ARTICLES

  SENSITIVITY OF TEETH
  By: SHADIYA ABBASI, DENTINOVA DENTAL HOSPITALS
  Causes of Sensitive teeth .
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  BLEEDING GUMS
  By: DR SRINIVAS GOWD , DENTINOVA DENTAL HOSPITALS
  Gingivitis is almost always reversible but if not taken care of may lead to serious problems.
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  DENTAL IMPLANTS
  By: DR NADEEM HUSAIN M.D.S.
  XXXDR MAHENDERNATH REDDY M.D.S
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  BRUSHING AND FLOSSING FOR KIDS
  BY: DR SHADIYA ABBASI
  XXXDR AMINA KHANAM
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SENSITIVITY OF TEETH

What are sensitive teeth?
The part of the tooth that we see is covered by a layer of enamel that protects the softer lentin underneath.
When this dentin gets exposed, the tooth becomes sensitive. This usually happens where he tooth meets the gum and the enamel layer is much thinner.
 

What are the causes of sensitive teeth?

1

Toothbrush abrasion
a.

Brushing too hard

b.

Brushing sideways 

   
2.
Dental erosion
a.
loss of tooth enamel caused by acidic foods/drinks
3.
gum recession
a.
gums recede naturally exposing the roots that do not have the enamel layer on them
4.
gum disease
a.
build up of plaque/tartar – gum recession and pocket formation – root exposure [ST]
5.
Fractured tooth or fractured filling

 
What factors can worsen the condition?
1.
drinking or eating cold stuff
2.
cold air hitting the tooth
3.
sometimes due to acidic food/drinks

How can I prevent sensitivity?

1.

visit your dentist atleast once in 6 months
2.

brush your teeth twice a day using a fluoride toothpaste in small circular motions

3. use a soft-medium bristle brush
4. Avoid fizzy and acidic drinks
5. In case of habitual grinding of teeth, a mouthguard may be advised by your dentist

What treatment does a dentist offer for sensitive teeth?

1.

dentist can find out the main cause for sensitivity
2.

Desensitizing products… Using them under the dentists prescription may help in treating ensitivity

3. Fluoride gels, rinses or varnishes can also be applied by the dentist
4. sealing the tooth around its neck which is the most sensitive area is also of great help
5. In more serious cases root filling could be done.
   
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BLEEDING GUMS

  • Gingivitis the most common condition affecting the Oral Cavity. This condition primarily associated with Bleeding Gums which is seen as the inflammation around the teeth due to improper Oral hygiene maintenance.
  • Gingivitis is almost always reversible but if not taken care of may lead to serious problems.

What would be the cause?

1.

The major cause observed is poor maintenance of teeth such as failure to rinse the mouth after meals, which results in the formation of a thin layer (PLAQUE) of food and bacteria over the tooth surface. At this stage the gums become soft, spongy and swollen.
2.

Trauma to the gums due to hard brushing/tooth picking.

3.
Deficiency of vitamin C or Vitamin K.
4.
Pregnancy
5.
Ignorance as in where some people still follow the practice of placing pain retrieving tablets/oils on the tooth which invariably burns the adjacent gums.
   
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What are the signs of Gingivitis?

1.

Speaks of blood during brushing while biting hard foods (apple)
2.

Bleeding gums may occur with or with out pain

3.
Slight/Severe swelling of gums around teeth.
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Is Gingivitis a serious problem?

1.

On an average 8 out of 10 patients with dental illness suffer from gingival problems out of which a large majority of cases are due to ignorance.
2.

Due to poor oral hygiene maintenance, the bacteria around the teeth turn into a hard build up (TARTAR) that irritates the gums and causes it to bleed.

3.
This state if left unattended to affects the tissue structures that support the teeth which leads to more serious form of gum disease called Periodontitis with eventually causes
4.
About 70% of tooth loss occurs due to gum disease and not tooth decay

What happens if Bleeding gums are not treated?

1.

Bleeding Gums (Gingivitis):

         
           Periodontitis


                           

                      Infection around tooth
                                                         
                                            Abcess or Pus formation
                                                                            
                                                                   Loss of Tooth Support(single/spread)

How can I prevent gingivitis?

