Dr. Sandesh AhirCall
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If we think about what attracts us to a person in general, the first thing that we can think of is a great, warm smile. A good set of well-aligned white teeth is an important aspect of this great smile. However, white teeth remain an elusive thing for most of us. Some of the common reasons for discolored teeth are as below.
The degree of discoloration varies widely and also is hereditary. Whatever the reasons, there is the option of tooth whitening, which is effective with optimal oral health and good oral hygiene habits. Tooth whitening is not for everybody though, the following are the definite contraindications.
While choosing to go for tooth whitening, one thing to bear in mind is that it is not a permanent solution to discolored teeth and might require repetition of the treatment. Having a detailed discussion will help set realistic expectations and achieve optimal results.
One warning that most children would have heard from their parent or other elders is, 'don’t eat chocolates, your teeth will get decayed'. And, most children grow up believing this to be true. As this is a global statement thus, more and more research has been done to clarify this.
Let us understand in brief the basic process of tooth decay. The tooth is made of mineralized layer called the enamel that is covered constantly with saliva. There are thousands of bacteria in the mouth. Food substances gradually deposit on the teeth and form plaque. This combination of a moist environment and bacteria on a mineralized structure produces the ideal environment for bacteria to act and produce acids which break down the minerals in the enamel. This is the first step in the origin of decay. The acid produced attracts more bacteria which further leads to worsening of the decay.
Some of the facts correlating chocolates and tooth decay are as follows:
So, the next time someone talks about chocolates causing all the tooth decay, tell them it is not that bad, you can have your chocolate and eat it too!!
More than often, parents have to deal with children coming home with a broken front tooth / teeth. Dental problems, injuries sustained during physical activities and games, munching on certain foodstuffs (nuts, certain candies) contribute in a big way to chipped front tooth. It is advisable for parents to consult a dentist at the earliest. Left unattended, the situation might result in infections or other dental complications.
A broken front tooth is often the hardest to fix. The effectiveness of the treatment is largely governed by the nature and severity of the damage.
1. In case of a really small crack or a break, the problem can be fixed by simply filing the broken surface to smoothen it.
2. Dental bonding comes as a huge relief in situations where a small portion or corner of the front tooth chips off. The procedure is simple and hassle free. The surface of the broken tooth is fixed or bonded with a bonding material. The material is shaped well to give it a more natural appearance. The bonding material is finally hardened using UV light.
3. Dental crowning comes in handy when a large chunk of the front tooth cracks or breaks off. To understand the condition better, an X-ray of the affected tooth is carried out. If everything goes fine, the dentist proceeds to the next step. The tooth to be crowned is then filed down to ensure sufficient space to fit in the crown.
In some cases, the break results in enormous loss of the tooth. Under such circumstances, a filling material is used to assist the tooth in holding the crown. Next, an impression of the tooth (receiving the crown) as well as the opposing tooth is made using putty. Till the new crown is being manufactured, the dentist may fix a temporary crown (generally made of acrylic) to protect the tooth. In the next sitting, the dentist replaces the temporary crown with a permanent one. The crown used may be of stainless steel, all porcelain, all ceramic, metal, porcelain fused to metal or all resin.
In case of an extensive damage, Root canal is performed prior to the dental crowning. This goes a long way to ward off any possible dental infection or injury.
Why a dental visit before your wedding day is essential
It's your wedding clothes trial and after multiple designers visits, a blur of fabrics and embroideries, finally you face the mirror looking like a charming prince! you can't get your eyes off yourself the smart, handsome, be jeweled and crowned silhouette you get closer to your reflection and you smile to yourself.
To your utter dismay-staring back at you is a gaping black hole in your yellow looking teeth- a stark contrast against your beautiful pearl white sherwani!
Among things that you don't know or care about in this wedding planning charade, one thing you do know for sure is that while the bride will outshine you, the pictures will last forever, and a yellow smile with a black blemish on a white sherwani is not the kind of shame you're willing to live through!
So if you're a groom-to-be your trial date shouldn't be the day you realize your smile must live up to the bright and momentous occasion that you're preparing for!
