EXCESSIVE TOOTH GRINDING

DO YOU GRIND YOUR TEETH?

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Teeth grinding is also known as bruxism. Let’s discuss about the grinding abnormally and their ill effects on teeth:

  1. What is bruxism actually?

 Bruxism is forcible grinding and clenching of the teeth, usually happens at night, during sleep. Those who suffer from bruxism may have a habit of biting their fingernails or pencils, or chew the insides of their cheeks.

  1. How common is it?

About half of adults grind their teeth at night, and about 20% people grind their teeth in a destructive way. Children also grind their teeth mainly in response to discomfort caused by colds, ear infections or allergies.

  1. What are the causes of bruxism?

 Bruxism probably is caused by emotional factors also such as daytime stress, anxiety, anger, pain and frustration. Certain sleep disorders can trigger grinding of the teeth as well. Those people who are competitive, aggressive may also be at greater risk for bruxism. Alcohol and some types of medications also contribute in making tooth grinding more worse.

  1. Why bruxism can be a serious problem?

 The enamel may become worn during normal chewing actions so the inside of the tooth is exposed. Over time, the worn out teeth may become sensitive due to exposed dentin, and your jaws may even move out of proper balance. If bruxism isn’t treated early enough, it can lead to gum damage, loss of teeth and restorations, jaw-related disorders, soreness and fatigue in your jaw and facial muscles, and earaches or headaches.

Dry Socket

After Teeth Extractions

ALVEOLAR OSTEITIS or Dry socket is a complication where wound healing is altered that may occur following extraction of teeth if the initial blood clot is not formed or lost.

dry-socket

An improper wound healing results in exposed bone in the socket which is devoid of normal healing tissues (Clot), hence the name “dry socket.”It occurs three to five days after an extraction and is characterized by an increase in severe and throbbing pain.

Dry socket is treated by temporarily packing the site with eugenol, antibiotics and oral rinses. As the socket forms a new layer of the healing tissue the pain will gradually subside and the socket slowly fills in over the next 2-3 months.

  • In patients the risk for dry socket increases who smoke after extractions, too early vigorous rinses, forceful spitting, or use a straw to drink within the first 24 hour, which can disturb the initial blood clot formation.
  • Another major risk factor for dry socket is traumatic surgical procedures such as tearing the gum tissue, excessive manipulation of the extraction socket and aggressive drilling of the bone which ultimately will result in devitalized tissue with poor blood supply.

While the possible incidence of dry socket is between 1-3% data shows that no dry sockets were recorded after performing more than 150,000 extractions over the past 20 years.

THE SECRETS TO AVOID DRY SOCKET AFTER TEETH EXTRACTIONS:

  • Non-traumatic surgical techniques and procedures: This means no or minimal gum tissue flap, no or minimal removal of bone, use of irrigation, gentle handling of the tissues and atraumatic removal of teeth with ease.
  • Avoid rinsing or brushing: Any forceful rinsing or brushing immediately following a tooth extraction can cause dislodging of the blood clot leading to a dry socket. Do not rinse or brush within 24 hours of extraction then rinse gently for the next 1-2 days and more vigorously in the following days.
  • Do not use a straw: The use of a straw in the first 24 hours can also cause suction and dislodge the blood clot. Use a glass following liquid consumption.
  • Avoid smoking: Smoking creates suction in the mouth that can dislodge the blood clot. It also directly inhibits the normal healing physiology.
  • Do not spit: With blood and saliva accumulating in the mouth following an extraction you may be urging to spit that out. This action can disrupt the formation of blood clot and dislodge it. Instead of spitting let the accumulated blood and saliva drool down and wipe it gently with a gauze or tissue.
  • Keep firm pressure on the extraction site: The gauze should remain in place for at least 30-45 minutes after extraction. Constant and firm pressure helps to slow down the bleeding and stabilizes the formed blood clot.

HOW TO PREVENT DRY SOCKET

Dry socket (alveolar osteitis) is a wound healing complication that can occur following teeth extractions if the initial blood clot is lost. This results in exposed bone in the socket devoid of normal healing tissues, hence the name “dry socket.” It usually occurs three to five days after an extraction and is characterized by a sudden increase in severe and throbbing pain. Dry socket is treated by temporarily packing the site with eugenol, antibiotics, and oral rinses. As the socket forms a new layer of healing tissue the pain gradually subsides and finally the socket slowly fills in over the next 2-3 months.

