Monday, September 19, 2011

Do's And Don'ts After Tooth Extraction


As a common practice, most of the dental surgeons have standard post surgery instructions printed which are handed over to the patient. One must follow these instructions given by the dentist. Apart from those instructions there are few things which need to be taken care post extraction.

What to do After Tooth Extraction?

For Control Bleeding :
  • Bite firmly the gauze pack over the surgical area for, at least, 1/2 hour; then discard it gently.
  • Some blood will ooze from the area of surgery for several hours and it is normal.
  • Do not spit, or suck through a straw, since this will promote bleeding.
  • When bleeding persists at home, place a gauze pad or cold wet teabag over the area and bite firmly for 30 minutes.
  • Avoid rubbing the area with your tongue.
  • Keep your head elevated on several pillows or sit in a lounge chair for 12 hours.
  • DO NOT SMOKE for 24 hours after surgery because this will cause bleeding, pain and interfere with healing.
  • Do  not rinse your mouth or brush your teeth for the first 12 hours after the surgical appointment. Then use warm salt water (1/2 teaspoon salt in 1/2 cup of warm water) after tooth-brushing and every 2 hours.
Take Rest :
  • Drink plenty of rest; at least 8 to 10 hours of sleep each night. 
  • Avoid strenuous exercise during the first 24 hours, and keep the mouth from excessive movement, keep your head lifted on a pillow. Physical activity may increase bleeding.
  • Use a liquid or soft diet high in protein.
  • Drink a large volume of water and fruit juices.
  • Do not drink through a straw because this may promote bleeding.
  • Avoid hot food for the first 24 hours after surgery because this may promote bleeding.
  • Eat a soft diet for the first 24 hours after tooth extraction.
  • Avoid foods that require excessive chewing.
  • You can resume a normal diet the day after tooth removal.
  • Pain and Discomfort
  • Some discomfort is normal after surgery. It can be controlled by taking the pain medication your dentist has prescribed or recommended.
  • Start taking your  pain pills before the numbing medication has worn off.
  • Take your pain pill with an 8 oz. glass of water and/or a small amount of food to prevent nausea.
Swelling and Ice packs :
  • Swelling after surgery is a normal body reaction.
  • Swelling reaches its maximum about 48 hours after surgery, and usually lasts 4-6 days.
  • Applying ice packs over the area for the first 24 hours (no longer than 20 minutes at a time) helps control swelling and may you more comfortable.
  • Heat is not used for swelling.
  • You may experience some mild bruising in the area of your surgery.
  • This is a normal response in some persons and should not be cause for alarm.
  • It will disappear in 7-14 days.
  • Stitches : If stitches were placed in area of your surgery, your dentist will tell you if and when they need to be removed (usually in about 1 week).
  • Many times stitches are used which are self-dissolving (7-10 days) and do not require removal.
Call your Dentist or a Hospital Emergency Room if :
  • You experience discomfort you cannot control with your pain pills.
  • You have bleeding that you cannot control by biting on gauze.
  • You have increased swelling after the third day following surgery.
  • You have a fever.


Thursday, September 8, 2011

What Exactly is Root Canal Therapy?

In the Past, badly infected tooth were removed or extracted. Today majority of these teeth can be salvaged by a special dental procedure called Root Canal Therapy.

When is a Root Canal Therapy needed?
A root canal treatment is needed when a tooth's nerve and associated blood vessels are irreversibly damaged either by trauma to the tooth or because of  deep cavity. This results in infection that may lead to an abscess at the base of the tooth.


Signs and Symptom
  • Throbbing pain in the tooth
  • Swelling in jaw
  • The tooth my be painful to chew on
  • Pain on consuming hot cold foods
  • Teeth that are severely worn out
  • Fractured tooth
Procedure
  • Your treatment may take one or more visits, where the nerve of the infected tooth is removed and the canal of roots of tooth is thoroughly cleaned and enlarged.
  • Lastly root canals are filled with Gutta percha material.
  • The procedure may be done under local anesthesia.
  • X-rays are taken meanwhile to ensure that the full length of roots canals are filled.
  •  After root canal, a core filling is done and the tooth may subsequently be protected with cap or crown.

