Articles on outline of dentistry and oral health

Dentistry Is Not Expensive, Neglect Is!

Dr. Abid Pasha, Dentist
Mouth reflects the overall health status of an individual. Many people complain that even after brushing many times in a day their teeth still look dirty, have bad breath , their gums bleed, or they have developed cavities and their teeth hurt. They always wonder what is it that they are doing that is going wrong. They try a variety of toothpastes,or brushes or even mouth wash. Try out home remedies advised by their friends and family members. But will only seek professional help when things go really bad.In this article I want to assert the need for regular dental check ups and explain the need for it.CAUSE OF TOOTH DECAYIn the ancient times people used to believe that teeth decays due to infestation of worms in their mouth or some thought it was a punishment from God. In 1890 a dentist by name W.D Miller formulated a theory that held that caries is caused by acids produced by oral bacteria following fermentation of sugars. Which means teeth decay if there is food stuck onto them. When ever carbohydrates are consumed the bacteria in the mouth begin fermenting and producing organic acids which attacks the tooth, resulting in loss of its structure (i.e cavities)Once the cavity has begun further progression is inevitable which leads to further loss of tooth structure, involvement of the tooth pulp which provides nutrition to the tooth, unless evasive measures are taken.PREVENTION OF TOOTH DECAYAs the saying goes prevention is better than cure, it holds a lot of ground with respect to teeth. Many of the diseases of teeth can be prevented. Here are the measures.Regular dental check ups: Yes I have mentioned this first because the initial cavities are so tiny, that only a dentist can identify and can curb the decay process in its initial stage itself. Also by using materials called Pit and fissure Sealants the most susceptible parts can be sealed off. Tooth Brushing: Commonly used method, but how many of us actually do it right. Brush twice in a day especially before going to sleep.Brushing technique: A soft tooth brush and Toothpaste containing sodium fluoride is what you need (irrespective of the brand). keep the brush at a 45 degree angle to the long axis of your teeth and brush away from your gums( i.e. in a downward motion for your upper teeth and in an upward motion for your lower teeth. (look up for videos on YouTube for brushing technique). And don't forget to clean every corner of your mouth gentlyFlossing: Dental floss is a very important tool to clean the areas which cannot be reached by your tooth brush i.e in between the teeth.  Wrap about 18 or 20 inches of floss around your middle finger of your working hand and secure the other end with the middle finger of the other hand.Pass the floss gently in between each pair of teeth in a sawing motion and rub it up and down.Mouth rinses: Mouth wash maybe used as an adjunct to regular oral care but not to be used as a substitute for brushing and flossingDental disease does occur like any other disease. After-all teeth are also a part of your body. But preventive measures do decrease the incidence of it. Do not try to self medicate and aggravate the problem.Get regular dental check ups done and have a happy smile today and forever.

How Heart Disease and Oral Health Are Connected!

Dr. Harish Rathi, Dentist
The heart and mouth connection- Did you know that heart disease and oral health are linked? There are two different connections between heart disease and your oral health:People with moderate or advanced gum (periodontal) disease are more likely to have heart disease than those with healthy gums.Oral health holds clues to overall health. oral health can provide warning signs for other diseases or conditions, including heart disease.Many of the risk factors for gum disease are the same as those for heart disease, such as tobacco use, poor nutrition and diabetes. Overall, people who have chronic gum disease are at higher risk for a heart attackGum disease (called gingivitis in its early stages and periodontal disease in the late stages) is caused by plaque build up along and below the gum line. Gum disease may contribute to heart disease because bacteria from infected gums can dislodge, enter the bloodstream, attach to blood vessels and increase clot formation. It has also been suggested that inflammation caused by gum disease may also trigger clot formation. Clots decrease blood flow to the heart, thereby causing an elevation in blood pressure and increasing the risk of a heart attack.Research shows that many systemic diseases – including heart disease – have oral symptoms. Dentists can help patients who have a history of heart disease by examining them for any signs of oral pain, infection or inflammation. proper diagnosis and treatment of tooth and gum infections in some of these patients have led to a decrease in blood pressure medications and improved overall health. If you currently have heart disease,make sure to tell your dentist about your condition as well as any medications you are currently taking.Warning signs that you may have gum disease include:Red, tender or swollen gumsBleeding gums while brushing or flossingGums that seem to be pulling away from your teethChronic bad breath or abad taste in your mouthTeeth that are loose or separating from each other

Is Oral Health Linked to General Well Being?

