Hyperdontia is an oral condition where people may have an overcrowding of teeth in their mouths due to the growth of extra teeth which are known as supernumerary teeth, in dental terms. This problem may hit people of any gender, background and medical history. This is caused when an extra tooth bud is found in the tissue from which the teeth typically grow. The most common cases are those that affect children who are already suffering from Down's Syndrome.

This article will tell you all about coping with and correcting the issue.

1. Problems Experienced: Let us first understand the various problems that a patient may experience. To begin with, there may difficulty when it comes to eating and chewing as too many teeth will make this task cumbersome. Also, this condition may prevent the normal teeth eruption process. Further, these teeth may fuse with the permanent teeth in the mouth of the patient. And finally, all this can also lead to the formation of a cyst or tumour.

2. Check Ups and Diagnosis: In order to treat this problem, the dentist will first of all conduct a thorough check up of the mouth of the patient and try to find the exact cause of the ailment. This will also be done with the help of lab tests based on blood samples as well as a dental X-ray. Further, the most important thing that the dentist will try to check is whether or not the supernumerary teeth are affecting the growth of the permanent teeth, in any way. 

3. Tooth Extraction: Once the dentist has had a look at the problem, he or she will be in a better position to take a call regarding whether or not the supernumerary teeth need to be removed. In most cases, these teeth will not be removed unless the said tooth is loose, which in turn can present the risk of choking by passing into the lungs. If tooth extraction has been decided upon, then the orthodontist or the dentist will do so by administering local anaesthesia first. Depending on the severity of the condition, the tooth may have to be cut and removed in pieces while the doctor has to ensure that there is enough space left for the permanent teeth to grow and find a place for themselves. 

4. Alignment: After the process of extraction is done, the dentist has to ensure that there is proper alignment of the teeth with the help of proper orthodontic methods for the remaining teeth to grow in a proper manner. Endodontic treatment will be used for fused treat in order to work on the tooth pulp and tissue in the surrounding area.

How to Correct Severe Hyperdontia?

Hyperdontia is a peculiar and quite rare dental problem which involves the growth of excess number of teeth. It can appear during birth and last till the primary teeth fall out to be replaced by the permanent set of teeth, or appear with the rise of the permanent teeth. If a person shows a tendency to grow more than 20 temporary teeth or more than 32 permanent teeth, he or she suffers from hyperdontia. 

Where do the additional teeth occur?
The additional teeth or supernumerary teeth can appear anywhere inside the mouth or dental arch, but the most common ones are called wisdom teeth and they grow as anterior molars after a certain age. Extra teeth in new born infants are called natal teeth. Occurrence of more than 4-6 supernumerary teeth is rare, although there have been known cases of more than 30 supernumerary teeth. 

Why does hyperdontia occur?
1. Hyperdontia often occurs in association with a few select disorders like cleidocranial dysplasia, Ehler - Danlos syndrome, Gardner syndrome, and cleft lip and palate. 
2. Although the exact cause of hyperdontia has not yet been discovered, some studies have shown that it might be a result of over activity of dental lamina during the phase of tooth development in infancy. 
3. It could also possibly be due to genetic or environmental factors. 

What problems does it pose and how can hyperdontia be corrected?
1. The existence of extra teeth often causes problems in speaking.
2. It may also cause deformation in the mouth region, and impediments in a lot of other functional activities like eating. 
3. In rare cases, the extra tooth/teeth may be agents of tumors or cysts. 
4. Therefore, treatment must be swiftly undertaken so as to remove the extra teeth and prevent rise of further teeth in the same spot. 
5. Sometimes, hyperdontia also leads to overcrowding and misshapen rows of teeth; this can also be corrected with extensive procedures.

All About Hyperdontia

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children s brushes need to be changed more often than adult s toothbrushes.
Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
If possible, store your toothbrush in your medicine cabinet.
Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
Along with your toothbrush also clean out your toothbrush holder regularly.
Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush.

Can Your Toothbrush Make You Ill?

Basics That Beat Bad Breath

Bad breath is embarrassing. It inconveniences you and everyone around you. It affects your life in more ways than you might be aware of. It is crucial that you give due care to your oral health well in time to save difficult procedures and unbearable decay in time. Here are a few ways how you can do that:

1. Brushing Twice: This is the first and the most important. The reasons of odour in the mouth are mainly gum disease, tooth decay, and cavities. You should brush your teeth twice, once right after you wake up and just before you go to bed.

2. Tongue Cleaning and Flossing: It’s not just brushing, you need to clean your tongue too. This is the area where harmful bacteria are present. To avoid odour and mouth diseases, ensure that you have a tongue cleaner and that you clean your tongue every time you brush your teeth. Also remove the in-betweens of the teeth with a flossing thread. It ensures complete deposit free oral hygiene.