Monday, August 8, 2011

Good dental hygiene may help prevent heart infection : A Study Finds


Generally, only patients who have certain heart conditions or an artificial joint are considered at a high risk of developing the heart infection called infective endocarditis, and are prescribed preventive antibiotics before a dental procedure.
Researchers studied 290 dental patients to see if bacteria entered their bloodstreams when brushing their teeth having a single tooth extracted after taking a preventive antibiotic and having a tooth extracted after taking a placebo.
Scientists found bacteremia more often in the groups who had extractions, but tooth brushing also resulted in bacteria entering the bloodstream, suggesting that routine activities like tooth brushing or even chewing food could result in bacteria entering the bloodstream hundreds of times a year.

“While the likelihood of bacteremia is lower with brushing, these routine daily activities likely pose a greater risk for IE simply due to frequency: that is, bacteremia from brushing twice a day for 365 days a year versus once or twice a year for dental office visits involving teeth cleaning, fillings and other procedures,” said Dr. Peter Lockhart, one of the study’s authors. “For people who are not at risk for infections such as IE, the short-term bacteremia is nothing to worry about.”

The study showed that 23 percent of samples from the tooth-brushing group had bacteria related to IE, as did 33 percent of the extraction with antibiotics group and 60 percent of the extraction with placebo group. The highest incidence occurred within five minutes of the procedures.
Patients who don’t use good oral hygiene have more oral disease like gum disease and decay, Dr. Lockhart added, “that lead to chronic and acute infections such as abscesses. It’s that sort of thing that puts you at risk for frequent bacteremia and presumably endocarditis if you have a heart or other medical condition that puts you at risk.”
The authors say that avoiding dental disease by using a good dental hygiene routine may reduce an at-risk patient’s chances for developing infective endocarditis.

Friday, July 29, 2011

Is My Baby Teething?

Teething is the process by which an infant's teeth sequentially appears in the mouth. Teething may start as early as three months or as late. 





Sequence of appearance of Baby Teeth :
  • Lower central incisors at approximately 6 months
  • Upper central incisors at approximately 8 months
  • Upper lateral incisors at approximately 10 months
  • Lower lateral incisors at approximately 10 months
  • First molars at approximately 14 months
  • Canines at approximately 18 months
  • Second molars at approximately 2-3 years
Milk teeth tend to emerge sooner in females than in males.

Teething signs and symptoms :
  • Common symptoms include drooling, mood changes and feelings of irritability or crankiness and swollen gums.
  • Crying, sleeplessness, restless sleep at night, and mild fever are also associated with baby teething
  • Pain is often associated more with large molars since they cannot penetrate through the gums as easily as the other teeth.
  • They may chew on their fingers or toys to help relieve pressure on their gums.
  • Babies might refuse to eat or drink due to the pain.
Teething has not been shown to cause the following:
  • Fever 
  • Diarrhea
  • Runny nose and cough
  • Prolonged fussiness
  • Rashes on the body
Treatment
  • Medicinal gels are often applied to the babies gums to relieve swelling and pain. These gels are similar to the toothache gel that is used by adults for sore gums and toothaches, but is administered in much smaller doses.
  • A teething ring is generally a soft plastic device that can be chewed on and allows the baby to break down some of the gum tissue which promotes the growth of the teeth out of the gum. 
  • Placing a wet washcloth in the freezer for a few minutes and then applying it gently to the gums can be effective, but care must be taken not to expose a baby's gums to coldness for too long.

Wednesday, July 20, 2011

Dental Implants Cost in India


Dental Implants in India cost significantly less than what they do in the US, Canada and UK. India is now offering such patients a way to restore their smiles by offering affordable and safe Dental Implants Surgery, which is also reliable and of the highest quality. This cost can be reduced by as much as 75% when a patient opts for a Dental Implants Surgery in India.
As with many surgical procedures, dental implant fees will vary from doctor to doctor. Each individual implant dentist will be able to quote you his fees.
It is important to remember that there are three components to a tooth being restored by an implant dentist, and each component has its own fee structure:

First : The cost of the implant surgical procedure.
Second : There is the cost of the post (also called an abutment), which is placed on the healed implant
Third : There is the cost of the crown, which is the tooth placed on top of the post.

