Articles on tooth loss

Painless Solution for Missing Tooth

Dr. Swasti Jain, Dentist
WHAT IS A CROWN? A crown, often called as a cap, is an artificial hollow cover resembling a natural tooth crown that restores a decayed or damaged tooth to its normal shape and size. It is fabricated out of metal or ceramic material by special procedure in a dental lab.WHERE CAN CROWNS BE PLACED? All the teeth that have had root canal treatments done should be covered with crowns to prevent their breakage as they have lost their natural hydrating mechanism and tend to be brittle.Teeth that have been restored more than half by filling material should be crowned.Tooth with bad aesthetics can be reshaped with crown to improve the aesthetics.Damage to the tooth structure because of wear and tear can be restored with crown.Fractured tooth can be restored with crown.Teeth with wide spaces between them resulting in food lodgment or unpleasant appearance can be crowned.BridgesA fixed bridge can replace one or more missing teeth. It consists of one or more artificial solid teeth suspended to crowns that are placed on two or more supporting teeth. Fixed bridge helps to restore normal function and proper position of your bite. A fixed bridge is made of various metals, porcelain, or a combination of the two.WHERE IS IT INDICATED? 1) If one or more teeth are missing, it can be replaced with fixed bridge. 2) If the jaw has generalized space in between the teeth, the fixed bridge can fill the gaps. 3) Can be placed over implants to make implant supported partial or full mouth bridge.WHAT ARE THE LIMITATIONS OF A BRIDGE? 1) If the teeth which are going to support the bridge are not stable, bridge should be avoided. 2) If number of missing teeth is more than number of present teeth, the fixed bridge can't be given.WHAT ARE THE ADVANTAGES OF A BRIDGE?1) This is a fixed partial denture and patient does not need to remove it once fixed.2) If maintained properly, stays for a longer period.3) Less expensive as compared to dental implants.4) Do not require any surgery.VARIOUS TYPES OF CROWNS/BRIDGESThere are various types of crowns/bridges which include: 1) All metal .2) Porcelain fused to metal (tooth coloured)3) All porcelain (metal free )4) Zirconium based (metal free)5) Precious metal

Looking Old? Blame It on Tooth Loss !

Dr. Kamlesh Kothari, Dentist
DID U KNOW that jaw bones start disappearing once one loses teeth. This is the main reason of the classical OLD AGE LOOK.This is natures way of saying , IF U DON'T USE IT.What causes this?Individuals lose teeth due to various reasons and tooth loss makes them look old. Aesthetics are an important part of the overall looks of the patients irrespective of their age. Most people become conscious about their looks when they have teeth missing from their mouth, as these areas are  noticeable when the individual talks, smiles or laughs. There are various reasons because of which teeth can be lost :Accidents including road traffic accidents Recommended extraction of teeth for any orthodontic treatmentDamaged teethTeeth which cannot be saved or restoredBone resorption is the primary effect seen after the loss of the teeth from the respective areas. Bone resorption is prominent in the patients who have lost front teeth. Those who have lost the back teeth can experience difficulty in the chewing of the food as well as at the time of the opening and closing of the jaw. Dislocations of the temporomandibular joints is quite common in such patients who have noticeable bone resorption after the lone of the natural teeth. In the absence of teeth, the bone cells in the respective areas are not stimulated to keep producing bone in the particular area of the jaw. This leads to resorption of bone without having bone production going on, on the side.The skeletal pattern of the face will also be affected in the absence of teeth. This can be commonly seen in the patients who are of elderly age group. As these patients have more than one teeth missing in most of the cases, the looks are compromised with eventual sagging of the face starting from months of the loss of the teeth, eventually leading to a "witch's chin look"Witch's Chin look - the dental area is fully collapsed due to poor bone support.Most  individuals want to compensate the loss of the natural teeth whether it’s timely or untimely loss. There are treatments which lead to long term benefits to the patients in the form of correction of the aesthetics and improvement of their features as well as improved functionality. The best treatment is dental implants which are in great demand among the patients who are much concerned regarding their facial aesthetics and want the best treatment to retain a young and healthy look.