While the metrosexual man of today has even his pre-wedding skin treatments lined up, for the more macho or masculine ones at least getting their smile right can make a huge difference!
So here's a quick checklist to know if you qualify for dental treatment and if you should visit before your wedding day
Are you happy with your smile?
Are your teeth crowded?
Are your teeth yellow or dull?
Can you see any brown or black stains on your teeth?
A dental visit according to popular misconception is no unpleasant ordeal!
With the latest technology drill free cavities, bladeless surgeries, and painless extractions have become a reality.
So whatever be your woe, a variety of treatment solutions can be planned and customised to transforming your smile if you're well in time.
Having a dental partner through it all works best for most people and who better than your future life partner to get you through an intimate experience like your appointment.
Top 3 reasons for a couple's pre-wedding dental appointment
You want a million dollar smile on your big day
Long pending issues that rather be dealt with while you're working on looking your best -both within and without Avoiding unhappy toothaches during your happiest times be it wedding or honeymoon
Did your dentist tell you stronger teeth make for hotter men!
Stay happy and flash that smile with confidence after your dental appointment.
Do let me know what you think!
Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Periodontitis can cause tooth loss or worse, an increased risk of heart attack or stroke and other serious health problems.
Periodontitis is common but largely preventable. Periodontitis is usually the result of poor oral hygiene. Brushing at least twice a day, flossing daily and getting regular dental checkups can greatly reduce your chance of developing periodontitis.
In most cases, periodontitis is preventable. It is usually caused by poor dental hygiene.
Signs and Symptoms of Periodontitis
Factors that can increase your risk of periodontitis include:
If periodontitis isn't advanced, treatment may involve less invasive procedures, including:
If you have advanced periodontitis, your gum tissue may not respond to non-surgical treatments and good oral hygiene. In that case, periodontitis treatment may require dental surgery, such as:
In a procedure called 'guided tissue regeneration', a small piece of mesh-like material is inserted between the gum tissue and bone. This stops the gum from growing into bone space, giving the bone and connective tissue a chance to regrow.
The dentist may also use special proteins (growth factors) that help the body regrow bone naturally.
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:
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:
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.
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
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.
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.
In addition, for minor discolorations, there are other options as below:
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!
An obvious gap between the teeth may be caused due to a condition known as Diastema. This usually manifests as space between two teeth. This condition is caused due to a mismatch between the size of the bones in the jaw and the size of the teeth. This in turn, gives rise to extra space between the two teeth and may also lead to overcrowding of teeth in the mouth. The space usually occurs when the teeth are too small and the jaw is larger. Also, an oversized tissue known as the labial frenum can cause a gap between two teeth. Let us look at the ways in which this condition can be prevented and treated.
1. Prevention: Not pushing your tongue between the teeth during the teeth growing stage can ensure that this condition does not occur. Children tend to rub their tongue along the jawline when the teeth are growing, whether it is the milk teeth or the permanent ones. This can cause a gap. Also, maintaining good oral health and hygiene can help in preventing this condition. One must brush at least twice a day and floss regularly too, in order to ensure that the gap between the two teeth does not widen.
2. Orthodontic Treatment: Braces are one of the most common ways of fixing this problem. The orthodontic surgeon will usually install these braces, which will remain in the mouth of the patient for a year or more, depending on the severity of the condition. On a monthly basis, the braces will need to be tightened so that the jaw can facilitate the movement of the teeth to close the gap.
3. Tooth Extraction: In many cases, when the braces are installed, the doctor may also have to remove or extract teeth on the sides to make space for the teeth and their movement. This is usually done when there is a related ailment like overcrowding of the teeth.
4. Crowns and other Dental Installations: Crowns, veneers as well as bonding can help in cases where the lateral incisors may be smaller than what is normal. Also, dental implants or a bridge or even a partial denture may be required in cases where extensive dentistry will be called for.
5. Frenectomy: This surgery can help in closing the gap formed by a large labial frenum.
6. Gum Health: In case there is an infection or any other problem in the gums due to implants or braces, the gum health will have to treated and restored first and then the implants or braces can be reinstalled.
