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Root Canal Treatment
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Various measures to maintain the right oral hygiene
Hi! I am doctor Diksha Batra from Smile Essentials, the topic for the day is a question that is usually asked, how do I keep my teeth, clean doctor? This is a common question so we decided to come up with 4 easy quick steps for you to look after your beautiful smile Step 1 is a simple thing called flossing but none of us really do it. Flossing is cleaning in between your teeth, it really becomes difficult to use a thread so we recommend a device which is called a disposable plastic. A disposable plastic is a simple device like a toothpick but it is actually better than that. So it is used to clean between teeth to solve all your problems with cavities, gum diseases or even bad breath. Once flossing is done all the loose food debris is dislodged and now you can move to step 2.Step 2 is brushing, all of us do recommend brushing twice a day, once in the day and once at night. We do recommend choosing the right toothbrush, it has to be a toothbrush with soft bristles.
We recommend using a motorized brush as the best mode of cleaning your teeth but if you are using a manual brush the bristles should be soft. We are often asked which toothpaste to be used? The toothpaste can be any toothpaste but it should have a gel component as well as a paste component to protect your teeth not only from cavities but also from gum diseases. Use fluoride which protects your teeth from cavities. Step 3 is tongue cleaning, this is one of the most important steps in prevention of bad breath. Tongue cleaning can be done with either a metal or plastic tongue cleaner just ensure that all the white deposit on the tongue is removed completely. These are the bacterial disease that causes halitosis or bad breath Step 4, of course, is mouthwash, use a diluted mouthwash with one cap mouthwash and one glass of water, make sure to use an alcohol-free product.
Besides these four points please ensure that you are replacing your toothbrush every 3-4 months and make sure that you rinse twice a day even if you can't manage to brush. Also ensure that you are rinsing after every meal, also make sure that you get a dental cleaning every six months to detect any new cavities and to even ensure that there is no gum disease. With this we say that these are the 4 simple steps to maintain 32 teeth and a beautiful smile.
This is doctor Diksha Batra once again from Smile Essentials.
I'm having bad breath. Also I've hard yellow later behind my teeth. Is that the reason for my problem.
My wife is experiencing severe tooth pain. She's now pregnant and going doctor asked her not to take any tablet. But she's not able to bear the pain. What shall we do.
WHAT IS IT ?
Your teeth can become discolored by stains on the surface or by changes inside the tooth. There are three main types of tooth discoloration:
- Extrinsic — This occurs when the outer layer of the tooth (the enamel) is stained. Coffee, wine, cola or other drinks or foods can stain teeth. Smoking also causes extrinsic stains.
Intrinsic — This is when the inner structure of the tooth (the dentin) darkens or gets a yellow tint. You can get this type of discoloration if:
- You had too much exposure to fluoride during early childhood.
- Your mother used tetracycline antibiotics during the second half of pregnancy.
- You used tetracycline antibiotics when you were 8 years old or younger.
- You had trauma that affected a tooth when you were a young child. A fall, for example, may damage the developing permanent tooth.
- You had trauma in a permanent tooth, and internal bleeding discolored the tooth.
- You were born with a rare condition called dentinogenesis imperfecta. This causes gray, amber or purple discolorations.
- Age-related — This is a combination of extrinsic and intrinsic factors. Dentin naturally yellows over time. The enamel that covers the teeth gets thinner with age, which allows the dentin to show through. Foods and smoking also can stain teeth as people get older. Finally, chips or other injuries can discolor a tooth, especially when the pulp has been damaged.
Symptoms include stains on the enamel. They can range from white streaks to yellow tints or brown spots and pits. If the enamel has worn away, and dentin is showing through, you may notice a yellow tint.
No special tests are needed. A dentist or other dental professional can diagnose tooth discoloration by looking at the teeth.
Some tooth discoloration can be removed with professional cleaning. An example would be the stains caused by coffee. Many stains are permanent, however. Teeth sometimes can be whitened with a bleaching gel. In some cases, if the discoloration is severe, a crown or veneer may be required to cover it.
Brushing your teeth after every meal will help to prevent some stains. Dentists recommend that you rinse your mouth with water after having wine, coffee or other drinks or foods that can stain your teeth. Regular cleanings by a dental hygienist also will help to remove surface stains.
Intrinsic stains that are caused by damage to a nerve or blood vessel in a tooth sometimes can be prevented. You may need to have root canal treatment to remove the inner part of the tooth (the pulp) before it has a chance to decay and darken. However, teeth that have root canal treatment may darken anyway.
