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Bleeding Gums Tips

Lasers In Dentistry! What Do I Need To Know?

Dr. (Major) Varun Nischal 91% (315 ratings)
BDS (Gold Medalist)
Dentist, Gurgaon
Lasers In Dentistry! What Do I Need To Know?

When one hears the word lasers, the first thing that comes to mind is Star Wars. If only dentistry was as exciting as Star Wars! So now that we all agree on that, let’s see how lasers are changing dentistry and what we have to look forward to in the future. It’s actually some pretty cool stuff, even if you would probably rather be watching Star Wars.

There are several different types of lasers currently in use in dental clinics today.

Soft Tissue Lasers (Diode):

This is the typical laser you’ll see in a general dental clinic and is also the least expensive costing 1-4 lakh INR. It is only used for cutting soft tissue (ex. gum tissue). This type of laser doesn’t actually use the laser tip to cut tissue. It has a glass fiber than transmits the laser pulse which is charred and then heated up by the laser pulses. It is this heated glass tip that actually does the cutting. It isn’t as efficient in cutting tissue as say a scalpel would be but it makes up for that in the fact that there is little to no bleeding afterwards and the tissue heals beautifully. There are a couple of good applications for this type of laser:

  • Frenectomies (for example with tongue ties or a frenum between your top front teeth that contributes to the teeth wanting to spread apart)
  • Removing a small amount of gum tissue around a tooth before taking an impression for a crown
  • Stopping bleeding
  • Reduction in symptoms for cold sores and ulcers
  • Crown lengthening procedures for exposing tooth structure for crowns
  • Teeth Whitening procedures

Combined Hard and Soft Tissue Lasers (Carbon Dioxide, Neodymium Yttrium Aluminum Garnet aka Nd: YAG, and Er:YAG):

These types of lasers are the more cutting edge side of lasers in dentistry. They have the ability to cut both hard and soft tissue as well as some restorative materials. They can cut teeth, bone, and tissue. Each type has a slightly different application and usefulness. These lasers are also currently very expensive costing upwards of 35 lakh INR in some cases. This has limited their adoption significantly. One of the biggest benefits to these types of lasers is that the amount of anesthetic needed to numb a tooth is much more limited and in some cases not needed at all due to laser pulses effects on the nerve. Some current procedures that are performed with these types of lasers include:

  • Frenectomies – as explained above
  • Gingivectomies  – Excess gum tissue is removed for a better esthetic look
  • Laser assisted new attachment protocol (LANAP) – Periodontist’s often perform this procedure in which the laser is used to clean the pockets around teeth and in many cases it can help to regrow bone around teeth, which was previously impossible
  • Biopsies – Suspicious areas can be easily removed with a laser for evaluation by a pathologist.
  • Crown lengthening surgery – Bone is removed around a tooth to allow more space for a crown to be fitted to a tooth.
  • Preparation of teeth for cavities – These lasers can be used to remove decay and prepare teeth for fillings. It actually cuts the decayed area more readily due to the increased water content of those areas. It can’t cut amalgam or porcelain but does cut tooth structure and composite filling material.

As you must have gauged by now, the lasers find a versatile use in the realm of dentistry. They truly adhere to the "No Cut, No Stitch, No Blood" protocol, thus alleviating the fear of the patient. Next time you visit your dentist, just sneak around and ask for the lasers, if any and their utilities in dentistry. Good and upcoming dental clinics keep their technological standards at par with the international community by incorporating dental lasers in their practices. Give it a shot, at least once!

2 people found this helpful

Why Do Gums Bleed While Brushing Teeth?

Dr. Ramneek Varma 92% (344 ratings)
MD-Internal Medicine , MBBS
General Physician, Delhi
Why Do Gums Bleed While Brushing Teeth?

Did you notice blood from your gums in the morning while brushing or flossing? There are plenty of reasons behind bleeding gums. Some may be temporary while some may be severe. Here are some reasons which may be responsible for the bleeding of your gums.