One should also wear retainers for a while after the gap has closed so that it does not appear again.
Gum diseases affect the soft tissue and the bones surrounding the teeth. The bacteria causes irritation in the gums leading to infection and bleeding, while brushing your teeth. It is characterized by inflammation of the gums caused by the bacteria present in plaque (a colorless and sticky film on the teeth). Also, if many people in the family have suffered from gum disorders, then your chances of getting gum diseases are relatively higher.
Symptoms of gum disease:
How to prevent gum disease from happening?
Sudden tooth pain is usually a sign of cavities or dental caries. This is the most common form of oral disease that affects people across the world. A cavity can affect a person at any age. Caries can be categorized under two headings: pit and fissure caries and surface caries. The former usually affect the horizontal planes of the molars and the back planes of the teeth in front. Surface caries are usually found at the joints between two teeth and the gum line.
Dental caries are formed over a period of time. The earlier they are addressed, the less the damage caused and the less painful it is. Bacteria is the root cause of this problem. This bacteria causes sugar in your food to turn into acid. When the acid and bacteria are combined together, it forms plaque. This plaque dissolves the minerals in the enamel coating of a tooth and creates pits. These get larger with time and gradually the softer dentin layer below the enamel also gets decayed. This is when the patient feels a toothache. If the tooth is not addressed at this stage, the roots of the tooth can also get decayed leading to the tooth needing to be extracted.
Dental caries usually have no symptoms until the damage is done. The only way to diagnose it in its early stages is by a dental examination. Hence, it is essential to schedule dental exams every six months. If you skipped a dental exam, a toothache or increased sensitivity to hot or cold food can be taken as a sign of a cavity.
The treatment for a cavity depends on the extent of the damage caused.
A filling is the most common form of treatment for a cavity. This involves the removal of decayed tooth material and the use of a material such as silver, gold, porcelain or composite resin to replace it.
Your dentist may also choose to fit a crown on the tooth. This is done is there is extensive tooth damage and only a limited tooth structure is left. As with a filling, the decayed part of the tooth is removed and a crown made of gold or porcelain is fitted over the tooth.
If the cavity reaches an advanced stage where the nerve within the tooth dies; your dentist may want to perform a root canal. This involves the removal of the inner part of the tooth along with all the pulp and nerve cells. A sealant is then filled into the emptied areas.
Not every tooth infection requires a root canal and hence it is essential to know the indication of a root canal. But exactly a root canal procedure is and why is it required?
A root canal means that the pulp or soft tissue inside a tooth has been damaged by bacterial infection. A root canal involves removing the damaged pulp, cleaning the infection and filling in the emptied space.
So, how do you know that you need a root canal. Here are some telltale signs:
Your smile holds great importance as it is one of the first things that a person will notice about you. A smile can leave a long lasting impression on people and is very important for self-esteem and confidence. Smile makeover is a process, which considers your facial appearance, tone of skin, color, width, length or shape of your teeth along with the gum tissues and lips in order to improve your smile. A smile makeover can be done according to your preference and choices.
Here are the areas on which a complete smile makeover concentrates and improves upon:
Treatments Used for Smile Makeover:
A complete smile makeover allows you to correct and improve your smile, according to your preference. This process involves several cosmetic methodologies, the proper execution of which gives you an enhanced smile.
For a child, the first visit to the dentist can be panicky. This is because they don't realize what's in store. Children get a better idea about dentists after getting some information about the visit. We, as grown ups, must be set up to answer the inquiries and instruct our children in the most ideal way.
The following are some valuable tips on the best way to set up a child for the first dentist appointment:
A child's first dentist appointment is a special one, and you should prepare him accordingly.
What is it?
Tooth whitening lightens teeth and helps to remove stains and discoloration. Whitening is among the most popular cosmetic dental procedures because it can greatly improve how your teeth look. Most dentists perform tooth whitening. Whitening is not a one time procedure. It will need to be repeated from time to time if you want to maintain the brighter color.
What it is used for?
