The smile is the first thing we notice about a person, and more than anything else, it reveals the teeth first. We all yearn for that set of perfectly aligned teeth that are pearly white in color. However, this is not a reality in all people.

Due to various reasons, the teeth are not always bright and white. In some cases, the high fluoride content in the water can lead to fluorosis, which causes irregular patches on the teeth. Chewing tobacco and smoking are another reason for teeth discoloration, ranging from yellow to brown to black. The most inevitable of all reasons is ageing, where they naturally change to a darker shade of yellow. However, dental technology has also improved to come up with various solutions, so that the dream for that set of pearly whites can be made a reality.

Bleaching is by far the most commonly used method for teeth whitening. The tooth has an outer layer called enamel, a next layer called dentin, and a final inner layer called the pulp. The enamel contains organic particles that give the tooth its color, and the bleach material attacks these organic particles and thereby removes the stains.

It is always advisable to use tooth bleaching under the supervision of a dentist. A thorough examination and diagnosis is required before deciding on one of the two modes of bleaching.
1. In-office bleaching: This involves use of whitening gels that are not available over the counter. The gel is applied on the discolored portions of the teeth to leave a whiter tooth behind after the stipulated time.
2. Home bleaching: In cases where more regular application is desired, the patient is given a kit which has customized trays and the whitening gel. The patient is educated on a schedule including how and when to apply the gel and instructions for this application.

In addition, for minor discolorations, there are other options as below:
1. Whitening strips: These strips are similar to adhesive bandage and contain the bleaching agent. They are applied onto the tooth and left for usually about 30 minutes to take effect.
2. Brush-on whitening: These gels are applied directly on the tooth and left for a while or overnight if required.
3. Whitening chewing gum: For the chewing gum lovers, this could be an option. These chewing gums are similar to any chewing gum but include bleaching agents.

Side effects: Sensitivity and gum irritation are the two common side effects of bleaching. This could be either from the chemical or the trays that are used. The need to repeat the treatment again is another shortcoming. Repeated visits to the dentist may be needed once or twice a year to maintain the pearly white smile!

Bleaching for Extra White Teeth

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

What you must know before you get root canal treatment

Root canal treatment also known as endodontics is performed to treat and heal an infected or badly damaged tooth rather than removing it. When your teeth start decaying, you do not feel any pain for a very long time. However, gradually the darkening of your tooth color may become prominent which could mean that the tooth nerve is dying or has died. That's the time you will need root canal treatment which involves cleaning of the canals inside the roots of your tooth.

Why you may need the root canal treatment

Teeth consist of a soft core known as dental pulp. This pulp goes beyond the crown &#x2013; the noticeable part of your tooth to the root tip inside your jawbone. The pulp contains blood vessels, nerves, and connective tissue. So when your tooth is damaged or has a severe cavity, bacteria can easily make their way through the pulp. Symptoms and signs of a sore tooth include a hole in your tooth, a swelling around the regions of your face and neck, gum swelling, tooth pain or a toothache and temperature sensitivity. If it is left untreated, the decaying material and bacteria can cause a tooth abscess or severe infection, resulting in a bone loss, pulp death and even loss of the tooth itself. The root canal treatment is the best way to save the damaged teeth and escaping the painful process of extraction.

What does the treatment involve?

The purpose of the treatment is to free your root canal from every possible infection. The root is then cleaned and filled to avoid any further infection.


	
	Root canal treatment is a skilled procedure which is time-consuming and usually requires from 2-3 visits to your dentist.
	
	
	In the initial stage, the infected pulp is isolated to drain out abscesses (if any), followed by the cleaning of your root canal which is then prepared for a temporary filling.
	
	
	Your tooth is then left to settle down.
	
	
	In the next visit, your tooth is checked to see whether it&#x2019;s free from all forms of infection so that it can be permanently filled. 
	


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What You Must Know Before You Get ROOT CANAL Treatment

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

Why most Indian Adults Need Teeth Scaling? 

Huge number of Indians tend to ignore or abuse their dental health. Most adults in the country need regular scaling due to their food and lifestyle habits. 
Teeth scaling is one of the most common methods used for treating gum disease. This procedure helps remove plaque and tartar (causes of gum tissue inflammation) build-up on your teeth. In a nutshell, it reverses the occurrence of gum disease, while preventing further development of it into a serious condition. A non-surgical procedure, teeth scaling is different from a normal dental cleaning as it involves cleaning the tooth areas that are under the gum line. It removes substances that cannot be removed through brushing.

The importance of scaling

In addition to giving you healthy gums, dental scaling is important for reducing your risk of having a heart disease. If you’re wondering how teeth scaling is connected to your heart, here’s how – several studies show that gum disease can increase your risk of heart disease as the bacteria that build up along the gum line get dislodged, enter your blood and attach themselves to the blood vessels, causing the formation of clots. These clots then cause a drop in your blood flow to the heart, bringing about a rise in your blood pressure, and consequently increasing your risk of a heart attack.

How often it must be done?

To keep your gums and teeth in good condition, it is best to go for teeth scaling every 6 months. This is because as you age your saliva becomes thicker with a decrease in its water content. As a result, your mouth becomes more prone to dryness, thereby allowing the food and bacteria to remain longer in the mouth, causing the formation of plaque. A soft sticky film on the teeth, plaque continues to form in your mouth and begins to mineralize into tartar within 10-14 hours. This makes it all the more necessary to get this job done on a regular basis.




Reality Check: 98% Adult Indians Need Teeth Scaling. Why?

How to heal tooth cavities naturally?

It is believed that tooth decay once occurred cannot be reversed or healed. But the recent studies have proven this wrong. According to the researches cavity can be healed by improved diet. Tooth decay primarily occurs due to bathing the teeth with the foods containing carbohydrates frequently. Bacteria from mouth feed on these foods and produce acids which destroy tooth enamel over a period of time resulting in cavity.

To heal cavities naturally, we need to include the foods rich in minerals like calcium, fat soluble vitamins lack of which cause cavities.

Ways to heal cavities naturally

1. Avoid sugar and phytic acid (phytate)

Sugar is the food for bacteria. So it is better to avoid sugar in your diet. You can replace sugar with pure honey which is much healthier option.

Phytate is mineral blocker found in nuts, seeds, soy products and grains. It does not only inhibit absorption of minerals in your body but also leaches out minerals from the teeth and bones. You can alter the way you eat the phytate containing foods. Prefer sprouted seeds, fermented soy foods, salted bread etc which cut down the amount of phytate.

2. Minerals

Calcium strengthens teeth. Hence increase your calcium intake by consuming milk, cheese and yogurt. With calcium, include phosphorous and magnesium rich diet also to aid calcium functions.

3. Fat soluble vitamins

Lack of fat soluble vitamins also cause tooth decay. Take diet rich in fat soluble vitamins a, e, k and especially vitamin d. Cod liver oil is great source of vitamin a, d, e. Vitamin k can be acquired from spinach, broccoli, skate liver oil, bone marrow etc. In addition to sunshine, milk, eggs and salmon are also rich in vitamin d.

4. Raw dairy products

Raw dairy products are loaded with calcium, magnesium, phosphorous, fat soluble vitamins. We must include raw dairy products in our diet. Raw cheese, butter, milk are the examples of raw dairy foods.

You can also try coconut oil pulling and activated charcoal / dry neem powder to brush your teeth which can prevent cavity naturally.

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How to Heal Tooth Cavities Naturally?

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