Dr. Shail Jaggi, Dentist
Sometimes I sit and think I’ve seen so many teeth and oral cavities in my life! That its not funny, 18 years of work and approximately 8 hours a day. That’s plenty!But the one thing that fascinated me right from my academic days and continue to fascinate me even today is how sometimes a patients mouth can tell me a story about them!When they say the oral cavity is the window to the body... I couldn’t  agree more with it.Ever wondered why your dentist and most advertisements you see harp on brushing, flossing and plaque reduction and germs!  These terms are actually deeply linked to your overall well being.Wondering How?The Oral Cavity is teeming with millions of bacteria! Most of these are however harmless... unless they increase in proportion where they can take dangerous proportions and cause problems! So the brushing flossing regime is more important than you think... Brush and floss... keep the bacteria under control ,don’t let them multiply and chances are you’re going to lead a much healthier life !Got a Medical Condition?If you suffer from any of the medical conditions listed below you need to be extra careful about your Oral Health Heart Diseases: Research has shown oral bacteria may cause inflammation and infection which may be linked to and cause or aggravate heart diseases ,stroke or clogged arteries.Pregnancy : Regular Dental evaluation and are a must during pregnancy. There are plenty of hormonal changes your body is going through! The gums are the first to get affected. Make sure you don’t have a gum problem. Gum problems can cause premature birth and low birth weight. So make sure you have an impeccable oral condition during those nine months.Endocarditis : Is a condidton where the lining of the heart is damaged. Bacteria travelling from the mouth into the blood stream and onto the damaged heart wall can cause irreversible damage. Sometimes, life threatening. Make sure your dentist is aware of a situation like this. Patients with Endocarditis need to be treated with utmost care and under antibiotic coverDiabetes : You need to maintain very good Oral Care if you’re a diabetic patient . Research shows the gums are more prone to infection, bone loss is more rapid and healing with even routine dental procedures can be greatly delayed leading to early loss of teeth and more complications with dental surgical workHIV/AIDS :These patients are generally more immune compromised and the smallest bit of neglect can cause painful oral sores, non healing ulcers. Good Oral health for these patients is  mandatory not optional.Osteoporosis : If you have osteoporosis chances are there may be some damage to your jaw bones with the medication prescribed for Osteoporosis. Be judicious with all your medication and don’t forget to see your dentist as a routine. The impact of oral health on the body is a relatively new area of study. Some other mouth-body connections under current investigation include:Rheumatoid Arthritis. Treating periodontal disease has been shown to reduce pain caused by rheumatoid arthritis.Lung Conditions. Periodontal disease may make pneumonia and chronic obstructive pulmonary disease worse, possibly by increasing the amount of bacteria in the lungs.Obesity. Two studies have linked obesity to gum disease. It appears that periodontitis progresses more quickly in the presence of higher body fat.Quick Tips to Protect Your Oral HealthBrushing /Flossing : Keep the bacterial activity under control with brushing and flossing however clichéd it may sound. If you suffer from a condition you need to be even more cautious and careful.Medications –certain medications — such as decongestants, antihistamines, painkillers, diuretics and antidepressants — can reduce saliva flow.Saliva washes away food and neutralizes acids produced by bacteria in the mouth, helping to protect you from microbial invasion or overgrowth that might lead to disease.Drink plenty of water if salivary flow is reduced …its helps to keep your oral cavity squeaky clean !.Illness – Just recovered from an illness, sinusitis, cold? hange your tooth brush. Research suggests you could be re introducing all the bacteria into your mouth and increasing susceptibilityTobacco /Smoking:  Reduce blood flow to the moth by constricting the blood vessels. Surgical healing in your mouth may get delayed or painful. Tobacco and smoking are an absolute no.I'm hoping you get more serious with brushing. Till I see you again next week, I'll sign off for now. 