1.

Control of plaque is the key to healthy gums
2.

If any Bleeding is rooted while brushing, professional cleaning needs to the done

3.
Use a soft bristle toothbrush to avoide excuasive pressure on the gums.
4.

Use a soft bristle toothbrush to avoide excuasive pressure on the gums.

5.
Use mouth rinses regularly to remove excess bacteria
6.
Visit your dental at least once in 6 months

What happens if Gingivitis is left untreated?

1.

Plaque + Tartar build up inflammation of gums   Recession of gums.
 

DENTAL IMPLANTS

What are dental implants?


Dental implants are small dental appliances that are inserted into the upper and lower jaws to help to restore the mouth that has little or no non-restorable teeth. Dental implants are slowly replacing dentures used by some people, as they are more advantageous than traditional dentures.

What are the Advantages of implants over dentures?

For some people, particular persons with loose or poor fitting dentures due to flat ridges, or persons with multiple missing teeth who need support for crowns and bridges, implants may be considered a better alternative for replacement of the missing teeth than dentures.
  • Reduces the movement of dentures, bridges, and/or crowns
  • Facilitates proper chewing
  • Better support and stability for removable dentures or fixed bridges.

Better ability to chew, improved appearance, increases confidence, are happier and feel better about them.

Who are the likely candidates for implants?

--Adequate bone in your jaw is needed to support the implant along with healthy gum tissues
--The patient must be healthy

  • Certain chronic diseases may affect the successfulness of an implant
  • A proper diagnosis with a dental and medical history must be made before an implant can be placed
  • Placement and technique is specific to each individual candidate

    What are the different types of dental implants?

    • An artificial bone substitute
      Involves a synthetic bone substitute being fitted on top of the bone to help rebuild the shrinking ridge and provide sturdy support for dentures. Because it is made of the same type of implant bonds to the existing jawbone.
    • Endosteal implants
      This type of implant is inserted into the jawbone to serve as the tooth's root.
    • Subperiosteal implants
      This type of implant, usually used for persons who can no longer wear conventional dentures, involves a specially-designed implant that fits directly on the existing bone.

      How long does the procedure take and is it painful?

      Almost all implant procedures are performed with local anesthesia in a comfortable dental chair. No pains are felt during the surgical procedures. Depending upon the number of implants placed, there may be swelling and/or tenderness for a few days following the surgery. Pain medication is usually prescribed which alleviates this discomfort. Patients generally prefer a soft foods diet healing period following surgery. Cold foods and tepid soups are suggested.

       
      Is there any Health risks of dental implants?

      Implants are made of biologically compatible materials. Since these materials are largely metals, such as titanium, there is n likelihood of causing an antigen-antibody which could cause any reaction.

       

      BRUSHING AND FLOSSING FOR KIDS

      Brushing and Flossing for Little Mouths

      Despite all that is known about keeping teeth healthy, the importance of good dental hygiene, and the importance of early visits to the dentist for toddlers, kids continue to get cavities at increasing rates.

      Tooth brushing requires good manual dexterity or simply put good control of the tooth brush, something most children do not develop until around age six. It is important for an adult to brush a child's teeth twice a day to ensure the removal of plaque to prevent tooth decay. Until the age of six children should be supervised while brushing. Brushing should last for at least two minutes. But in the case of children, it will generally require a bit more time and patience for the person helping the child.

      Start by using a soft bristled toothbrush with a pea sized amount of toothpaste. Choose a toothpaste that is appropriate for the age of the child. Avoid using toothpaste that contains fluoride until the child is able to consciously avoid swallowing it to prevent fluorosis.
      Hold the brush at a 45-degree angle with the bristles pointed in the direction of the gumline.

      Gently brush the teeth with a circular motion. Brush the outside surface , inside surface , and biting surface of the teeth.

      Flossing a child's teeth is often easy because they have fairly large spaces between them. Some children however, do have tight spaces, and require daily flossing to prevent tooth decay between the teeth. Consider using a flossing aide, they are easily used between the teeth, cleaning gently and effectively and allow the child to attempt to floss on their own.