The risk for dry socket increases in patients who smoke after teeth extractions, vigorously rinsing too early, spitting, or using a straw to drink within the first 24 hours—all of which can disturb the initial blood clot.

While the possible incidence of dry socket is between 1.5-2%, here at   Dr. Sachdeva’s Dental Implant Institute, Delhi, we have experienced no dry sockets after performing more than 6500 extractions over the past 13 years.

Platelet Rich Fibrin (PRF) as healing aid in extraction socket:

Platelet rich fibrin (PRF) is a fibrin matrix in which platelet cytokines, growth factors, and cells are trapped and may be released after a certain time and that can serve as a resorbable membrane, regulate inflammation and increase the speed of healing process.

It is a simple, natural and inexpensive technique for the production of leukocyte- and PRF (L-PRF) concentrates. It includes collection of whole venous blood (around 5 ml) in each of the two sterile vacutainer tubes (6 ml) without anticoagulant and the vacutainer tubes are then placed in a centrifugal machine at 3,000 rpm for 10 min, after which it settles into the following three layers: Upper straw-colored acellular plasma, red-colored lower fraction containing red blood cells (RBCs), and the middle fraction containing the fibrin clot. The upper straw-colored layer is then removed and middle fraction is collected, 2 mm below to the lower dividing line, which is the PRF. The mechanism involved in this is; the fibrinogen concentrated in upper part of the tube, combines with circulating thrombin due to centrifugation to form fibrin. A fibrin clot is then formed in the middle between the red corpuscles at bottom and acellular plasma at the top. The middle part is platelets trapped massively in fibrin meshes. The success of this technique entirely depends on time gap between the blood collection and its transfer to the centrifuge and it should be done in less time.

What Are Dental Emergencies? How To Deal With Them

 

  • Are you suffering from severe pain?
  • Does your mouth bleed while brushing?
  • Are your teeth mobile/loose?
  • Do you have any swelling in your mouth inside or outside?

Dental emergencies are very common, but one should have the knowledge to handle the situation in case of stress or emergency. Proper maintenance of oral hygiene and regular visit to dentist can help to reduce the chances of experiencing a dental emergency.

The most common dental emergencies may include teeth that are –

Forced out of position causing loosening of tooth

  • Facial trauma
  • Fractured facial bones.
  • Chipped, Broken or fractured tooth
  • Infection indicating an abscess

Treatment will depend on the severity of the damage. For example a chipped tooth is slightly damaged; it can be corrected by smoothening, of maybe restoring the tooth by bond and composite filling material. If the damage is beyond dentin and pulp involvement with severe pain, then the tooth should be treated (RCT).

Here are few scenarios where you may prevent the symptoms before they get worse, or even you get an idea that the time is right to see a dentist now:

  1. Chipped Tooth Or Broken Tooth

If it fairly visible and you are afraid about your looks then call your dentist and explain the situation.

Try to find and retain the chipped particle or any pieces and place it in a moist cloth with a few drops of water or saliva (If kept in good condition, it may be possible to reattach it).

  1. What To Do When Tooth Is Knocked Out Of Socket?

If your tooth is knocked out due to a blunt force trauma causing severe facial injury, try first to find the lost tooth. If the appropriate emergency steps are followed immediately after the tooth has been knocked out, the chances are very good that the tooth can be reinserted and preserved by a dentist.

  • Handle the tooth only by the crown not by the root. If you try to touch the root, u may damage the fragile cells on the root necessary for its reattachment back into the bone.
  • If the tooth is dirty, very gently rinse it in water to ensure that the tooth is clean but do not scrub the tooth or remove any tissue attachment.
  • If you want to then try placing the clean tooth gently back in the socket without touching the root and make sure that the tooth is facing the right direction. Do not force it into the socket. If it is not possible to put the tooth back in position then wrap it in a clean cloth or gauze. Soak it in a container of cold milk or if milk is not available, put the tooth in water that contains a pinch of table salt.
  • It is important to see the dentist for an emergency appointment for the best chances of retaining the tooth.

