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After teeth cleaning then also I am suffering bad breath what to do. Tell me any suggestion. So I solve my problem.
There are a lot of ways that tooth enamel (hardest substance in the body) can wear off – decay and erosion being the most common. While decay is an infectious process with bacteria playing a significant role, erosion is nowhere associated with bacteria. The tooth gets ‘eroded’ in small amounts with the various food substances that you eat. These include the sodas that wash down the burgers and pizzas, the various sports drinks that are used to boost performance, the lime and oranges that are constantly sucked, and other acidic and sugary foods.
It does not mean you should not have an occasional soda or a sports drink or a citrus fruit. It is the constant and overuse of these that is damaging. The oral pH goes to a very acidic level (below 5.5) with these which then leads to demineralization of the enamel. The environment that is usually produced by the bacteria is caused by the acidic and sugary foods.
In some cases, acids could come from an internal source too. People with gastroesophageal reflux disease may have the acid coming from the esophagus, which also can lead to erosion.
However, there is nothing to be disheartened about as the lost enamel can be replaced to restore both tooth function and appearance. The most commonly affected teeth are the inner surfaces of the upper incisors and the biting surfaces of the lower molars. The result is tooth sensitivity, darker teeth, and increased chances of tooth decay and fracture.
Repair Mechanisms: Treating erosion has two components to it – to repair the lost tooth structure and to prevent further damage. The second is equally or rather more important than the first one.
Restorations: In mild cases of erosion, the lost tooth structure can be rebuilt with composite resins or glass ionomer cement which usually restores lost tooth structure to its earlier version. Usually done in one sitting, it should not take more than an hour. The results would last longer if further erosion is prevented.
Crowns: In cases where a lot of tooth structure has been lost and the remaining enamel weakened, a new crown will need to be done. This offers protection against further decay and also restores esthetics and function quite effectively.
Avoid overuse of acidic, sugary drinks like sports drinks and aerated beverages.
Avoid sucking on oranges as they prolong the effect of the citric acid on the tooth.
Include toothpaste and rinse with fluoride.
Improve dairy intake, thereby providing sufficient calcium.
Follow oral hygiene habits including brushing, flossing, and regular dental visits.
Lost tooth structure unfortunately cannot be regained; however, further loss can be prevented.
If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible - functionally and structurally.
The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage. The adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth. In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.
Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.
Types of implants: Three common types include:
- Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
- Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
- Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.
Contraindications: The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.
However, if managed well, even these patients can have implants after a detailed assessment by the dental team. If you wish to discuss about any specific problem, you can consult a Dentist.