Remember, there can be multiple implants and multiple crowns
There may be other costs as well; for instance, the use of synthetic bone material during surgery might be an added fee.

Treatment Duration:
2 stage dental implants: The replacement is completed in  2 stages which are spread over an interval of minimum 3 months. The first stage involves the placement of the implant and requires one to two sittings. The second stage involves the placement of the artificial tooth (crown).
1 stage dental implant: Requires just one stage for the placement of the implant and crown.

Different types and cost of Implants :

  1. Cost of Uniti Dental Implant : INR 20,000
  2. Cost of Ankylos Dental Implant  (FDA Approved, CE Certified) INR 40,000
  3. Computer Guided Implant Surgery : This is the safest way to place dental implants today and implants can be placed without raising of the gums.For computer guided surgery, a CT Scan of the patient is done after placing a specially made radiographic guide in the mouth. Then another CT Scan is done of the radiographic guide alone. The CT scan data is then loaded onto our in-house computer, and our IMPLANTSMART software builds the jaws in 3D, onto which implant surgery can be planned, taking care that important anatomic structures are not harmed. Once the surgery is planned on the computer, the surgery data is then sent electronically to our partner lab, which makes a CAD-CAM (computer-guided) surgical template and sends it back to us. Once the CAD-CAM surgical guide is received, the actual surgery is performed predictably, without raising the flap. Temporary prosthesis can also be fitted at the same surgical appointment. 4. Cost of Computer Guided Surgical Guide: INR 20,000
  4. ALPHA BIO DENTAL IMPLANT (With straight abutment) 25,000/- Per Implant
  5. NOBEL BIOCARE - DENTAL IMPLANTS (With straight abutment) 40,000/- Per Implant
  6. NOBEL GUIDE (COMPUTER GUIDED IMPLANT SURGERY) 60,000/- EXTRA PER JAW 


Wednesday, July 6, 2011

A Study finds that gums disease affects fertility


Women who wish to get pregnant should be advised to brush their teeth and floss regularly as gum disease affects chances of conception, a fertility conference in Stockholm. Periodontal disease can delay the time it takes to conceive by two months on average, an effect similar to that of obesity in women, the European Society of Human Reproduction and Embryology (ESHRE) heard at its annual meeting.


For a long time we have known that risk factors such as smoking, alcohol and drugs affects mothers having babies that are born prematurely at a low birth weight. Some studies have suggested the possibility of an additional risk factor – periodontal (gum) disease. Pregnant women who have periodontal disease may be more likely to have a baby that is born too early and too small. However, more research is needed to confirm how periodontal disease may affect pregnancy outcomes. All infections are cause for concern among pregnant women because they pose a risk to the health of the baby. The Academy recommends that women considering pregnancy have a periodontal evaluation.





Monday, June 20, 2011

5 Best Foods that Help to Protect Your Teeth




Protecting your teeth is not just about brushing, flossing and going for your six-month check-ups.  In order to properly protect your teeth, you need to choose the right foods and limit the amount of sugary foods and drinks you eat and drink. The foods we consume can either function to decay/destroy our teeth or they can help to protect them from harmful bacteria and plaque.  By choosing the right foods you can naturally fight bacteria, strengthen enamel, remove plaque, and freshen breathe.  Here are 5 foods that go a long way to protect your teeth so that you can have a bright white smile for years to come.  


1. Water - When it comes to what you put in your mouth, water is the best consumable product for periodontal health.  Drinking water helps remove loose particles present in your mouth, preventing them from aiding the progress of tooth decay.  Water consumption also helps keep your mouth hydrated, slowing the process of bacteria and plaque.  Bacteria thrive in a dry mouth. 


2. Vitamin CVitamin C is another consumable that aids in the fight against tooth decay.  Healthy gums require a regular dose of vitamin C.  Fruits like kiwi, oranges, grapefruits, etc. are loaded with this mouth friendly vitamins.


