Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. 

Many people are satisfied with the sparkle they get from daily brushing and regular cleanings at your dentist’s clinic, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.

Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening there are several ways to whiten your smile:

•	In-office bleaching. This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.

•	At-home bleaching. Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a specially made bleaching trays. Usage regimens vary. There are potential side effects, such as increased sensitivity or gum irritation. Speak with your dentist if you have any concerns.

•	Whitening toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not change the color of teeth because they can only remove stains on the surface.


Whitening / Bleaching

The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventative than remedial measure. Some of the reasons for wisdom tooth removal are listed below-
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Cysts: Impacted teeth can develop fluid-filled cysts which can cause severe and even permanent damage to the jaw bone, adjacent teeth and nerves. Dentigerous cysts are the most common type.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age. 


Wisdom Teeth - When To Get Them Removed

Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

Why it's more important to brush your teeth in the night than in the morning

Most people wake up every morning and stumble to wash their teeth first thing. Do you believe that brushing your teeth in the morning is sufficient to keep your mouth healthy?

While it is important to brush your teeth in the morning for good oral hygiene, what goes on in your mouth all night is even more important. Brushing your teeth once a day is barely enough to maintain perfect oral hygiene. By brushing twice a day you can make the difference.

Do you know why it can be important to brush at night since you are only about to sleep?

Here are a few things that brushing before bed does.

1. Reduces acid build up

Everyone has acid being constantly produced in their mouths. The saliva secreted contains calcium which neutralizes the acid being built up. At night the saliva secretion slows down which allows the acids to get accumulated. The acids keep corroding the teeth all night. When you brush your teeth, the fluoride present in the toothpaste stimulates saliva secretion. So by brushing before bed you ensure that the saliva secretion does not fall drastically. In the process you prevent your teeth from getting corroded.

2. Reduce bacterial multiplication

The saliva in our mouth not only neutralizes the acid it reduces bacteria from multiplying as well. During the reduced saliva production, as you sleep, the bacteria in your mouth multiply manifold and attack your teeth and gums. This is why keeping your saliva secretion regular by brushing before bed is of utmost importance.

3. Reduce the decay of food particles

After you have your dinner just rinsing your mouth is not enough. Tiny food particles that get stuck in your teeth rot overnight. It is best to go to bed with a clean mouth rather than a mouth with tiny decaying food particles.

No matter how much of a task it might seem like, brushing at night is as important, if not more important, than brushing in the morning.

If you would like to consult with me privately, please click on 'consult'.

Is it More Important to Brush Your Teeth in the Night Than in the Morning?

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

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

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