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Treatment of Tetracycline Stains
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Nobody is happy with their teeth and everybody wants whiter, brighter teeth. In the last few decades, tooth whitening is one of the most commonly done cosmetic dental procedures. Majority of these people are in the age of 10 to 25, who are very conscious about their looks.
What needs to be understood is that dental whitening is permissible to a certain extent. Not many people realize this and continue to use teeth whiteners even after the desired result is achieved in an effort to get it a couple of more shades lighter. This is something that we need to watch our for.
Safety of tooth whitening: Some of the supposedly unsafe aspects of tooth whitening are most products used currently are tested both on patients and in laboratory and are proven to be completely safe. However, overuse or misuse of these products can lead to issues. The active chemical ingredient in most of these products is hydrogen peroxide. Most of the products contain about 10% carbamide peroxide, which breaks into hydrogen peroxide and urea. There are claims that this is carcinogenic. However, this is not the case and there is no strong correlation. Also, if the application is done correctly, there is very minimal exposure to hydrogen peroxide directly.
The second issue that most people associate with tooth whitening is tooth sensitivity and gum irritation. Both these symptoms are directly related to the percentage of carbamide peroxide. It is shown that products with more than 10% produce more teeth sensitivity and gum irritation than those that contain less than 10%. Improper tray selection can lead to gum irritation. Also, patients who are overzealous and go about whitening their teeth further can end up with severe sensitivity. The explanation in these cases is the enamel is worn off by the chemical leading to exposed dentinal tubules which, even when exposed due to caries, can cause sensitivity.
Listed below are some ways to avoid or reduce sensitivity:
- When using the bleaching tray applicator, use it only for the recommended period of time. Do not keep it longer to make the teeth whiter.
- Use a paste that is meant for sensitive teeth. The potassium nitrate in these will help relieve sensitivity.
- Use a product with fluoride so that the teeth can remineralize. This can be used before and after tooth whitening for up to 4 minutes.
It is advisable to avoid tooth whitening in some cases like the following:
- Breast feeding
- Ceramic crowns or bridges in the front teeth - these cannot be bleached
- Gingival disease with gum recession and exposed root - the sensitivity is sure to quite high
To avail the best results, always use clinically proven products under the supervision of a dentist.
I am having yellow teeth. Can you please suggest ways off whitening my teeth. It would be better if they are domestic or household methods.
I have a small injury on mouth while brushing ,I am requesting you to please share the tablet details.
The gums are also called the periodontium which means perio for around and dontium for tooth as the gums are literally present "around the tooth." There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone. Together, they provide the structural support for the tooth to be held in place. In addition they also have an aesthetic value with the healthy pink color.
The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth.
Types: Periodontal disease can be localized or general.
- Localized disease happens when a tooth is not accessible for thorough cleaning. The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease.
- Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes problem where gums around all the teeth are affected.
Symptoms: In both the cases, the following symptoms ensue:
- The gums are of a healthy pink color and if they turn darker hue of pink
- Swollen and/or painful gums
- Spontaneous bleeding: This may be localized or generalized
- Chronic bad breath: Due to food accumulation in the infected gums
- If it continues to form an abscess, pressure on the gums can produce pus
- Bad taste in the mouth (arising from pus in the gums)
- Gingival recession, producing an effect of having longer tooth
- Dentin is exposed leading sensitivity to hot or cold foods
- Loosening of the tooth
- Painful chewing, as it puts pressure on the inflamed periodontium
- Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.
Management and Prevention: Gum disease is very easy to identify and can be completely cured.
- Regular brushing and flossing can help maintain regular oral hygiene
- With each brushing session, plain finger massage of the gums improves blood circulation and their overall health
- Regular use of mouth rinse is a good way to improve gum health
- Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment
- Once it has set in, deep scaling followed by root planing may be required to thoroughly clear out the infection
- More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required.
- Management of conditions like diabetes
The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and consult a dentist regularly.