 

  1. What To Do When Tooth Is Fractured Or Cracked?


  • Rinse your mouth immediately to clean the area with warm water.
  • Take medication prescribed by your physician or dentist.
  • Do not attempt to put any painkiller directly on the site of injury to avoid any burning sensation, it may worsen the situation.
  • Avoid chewing with the injured site and always avoid extreme temperatures that may affect the already traumatized area.
  • Immediately contact your dentist as only he can tell how bad the condition is. The dentist might need to do an X-ray for evaluation of the severity of the situation.
  • See your dentist as soon as possible. Not receiving the proper treatment may result in progression of infection or further decay or damage.

IN CASE OF:

 

Lost Filling

As a temporary measure, you stick a piece of softened sugarless chewing gum at the place where filling is missing.  You should be sure that the gum is truly sugarless, as sugar can cause pain when in contact with the tooth and can lead to bacterial infections in the area.
See your dentist as soon as possible for the proper treatment and care.

Lost Crown

If you dropped out a crown of the mouth, make sure to visit your dentist as soon as possible without waiting for extra days. The tooth portion now exposed that has lost its support could easily be damaged or break off or crumble.

Keep the crown in a cool, safe place because if the crown is not damaged your dentist can reinsert it.

If the crown is out of the mouth for a long period of time, the teeth may shift causing further damage and the old crown will not fit at this stage.

Broken or Loose Brackets, Wires Or Bands

If a wire breaks or sticks out of a bracket it may cause discomfort by poke in cheeks, tongue, or gum.

Try to cover the pointed end with something soft substance like orthodontic wax, sugarless gum, or piece of gauze to avoid discomfort until you visit your orthodontist.

You should never try to cut the wire as you could swallow it or breathe it into your lungs.

Abscess

 

Dental abscess or tooth abscess is an accumulation of pus inside the teeth or gums. It should not be ignored as the infection may spread into nearby spaces affecting other teeth as well.

You may try to gargle with pinch of table salt in lukewarm water for a brief time for some relief.

Contact your dentist for proper care and treatment for the dental abscess before the infection spreads.

Possible Broken Jaw

To control the swelling in the traumatized area apply cold compressions. Stabilize the jaw with bandage wrapped beneath the jaw and tied on top of the head.
A broken or dislocated jaw may cause breathing problems or significant bleeding. If it is not treated properly, a broken jaw can leave you with devastating effects on a person’s ability to eat and breathe.

Sip on ice water and hold for sometime in your mouth until you see your dentist.

 

For more information, you can book an appointment at Dr. Sachdeva’s Dental Aesthetic & Implant Center  I 101 Ashok Vihar Phase 1, Delhi- 110052

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Why Did My Dentist Recommend a Root Canal?

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

A root canal is a procedure that is recommended by your dentist in order to repair & save a badly damaged or infected tooth. This procedure involves removal of inflamed or infected pulp, careful cleaning & disinfecting it & then filling & sealing it with a material called gutta percha. The causes that affect pulp are a deep cavity approaching pulp, repetitive trauma to the tooth, a cracked tooth, faulty restoration.

Root canal is essentially a term that refers to the natural cavity that occurs within the core of a tooth. The nerve i.e. the pulp which is removed in the root canal treatment has no role in health & function of a tooth. Its only core function is to provide sensitivity towards hot & cold.

Why root canal treatment is recommended?

Pain: A toothache is the most common symptom of needing a root canal. The tooth may start to hurt spontaneously, in the middle of the night, or sometimes when the patient isn’t even using the affected tooth to eat or drink. The pain can progress to a very severe generalized headache that may cause the person to even forget what initially caused the pain. If the tooth is dead and has become abscessed, the patient will feel pain when he or she chews food or puts pressure on the tooth.

An Abscess:  may or may not produce swelling or bleeding around the tooth, and sometimes it causes significant swelling of the cheek, jaw, or throat. If this swelling is noticed, treatment needs are urgent.

It is very important, when feeling some pain around a tooth, to get a thorough examination with pulp vitality testing by a licensed dentist for a proper diagnosis.

What to expect during a root canal procedure?