       

       

      Quick Tips That Help Make Brushing and Flossing Fun and Easy

      Brush your teeth together, taking turns brushing each others teeth

      Use one of the familiar cartoon character brushes

      Sing the theme song from your child's favorite cartoon or a nursery rhyme, while you brush their teeth

      Use toothpaste and mouth rinse that have pleasant flavors for sensitive taste buds

      Use syllables like “ahhhh” or “eeeeeee” to help your child open their mouth or move their lips away from their teeth while brushing.

       

      A Life-Long Commitment

      When you teach a child something new at a young age, he will learn the task and continue it well into adulthood. Brushing and flossing has never been more important. Bring your child in to see their dentist as early as the first signs of teeth. Children, depending on their oral hygiene, may have dental appointments once every six months to one year..
       

      Healthy Teeth Habits

      Most parents know the basics of how to keep their kids' teeth healthy, especially the importance of frequent brushing and avoiding junk food. Unfortunately, these basics often just aren't enough. To keep your child's teeth healthy, it's important that you follow specific steps:
      Clean your baby's gums, even before he gets his first baby tooth.
      Brush your child's teeth twice a day with a soft toothbrush and non-fluoride toothpaste, until he is two years old.
      Switch to a fluoride toothpaste once your child is two years old. Only use a pea-sized amount of toothpaste to help prevent fluorosis, or tooth staining, which can be caused by swallowing too much fluoride.
      If your child brushes his own teeth, be sure to brush them again for him -- until he gets very good at doing it himself (usually at age 6) -- to make sure they are adequately clean.
      Be sure to brush at least twice a day, but especially at bedtime -- all sides of each tooth, including the backsides, and the gumline.
      See a dentist for regular checkups six months after your child's first tooth comes in. If your child is at risk for getting cavities (has a close family member with a lot of cavities, drinks milk or juice at night, has an obvious cavity or tooth staining with white spots), that first checkup should take place when he is twelve months old. Pediatricians can monitor children's teeth, but many do not have any special education about healthy teeth or instructing you about good dental hygiene.
      Consider helping your child floss each day once he has teeth that touch each other, since this area between teeth is a common area for cavities to form.
      Consider dental sealants for permanent molars at around age six to reduce the risk of cavities in these teeth.
       
      Hidden Dangers

      Parents often believe the myth that baby teeth just aren't that important. After all, who cares if your child gets cavities in his baby teeth since they are just going to fall out and be replaced with permanent teeth later on, right? This is a dangerous misconception.

      Poor dental habits that your child learns early in life can last a lifetime. The same things that led to cavities in his baby teeth will likely also cause him to get cavities in his permanent teeth. And if his baby teeth fall out early, it can lead to spacing issues when his permanent teeth do come in. Besides all of that, poor teeth in early childhood can lead to poor self esteem, nutrition and growth problems, pain, and infections.

      Other hidden dangers to your child's teeth include:
      Eating or drinking something after your child brushes his teeth at bedtime.
      Drinking too much fruit juice throughout the day.
      Putting your child to sleep with a bottle or cup of milk or juice, or giving him milk or juice in the middle of the night.
      Eating sticky snacks, which includes many fruit snacks, raisins, dried fruit, candies, etc.
      Eating unhealthy snacks frequently throughout the day between meals, including sugary snacks, chewy candy, hard candy, and potato chips.
      Not getting enough fluoride, which is especially a problem for kids who don't drink water or only drink bottled water, which typically doesn't have fluoride in it.
      Getting a lot of added sugar in his diet from sugary cereals, unhealthy snacks, chocolate milk, etc.

      To avoid these hidden dangers, be sure to brush your child's teeth at bedtime and avoid giving him anything else to eat or drink after that. Talk to your pediatrician or dentist about a fluoride supplement if your child is drinking fluoridated water, and encourage him to eat healthy snacks, such as fruits and vegetables.

      Also, make sure he brushes after eating any sticky snacks, which may otherwise stick to his teeth.

       

       



       

       



       

       
       
       
       
       
       
       


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