Tooth Decay & Oral Health: Fact Sheets

Dr. D. V. Gowda, Dentist
So much has been written about prevention and cure of tooth decay and gum disease. We think it’s time we all get down to the facts. What are the effects of poor oral hygiene and inadequate dental care to people all around the world?According to the World Health Organization:Worldwide, 60–90% of school children and nearly 100% of adults have dental cavities.Severe gum disease, which may result in tooth loss, is found in 15–20% of adults aged between 35-44 years old.Globally, about 30% of people aged 65–74 have no natural teeth.The incidence of oral cancer ranges from one to 10 cases per 100 000 people in most countries.Tobacco and alcohol are the major risk factors for oral cancer.Almost half (40–50%) of people who are HIV-positive have oral fungal, bacterial or viral infections.Across the world, 16-40% of children in the age range 6 to12 years old are affected by dental trauma due to unsafe playgrounds, unsafe schools, road accidents, or violence.A severe gingival disease called Noma affects young children living in extreme poverty primarily in Africa & Asia. This gangrenous lesion is followed by necrosis (premature death of cells in living tissue) of the lips and chin. Left untreated, about 90% of these children die.Tooth decay requires immediate treatment. The longer a cavity remains untreated, it only grows larger and more costly to repair.The good news is that tooth decay is largely preventable. Observing proper oral care, maintaining a healthy diet and visiting your dentist at least two times a year are your best chances in fighting cavities and other gum diseases.Tooth decay requires immediate treatment. The longer a cavity remains untreated, it only grows larger and more costly to repair.

Do You Know These Facts About Oral Health?

Dr. Aishwarya Chatterjee, Dentist
Here are some facts about oral health you might not know:Lt Gen (Retd) Dr Vimal Arora who was honorary dental surgeon to the President of India says that the age old statement that brushing twice is enough for good oral health is no longer true. If it was so, it would have eradicated the dental diseases in at least over 50% of the population.Dentistry today is a part of the overall health of a person. "Pregnant women with gum disease generally give birth to low birth weight babies. Patients with gum diseases and diabetes together are said to suffer from periodontal advanced gum disease and it gets difficult to control diabetes. There is also a positive correlation between poor oral health and heart diseases," said Dr. Arora.Wisdom Teeth, the third molar-There are three molars in each side of our oral cavity for the upper jaw and lower jaw. Of these three, the first molar erupts in the oral cavity at 6 yrs of age.It is an important tooth so we should take care of it as soon asit erupts in our mouth that is at 6 yrs of age.The most problematic of these molarsis the Third molar. It is also called as the "Wisdom Tooth" though no wisdom comes out of it.Usually Third molars or Wisdom tooth erupts at 20 - 25 yrs of age and is usually associated with considerable pain and swelling.Sometimes they don't erupt at all and at times they erupt half way through into the oral cavityand stay as it is.These Half Erupted Third molars are called Impacted Third Molars and may cause destruction of the adjacent Second molars due to caries or bone loss.Most symptomatic (that is pain and swelling) Third molars canbe treated with Antibiotics and Analgesics but some do require a Minor Surgery.Third Molar Impaction Surgery is very safe and is carried out under Local Anaesthesia without pain.Dentures or False TeethComplete Dentures are generally known as "False Teeth".Dentures are important when a person loses her/his complete set of teeth due to old age or other reasons.When natural teeth are lost, dentures take their position.Dentures can be removable or fixed.Fixed Complete Dentures are worn on implants that are placed surgically in the jaw bone in the mouth. Removable Dentures should not be worn while going to sleep as it may harm the gums.Removable Dentures should be cleaned each day in the morning and after every meal to reduce accumulation of germs.For Healthy TeethMake sure to rinse thoroughly after every meal. This will reducethe acid producing food particle and keep dental caries at bay.Brushing at night and after breakfast will rid you of dental caries

Cosmetic Dentistry - For The WOW Smile!