  1. Gingivitis: Gingivitis is the first and most initial stage of infection in the gums. A small amount of plaque and poor hygiene results in this condition which often leads to bleeding gums especially when you brush your teeth. But since this is the initial stage, brushing your teeth twice a day and maintain proper oral hygiene will cure the bleeding gums.
  2. Plaque: When plaque build-up on your gums becomes too much, it makes the gums come out from the teeth, and a gap develops thus causing bleeding. In the pockets that are formed between the gums and teeth, germs start accumulating. These germs start attacking the teeth and gums. When more and more germs accumulate, the bleeding also increases. With time this plaque become hard. The hardened plaque is called tartar. This stage is actually the second stage of gingivitis and is called the periodontitis.
  3. Medication: People who take medication for blood thinning usually experience bleeding gum problems. But you must be thinking how medicines can lead to bleeding gums? But the thing is that these medicines stop the blood from clotting and thus bleeding becomes much easier. If you face such a condition, pay a visit to your doctor and tell him about your medications.
  4. Change in Flossing Routine: A change in the regular flossing routine can also cause lead to bleeding gums. This has been reported in many patients. Suppose you haven’t flossed you teeth in the past few days or week and then you suddenly start your routine all over again then you are bound to have bleeding gums because your gums were habituated to a certain routine which you changed abruptly. The same condition will arise if you suddenly start flossing more times a day than you used to. Nothing unusual is good for your teeth. You should always be on a constant and regular flossing routine. However, bleeding due to flossing won’t continue forever.
  5. Change in Toothbrush: A change in your toothbrush may also lead to bleeding of gums. This happens because when you use a toothbrush for a considerable period, it becomes soft, but when you start using the new one, it is usually harder than the old one. This causes the gums to bleed. So always use a soft toothbrush, and if you are not so confident about the type of toothbrush you should use, talk to your dentist about it.
  6. Pregnancy: A type of gingivitis results at the time of pregnancy. Women experience bleeding from their gums and the gums swell considerably which happens mostly due to hormonal changes.

You should never give any unnecessary pressure on your gums and maintain a proper oral hygiene. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3335 people found this helpful

When A Tooth Brush Can Be Changed?

Dr. A. K. Verma 92% (807 ratings)
Bachelor of Dental Surgery
Dentist, Allahabad
When A Tooth Brush Can Be Changed?
  • A tooth brush can be safely used until it's fibers become hard and brush fibers spreading. When brush fibers becomes hard and start spreading we should change our tooth brush. Continuous use of a harden and spreading tooth brush cause more abrasion of tooth and puncture of gums and bleeding of gums. At long time use of this can cause gingival recision and thermal sensation of teeth.
  •  A brush can be safely used approx 20 to 30 days.
1 person found this helpful

How do I know if I have gum disease?

BDS
Dentist, Mumbai
How do I know if I have gum disease?

How do I know if I have gum disease?
Gum disease is generally painless, even though it damages the bone supporting the teeth. Gum disease (gingivitis) will usually show itself as red, swollen gums that bleed when you brush or clean between your teeth. Many people are worried when they notice their gums are bleeding and then brush more gently, or stop altogether. In fact, it is important that you continue to clean regularly and thoroughly if you are to fight the gum disease. If the bleeding does not go away within a few days see your dental team to ask for their advice.

1 person found this helpful

Bleeding Gums - 7 Ways They Can be Managed!

BDS
Dentist, Delhi
Bleeding Gums - 7 Ways They Can be Managed!

If you see blood while brushing your teeth, do not ignore it; it could be a sign of gum disease. A build-up of plaque along the gum line is the main trigger for bleeding gums. If left untreated, it could lead to gingivitis or periodontitis which could further lead to the loss of teeth. Bleeding gums are also caused by:

  1. Vigorous brushing
  2. Bleeding disorders or use of blood thinners
  3. Hormonal changes during pregnancy
  4. Improper flossing
  5. Deficiency of vitamin K
  6. Tooth or gum related infection
  7. Ill-fitting dentures and braces
  8. Leukemia
  9. Scurvy

In most cases, bleeding gums can be treated at home. Here are a few tips.

  1. Use a soft bristle toothbrush. Ideally, you should brush your teeth gently after every meal, but if that is not possible, begin and end each day by brushing your teeth.
  2. Avoid mouthwashes that contain alcohol as this can worsen the condition. Instead, rinse your mouth with a warm saline solution or a hydrogen peroxide solution.
  3. Floss your teeth twice a day to prevent plaque build up. However be careful not to cut your gums.
  4. Avoid snacking between meals and cut back on your carbohydrate intake. Avoid added sugars as far as possible.
  5. Massage your gums with an oral irrigation device on a low setting. You could also put pressure on your gums with a gauze pad soaked in ice water to relieve the bleeding.
  6. Consult your dentist to check that your braces, dentures etc. are well fitted and are not rubbing against your gums or causing sores.
  7. Avoid aspirin and other blood thinners.

In some cases, these home remedies may not be enough. If you experience severe or long-term bleeding or any other symptoms along with the bleeding, you must consult a dentist immediately. Your dentist will be able to clean your teeth and remove all plaque and tartar on the tooth enamel and under the gum line that may be causing the bleeding. The doctor will also be able to examine the positioning of your teeth to ensure that there is no alignment problem that is reducing the effectiveness of brushing or flossing. Your dentist may also give you a few suggestions on how to overcome this problem. Regular cleaning and dental examinations are crucial to reversing bleeding gums and the diseases associated with it.

