Gingivitis is a disorder, which is characterized by inflammation, swelling and irritation in the gums. Usually, the symptoms of this disorder are mild, so you might not pay much heed to them. However, if left untreated, this condition can result in other serious disorders, such as teeth loss and periodontitis. The primary cause of gingivitis is an improper oral hygiene.

The symptoms of gingivitis are:

    Red gums that bleed easily
    Swelling in the gums
    Tender gums that are receding
    You may have bad breath
    You may bleed from your gums during brushing and flossing

Causes: The most common cause of this disorder is bad oral hygiene, which facilitates the formation of plaque on your teeth. If the foods you eat contain excess sugar, the bacteria in your mouth may interact with them to produce acid (plaque) if you don't manage to maintain good oral habits. If not removed, the plaque can turn into tartar; plaque can be difficult to get rid of as tartar.

Treatment: The treatment for gingivitis usually begins with an initial evaluation and a professional cleaning to get rid of the tartar. You should use proper brushing and flossing techniques to prevent the recurrence of plaque. You should also follow up with the dentist on a regular basis for check-ups.

Scaling is the procedure by which the plaque from the teeth is removed. If the sources of problems are misaligned teeth and poorly fitted dentures, then these need to be fixed. There are certain home remedies for gingivitis such as:

    Use toothbrush that has soft bristles
    Visit a dentist for regular oral check- ups, it is very essential for the upkeep of sound oral health
    Regular flossing can help
    Use a non-alcoholic mouthwash which can help in removal of cavities and plaque to a certain extent, though not majorly
    Use fluoride based toothpaste to brush your teeth at least twice a day
    Clean your teeth regularly, avoid eating foods laden with sugar and eat plenty of vegetables

Gingivitis and Its Causes and Symptoms

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

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?

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?

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

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

pain when eating or drinking hot or cold food and drink
pain when biting or chewing
a loose tooth
As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

pain when biting or chewing returning
swelling of the gum near the affected tooth
pus oozing from the affected tooth
facial swelling
the tooth becoming a darker colour
It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics   medication to treat bacterial infections   aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

removing the bacteria from the root canal system (root canal treatment)
removing the tooth (extraction)
At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment.

Root Canal Procedure For Infected Tooth Nerve!

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