3. Raw Celery, Onions, Mint Leaves - Eating celery can actually benefit your teeth and gums.  Celery’s rough texture helps clear food on and between your teeth.  Not only that, but chewing celery encourages saliva production which helps neutralize cavity causing bacteria in your mouth, indirectly which prevents the build up of plaque and helps to strengthen our gums. Onions have natural antibacterial sulfur compound that helps to fight the sulfuric acid released from cavity causing bacteria. Eating peeled raw onions is the best way to release the natural antibacterial into your mouth. Mint leaves after eating a meal will help to keep your breath smelling fresh.  Mint leaves contain monoterpenes, monoterpenes is a substance that travels to your lungs where it releases a sweet fresh smell.  Your lungs functions to push the smell out of your mouth creating fresh minty breathe. 


4. Cheese – Cheese helps protect your teeth in a variety of ways.  First, cheese helps to neutralize the acids in your mouth, balancing out the pH levels making your mouth less acidic. Moreover cheese provides calcium and phosphate, a key building block in tooth enamel. Cheese also encourages saliva production.


5.Sesame Seeds - Seeds dense material helps to prevent the build up of plaque and breaks up caked in plaque.  Sesame seeds are a good source of calcium, which helps to rebuild tooth enamel.  Primitive humans ate lots of seeds, which helped to protect their teeth from cavities before the invention of toothbrushes.

Other than these food there are wasabi, green tea, apples, sprouts of beans, glass of milk, yogurt or fresh fruits are also good for healthy teeth and gums. 

Saturday, June 18, 2011

Dental Myths vs Facts

Dental problems are among the most ancient and wide spread diseases affecting mankind. The misconceptions quite often lead to complications of the disease causing increased difficulty in management of the condition. Following are the myths (dental myths ) generally associated with dental care.

Chocolate Eating causes caries/ cavities/ tooth decay 

This is true only if you do not rinse your mouth properly after eating the chocolate. The chocolate particles stick to your tooth and the decay causing bacteria reacts with these food particles to produce acids which are mainly responsible for tooth enamel erosion and decay.


Brushing my teeth several times a day harms the enamel 
This is partially true. Usually, it is enough to brush your teeth two times a day, but if you have an opportunity to brush your teeth more frequently (for example, after every meal), use a soft or extra soft toothbrush.

Upper teeth in children protrudes because of Thumb sucking habit
Thumb sucking is a normal habit for infants and the children feel happy and secure by thumb sucking. This habit starts decreasing one the child reaches 3 years. If the habit continues beyond the age of 4 to 5 years there is a cause for concern because it causes the problem of forward placement of the teeth. You must consult a dental surgeon on this habit if the habit is severe and more frequent.

Decay in Baby Teeth is not a Problem
Parents are of the opinion that there is no need for brushing baby teeth and maintain proper oral hygiene because they will be falling after sometime. They believe dental care of babies can start only after the babies get permanent teeth. In fact, the permanent teeth are growing under the primary teeth and tooth decay in primary teeth will result in damage to permanent teeth. Premature loss of baby teeth might result in improper positioning of the permanent teeth thereby necessitating orthodontic treatment in future.

Extraction of upper teeth will affect vision 
Not true. This is a misconception. Treating the upper teeth or extracting it has nothing to do with vision.

Worms are responsible for Tooth Decay 
Not true. Tooth decay occurs when the tooth enamel is destroyed. Food items such as pop, milk, raisins, candy and cake contain sugars, carbohydrates and starches and if these items stay on the teeth for longer periods it will cause tooth decay. Bacteria inside your mouth react with such foods and produce acids. These acids cause erosion of the enamel on your tooth which in turn results in tooth decay over a period of time.

Professional cleaning/scaling/removal of tartar loosens the teeth
Teeth are held firmly by the supporting tissues of the periodontium including bone. Bad oral hygiene results in the deposition of tartar /calculus on the tooth surface. These deposits irritate the gums and can cause inflammation and bleeding of the gums. If the tartar is not removed, the gums may recede and the supporting bone around the teeth gets destroyed. The tartar on the teeth thus causes great harm to the supporting tissues of the teeth. However, patients may experience slight mobility of the teeth after tartar is removed as it kind of binds the teeth together. Professional cleaning removes this tartar and arrests further destruction of supporting bone. Removal of tartar deposits only helps to recover the health of supporting structures. This chain of events does not take place in people who have dental checkup regularly and experiences good dental health.

So, don't fall prey to this myth.