  1. X-ray: If a dentist suspects you may need a root canal, he will first take x-rays to be certain of decay location.
  2. Anesthesia: Procedure is initiated with the administration of local anesthesia to the affected tooth.
  3. Pulpectomy: an opening is made & the diseased tooth pulp is removed.
  4. Filling: The roots that have been opened to get rid of the diseased pulp are filled with gutta-percha material & sealed off with cement.

 

Why Root Canal??

Saving the natural tooth with root canal treatment has many advantages:

  1. Efficient chewing
  2. Normal biting force and sensation
  3. Natural appearance
  4. Protects other teeth from excessive wear or strain

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances.

You can expect a comfortable experience during and after your appointment at Dr. Sachdeva’s Dental Institute.

Post-Operative Complications of Implant Placement

With the increasing acceptance of dental implants as a viable tooth replacement therapy, complications & failure rates have also increased proportionately.

A range of possible post-operative complications & their prevention are described below:

  1. Infection: Implants are made of titanium, which is strong & biocompatible, which means that is not rejected by the body. So the chances of developing post-operative infection are extremely rare. At times when dentist do not follow effective & strict protocol of sterilization, patient might be vulnerable to post operative infection.

Post-operative infection causes pain & discomfort to the patient, reason being- bacterial contamination of implant or surgical site during the procedure.

If the infection is limited to the soft tissue, a small gum boil will be noticed over the implant site. It can be punctured using a sharp probe & irrigated with chlorhexidine solution or citric acid. It heals & the pain subsides within 24hrs.                                                                                        In case of continuous pus discharge & severe pain which is not relieved by analgesics, this depicts that the infection has reached to the bone-implant body interface.

Prevention: one should follow strict protocol of sterilization in the operatory in order to avoid any bacterial contamination. Also, in such cases, the implant should be removed immediately & prescribe good antibiotic like tab Augmentin 1000mg twice a day for 5-7 days. A new implant can be inserted when the site gets healed in 6 weeks.

  1. Post-operative Edema: Post-operative edema develops in cases of traumatic implant placement. High speed drilling & no constant stream of chilled saline causes bone to overheat & this leads to accumulation of fluids in tissue spaces i.e. edema.

 

Prevention: Unnecessary trauma to the bone must be avoided during osteotomy preparation. Drilling speed must be set according to the density of bone along with a pumping motion of the drill should be employed during drilling to allow the saline to cool down the bone. This prevents overheating & necrosis of the bone.

Patient must be advised to apply an ice pack over the facial   skin of the surgical site intermittently for 45 min to cool down the bone in order to suppress heat generation & inflammatory oedema.

        prevention

  1. Pressure necrosis: results in cases where implant has been inserted & screwed at a very high torque, it may lead to pressure necrosis of the surrounding bone & the patient will complain of continuous pain not relieved by analgesics, for weeks after the surgery.

 

Prevention: Drilling at higher speed with maximum amount of chilled saline irrigation flow to cool down the bone. Use of final drill with the diameter only 0.2mm less than the implant diameter along with the use of bone tap to prepare threads in the bone to accommodate implant threads. Following these instructions help in reduction of post-operative pressure necrosis.

  1. Suture line opening: leads to exposure of implant threads in the oral environment & may cause the collection of plaque over the exposed rough surface of the implant, which may further cause peri-implantitis & loss of hard & soft tissue around the implant.

 

Causes of implant thread exposure

  • Suture line opening & loss of graft in cases where simultaneous bone grafting has been performed with implant placement also leads to implant exposure.
  • More superficial implant placement.
  • Thin mobile soft tissue recedes with muscle pull.

        Management:

  • Tension free sutures should be used to avoid the suture line opening because of the tension in the flap.
  • The open suture line should not be re-sutured but the patient should be instructed to keep it clean, as it heals by secondary intention in 2-3 weeks.
  • If soft tissue healing has not covered the exposed threads, either cover the threads using soft tissue grafting with or without simultaneous bone grafting, or adequate grinding & polishing should be done to make the surface smooth & prevent accumulation of plaque.

  1. Bone resorption: one of the most common complication in dental implantology. When occlusal forces are not distributed equally i.e. is off-axis to the implant prosthesis leads to resorption. Also, when implant with a wider platform is placed into the narrow crestal bone causes crestal bone resorption.