Dr. Shail Jaggi, Dentist
Smile!A simple 5 letter word but just the  sound of this word can light up our eyes ,make us feel light and happy and suddenly this world is a much better place ! I'm writing this today for some of us who are reading this and don't like something about their Smile or Teeth. It could be simple dark tooth ,broken teeth,decayed teeth or just badly shaped teeth ,too much gum while smiling ! The list could go on and on! But read on the good news is there are simple solutions to the most complex looking problems!10 Quick Simple Steps To A Great Smile!1. Evaluate your smile: Cosmetic Dentistry has come a long way from the simple drilling to filling days ! Look at your smile in the mirror and identify what you don't like .2. Review and Pick A Cosmetic Dentist: Most dentists today offer Cosmetic Dentistry in their office which is great, so make an appointment with a dentist you trust or go online and pick a dentist with some great reviews as a starting point.3. Cosmetic Dentistry Needs Advanced Training :Most cosmetic procedures can be completely non invasive and painless...your consulting Cosmetic Dentist should be able to give you multiple options with a range of techniques and costing for your procedures .4. Insist on Non-Invasive Dentistry:Remember the most complex treatment plan for the most complicated dental work can also be simple ,non invasive and painless .5. Teeth need to be Beautiful and Functional : Just great looking teeth is not enough!You should be able to eat with your teeth too! Make sure the dental office is adequately equipped for advanced and precise Cosmetic dental work.Remember its your teeth that are meant to last you a life time .....dental work should strengthen your teeth,not damage them further .6. Dental Damage is Irreversible: If your proposed treatment plan involves plenty of crowns and root canals take a second opinion .Today any well trained Cosmetic Dentist dentist can make you look amazing with Veneers and Bonded Dentistry!7. Ask for Documented cosmetic Work: Ask your dentist for documented cosmetic work done by the team and look at the results to see if you like them! Your dental work will be similar! If you like what you see go ahead !8. The Trial Smile :Always ask for a' Trial Smile' before you start any dental work .This can easily be done in your mouth or on dental models! It gives you an idea as to what the final look is going to be! Making it easier to decide .9. Good Tools Guarantee Great Dental Work: A dental office doing Cosmetic Dentistry should be well equipped with good cameras, cosmetic Imaging software, great tools for non invasive work and the communication with a very good lab for super cosmetic results!10. Patience and Communication: And last ...remember for that Fantastic Smile ...your dentist needs precision and perfection. Be patient and work with your dentist .Communication is the key--If you do not like something during the trial smile communicate with your dentist .So go ahead and make your choice to smile confidently ! Happy Smiling !

4 Steps to Amazing Oral Health.

Dr. Ragini Parmar, Dentist
Good oral hygiene is essential not only on dates but also to maintain overall health. Your teeth tongue, tongue, and gums are prime locations for bacteria to attack. Hence, regular cleaning at home or professionally keeps bacteria at bay. And no, 5 seconds of brushing won’t suffice. I’m talking get-down-and-clean with your teeth. What’s better is that you get a dazzling smile in the bargain.Four Sure Ways of Maintaining Your Oral HealthI know we’ve read all these golden rules for whiter teeth articles. I’m not here to repeat them, just to enforce them. Taking care of your teeth should be part of your daily routine. Here are four simple steps for good overall health:BrushingBrushing your teeth twice a day to their squeaky-clean best is extremely important. It efficiently removes plaque and sugar, and helps you avoid cavities.The bacteria in your mouth if not removed regularly can travel to different parts of your body and cause infections. Ensure that you clean your tongue every time you clean your teeth. The plaque build-up on your tongue can cause bacterial infections. It is also the major cause for bad breath. Cleaning your tongue seems like a small price to pay to avoid uncomfortable social situations.     2. FlossingIn recent times, many dentists have given a lot of importance to flossing. Flossing helps remove and minute particles stuck between teeth. Please remember a toothpick cant do half the job of a floss. Flossing is needed to remove particles that are hard to reach with gargling or brushing. Flossing also helps you remove plaque that builds up over time.  This plaque can only be removed with deep cleaning or flossing.   3. Massaging GumsJust like a body massage, a gum massage is incredibly relaxing. Massaging can help maintain gum structure, which prevents recession of gums. This in turn prevents gum diseases. Massaging your gums also helps increase blood flow, which helps prevent gum diseases.  It is important to massage your gums on a daily basis.  Your dentist can rain you on the correct method of massaging your gums. Make it a spa day for your teeth.  4. Professional Clean UpIt is suggested by professionals that regular checkups are helpful in maintaining the health of your teeth. Getting your teeth regularly cleaned by a professional will ensure good oral health.This is because your dentist will be able to clean the hard to reach places of your mouth. Use of the right equipment and technique allows them to do a more thorough job than you can.Taking care of your teeth doesn’t end here, you must also pay close attention to the type of toothpaste and toothbrush you use. Also, following the simple at-home steps will shorten the duration and frequency of visits with your dentist. These simple steps followed at home can also help you avoid getting cavities, and losing your teeth early on in life. Not to mention, they don’t burn a hole in your pocket. Early adoption of these steps ensures that kids have healthy teeth as well. Remember, a great smile like a good handshake can win people over.by DR RAGINI PARMAR

