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A loss of tooth or teeth is one of the biggest dental problems that someone can face. The irony is that people consider loss of teeth to be very insignificant. But in reality loss of teeth can lead to not only cosmetic problems, but also functional problems and an unstable chewing mechanism.
Loss of teeth can lead to many problems. Some of them are:
- Supra eruption of opposing teeth
- Compromised efficiency of chewing
- Adjacent teeth might drift into the space created by missing teeth
- Food tend to accumulate between teeth, which have moved
- Food accumulation also leads to periodontal disease and caries
- A lopsided chewing pattern as there is loss of equilibrium in the mechanism of chewing
- The extracted area might reveal a loss of bone height
- Problems of the temporomandibular joints, like closed bite and TMJ osteoarthritis
- The existing functional teeth might lead to problems due to overload
- There are increased chances of cheek biting due to collapse of the cheek in the missing space, thus leading to functional and cosmetic problems
- The frequency of tongue biting and ulceration might increase in the area of missing teeth or tooth
When missing teeth are replaced, one can easily restore the healthy look of the teeth and also prevent any other dental problems which are due to the missing teeth.
While replacement of the missing teeth it is of utmost importance that the equilibrium is maintained with the distribution of the forces caused by chewing. Care is also taken that the cosmetic outlook is also maintained in the treatment.
Ideally the teeth when extracted or lost should be immediately replaced. This is because the replacement prevents the bone resorption or bone loss in the area and also retains the good bone. But a drawback is that such an immediate replacement might lead to limitation. Immediate treatment is usually done with the help of implants which easily fit in the sockets created by extraction. But even for this an analysis of the bone and gum health is necessary, thus leading to only a few instances for such replacements. Other alternative is that immediate removable dentures can be prepared and these can be replaced once the gums of the area have healed. The time period for this is usually 3 months. If these need to be fixed permanently then a waiting period of 3 months is mandatory for the settling and healing of the gums and bone of the area.
The 3 basic ways of fixing missing teeth are through implants, fixed bridgework (bridges and crowns) and dentures, which can be removed.
Occasional teeth clenching is fairly common disorder among adults and children throughout the world. But if the teeth grinding occurs repeatedly, it can cause significant damage to your teeth or gums (with chances of potential tooth loss) and overall dental hygiene. Furthermore, recurrent episodes of bruxism might cause other serious complications such as severe headaches, facial pain or disorders in the temporomandibular joints (located in the forepart of the ear).
According to recent studies, 15-33% of children tend to grind their teeth while they develop their first few pairs and generally stop with the gradual development of adult teeth. In adults, this disorder might occur as an involuntary response, completely unbeknownst to the concerned individual.
The most likely causes of bruxism are as follows:
According to the doctors, in 70% of the adults, repressed stress or anxiety might result in teeth grinding while you are sleeping.
Bruxism might also occur as a result of excessive consumption of alcohol, caffeine, sleeping pills, tobacco, and selected anti-depressants.
Bruxism might also occur due to depression and the sheer competitive nature in certain individuals.
Bruxism might also occur due to a serious disorder such as Parkinson ’s disease.
Bruxism might also occur as an axillary of other sleep related disorders such as excessive snoring, sleep apnoea, etc.
If you have an irregular structural alignment among the upper and lower sets of teeth, Bruxism is more likely to occur.
In children, Bruxism might occur as a response from to pain in the ear or tooth.
The following treatments can be implemented to treat permanent instances of bruxism:
If it is caused by severe stress and anxiety, stress management therapies can be very useful to prevent Bruxism.
If you have a habit of grinding your teeth while you are asleep, you can consult your doctor to provide you with mouth guards.
Regulated consumption of alcohol, tobacco might help prevent Bruxism if it is caused by a side effect of either one of them. Likewise, if the disorder occurs due to a side effect of antidepressants or any other psychiatric medications, you must consult your doctor to change the particular medication.
You can also opt for Dental correction procedures like night guard if the reason of the disorder is the misalignment of the upper and lower teeth or other related dental complications. A custom fit night guard will not only safeguard your comfort, but improve the quality of your smile as well.
Although medications are not common, muscle relaxants (for a certain period of time) or Botox injections are prescribed by doctors when the patient does not respond to other forms of treatments. If you wish to discuss about any specific problem, you can consult a dentist.
Hi, I am 24 yrs old male. I have got black spots on my lips and frontal gum areas due to smoking. Please suggest me how to get rid of it?
What could be the best recovery method? I just had an major road accident. I had stitches on forehead, near eyebrow and on cheek. And I have lost my 4 teeth. So can you suggest what should I do to recover fast?
Doctor, am suffering from mouth ulcers am using b complex even though I can't get relief from them whenever they r affected to me. please give me suggestions to get rid from them permanently? Give me some precautions to don't affect with it next time?
Doctor there is a spongy lump at the end of the teeth on right side of lower jaw it comes and goes after a few days. Advice please.
I have fluorosis marks on teeth. Planning to go for crowns on front two upper teeth And composite veeners for remaining. Advise if its good or not.
What are dental cleanings (scale and polish) and why have them?