 

Prevention: Implant must be placed along the axis of the future prosthesis. For large mesio-distal diameter two implants should be placed with narrow occlusal table of prosthesis. Along with the maintenance of oral hygiene, soft tissue grafting for compromised soft tissue around the implant must be addressed.

  1. Peri-implantitis: is an inflammatory reaction with the loss of supporting bone in the tissues surrounding a functioning implant. Peri-implantitis is characterized by bleeding/suppuration on probing, together with loss of supporting bone.

The peri-implantitis lesion exhibits histopathological features that similar, but not identical, to those in periodontitis. Similar to periodontitis, the treatment of peri-implantitis must be based on infection control. Under these conditions, progression of the disease may be arrested & subsequent, lost peri-implant tissues may be generated by bone augmentation & soft tissue grafting procedures.

peri-implantitis

With this increasing trend of replacing the lost tooth with an implant, at Dr. Sachdeva’s Dental Institute, we incorporate several associated procedures like bone augmentation to provide this therapy to the maximum number of patients. We follow strict protocol for sterilization & restore implants to minimize postoperative or post loading complications.

Understanding Nursing Bottle Tooth Decay

  Understanding Nursing Bottle Tooth Decay

baby

 

Your baby teeth are important, but are also vulnerable to decay, so special care in their oral hygiene maintenance is must. Dentists recommend that parents should start brushing their baby’s teeth as soon as the first teeth erupt in their oral cavity.

 

Causes of Nursing Bottle Tooth Decay

baby-1

Nursing bottle tooth decay often affects upper front teeth, but other teeth may also be affected.

There are many factors which lead to tooth decay. One of the most common causes is prolonged exposure to sugar containing drinks. For our convenience, we often put our baby to bed with milk bottle or pacifiers especially at night, bacteria in the mouth thrive on this sugar & produce acids which eventually results in teeth decay.

 

Prevention of Nursing Bottle Tooth Decay

Baby teeth are very important for your baby to fulfill the form & function of teeth like smiling, chewing, & speaking also they are the placeholders for their permanent teeth. So it’s very important to implement good oral hygiene to prevent decay & lead a normal healthy life.

  • Parents must take care of their infants when it comes to bottle feeding & nutrition. Bottle & breast feeding must be refraining while the kid is in bed. Nocturnal bottle & breast feeding increases the likelihood of developing caries. However, parents must be certain that their infant finishes bottle feeding before going to bed.
  • After each feeding, parents must clean baby’s gums with a clean gauze pad.
  • In order to maintain proper oral hygiene, parents should begin brushing their child’s teeth, without toothpaste, as soon as the first tooth erupts in their oral cavity. Even if parents use toothpaste, use a fluoride-free one.
  • When all the deciduous/ baby teeth have come in, do not forget to floss them.
  • Parents must make sure that their child is getting enough fluoride, in order to prevent dental caries. In order to confirm whether you need a supplement, you can visit your dentist.
  • Schedule regular dental visits for interception & prevention of decay.

Proper preventive practices & heed towards infants & children can affix a halt to teeth decay.    

Written By Dr.Rajat Sachdeva                                 

RECESSION OF GUMS

CAUSES, DANGERS AND TREATMENTS

The loss of Gingiva (gum tissue) resulting in the exposure of the roots of the teeth is called Gum recession or receding gums

Periodontal disease also commonly known as Gum Recession refers to an infection of the tissues supporting and surrounding the teeth mainly caused by the accumulation of bacteria from the dental plaque that inflames and damages the gums.

Receding gums affects people over the age of 40, can be present in younger ages as well. It may be generalized or localized depending upon the oral hygiene maintenance and it is generally progressive in most cases.

The first usual sign of gum recession is sensitivity to cold and hot drinks. The affected teeth appear longer and the roots start to get visible, a notch like depression can be felt near the gum line and spaces between teeth seem wider.

Commonly experienced symptoms are:

  • Red, Swollen And Tender Gums
  • Pus And Pockets Between Gums And Teeth
  • Receding Gums
  • Bleeding Gums During Or After Brushing Flossing Or Eating Hard Food,
  • Shifting Or Separating Teeth Creating Gaps
  • Persistent Bad Metallic Taste In Mouth And Bad Breath
  • Mouth Sores
  • Changes In The Fit Of Dentures And The Teeth Fit During Bites.