Perk Up With Cosmetic Dentistry

Dr. Amit Berani, Dentist
Dentistry is no longer just filling or tooth extraction; rather it has become more than just that. Broken, crooked or missing tooth;  discoloured or decayed tooth and more troubles us nowadays. Where a simple sweet smile is something that everyone desires; cosmetic dentistry often comes to rescue. Here is a brief information about how cosmetic dentistry can improve your appearance.1. Teeth WhiteningMedications, consuming foods and beverages like tea, coffee, etc. or smoking can cause tooth discolouration. Many dentists in Mumbai employ in-office procedure, or provide you with whitening system to use at home.In-office whitening takes just 1-2 visits and teeth whitening under professional guidance is always good. However, it can take two to four weeks or more to get results from whitening products used at home.2. BondingIf your teeth have excess space between them, or if they are chipped, broken, stained, or cracked; dental bonding can improve the appearance of your teeth. Dentists also use bonding materials to fill small cavities or to protect the exposed root of a tooth. Bonding can last for several years, but it is more likely to chip or become stained.3. VeneersVeneers are made of porcelain or plastic to cover the front sides of the teeth. Veneers last longer than bonding. They are mostly done to change the colour or shape and provide a superior appearance. Veneers are used if:Have spaces or are chipped or wornAre permanently stainedAre poorly shaped or slightly crooked4. CrownsCaps or crowns completely cover a tooth to restore the normal shape and appearance. Dentists suggest crowns if you have to:Cover a misshapen/ discoloured tooth/ dental implant /large fillingProtect a weak tooth or restore a broken toothHold a dental bridge in placeCover a tooth that’s had a root canal treatmentPermanent crowns can last long if proper care is taken.5. Enamel Shaping and ContouringConsult a dentist for advise on enamel shaping and contouring to  enhance the appearance of your teeth. It involves removing or contouring dental enamel. It is used to correct:Misaligned/overlapping teethChipped teethBite problems6. BracesBraces improve the look of teeth and can improve an irregular bite and correct jaw positioning and jaw joint disorders. It is usually worn to reposition the teeth.7. BridgesBridges are used to replace missing teeth with artificial teeth. But the success of your bridge depends upon its foundation. Hence a healthy tooth is very important if you wear a bridge.8. Dental ImplantsDentists recommend implants as they are a long-term solution for missing teeth. They are an alternative to bridges. Having implants requires several steps, including:-A complete test X-rays, and consultation-Surgical implantation of the titanium screws-Taking impressions of both jaws-Making a model-Placement of the crownOther Periodontal Plastic ProceduresThere are even other cosmetic procedures to improve-An uneven gum line-Too short or too long teeth appearance-Exposed roots-IndentationsIf you are facing any of the above problems ask your dentist about your best options for correcting. Get the smile of your dreams. 