Thursday, June 9, 2011

Animal Dentistry


Veterinary dentistry popularly known as animal dentistry is the field of dentistry applied to the care of animals. It provides prevention, diagnosis, and treatment of conditions, diseases, and disorders of the oral cavity (mouth) and the maxillofacial region (bones and jaws) as it relates to animals. In the United States, veterinary dentistry is one of 20 veterinary specialties recognized nowadays. Veterinary dentists offer services in the fields of endodontics, radiology, oral and maxillofacial surgery, oral medicine, orthodontics, pedodontics, periodontics, and prosthodontics. Similar to human dentists, they treat conditions such as tooth decay, jaw fractures, malocclusions, oral cancer, periodontal (gums) disease, and stomatitis (infections) and other conditions.

Braces, teeth cleaning, tooth reconstruction, root canals, cleft palate surgeries and other dental procedures used to be limited to human beings. But nowadays, more human beings are willing to pay to improve the health and comfort of their pets by taking them to the dentist.

Common problems associated with animals :
One of the most common problems seen is periodontal disease (gum disease). This is quite prevalent among animals, mainly because they don’t brush. If left untreated, the teeth may become loosen and fall out, thereby preventing the animals from eating properly. To fix the problem, the teeth are cleaned thoroughly. In severe cases, a surgical procedure is done to improve the contour of the gums.

Fractured teeth are the second most common problem. A root canal treatment is done, the nerve, blood vessels and pulp are removed and filled with some material. If left untreated, abscesses can form and this can kill an animal.

The third most important problem is fractured jaws. This is treated with the help of surgical procedures done under anesthesia.
Cancer of the oral cavity is fairly common.
Generally, dentistry treatments for animals are derived from treatments developed for humans, but there are many biological differences between human and other animals that need to be studied.


Thursday, April 21, 2011

Dental Problems During Pregnancy


A woman's oral health can undergo significant changes during pregnancy. Most women notice changes in their gums during pregnancy. Some women notice that their gums look redder and bleed when they brush their teeth. And some women have severe swelling and bleeding.

The Various dental problems during pregnancy are as follows :

1) Pregnancy Gingivitis (Swollen gums)

Pregnancy gingivitis start as early as the second month. The condition tends to peak around the eighth month. Pregnancy gingivitis is most common in the front of the mouth. The symptoms are the same as those for gingivitis. Increased hormone levels is one of the cause of pregnancy gingivitis. During pregnancy, the level of progesterone in your body can be 10 times higher than normal. This may enhance growth of certain bacteria that cause gingivitis. Also, your immune system may work differently during pregnancy. This could change the way your body reacts to the bacteria that cause gingivitis.

To minimize the effects of pregnancy gingivitis, practice good oral hygiene: Brush twice a day, for at least two minutes each time. Floss every day. Using an antimicrobial mouth rinse also may help you control your gum infection. Be sure to visit your dentist check the health of your gums while you are pregnant. Pregnancy gingivitis usually can be treated with a professional cleaning. This can be done at any time during your pregnancy, but preferably during the second trimester. More aggressive treatments, such as periodontal surgery, should be postponed until after delivery.

2) Pregnancy Granuloma (Pyogenic Granuloma or Pregnancy Tumor)
A pregnancy granuloma is a growth on the gums that occurs in 2% to 10% of pregnant women. It is also known as a pyogenic granuloma or pregnancy tumor. Pregnancy tumors are misnamed. They are not actually tumors and are not cancerous. They are not even dangerous, although they can cause discomfort.
Pregnancy granulomas usually develop in the second trimester. They are red nodules, typically found near the upper gum line, but can also be found elsewhere in the mouth. These growths bleed easily and can form an ulcer or crust over. Pregnancy granulomas usually are attached to the gum or mucous membrane by a narrow stalk of tissue. The exact cause of pregnancy granulomas is unknown, although poor oral hygiene is a primary factor. Trauma, hormones, viruses and malformed blood vessels have also been suspected as co-factors. Women with these growths usually have widespread pregnancy gingivitis. Pregnancy granulomas will disappear after your baby is born. If a growth interferes with speaking or eating, you may need to have it removed before you give birth. However, about half the time, the growth will come back after it has been removed.

