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Root Canal Treatment
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Teeth are one of the most precious parts of the human body. By playing a significant functional and structural role in aesthetics, facial appearance, and food habits, digestion and chewing, all efforts at maintaining them should be undertaken. As we all know, we have two sets of teeth, primary or deciduous and the permanent set. Let us discuss tooth removal in these two sets separately.
In the primary teeth, the main indication would be dental decay. If the tooth is severely damaged beyond repair with fillings, then removal could be an option, with two things considered. The primary successor will erupt within the next 6 months; if not, a space maintainer would be put in place.
Another reason would be if the tooth is beyond its lifecycle and is blocking the eruption of the successor, then it requires removal.
The permanent teeth, however, are a set that are meant to last for a lifetime and removal should be considered only as a last resort. With advances in dental treatment methods, gone are the days when removal would be an option for severe decay.
Some of the absolute indications for removal would be:
- Wisdom teeth: if it is erupting in abnormal position (flattened or crooked), then removing them to avoid infection and impingement on other teeth needs to be considered. Wisdom teeth infection is one of the most common causes requiring tooth removal.
- Recurrent infections: If a tooth has been root canal treated, but continues to have ongoing chronic infection, it could be a case for removal.
- Malformed or supernumerary teeth: These may also block eruption of other teeth into the mouth.
- Orthodontic treatment: In cases where the jaw size is really not sufficient to realign the mal-positioned or crooked teeth, the first premolar is often sacrificed, and this space is used to align the other teeth.
- Injuries: In case of accidents or injuries with jaw fractures, teeth in the line of fracture may need to be removed.
- Preparation for dentures: In cases of severe periodontal disease, where the mobility of the teeth is high and complete dentures are being considered as an option, teeth removal may be planned. Also, if there are teeth which are in the line of fixed partial dentures, again removal might be planned
- Radiation therapy: For head and neck cancer patients, if there are teeth in the line of radiation, then removal might be planned.
Unlike in the earlier years, the absolute indications for removing tooth have changed. A thorough examination, both oral and radiological, should be done before zeroing on extraction.
I am 25 year old. I have gum pain. Acualy the new teeth is coming from last gum and I am feeling very pain and fever.
She is pregnant now its 7th month 1st week She got Gum infection past three day of both side end of the teeth gum. I guess that may be a cause of wisdom teeth but I not yet seen. The skin of that place not like normal skin the colour is changed on that point of gum. Still not consulted doctor or dentist just goggling with salt water we for from regular gynecology do please suggest me. Whatever weight is mentioned is on day weight on antenatal card.
We all think brushing is the best favour we could do to our teeth and mouth, right? No! Incorrectly done, brushing can do more damage than good. It is always advisable to check with your dentist if you are brushing the right way. In fact, a lot of periodontal diseases and issues like abrasion are due to improper brushing techniques.
Let us look at some common issues related to brushing both good and bad.
- Tooth brush: Pick the right one. Firstly, the length, you should be able to reach all parts of the mouth, especially the last tooth, without having to open the mouth wide. Softer bristles are always preferred.
- Duration: If you brush 2 to 3 times daily, each brushing should not last more than 2 minutes. Divide the mouth into 4 quadrants upper right and left, lower right and left – and spend 30 seconds on each quadrant. Longer hours of brushing can lead to wearing of the enamel.
- Technique: A forceful front-and-back motion can cause a V-shaped notch at the gum line, leading to a condition called abrasion. The ideal way to brush is to begin at the gumline and go about in circular motions. Ensure all surfaces, outer and inner, of all teeth are covered.
- Force of brushing: The idea of brushing is to remove the soft deposits of plaque, which comes off very easily with brushing. Do not exert a lot of pressure in an attempt to remove plaque. The hardened tartar or stain can anyways not be removed with brushing and will need to be removed by the dentist.
- Habit: Most of us are habituated to begin at the same place and go about the same routine to finish brushing. Dentists advise that it is good to begin at different places each time. As you near the end of your brushing time, you are usually tired and just want to get done with it. Changing the start and end points gives all the teeth a fair chance of getting cleaned.
- Storing: Do not store your toothbrush in the toilet area and with a whole lot of brushes. Both contain enough bacteria, and your brush can do without it.
- Timing: If you have had acidic food, wait for about half an hour before you brush. The acidic environment softens the tooth and brushing it immediately can lead to easier wearing of the enamel.
- Changing brush: Any time the bristles lose their flexibility, it is time to change, usually about 3 months.
Never thought there are so many things to do and avoid with brushing? You are not alone, hopefully you can plan your brushing better the next time onwards. If you wish to discuss about any specific problem, you can consult a Dentist.