Why Dental Health Check Ups Are So Important?

Dr. Srinivas Nalla 90% (53 ratings)
MDS - Orthodontics, BDS
Dentist, Hyderabad
Why Dental Health Check Ups Are So Important?

One of the major issues facing dentists, patients and patients wallets is that the majority of us don't visit the dentist on a regular basis.  More than a quarter of adults only visit the dentist when they have a problem.

The infrequency and irregularity of dental check-ups is causing a huge number of problems for us. The facts say a lot here with 31% of adults having tooth decay, 66% of us having visible plaque and 29% of the population suffering from regular pain in the mouth or teeth.

How Often Should You Visit the Dentist

      Both adults and children should visit the dentist regularly, as often as they recommend. For those with certain medical conditions, your dental team may want to see you more often.

    It is also important to remember that certain types of medication may impact our oral health too, for instance, patients who have ‘dry mouth' caused by medication may be more likely to get tooth decay and will need to visit their dental team more often.

Why Dental Check Ups Are So Important

   The problem we have is that many of us ignore the health of our mouth, especially when we compare it to our overall body health. We allow problems to develop before we actually visit the dentist.

There are a wide number of issues this creates but we have listed the two most common issues left unchecked;

      Allowing Gums to Bleed

        Allowing your gums to bleed helps create cavities and inflamed gums - pockets develop under the gum-line filled with bacteria that eat away the teeth and eventually the bone causing tooth loss. Visiting the dentist regularly can ensure your gum health is properly maintained and early treatment prevents serious problems developing.

    Tooth Pain

        Tooth pain is most often caused from cavities forming. Once a cavity reaches the stage where it is causing pain then root canal treatment (or possibly tooth loss) is more likely, or an extensive filling. Regular check-ups ensure that the beginnings of a filling can be identified, treated and additional brushing routines created. 

  Overall dental check-ups will dramatically decrease the potential for all oral health problems becoming serious. They are also cost effective compared to paying for expensive major dental works such as tooth replacements, crowns and gum repair.

Check Up Costs Are Low

      This includes a check of your teeth and gums and also covers basic treatments including scaling, polishing and the application of fluoride varnishes and fissure sealants. You will also receive advice on preventing issues developing and your brushing technique and habits.

Private dental check-ups are not significantly more expensive in most parts of the country.

Visiting the dentist should be a regular part of your schedule, just like a proper oral health routine. The benefits of check-ups far outweigh any minor inconveniences booking an appointment might cause!It's time to prioritise our oral health.

Snacks Between Meals!

Dr. Piyusha S Patil 89% (569 ratings)
MDS, BDS
Dentist, Bangalore
Snacks Between Meals!
  • Increased frequency of munching on snacks especially sugary and starchy foods will lead to plaque buildup on teeth which is the root cause of decay of teeth, gum bleeding and bad breath.
  • Limits snacks in between meals to help reduce plaque, maintain a fresh breath and good oral health.
  • After every feed swish or rinse your mouth with water to clean your teeth of the foods which are stuck.

Diabetes and Oral Health- Tips For Diabetics

Dr. Shelly 89% (102 ratings)
BDS
Dentist, Delhi
Diabetes and Oral Health- Tips For Diabetics

We know that diabetes can harm your eyes, nerves, kidneys, heart and other important systems in your body. But did you know it can also cause dental and gum problems in your mouth?

The link between diabetes and oral problems is real, though lesser known. Diabetics are at a higher risk for periodontal or gum disease which is an infection of the gum and bone that hold your teeth in place.

Untreated periodontal disease can lead to pain on chewing and even tooth loss, if it’s left untreated. Gum disease can also more severe and take longer to heal if you are a diabetic.

Research also shows that alternatively, periodontal disease may also make it hard for you to control your blood glucose.

If your diabetes is not under control, you are more likely to develop problems in your mouth like-

  1. Dry mouth, a condition that happens when you do not have enough saliva—the fluid that keeps your mouth wet. It is a common symptom of undetected diabetes and can also cause mouth soreness, ulcers, infections, and tooth decay.
  2. Another problem diabetes can cause is a fungal infection called thrush or candidiasis because diabetes usually causes the glucose levels in your saliva to increase. And this encourages the fungus causing thrush to grow in your mouth, leading to painful white patches.
  3. When diabetes is not controlled, high glucose levels in your saliva also help harmful bacteria grow in your mouth. These bacteria combine with food particles to form a soft, sticky film called plaque which causes tooth decay. Plaque also comes from eating sugary and starchy foods.
  4. And some types of plaque cause tooth decay or cavities and other types of plaque cause gum disease and bad breath.
  5. Diabetics have a higher incidence of Gingivitis which causes unhealthy, red, inflamed gums. You need regular flossing as well as cleaning at the dentists to prevent it.