4) Gingival enlargement
It is an overgrowth or an increase in the size of the gums, occurs less frequently than gingivitis and pregnancy tumors. In severe cases, the gums can "grow" to cover the teeth completely. It gets subsided after delivery.

3) Tooth Erosion
In women with severe morning sickness, frequent vomiting can erode the enamel on the back of the front teeth. If you are vomiting frequently, contact your dental office for information on how to prevent enamel erosion.

4) Dry Mouth
Many pregnant women complain of dry mouth. You can combat dry mouth by drinking plenty of water and by using sugarless hard candies or gum to stimulate saliva secretion and keep your mouth moist.

Special precautions the dentist should take with pregnant patients :
  • Treatment for periodontal disease, fillings or medication may need to be postponed until after the delivery.
  • General anaesthesia should be avoided.
  • X-rays are not normally taken, especially during the first trimester (three months) of pregnancy.
  • Infections, which could enter the mother's blood stream and affect the developing foetus, must be treated.
  • Only medically approved pain relievers should be used, and then only when they are really necessary.
  • Always keep in touch with patient's general physician


Monday, March 28, 2011

What exactly is a Dental Implant?


A natural tooth has a crown - the part which shows above the gum, and a root - the anchor hidden below the gumline. When a tooth is missing, a dental implant takes the place of the missing root and a prosthetic (artificial) crown replaces the natural crown.

The Implant Procedure : Following are the steps in Implant placement
Missing Upper front tooth

Implant placed

1) Implant Site Preparation
The gum tissue is opened to expose the bone area where the implant will be placed. In situations where there is insufficient bone structure, bone grafting may be a recommended procedure. Once healthy bone material has been established, a special drill is used to prepare the bone to receive the implant.


2) Placing the Implant 
After the bone has been prepared, the implant is placed and the tissue is sutured.


Placement of post over implant
3) The Healing Process - Osseointegration
The healing process takes three to six months. This is the amount of time it usually takes the implant to become part of the lower jaw, commonly refered to as osseointegration. The sutures are typically removed however, seven to fourteen days after surgery.



4) Attaching the Post and Placing the Crown
Final Prosthetic tooth
When the gum tissue is ready, a special post is attached to the implant. It is the support for the new porcelain crown. After impressions are taken a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented. The final prosthetic crown appears as a natural tooth.

Wednesday, March 2, 2011

History of Dental Implants

Dr. Leonard Linkow placed his first dental implant in 1952, four months after he graduated from dental school. By 1992, Dr. Linkow had placed over 19,000 dental implants and stopped counting. He retired from private practice in 2002 leaving a body of work that included 12 books and 36 patents. Many implant dentists refer to Dr. Linkow as the father of modern implant dentistry.

Saturday, February 26, 2011

What is the best way to replace a missing tooth?


Teeth can be lost as a result of trauma, accidents, gum diseases, failed root canals, broken teeth, and tooth decay. A missing tooth will cause the opposing tooth to supraerupt into the missing space. Adjacent teeth also “fall” or “tilt” into the gap. Food also begins to collect in the gaps created by these moving and tilted teeth may further creates problem to the adjacent tooth.

There are three basic ways to replace a missing tooth or teeth.
a) fixed bridge
b) removable appliance
c) dental implant


Fixed bridge :
The two adjacent teeth to the missing tooth are prepared for crowns and a false tooth is attached between these two crowns to fill the space left by a missing tooth. The benefit of a fixed bridge is that it provides stability and is fixed in patient’s mouth. With good oral hygiene, your crown or bridge can last a very long time. This includes proper brushing, flossing and regular dental check-ups.


Removable appliance :
A removable appliance is the most economical option. A removable appliance is a cheaper procedure to obtain than a fixed bridge or a dental implant and has the advantage of being able to replace multiple teeth with one appliance. The disadvantages are that it may not be as esthetic as a bridge. Clasps will be required to retain the removable appliance . Also, there may be some discomfort with wearing removable hardware in your mouth, and it is not as stable as a bridge.