To prevent intrinsic stains in children, avoid too much early exposure to fluorides. Once the enamel is formed, fluoride will not discolor teeth.
TreatmentMany extrinsic stains caused by food and drink can be removed by regular professional cleanings and home care. Good home care includes brushing, flossing and rinsing after meals.
Discoloration often can be removed by applying a bleaching agent to the tooth enamel. One technique is called "power bleaching." With this method, the dentist applies a light-activated bleaching gel. It causes the teeth to get significantly whiter in about 30 to 45 minutes. Several follow-up treatments may be needed, or take-home bleaching trays may be provided.
It's also possible to remove discoloration at home. You will use a bleaching gel and a mouth guard given to you by your dentist. The bleaching gels designed for use at home aren't as strong as those applied by your dentist. This means that the process takes longer — usually two to four weeks.
You also can buy whitening products over the counter. They contain a weaker bleach than the products you can get from your dentist. The whitening agent is applied as a gel placed in a mouthpiece or as a strip that sticks to your teeth. Over-the-counter mouthpieces fit less securely than the kind you get from your dentist, but they will lighten your teeth over time.
Whitening toothpastes may remove minor stains. They do not actually change the overall color of your teeth.
If your tooth has darkened after a root canal, bleaching the enamel won't help. Your dentist can apply a bleaching material to the inside of the tooth, or you may consider a crown or veneer.
Bleaching will not lighten some stains, such as tetracycline stains. In this case, your dentist may recommend covering the discolored areas. This also may be useful when the tooth is chipped or badly damaged.
A tooth can be covered with a color-matched composite bonding material. Another option is to get veneers. These are thin ceramic shells that cover the outer surfaces of the teeth.
When To Call a Professional
Tooth discoloration is mainly a cosmetic problem. Visit a dentist if you're unhappy with how your teeth look. Any change in a child's normal tooth color should be evaluated by a dentist.
The prognosis is very good for extrinsic stains. Intrinsic stains may be more difficult or take longer to remove.
Toothache is a painful dental condition that affects many people worldwide. At times the excruciating pain can drive a normal person insane. Cavity and tooth decay contribute to toothache in a big way. However, toothache can also be an indication of some serious dental ailments that needs immediate attention. The following factors/reasons can equally contribute to toothache (mild or severe).
- Tooth decay: Tooth decay and cavities are synonymous to unhealthy teeth and toothache. Cavities can also give rise to awkward complications like bad breath. Thus, proper dental care and hygiene is of topmost priority. It is highly recommended to brush the teeth three times daily.
- Accidental falls: Accidents incurred during sports or games often go unnoticed and untreated. This can invite unwanted complications like broken teeth, infections or inflammations resulting in toothache.
- Unhealthy gums: Bleeding, painful and swollen gums and many other gum ailments can severely affect the teeth. At an advanced stage, this can lead to unbearable toothache.
- Bruxism: Many people knowingly or unknowingly indulge in Bruxism or tooth grinding. Bruxism can have serious dental implications. It exerts tremendous pressure on the teeth and the supporting tissues. Eventually the jaw muscles also get affected, with toothache being the inevitable consequence.
- Decaying enamel: Healthy enamel implies healthy teeth. Factors like excessive intake of sweets, drinks and chocolates play a significant role in enamel decay. This can have a detrimental effect on the teeth resulting in toothache.
- Abscess, a serious dental ailment: Abscess is the manifestation of dental infections, whereby pus formation takes place between the gum and a tooth. Pus formation can also take place at the base of a tooth resulting in toothache.
- Cracked tooth syndrome: A fractured tooth often acts as a catalyst, leading to toothache. The crack on the tooth is so small that even an x-ray fails to reveal it. Factors like bruxism, tooth decay, to name a few; contribute to the Cracked Tooth Syndrome.
- The wisdom mystery: Lucky are those whose wisdom teeth erupt completely, at a single go. Impacted wisdom teeth can give a person sleepless nights. Misaligned teeth are no better.
- Toothache and periodontal complications: It is a serious condition leading to shooting pain and inflammation. The inflammation and pain affects the root of the tooth immensely. It usually results from infections in plaque formations.
- Sinus infections: In many cases, it has been found that sinus infection can lead to toothache. Positioned close to the upper back teeth, the sinuses give rise to what is known as a dull ache.
Toothache can be an amalgamation of many factors. Thus, it is very important to go for periodical dental & full body check ups.