Dental cleanings involve removing plaque (soft, sticky, bacteria infested film) and tartar (calculus) deposits that have built up on the teeth over time. Your teeth are continually bathed in saliva which contains calcium and other substances which help strengthen and protect the teeth. While this is a good thing, it also means that we tend to get a build-up of calcium deposits on the teeth. This chalky substance will eventually build up over time, like limescale in a pipe or kettle. Usually, it is tooth coloured and can easily be mistaken as part of the teeth, but it also can vary from brown to black in colour.
If the scale or calculus (tartar, as dentists like to call it) is allowed to accumulate on the teeth it will, unfortunately, provide the right conditions for bacteria to thrive next to the gums. The purpose of the cleaning and polishing is basically to leave the surfaces of the teeth clean and smooth so that bacteria are unable to stick to them and you have a better chance of keeping the teeth clean during your regular home care.Also it leaves your teeth feeling lovely and smooth and clean, which is nice when you run your tongue around them. Actually, come to think of it, there's nothing worse than someone you fancy running their tongue around your teeth and finding a piece of spinach or something! Still, if they're hungry
The professional cleaning of teeth is sometimes referred to as prophylaxis (orprophy for short). It's a Greek word which means 'to prevent beforehand' - in this case, it helps prevent gum disease.
How are dental cleanings done?
The dental hygienist or dentist uses specialized instruments to gently remove these deposits without harming the teeth. The instruments which may be used during your cleaning, and what they feel like, are described below.
Commonly used first is an ultrasonic instrument which uses tickling vibrations to knock larger pieces of tartar loose. It also sprays a cooling mist of water while it works to wash away debris and keep the area at a proper temperature. The device typically emits a humming or high pitched whistling sound. This may seem louder than it actually is because the sound may get amplified inside your head, just like when you put an electric toothbrush into your mouth.
The ultrasonic instrument tips are curved and rounded and are always kept in motion around the teeth. They are by no means sharp since their purpose is to knock tartar loose and not to cut into the teeth. It is best to inform the operator if the sensations are too strong or ticklish so that they can adjust the setting appropriately on the device or modify the pressure applied.
With larger deposits that have hardened on, it can take some time to remove these, just like trying to remove baked-on grime on a stove that has been left over a long time. So your cleaning may take longer than future cleanings. Imagine not cleaning a house for six months versus cleaning it every week. The six-month job is going to take longer than doing smaller weekly jobs.
Fine hand tools
Once the larger pieces of tartar are gone, the dental worker will switch to finer hand tools (called scalers and curettes in dental-speak) to remove smaller deposits and smoothen the tooth surfaces. These tools are curved and shaped to match the curves of the teeth. They allow smaller tartar deposits to be removed bycarefully scraping them off with a gentle to moderate amount of pressure. Just like taking a scrubbing brush to a soiled pot, the dental worker has to get the areas clean and smooth.
Once all the surfaces are smooth, the dental worker may polish your teeth. Polishing is done using a slow speed handpiece with a soft rubber cup that spins on the end. Prophylaxis (short for prophy) paste - a special gritty toothpaste-like material - is scooped up like ice cream into the cup and spun around on the teeth to make them shiny smooth.
Your dentist may also apply fluoride. This is the final, and my favorite part of the dental cleaning! Fluoride comes in many different flavours such as chocolate, mint, strawberry, cherry, watermelon, pina colada and can be mixed and matched just like ice cream at a parlour for a great taste sensation! Make no mistake though, this in-office fluoride treatment is meant for topical use only on the surfaces of the teeth and swallowing excessive amounts can give a person a tummy ache as it is not meant to be ingested.
Fluoride foam or gel is then placed into small, flexible foam trays and placed over the teeth for 30 seconds. Afterwards, the patient is directed to spit as much out as possible into a saliva ejector. The fluoride helps to strengthen the teeth since the acids from bacteria in dental tartar and plaque will have weakened the surfaces. It is best not to eat, drink or rinse for 30 minutes after the fluoride has been applied.
Is it going to be painful?
Most people find that cleanings are painless, and find the sensations described above - tickling vibrations, the cooling mist of water, and the feeling of pressure during 'scraping' - do not cause discomfort. A lot of people even report that they enjoy cleanings and the lovely smooth feel of their teeth afterwards! There may be odd zingy sensations, but many people don't mind as they only last a nanosecond.
Be sure to let your dentist/hygienist know if you find things are getting too uncomfortable for your liking. They can recommend various options to make the cleaning more enjoyable.
Painful cleaning experiences can be caused by a number of things: a rough dentist or hygienist, exposed dentine (not dangerous, but can make cleanings unpleasant), or sore gum tissues.
In case you may have had painful cleaning experiences in the past, switching to a gentle hygienist/dentist and perhaps a spot of nitrous oxide can often make all the difference. You could also choose to be numbed. If you find the scaling a bit uncomfortable because the gum tissues (rather than the teeth themselves) are sensitive, topical numbing gels can be used.
I daily brush but then also smells comes from mouth. So what should I do to stop this smelling out of mouth?
1. Flossing. It is an absolute must to remove the matter from between the gaps where your brush's bristles can never reach. Thats where the bad smell and decay dwell.
2. Tongue Cleaning. Our tongue is a mighty storehouse of all that gets stuck and causes bad breadth!
3. Drink more water. As for everyhing else, it works for dental health too."