Childhood Cavities - Early Tooth Loss

Dr. Swasti Jain, Dentist
NURSING BOTTLE CARIES is a  dental problem that develops in infants, especially infants that are put to bed with a bottle containing a sweet liquid. Baby bottle tooth decay is also called nursing-bottle caries and bottle-mouth syndrome. Bottles containing liquids such as milk, formula, fruit juices, sweetened drink mixes, and sugar water continuously bathe an infant's mouth with sugar. The bacteria in the mouth use this sugar to produce acid that destroys the child's teeth. The upper front teeth are typically the ones most severely damaged; the lower front teeth are protected to some degree by the tongue. Pacifiers dipped in sugar, honey, corn syrup, or other sweetened liquids also contribute to baby bottle tooth decay. The first signs of damage are chalky white spots or lines across the teeth. As decay progresses, the damage to the child's teeth becomes more obvious.Damage caused by baby bottle tooth decay is often not diagnosed until the child has a severe problem, because many parents do not schedule regular dental exams for their small children. It is recommended that a child's first trip to the dentist be before one year of age and that trips to the dentist occur regularly every six months after that.In cases of baby bottle tooth decay, the dentist must assess the extent of the damage before deciding on the treatment method. If the problem is caught early, the teeth involved can be treated with fluoride, followed by changes in the infant's feeding habits and better oral hygiene . Primary teeth with obvious decay in the enamel that has not yet progressed to the pulp need to be protected with stainless steel crowns. Fillings are not usually an option in small children because of the small size of their teeth and the concern of recurrent decay. When the decay has advanced to the pulp, pulling the tooth is often the treatment of choice.

Tips to Prevent Tooth Decay

Dr. Kamal Kiswani, Dentist
Brushing and flossing ensures good oral health. Cavities are formed when the bacterial infection erodes the surface of the tooth. Plaque is a sticky film that builds up over a period of time and can only be removed through professional cleaning. If not removed, plaque erodes the minerals on the surface of the teeth resulting in smaller pits that grow into larger ones called “Cavities”. An imbalance in the ratio of calcium and phosphorous in the blood also causes tooth decay and gum diseases.Who are at Risk?People who eat raw foods, sticky foods such as sweets, dried fruits, cakes and cookies are prone to bacterial infection and cavities. People who keep munching throughout the day or drink acidic beverages or people with eating disorders, heartburn or dry mouth are at a higher risk of having cavities.How to prevent Cavities?Apart from the regular brushing and flossing a few careful steps will help prevent cavities. These are:Sugar: Refined sugar is the main cause of cavities and it is best to avoid it.Tea: Green/Black tea helps reduce the build-up of plaque and is thus helpful in preventing cavities.Tooth Healthy Food: A fibre rich diet comprising apple, nuts and cheese help in breaking the plaque and increase saliva production in the mouth. We should include Vitamins A, D, E and K along with calcium, magnesium and phosphorous in our diet. Licorice twists has antibacterial properties that are good for the teeth.Chewing Sugar-free gum: It helps in the production of saliva and also cleanses any food debris from the mouth.Xylitol: It is a natural sweetener that helps in checking bacterial growth. Xylitol can be added to food items/toothpaste/chewing gum.Sip with a Straw: Carbonated drinks have acidic properties that erode the tooth surface. Drinking them with a straw reduces their contact with the tooth surface.Oil Pulling: The age old method of swishing mouth with oil (sesame or sunflower oil) holds good even today. It is one of the best methods of flushing out all the toxins from the mouth. Rinsing mouth with tea tree oil diluted in water also helps in reducing bacterial growth.Water: Drinking water helps clean the mouth of the bacteria and also helps in the production of saliva.Remedies for CavitiesA Dentist will fill the cavity or suggest a Root Canal Treatment or prescribe tooth extraction depending on how bad the cavity is. According to Dev’s Oral Care, pioneers in providing dental treatment in Pune, there are some natural remedies for treating cavities. These are:Oil of Oregano: Oil of Oregano has antimicrobial properties. Brushing with this oil daily helps fight tooth decay.Xylitol: Xylitol checks bacterial growth and prevents germs from sticking on to the gums and teeth. Using Xylitol toothpaste, rinse and spray several times a day stops bacterial growthClove: Clove or clove oil can be used on the affected tooth to treat toothache.Sage: A mouthwash made by boiling sage in water and using it after cooling can be used to cure tooth decay.Neem: Neem sticks, leaves and seeds have antibacterial properties that help in fighting tooth decay.

3 Simple Ways to Protect Your Children From Tooth Decay

Dr. Vanathi K, Dentist
3 Simple ways to protect your children from tooth decay:Proper oral hygienePit and Fissure sealantsFluoridation1. PROPER ORAL HYGIENE:To help your children protect their teeth and gums teach them to follow these simple steps:Brush twice a day with a pea-size dab of fluoride toothpaste and  soft bristled tooth brush.Eat a well balanced diet with less of sugar content and more of vitamins and minerals.Avoid frequent snacking between meals.Flossing can be done for your children from 5 years of age.It removes the food particles between the teeth.Regular dental visit 6 months once.2. PIT AND FISSURE SEALANTS:Dental sealants are a type of special plastic coating that acts as a barrier protecting cavity prone areas.They are applied to the chewing surfaces of back teeth to cover deep pits and grooves.Sealing a tooth is PAINLESS,FAST AND EASY procedure.Sealants are added protection against tooth decay.3. FLUORIDATION:Fluoride is a mineral that occurs naturally in all water sources.Fluoride is effective in preventing and reversing early signs of dental caries.Acid is formed when bacteria in plaque breakdown sugar and carbohydrates from diet. Repeated acid attack breakdown the tooth and causes cavities.Fluoride acts to repair and remineralize areas in which acid attack already begun and makes the teeth resistant to decay.Topical fluorides are professionally applied by dentist are more concentrated and available in the form of gel,foam and rinse.These topical fluorides  acts effectively on the teeth and prevents them from decay.These are few simple steps which ensures cavity free teeth for your kids.