The outer layer of the tooth is called the enamel. The color of natural teeth is created by the reflection and scattering of light off the enamel, combined with the color of the dentin under it. Your genes affect the thickness and smoothness of the enamel. Thinner enamel allows more of the color of the dentin to show through. Having smoother or rougher enamel also affects the reflection of light and therefore the color.
Every day, a thin coating (pellicle) forms on the enamel and picks up stains. Tooth enamel also contains pores that can hold stains. The most common reasons for teeth to get yellow or stained are:
Aging makes teeth less bright as the enamel gets thinner and the dentin becomes darker. It is also possible to have stains inside the tooth. These are called intrinsic stains. For example, intrinsic stains can be caused by exposure to too much fluoride as a child while teeth are developing. Other causes include tetracycline antibiotics. They can stain a child's teeth if taken by a mother during the second half of pregnancy or by a child who is 8 years old or younger. Teeth are still developing during these years. Trauma can also darken a tooth and tooth whitening is the most effective way to treat on surface (extrinsic) stains.
Children are much more susceptible to tooth decay and gum disorders than grown-ups. This is because the gum and teeth in toddlers are very delicate. Moreover, children are more attracted to sweets and other food items, which cause damage to the teeth.
Here are several ways to protect the teeth of your little one:
Children are quite prone to teeth disorders and decay in the teeth. Hence, measures must be taken to protect the teeth of children from any kind of disorder.
Everybody wants that perfect smile showing off pearly white teeth, but not many have it. There is a constant try to improve the smile by making the teeth whiter and brighter. Teeth can be discolored intrinsically or extrinsically. They acquire different shades and sometimes even different colors like brown and black, making them stand out as extremely odd. Teeth change color either due to intrinsic or extrinsic reasons. Intrinsic is when minerals like fluoride get incorporated into the tooth, giving it white irregular spots. Aging also causes intrinsic staining, turning them to a pale yellow shade. This is more difficult to remove than the extrinsic coloring. Also, teeth change color due to extrinsic causes like food substances, smoking, medications, tobacco usage, poor oral hygiene, etc.
The introduction of tooth bleaching came as boon to those who were unhappy with their teeth color. Whitening can also be done in the dentist's office or at home by the patients themselves. Though over-the-counter bleaching agents are available, it is always advised to consult a dentist and then choose the appropriate material. The time of each application and the duration of the entire treatment are best decided by the dentist. The product provided by the dentist would be stronger and will produce quicker results than the ones available in the market.
At Home Bleaching: The dentist will take impressions of upper the lower jaws and fabricate customized trays. The right material is then chosen, which is applied on these trays and left in place for the desired amount of time. This needs to be repeated for a time decided by the dentist depending on how much whitening is desired. The desired color is usually achieved in about 4 weeks' time.
In-House Bleaching: This will require multiple visits to the dentist, usually about 1 to 3, of about 30 to 90 minutes each. The gums are first protected and then the bleaching agent is applied. It could require laser for activation in some cases. If the desired color is not achieved, it could be followed by a couple of applications at home. In some cases, there could be minor complications including gum irritation and increased tooth sensitivity. This is caused by the hydrogen peroxide, which is the standard component in all bleaching agents. The whitening process can be repeated at desired intervals to add that extra sparkle. Once the trays are fabricated, the bleaching agent can be used multiple times.
Teeth Whitening: Why You Should Talk to Your Dentist:
If you are not happy with the color of your teeth, talk to your dentist about what is the best method to change their color. The results could leave you surprised with a white, bright smile.
Homeopathy is often associated only with chronic illnesses. Another myth associated with this form of treatment is that it takes ages for the effect of the medication to be visible. However, in the case of a toothache, Homeopathy can be very relevant and can quickly ease the pain. Homeopathic treatment for toothaches addresses the underlying cause of the problem. Some of the common triggers for a toothache are tooth decay, an abscess or gum problems.
Take a look at these common Homeopathic remedies for a toothache:
Homeopathic remedies for toothaches offer fast pain relief. Since, Homeopathic medication has negligible side effects, it can be safely administered to both children and adults. However, a tooth ache should never be ignored so do not replace a visit to the dentist with self medicated Homeopathy.
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