The Causes May Be:

  • Poor Oral Hygiene
  • Periodontal Or Gum Disease
  • Aggressive Brushing Technique
  • Trauma To The Gums
  • Systemic Illnesses Like Diabetes Or Cancer
  • Faulty Restorations
  • Malposition Of The Teeth
  • Hormonal Imbalances During Pregnancy And Menstruation
  • Regular Or Repetitive Teeth Grinding Or Clenching
  • Smoking And Chewing Tobacco
  • Hereditary Disorders
  • Medications Such As Contraceptives And Anticonvulsants

Why Is It A Serious Condition?

When the gums pull away from teeth, the roots of your teeth which were earlier covered are left bared and exposed and this puts your dental health at risk for decay and damage. If they are left untreated, receding gums will lead to functional and aesthetic problems.

What Are The Treatment Options?

  • Scaling and roots planning, stabilization of the teeth is first line of treatment if the recession is caused by periodontal disease. Oral hygiene maintenance is extremely important to avoid further gum recession and bone loss.
  • In case of overaggressive brushing, visit your dentist and he can help you by demonstrating the proper brushing technique and recommending the best oral hygiene tools according to your requirement.
  • By eating healthy, fibrous food, maintaining a balanced diet, smoking cessation and regular use of dental appliances for your grinding habit can also prevent the gingival recession.
  • In advanced gum recession cases, gum tissue regeneration and gingival grafting can be done by a Periodontist or an Oral surgeon.
  • If you experience hypersensitivity to cold and hot drinks or food, consult your dentist. If the damage to teeth is less, then it can be corrected by desensitizing agents, varnishes and dentine bonding agents. He may recommend specific toothpaste and mouthwash to reduce the sensitivity.

Bleeding Gums: Myths and Facts

1.Is it normal for gums to bleed?

Without proper dental hygiene, the bacteria present in the mouth forms plaque on the teeth surface. These bacteria cause gums to become inflamed, resulting in red, swollen, or bleeding gums. In some cases the inflammation is not so painful. If left untreated, gingivitis can worsen and lead to loss of teeth.

2.     What to do when Gums bleeding during brushing or flossing?

Bleeding gums, also known as gingivitis, is very common condition. People actually stop brushing and flossing after finding out blood, as a matter of fact, they should never cease to brush. Visit your dentist and follow the general oral hygiene practice.

3.     How should I clean my teeth effectively?

Always make sure that you use gentle, circular motions to clean your teeth and gums.

Make sure that you clean not only the teeth, but also the gums. A lot of bacteria are found at the junction of gum meeting the teeth and it needs to be cleaned.

Flossing is also very important, in those areas where your toothbrush alone just can’t get rid of to remove the bacteria, mainly in between the teeth. Many times patient’s gums start bleeding when they floss after not having flossed in a very long time. It’s because the gums are inflamed from bacteria not being removed for a longer period of time. Generally brushing twice a day and flossing once a day will make bleeding gums will go away within a week or so.

Without regular teeth cleanings with your dentist, dental tartar/calculus will harbor even more plaque bacteria, which can push the gum line below and lead to gum disease.

4.     What other health conditions could be related to gum diseases?

The bacteria present on the teeth and gums continuously release toxic substances that harm your healthy gums and can cause redness and swollen gums. If left untreated, the infection and the inflammation can damage your gums and even spread further down to your bone. Gradually it will lead to periodontitis and teeth loss.

In other cases, bleeding gums can be caused by numerous conditions such as severe vitamin deficiency, hormonal changes like pregnancy or menstruation, chemotherapy, some diseases like diabetes, certain medication like blood thinners, antiepileptic drugs.

Smoking also causes damage to your gums and makes the gum disease progress much faster.

5.     Are there any OTC medications that can be taken for bleeding gums?

The best treatment is to remove the sticky transparent film like plaque by brushing twice a day and flossing once a day that causes bleeding gum. When dental plaque builds up, it hardens and turns into tartar, a hard substance that gets attached to your teeth. Without regular teeth cleanings with your dentist, dental tartar or calculus will harbor even more plaque bacteria, which can push the gum line below and lead to gum disease.

