take about 18” of floss and wrap most of it around your middle finger and the rest around the middle finger of the other hand, leaving a 2” length between them. Using your thumb and forefinger, gently scrape the side of each tooth away from the gum.
Rinse your mouth with water thoroughly after each meal. Rinse for a minute everyday with mouthwash.
- Regular and effective brushing
- Flossing in between teeth
- All of the above
2. One of the main causes for the onset of gum disease is
- Plaque build-up
- A damaged toothbrush
- Chewing hard foods.
- Early gingivitis and then periodontitis
- Periodontitis followed by advanced gingivitis.
1. All these
2. Plaque build-up
3. Early gingivitis followed by advanced periodontitis
Simple answers to frequently Asked questions about
Oral Cancer is a disease that starts as an uncontrolled growth of cells in the mouth. It leads to disfigurement of the face, debility of body and eventually death.
SOME KINDS OF ORAL CANCER
Oral Cancer is the most common of cancers in India with as many as 64,460 cases reported each year. That makes it as common as cancer of the lungs, breast or cervix. As much as 7% of all cancer deaths in males and 4% in famales have been reported to be due to oral cancer. The figure continues to rise rapidly because of bad oral habits such as chewing of gutka, tobacco, and smoking among
A white or red patch in the mouth or on the tongue, a painless ulcer which doesn’t heal for over two weeks, difficulty in eating, drinking and speaking are some of the early sings of oral cancer. If these symptoms appear, you must see your dentist immediately.
Yes, you can, in fact it is strongly recommended because early detection can greatly increase the chances of a complete cure.
- Stand in front of a mirror in good light.
- Open your mouth wide. Look for small lumps or swelling, ulcers, a red or white patch.
- If you have dentures, take them out and inspect your mouth.]
- Inspect the lips with your mouth both open and closed.
- Stick your tongue out and inspect the margins, as well as below the tongue.
A good dentist is trained to recognize the clinical symptoms of an early oral cancer:
It is a raised white patch, which is associated with the constant chewing of tobacco and gutka. 2.8% of oral Leukoplakia results in cancerous growths.
Oral submucous fibrosis
It is the inability to open the mouth and / or a burning sensation which affects 9 per 10,000 Indians.
It is a skin affliction occurring in the mouth. It can be caused due to stress and diabetes.
It is a deficiency of iron very common in India, which can lead to the development of oral cancer.
CAN ORAL CANCER BE CURED? HOW?
If detected early, oral cancer is curable. The smaller the ulcer or affliction, the better the chances of cure.
Treatment involves the surgical removal of the afflicted parts followed by radiation. Chemotherapy is rarely advocated. Cancer of the lip shows 85% cure-rate. Other oral cancers if detected early and treated promptly, may prolong the life of the patients, by as much as 20 years.
HOW TO AVOID ORAL CANCER?
Since oral cancer is very common in India, extra precaution is suggested.
- Avoid bad oral habits like chewing tobacco, gutka and smoking. These bad habits increase your chances of getting oral cancer dramatically.
- East a diet rich in fiber, fresh fruits and vegetables, fish and dairy products such as butter milk.
- Visit your dentist twice a year.
- Brush twice a day and maintain good oral hygiene.
Take this simple quiz
1. The common clinical condition that may transform into oral cancer is….
Leukoplakia / Arthritis / Lichen Planus / Submucuos Fibrosis.
Red & white patch / Discoloration of lips / Non-healing ulcer / Difficulty in opening the mouth.
Chewing Gutka, Paan, Tobacco, Smoking Chewing Bubble Gum, Bad oral hygiene.
2. Discoloration of lips
3. Chewing Bubble Gum.
There are two tooth veneers procedures available that correct discoloration of the teeth by removing the brown and yellow staining. While each work effectively, there are advantages and disadvantages to each procedure dependent upon your objectives and commitment to the processes. The type of procedures available should be discussed with your cosmetic dentist, and they will recommend the most appropriate tooth veneers procedure for you.
Only the teeth that show are veneered and this procedure can be carried out on both the upper and lower teeth. Teeth are prepared for veneers by lightly buffing to allow for the small added thickness of the veneer. Veneers are created from an impression taken in your cosmetic dentist's office. Your custom veneer is then placed directly onto your tooth with water or glycerin to verify their perfect fit and the shade or color. The color cannot be changed after the veneers are adhered to your teeth. The tooth is then cleansed with chemicals to achieve a durable bond. Once the glue is between the veneer and your tooth, a light beam is used to harden the glue/cement. Usually porcelain veneers require two visits and also require a dental laboratory to create the final tooth restoration piece.
Composite Veneer Procedure
Composite (direct) veneers are usually performed in a single visit to your cosmetic dentist. The procedure is an application of a bond and enamel directly to the tooth's surface.
Advantages & Disadvantages of Dental Veneers
Advantages Dental Veneers:
Typically costing less than dental crowns, dental veneers won't stain, making dental veneers a very popular solution for many people seeking that perfect smile. The primary advantages are the beauty and durability of the material. Veneers last from ten to fifteen years, and come in colors that will brighten dark teeth without the worry of them changing color. Because porcelain doesn't stain like composite resin, it remains attractive for a much longer period of time, making veneers a very popular solution for many people seeking that perfect smile. In addition, gum tissues tolerate porcelain well, thus reducing the likelihood that gum problems will develop. An advantage of veneers over crowning is that you will keep more of your original tooth.
Dental veneers are typically done in only two one and a half hour long appointments, and can actually strengthen your tooth. Following the two visits there is no additional maintenance, other than daily brushing and regular check-ups. You will have a brighter whiter smile which will improve your confidence in many different aspects of your life.
Disadvantages Dental Veneers:
It normally takes a week or two to adjust to any change in the size, spacing or shape of your teeth. While very little tooth is removed in most cases, there are times when more tooth must be removed and this increases the risk of trauma to the tooth. The amount of tooth to be removed for the veneers should be discussed with your cosmetic dentist beforehand.
Dental veneers are very reasonable facsimiles of natural teeth, but not perfect replacements for natural teeth. It's common to see slight variations in the color of veneers upon very close inspection, as with natural teeth.
Tooth Jewellery Skyce - (The million-dollar smile)
Tooth jewellery is much in demand these days in cosmetic dentistry. Most are making this style statement not only to surprise friends with a sparkling crystal glass design, or something in gold with a twinkle of ruby or diamond, but also add zing in life. These tiny little designs are great fun, and because there's no drilling involved, they won't harm your teeth.
If you want to make an oral fashion statement, there are safe ways. One is to use "Twinkles" - decorative appliqués that are bonded to teeth by the dentist, in the same way as orthodontic brackets. The procedure is very simple and usually takes about 10 to 15 minutes. They can be left in place for years if desired, but are removable, and do not damage the tooth. They're also a lot cheaper. Besides maintaining the health of your teeth, you can
Choices and Facts:
- Lots of fun designs to choose from
- Teeth jewellery is available in two colours: "crystal" and "sapphire blue"
- 'Twinkles' designs in 24k gold - with or without ruby and diamond
- No drilling, so the jewel does not damage tooth tissues and has no side effects
- Mostly jewels are applied to the labial surfaces of upper anterior teeth
- It can be easily removed without any damage to the tooth structure. Further, tooth jewellery can be fixed again at a later stage.