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

A smile is said to be a person s best accessory. No matter what the colour of your teeth may be when you were born, exposure to various things including tea, coffee, berries, wine etc can stain your teeth and mar their beauty. Thankfully this discoloration can be fixed by whitening your teeth. Here are a few things to know before you decide to whiten your teeth.

Cleaning and whitening are not the same: Cleaning refers to the removal of plaque and tartar from the surface of the teeth while whitening is a chemical procedure that brightens the enamel.
Not all teeth whiteners are the same: Most teeth whiteners have a hydrogen peroxide base, though they all act in the same way by releasing oxygen that reacts with strainers and removes them, they vary in terms of the strength of the hydrogen peroxide.
Whitening can be slow or quick: Teeth whitening can be done in a dentist s office or at home. In a dentist s office, this procedure can take an hour while teeth whitening at home can take a few weeks. However, home treatments are usually much more budget friendly than getting your teeth whitened at the dentist s office.
Teeth whitening is not permanent: The effect of bleaching your teeth to whiten them can last from a year to three years. You will need regular touch ups to maintain the sparkle. You should also reduce your intake of food like wine and coffee that can stain your teeth. Regular brushing and flossing will also help maintain the look for longer. On the other hand, keep in mind that excessive teeth whitening can permanently damage teeth.
Not everyone can get their teeth professionally whitened: This form of treatment is not suitable for children, adolescents, pregnant women and lactating women or people who are allergic to peroxides. This procedure can also not be performed on teeth that have cavities, exposed roots, bonded fillings, veneers, crowns incomplete dental work or on patients who suffer from gum disease and hypersensitivity. Bleaching may also not work in cases where discolouration is a result of prolonged administration of certain antibiotics or excessive fluoride intake during childhood
There may be side effects: Sensitivity is one of the most common side effects of teeth whitening. This can vary from person to person and can be relieved with pain relievers. Sensitivity can also lead to gum recession. Other common side effects of this treatment include irritation of sift tissue and nausea or vomiting.

Tooth Whitening - What You Should Know About it

2 Biggest dental mistakes that Indians make!

Your dental health chiefly depends on the way you care for your teeth and gums. Most Indians consider maintaining oral health a very simple thing, and end up committing quite a few dental blunders as a result. As a result, a whopping 95% of the population in India suffers from gum disease! (Source: National Oral Health Programme)

Read on to find which of these dental mistakes you are making and how to avoid them.

1. Not flossing your teeth
Flossing plays a significant role in getting rid of sticky bacteria or plaque from your teeth. The acid generated by dental plaque is the chief cause behind oral cavities, gum irritation and various other gum diseases. Flossing is essential for cleaning the space between your teeth and in turn eliminating most of the bacteria present in your mouth. This is the very reason it should not be ignored.However in India, well over 70% of the population does not floss.

2. Not regularly visiting the dentist
Most Indians have the habit of not visiting the dentist at regular intervals due to laziness, a forgetful nature or fear. Quite a few hold the common belief that if they aren’t experiencing a toothache, they don’t need to visit the dentist at all. Only 2% of Indians visit the dentist.  This often puts you in greater risks of developing a gum disease, which may require painful and costly treatment in the future. So, make it a priority to visit the dentist at least once every year to ensure better dental health.

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

2 Biggest Dental Mistakes that Indians Make!

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

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.

10 Reasons for Toothache

4 myths about teeth scaling - busted!

Teeth scaling is a dental procedure with which plaque and tartar deposits that form on the teeth are cleaned or scraped away. While plaque is a soft, sticky film that develops on the teeth containing millions of bacteria which cause tooth decay, tartar is a hardened form of plaque that develops if the plaque is not removed on time. Tooth decay is a natural process that takes place with time but plaque and tartar deposits tend to speed up that process.

Teeth scaling involves a thorough cleaning of the teeth down to the roots. Teeth scaling is usually recommended when the gum disease is of a moderate level, in order to stop it from spreading, leading to further complications. When the gum disease is found to be severe, then teeth scaling is done prior to the surgery.

Here are some common myths surrounding teeth scaling:

1. Scaling weakens the teeth and makes them lose - one of the most common myths surrounding teeth scaling is that it weakens the teeth. However, this is not the case. Scaling removes the elements deposited on the teeth that eventually lead to gum disease. When these elements are removed from the teeth, one feels the teeth weakened and lose. Scaling does not weakens the teeth as they are already made weak by the deposit of elements like calculus and plaque.

2. Scaling makes the teeth sensitive - with the onset of gum disease, the gaps between the tooth are filled with tartar. When this tartar is removed by scaling, the teeth get exposed to the oral environment and become moderately sensitive. In most cases, the sensitivity vanishes in a couple of days.

3. Scaling causes gaps between the teeth to increase - when the gum disease is progressing at a moderate level, the usual gaps between the teeth get filled by tartar which forms on the teeth. After scaling, when the harmful tartar fillings are removed from the teeth, patients feel that the gaps between the teeth have increased.

4. Scaling is painful - contrary to popular belief, scaling is a virtually painless process, with the patient feeling a mild scraping sensation on the teeth when the scaling is taking place.

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4 Myths About Teeth Scaling - Dental Myth Busted

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