What can you do?

  1. You must keep your blood glucose under control to prevent mouth problems. Diabetics with poor blood glucose control get gum disease more often and more severely than diabetics whose blood sugar is under control.
  2. If you have diabetes, you should brush and floss every day and follow this up with regular dental check-ups.
  3. Call your dentist when you notice a problem in your mouth. Keep observing and checking your mouth regularly for any problems. Don’t ignore minor stuff like gum bleeding during brushing and flossing. And also notice dryness, soreness, white patches, or a bad taste in the mouth. All of these are big enough reasons to visit your dentist.
  4. Tell your dentist if your dentures suddenly don’t fit right or if your gums are sore.

Also, take care to quit smoking. Smoking makes gum disease worse and causes dry mouth which aggravates oral problems.

Needless to add, good blood glucose control is your best defence against the oral complications of diabetes like gum disease. If you wish to discuss any specific problem, you can consult a dentist.

6823 people found this helpful

Bleeding Gums After Scaling!

Dr. Anshumali Srivastava 91% (981 ratings)
BDS, MDS
Dentist, Gorakhpur
Bleeding Gums After Scaling!
  • Though bleeding from gums after deep scaling is normal in most of the cases and subsides after 2-3 hours without any conscious efforts, there are some patients whose gums tends to bleed more and often persists for longer than 72 hours depending upon severity of inflammation.
  • Prevention: when you face similar problem kindly inform your dentist. There is absolutely nothing to worry about. Just you have to prevent the clot to get dislodged from bleeding area. You can apply pressure gauze, black tea bag and can also use alums to rinse 3-4 times at home. 
  • Sometimes, those who are on blood thinner medications (aspirin) or anticoagulant therapy can also suffer with this problem. They should inform their dentist prior to undergo scaling.
2 people found this helpful

How Homeopathy Helps Treat Toothache?

Dr. Princy Khandelwal 92% (16243 ratings)
BHMS
Homeopath, Faridabad
How Homeopathy Helps Treat Toothache?

 

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Odontalgia or severe toothache is characterized by extreme pain or inflammation of the tooth and its surrounding areas. The excruciating pain that you might experience may stem as a result of gum infection, tooth decay, infection of the dental pulp, abscess and due to certain other reasons like extraction or filling of the teeth. Another key reason for extreme toothache is the fact that a number of heart problems, such as myocardial infarction and angina tend to affect your dental health negatively.

While some toothaches might occur sporadically, they might pose a danger against your overall well-being in the long run, if the condition is left untreated. Homeopathy can serve as the perfect antidote to your toothache problems and its effects are noted to be significantly higher when it comes down to the question of long-term consumption. Here is a list of homeopathic medications that might prove to be a pain alleviator for your dental complications:

  1. Hepar Sulph and Silicea: Root abscess responds positively, to both Hepar Sulph and Silicea. For fever accompanied with occasional chills due to severe toothache, Hepar Sulph is considered to be the perfect remedy and tends to significantly decrease the level of swelling and pain. On the other hand, if your face swells and there is an incidence of gum inflammation, Silicea must be used to numb the effects of root abscess.
  2. Plantago: Plantago is noted to be the most commonly prescribed medicine for toothaches and for treating sensitivity. The pain extending to the ears from the teeth receives maximum relief due to the effects of Plantago. It might have to be taken internally or applied externally depending on the severity of the toothache and its accompanying conditions.
  3. Staphysagria: Sensitivity is best taken care of by Staphysagria and resolves the problem of worsening of toothache, when any drink or food is consumed. Bleeding gums and excess salivation is also another aspect that is looked after by Staphysagria.
  4. ArnicaTooth extraction and filling may often lead to the consequence of nerve-wrecking pain in the gums and the affected area. For this, Arnica is prescribed to assuage the nerve pain and must be taken in along with Hypericum, another homeopathy medicine, for best results.
  5. Merc Sol: Problems of halitosis and excessive salivation that tend to occur simultaneously with toothaches can be solved by a dosage of Merc Sol. Bleeding gums, looseness of teeth and sensitivity are all taken care of by the same medication.
  6. Hecla Lava: For jaw swells along with toothache, you must always opt for Hecla Lava. The effect is instantaneous and relieves both swelling and pain.
  7. Chamomilla: Chamomilla serves as the best remedial homeopathic medicine for easing heat sensitivity that is likely to worsen the existing toothache. Drinks and food, either hot or cold, can then be consumed easily because of the numbing effect of this medicine.
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