Dental implant :
A dental implant is an artificial "root" that is implanted in jawbone and then a tooth is placed on it or we can say it is like placing an entirely new artificial tooth in your mouth.
No teeth on either side have to be prepared for crowns, so there is no grinding on good teeth just fix the missing tooth. The disadvantages of implants are that they can cost more and time-consuming. There is also a delay in getting the false tooth or teeth - a healing interval of several months may be required before the artificial root can have a tooth placed on it. There is also surgery involved with its attendant discomfort and healing period. Implant cannot be placed on medically ill persons.


Saturday, January 22, 2011

Scaling : The Professional way of teeth cleaning



Dental cleaning means the professional way of teeth cleaning you can only receive from a dentist or dental hygienist. A routine dental cleaning should includes :
  • scaling (cleaning)
  • root planning
  • polishing.
The removal of plaque, calculus and stain from the crown and root surfaces of teeth wih differen types of instruments. The instruments which is used during your cleaning are:

Ultrasonic instrumen

Add caption
Commonly used first is an ultrasonic instrument which uses tickling vibrations to knock larger pieces of tartar (calculus). It sprays a cooling mist of water while it works to wash away debris and keep the area at a proper temperature.



Hand instruments


Once the larger pieces of tartar are gone. the dentist or hygenist switch to hand instruments (called scalers and curettes) to remove smaller deposits and smoothen the tooth surfaces.

Polishing : Once all the surfaces are smooth, he will polish your teeth. Polishing is done using a slow speed handpiece with a soft rubber cup that spins on the end with applying pumice paste on tooh surface.

Tuesday, January 11, 2011

Dental Phobia - Fear Of The Dentist


Dental fear or phobia refers to the fear of dentistry or dentist and of receiving dental care. A pathological form of this fear is variously called as dental phobia, odontophobia, dentophobia, dentist phobia, or dental anxiety.
Fear of the Dentist is pretty common. It has been estimated that 9% to 15% of Americans avoid seeing the dentist because of anxiety and fear that is about 30 million to 40 million people. If you've had bad experiences with dentists in the past, it is very easy to make the assumption that dentists, in general, are bad people. There are varying degrees of dental anxiety and phobia. At the extreme, a person with dental phobia may never see a dentist. Others may force themselves to go, but they may not sleep the night before. It is not uncommon for people to feel sick or in some cases, to actually get sick while they're in the waiting room.

Causes of Dental Anxiety and Phobia
People develop dental anxieties and phobias for many different reasons.
Pain — The fear of pain is most common in adults 24 years and older. This may be because their early dental visits happened before many of the advances in pain free dental procedures.
Embarrassment — The mouth is an intimate part of the body. People may feel ashamed or embarrassed to have a stranger looking inside. During a treatment, the hygienist's or dentist's face may be just a few inches away. This can make people anxious and uncomfortable.
Negative past experiences — Anyone who has had pain or discomfort during previous dental procedures is likely to be more anxious the next time around.

Symptoms 
Some of the signs of dental phobia includes:
  1. You feel tense or have trouble sleeping the night before a dental visit.
  2. You get increasingly nervous while you are in the waiting room.
  3. You feel like crying when you think of going to the dentist. The sight of dental instruments or of white coated personnel in the dental clinic — increases your anxiety.
  4. The thought of a dental visit makes you feel physically ill.
  5. You panic or have trouble breathing when objects are placed in your mouth during a dental appointment.
  6. If this describes you, then you need to tell your dentist about your feelings, concerns and fears. Your dentist will help you overcome these feelings by changing the way you are treated.
Treatment
Treatments for dental fear often include a combination of behavioral and pharmacological techniques. Behavioral strategies used by dentists include positive reinforcement (e.g. praising the patient), the use of non-threatening language and tell-show-do techniques. The tell-show-do technique was originally developed for use in pediatric dentistry, but can also be used with nervous adult patients. The technique involves verbal explanations of procedures in easy to understand language, followed by demonstrations of the sights, sounds, smells, and tactile aspects of the procedure in a non-threatening way, followed by the actual procedure.
Pharmacological techniques to manage dental fear range from mild sedation to general anesthesia and are often used by dentists in combination with behavioral techniques. One common anxiety-reducing medication used in dentistry is nitrous oxide (also known as laughing gas), which is inhaled through a mask worn on the nose and causes feelings of relaxation and dissociation.

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