6.     What other things I can do to prevent bleeding gums?

Visit your dentist. Your dentist will remove the soft and hard deposits by scaling and root planning treatment, which slows the process of gum disease down. Maintaining the oral hygiene is also important after getting cleaning done by the dentist.

In case of an advanced form of periodontal disease, periodontal therapy as seeing a periodontist, a gum disease specialist is recommended. In those cases, sometimes dental surgery may be needed to control the progression of the gum disease.

7.     Is there any advice for patients with gum disease?

Always brush and floss regularly. Get your teeth cleaned professionally with dentist every 3 to 6 months, depending on the condition of the gums, to prevent any disease in the future.

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Intraoral welding of implants-known since decades- conveyed to practice

In cases of complete oral rehabilitation there are multitudes of complications which may occur with either the surgical or prosthetic phase of implant dentistry. In order to mend this, intraoral welding technique has been introduced as a rescue.

In cases of deficient bone or atrophic ridges, higher chances of implant failure occur due to micromotion of implants during healing phase.

This is one phase procedure to attain the goal of primary stabilization of implants while fabricating immediate prosthesis to the patient on the same day of the surgery or within a few days.

 Discussing about the advantages of welding, it rigidly splints the implants, helps in healing, distributes the force to all implants, and increases the success through Osseo integration of implants. In cases of implant overdenture, absolute stabilization of implants can lead to immediate loading and oral rehabilitation on the same day of surgery.

The welding of the implant abutments with titanium bars is done directly in the mouth. It also has an advantage of eliminating the possible errors or distortions due to the impression.

 The rigid splinting of the implant abutments done before the immediate loading provides retention to the implants & decreases the stress exerted on the implants. The method incorporates either welding a titanium bar or a wire to the abutments of these implants. Once the implants have achieved the stability and retention, they can be loaded with crowns/ bridges or over dentures.

weldone

This has been reported leading to lesser degree of implant fractures. This means ensuring success for the longevity of the implants, in a short period of time. For example in a case of complete rehabilitation of a patient required extractions are done followed by insertion of implants (either 6 or more if required) into the jaw bones.

 During the surgical stage the curettage of the gums is done simultaneously. The bite of the jaws is recorded at first before commencing any procedure.post implant insertion the intra oral welding of the abutments is done. Afterwards the fabrication of the hybrid denture prosthesis is done and fixed in the mouth.

 The stabilized prosthesis helps in chewing & speech of the patients along with the natural aesthetic look. The discomfort due to the movement and clicking of the dentures is avoided in such cases. The aim of this new technique is to find the optimal conditions for the success of the implants through continuous joint without alterations in the intraoral welding of titanium by electric resistance technique.

The proposed technique allows intraoral welding of titanium for solidarization of dental implants to improving their primary stability. Commercially pure titanium (c.p. Ti) wires and dental screws were welded by electric resistance technique. Worldwide, clinical cases have demonstrated the effectiveness of this technique in the improvement of dental implants primary stability practically.

Bleeding Gums: Sign of Trouble

People are actually mislead when they see bleeding gums and they do often stop brushing as according to them brushing is actually causing their gums to bleed. Therefore we bring few questions people ask and their answers to help them to get a better understanding about bleeding gums.

Why gums bleed? Is it normal or abnormal?

Those people who don’t practice proper dental hygiene regularly, the bacteria in the mouth form plaque on the teeth surface frequently. These harmful bacteria may lead to red and swollen gums those bleed on slight touch. Some people do not experience any pain but if you catch this symptom at an early stage, the professional cleaning could be done and the healing would be achieved and that would give excellent results. But if you ignore this situation, it may get worse eventually lead to loss of teeth.

My gums bleed while brushing. Should I be scared?

The bleeding gums are the result of not maintaining oral hygiene properly. It is not a condition to be scared of as it is just an initial stage of gum disease therefore it should not be ignored. It is a wrong practice to stop brushing when you see the gums bleed as not brushing would accelerate and worsen the condition. Visit your dentist and get a professional cleaning done and then maintain oral hygiene to avoid it.