Importance of Oral Health

Dr. Parag M. Khatri, Dentist
If your hands bled when you washed them, you would be concerned. Yet, many people think it's normal if their gums bleed when they brush or floss.Swollen and bleeding gums are early signs that your gums are infected with bacteria. If nothing is done, the infection can spread and destroy the structures that support your teeth in your jawbone. Eventually, your teeth can become so loose that they have to be extracted.What Is Periodontal Disease?"Perio"means around, and "dontal" refers to teeth. Periodontal diseases are infections of the structures around the teeth, which include the gums, periodontal ligament and alveolar bone. In the earliest stage of periodontal disease — gingivitis — the infection affects the gums. In more severe forms of the disease, all of the tissues are involved.For many years scientists have been trying to figure out what causes periodontal disease. It is now well accepted that various types of bacteria in dental plaque are the major villains. Researchers also are learning more about how an infection in your gums can affect your overall health.Researchers are studying possible connections between gum disease and:What Causes Periodontal Disease?Periodontal disease is caused by bacteria in dental plaque, the sticky substance that forms on your teeth a couple of hours after you have brushed. Interestingly, it is your body's response to the bacterial infection that causes most of the problems. In an effort to eliminate the bacteria, the cells of your immune system release substances that cause inflammation and destruction of the gums,periodontal ligament or alveolar bone. This leads to swollen, bleeding gums,signs of gingivitis (the earliest stage of periodontal disease), and loosening of the teeth, a sign of severe periodontitis (the advanced stage of disease.)Practicing good oral hygiene and visiting your dentist regularly (about once every six months, or more often if you have gum disease) can prevent periodontal disease. Daily brushing and flossing, when done correctly, help remove most of the plaque from your teeth. Professional cleanings by your dentist or dental hygienist will keep plaque under control in places that are harder for a toothbrush or floss to reach.If oral hygiene slips or dental visits become irregular, plaque builds up on the teeth and eventually spreads below the gum line. There, the bacteria are protected because your toothbrush can't reach them.Good flossing may help dislodge the plaque; but if it is not removed, the bacteria will continue to multiply,causing a more serious infection. The buildup of plaque below the gum line leads to inflammation of the gums. As the gum tissues become more swollen, they detach from the tooth forming a space, or "pocket," between the tooth and gums. In a snowball effect, the pockets encourage further plaque accumulation since it becomes more difficult to remove plaque. If left untreated, the inflammatory response to the plaque bacteria may spread to the periodontal ligament and alveolar bone, causing these structures to be destroyed.Another problem is that if plaque is allowed to build up on teeth, over time it becomes calcified, or hardened, and turns into calculus (commonly called tartar). Since calculus is rougher than tooth enamel or cementum (a layer that covers the tooth root), even more plaque attaches to it, continuing this downward spiral.Using tartar-control toothpaste may help slow accumulation of calculus around your teeth, but it can't affect the tartar that has already formed below the gum line.Although bacterial plaque buildup is the main cause of periodontal disease, several other factors, including other diseases, medications and oral habits, also can contribute. These are factors that can increase your risk of gum disease or make it worse once the infection has set in.

What Cosmetic Dentistry Offers

Dr. Amit Anand, Dentist
Today’s common cosmetic dental treatment options include:Whitening, or “tooth bleaching“, is the most common cosmetic dental procedure. While many whitening options are now available, dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.Enamel shaping removes parts of the contouring enamel to improve the appearance of the tooth. It may be used to correct a very small chip. The removed enamel is irreplaceable, and may sometimes expose dentin. It is also known asenameloplasty, odontoplasty, recontouring, reshaping, slenderizing and stripping.Contouring, also known as tooth reshaping, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. The dental contouring procedure can even be a substitute for braces under certain circumstances. It is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored laminate is involved. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of teeth.Bonding is a process in which an enamel-like dental composite material is applied to a tooth’s surface, sculpted into shape, hardened and then polished.Dental bridges are false teeth, known as a pontic, which are fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures. In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many as ten years or more.Veneers are ultra-thin, custom-made porcelain laminates that are bonded directly to the teeth. They are an option for closing gaps or disguising discolored teeth that do not respond well to whitening procedures.Lumineers, similar to veneers are thin porcelain shields that are bonded to the front of the teeth to improve the appearance of a smile. Lumineers do not require the reduction of teeth structure, unlike veneers.Gum lift is a cosmetic dental procedure that raises and sculpts the gum line. The procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or more symmetrical teeth.