3. No to Mints: Avoid using mints and gums to disguise the odour in your breath. They are temporary disguises and do more harm than good. They have sugar which stays back in your mouth and spoils your oral health, drastically. If you have to choose ones which are free of sugar.

4. Drink Ample Water: If your mouth is dry, it is a bad sign. Saliva has the important enzymes which help kill bacteria. If your mouth is dry, bacteria are increasing. So, drink water. Ensure you drink at least eight glasses of water in a day.

5. Rinse After Every Meal: Always wash the insides of your mouth well, after eating anything, esp. chocolates and other sugary foods. A good swirl with water inside your mouth will get rid of the food lodged in corners.

6. Pick The Right Fruits: Certain fruits and vegetables are very good for oral health. Juicy and crunchy Vitamin C rich fruits like bell peppers, broccoli, berries and apple have a cleansing effect on your teeth.

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6 Effective Basics That Beat BAD Breath

Mouthwash has become an essential ingredient of one's oral hygiene kit. Though not a substitute for flossing or brushing, it offers additional oral protection. Due to a host of ingredients, such as alcohol,
Chlorhexidine, cetylpyridinium chloride, menthol, methyl salicylate, fluoride, antibacterial enzymes, hydrogen peroxide, essential oils, zinc chloride and other herbs and "natural" ingredients mouthwash has a number of benefits.

Alcohol is the basic ingredient in all of them. While fluoride protects against decay, chlorhexidine protects against gum diseases. Hydrogen peroxide produces a mild bleaching effect. Herbs and essential oils produce a freshening effect.

Benefits of using a mouthwash

1. Reduces formation of tartar and plaque.
2. Protects from oral problems like gingivitis and periodontal disease, especially if it contains cetylpyridinium or essential oils. Chlorhexidine is also effective in protecting plaque formation and gingivitis.
3. Kills bacteria in the mouth and prevents cavities or decay, especially if it contains fluoride.
4. Mouthwash, to some extent, covers up bad breath due to oral hygiene or oral disease and produces a fresher breath.
5. Certain mouthwashes containing cetylpyridinium chloride and zinc chloride produce a better breath freshening effect.
6. Helps manage dry mouth, especially if containing biotene.

Types of Mouthwash

1. Cosmetic
2. Therapeutic

The cosmetic one is usually for freshening up the breath and is not regulated by the FDA. The therapeutic ones contain active ingredients aimed at addressing one of the issues like plaque formation, bad breath, dry mouth, or decay. They kill bacteria, reduce plaque, fight gingivitis, and control decay. They are not a substitute for brushing or flossing but supplement these two very well. These are approved by FDA and are proven in terms of safety and efficacy. Rinses with zinc chloride are effective against bad breath, those with fluoride are useful in people who are cavity-prone, and chlorhexidine helps prevent gum disease.

Choosing a mouthwash: This depends on the oral health condition, and it is always advisable that the dentist prescribes the right rinse for you.

When and how to use mouthwash: When you are done with your brushing and flossing, rinse your mouth with a capful of the mouthwash liquid. Swish it around your mouth for about 30 seconds and spit it out. Avoid brushing, drinking water, or rinsing your mouth after using a mouthwash for about 15 to 20 minutes. This will give sufficient time for the active ingredients in the mouthwash (especially if it is a therapeutic one) to act in the mouth. Brushing after mouthwash removes all the effect of the rinse.

Mouthwash: All You Need to Know About it

Wisdom teeth are known to be the final molars to grow out and they complete the set of permanent teeth. They generally start to erupt during the late teens or in the beginning of twenties. 

In case of some people, there is a possibility that the wisdom teeth may never erupt, while others may even grow four and more wisdom teeth. 

Do all wisdom teeth create dental problems?
No, if a wisdom tooth has completely erupted through the gum and tissue, without actually harming the teeth next to it, it does not require to be extracted. But, this is only if the individual is able to clean and brush it thoroughly. The wisdom teeth should be properly examined and dental care is necessary to prevent any complications. 

When do wisdom teeth need extraction?
Proper oral care of the teeth will keep them healthy and clean. But there may arise a situation, in which the removal of the wisdom teeth is quite necessary:

1. In certain cases, the wisdom tooth may erupt at a weird angle, compromising the teeth next to it. This may make it difficult to clean the teeth thoroughly, thus resulting in the onset of bacterial growth and periodontal disease. In this case, the wisdom teeth should be removed as soon as possible. 

2. While the wisdom teeth grows out, it may happen that there is not enough space for it to grow properly. As a result the adjacent teeth may face pressure due to crowded teeth, leading to headaches, toothaches and jaw pain. It is best that the wisdom teeth is extracted in this situation.

3. In case a wisdom tooth develops a cavity, it should be extracted. 

4. An impacted wisdom tooth, that is, if it has only partially grown out of the tissue, should also be extracted before it can cause serious complications.

All About Wisdom Teeth

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