Is there a proper way to clean my teeth effectively?

Always use a soft bristled tooth brush for a start. Make sure that you use your toothbrush gently in circular motions to clean your teeth and gums too. Brushing is always for the teeth as well as gums. The gum line is the curve around the tooth where most bacteria reside so it’s important to not to ignore that.  The back and forth motion technique of brushing does more harm than good as it can irritate the gums and can damage them, making them more susceptible to recede.

Flossing is very important to remove the bacteria in the space between your teeth where toothbrush is unable to reach. Most people complain of bleeding gums while flossing as they haven’t flossed for a long time. Always be cautious to not e harsh on your gums while flossing. Be gentle with the floss and always slide up and down following the shape of each tooth. Bleeding usually goes away within a week so when good oral hygiene is maintained, always maintain good hygiene practice by brushing twice daily along with flossing.

With poor oral hygiene, the plaque solidifies to become tartar which is even more difficult to clean by you. The tartar becomes the breeding zone for more plaque and bacteria which penetrate the gums making them more inflamed.

When children have bleeding gums, what should be done?

When children or adults have bleeding gums, it’s mainly due to improper brushing technique or not brushing for a long time and not cleaning the gums well enough. Parents should make their kids learn how to do proper brushing as a child is naïve and may not be able to clean every corner of the mouth and may not know proper technique too.

Any health conditions may case bleeding of gums?

When the bleeding gums condition progresses, it leads to severe damage of teeth surrounding area and to the bone. The toxic bacteria on teeth and gums releases harmful substances that in turn that harms your gums and in turn make them infected.  If this condition is ignored, it leads to periodontitis an eventually leading to loss of teeth.

Sometimes, bleeding gums may be caused by reason other than not maintaining proper oral hygiene. Such situations are severe vitamin deficiency, pregnancy or menstruation, chemotherapy, diabetes, drugs such as blood thinners. Evidently smoking also damages gums and help in progress of disease.

Do medications help for bleeding gums?

Most helpful way to remove the plaque which is responsible for the bleeding gums is brushing and flossing effectively twice daily. The plaque, if left unclean, may harden and transform into tartar which is hard and strictly adheres itself to tooth surface near gums. Tartar is an ideal place to harbor bacteria and infect your gums with it. Regular cleaning of teeth and professional cleaning twice a year will help you to avoid this condition for a really long time.

Aside from brushing and flossing, what other things can prevent bleeding gums?

Visit your dentist. The dentist will remove all the hard deposits present on the tooth as well as root surface. The cleaning will remove the toxic bacteria that are causing the gums to bleed and will help the gums to heal. It is necessary to maintain the oral hygiene at all times.

If the gum disease is at an advanced stage known as , you may consult a periodontist , a gum disease specialist to get a better idea about your gum health.

What is last advice for patients with gum disease?

Always brush with the right technique and floss twice a day. Visit your dentist twice a year to ensure your oral hygiene to prevent gum diseases in future.

PORCELAIN LAMINATE VENEERS

Also called as PLV

Veneers are translucent ceramics bonded on the prepared surface of natural tooth/teeth by transparent luting resin.

They exhibit fluorescence and reflect and transmit light exactly as natural tooth structure.

STRENGTH

  • Normally they are weak in strength in comparison to porcelain fused to metal (PFM) or all ceramic crowns.
  • But once they are bonded to the prepared tooth surface, they integrate with the tooth structure and become extremely durable.
  • It also requires less invasive tooth preparation and the natural strength of the tooth is also maintained contributing to the longevity of the tooth and the veneer too.

LONGEVITY

The union of etched enamel and porcelain combined with the bonding composite resin luting agent with a silane coupling agent, enables the dentist to perform restorations that are solid as well as long lasting

93% success rate

 “The Smile Is The Reflection Of An Individual”

 Creating natural looking smile

A pleasing smile is important to the patient’s morale and self-esteem while the loss of it will have effects negatively.

Attention to the details examined by dentist is very crucial as it will help in getting the desired results from the technician too and appreciation from the patient.

The dentist’s skill, awareness and understanding the patient’s needs, personality and psychological state will lead to acceptance of the proposed treatment plan.