What Is Tooth Decay & How It Could Be Prevented?

Dr. Gaurav Gupta, Dentist
Dental cavities are an infection caused by a combination of carbohydrate-containing foods and bacteria that live in our mouths. The bacteria are contained in a film that continuously forms on and around our teeth. We call this film plaque. Although there are many different types of bacteria in our mouths, only a few are associated with cavities. Some of the most common bacteria responsible for them include Streptococcus mutans, Lactobacillus casei and acidophilus, and Actinomyces naeslundii. When these bacteria find carbohydrates, they eat them and produce acid. The exposure to acid causes the pH on the tooth surface to drop. Before eating, the pH in the mouth is about 6.2 to 7.0, slightly more acidic than water. As "sugary foods" and other carbohydrates are eaten, the pH drops. At a pH of 5.2 to 5.5 or below, the acid begins to dissolve the hard enamel that forms the outer coating of our teeth. As the cavity progresses, it invades the softer dentin directly beneath the enamel, and encroaches on the nerve and blood supply of the tooth contained within the pulp.Cavities attack the teeth in three ways:Pit & FissureSmooth surfaceRoot surface The first is through the pits and fissures, which are grooves that are visible on the top biting surfaces of the back teeth (molars and premolars). The pits and fissures are thin areas of enamel that contain recesses that can trap food and plaque to form a cavity. The cavity starts from a small point of attack, and spreads widely to invade the underlying dentin. Decays happen at the the pits and fissures and spread to the biting surface of the teeth. The second route of acid attack is from a smooth surface, which is between, or on the front or back of teeth. In a smooth-surface cavity, the acid must travel through the entire thickness of the enamel. The area of attack is generally wide, and comes to a point or converges as it enters the deeper layers of the tooth. Smooth surface decay started at the in-between of teeth. The third is the attack started at the root surface of the tooth after it was exposed to the oral cavity. The root is usually exposed due gum recession as a result of periodontitis (gum disease) Decay on the root surface of the teeth. How Will I Know if I Have a Cavity? The large majority of cavities are completely painless. This is because the outer enamel has no nerves. It is only when the cavity enters the underlying dentin that the cavity may begin to feel sensitive. The most common cavity symptoms are an increased sensation to cold, sweet foods or beverages. A cavity is often responsible for a broken tooth. The cavity weakens the tooth, especially when it forms under a tooth filling or a tooth cusp, and can easily cause a fracture when biting down. Patients are sometimes taken off guard when they learn that they have a few cavities but they don't have any symptoms. It is far better to treat a small cavity than to wait until they have symptoms; such as pain. By the time there are symptoms, the cavity may have spread to infect the dental pulp, necessitating a root canal procedure or a tooth extraction to eliminate the infection. Always remember that most dental problems are insidious -- that is, they sneak up on you. Regular dental exams, at least twice a year, will greatly reduce the likelihood that a dental cavity will go undetected and spread, causing toothache pain and infecting the dental pulp. The decay has spread into the dental pulp causing pain. How Do Dentists Detect Cavities? Cavities are detected a number of ways. The most common are clinical (hands-on) and radiographic (X-ray) examinations. During a clinical exam, the dentist uses a handheld instrument called an explorer to probe the tooth surface for cavities. If the explorer "catches," it means the instrument has found a weak, acid damaged part of the tooth -- a dental cavity. Dentists can also use a visual examination to detect cavities. Teeth that are discolored (usually brown or black), can sometimes indicate a dental cavity. Regular dental examination is important to prevent tooth decay Bite-wing radiograph is good to detect interproximal (in-between) caries Dental X-rays, especially check-up or bitewing X-rays, are very useful in finding cavities that are wedged between teeth, or under the gum line. These "hidden" cavities are difficult or impossible to detect visually or with the explorer. In some cases, none of these methods are adequate, and a dentist must use a special disclosing solution to diagnose a suspicious area on a tooth. Are Some People at More Risk for Developing Cavities? People who have reduced saliva flow due to diseases such a Sjogren Syndrome; dysfunction of their salivary glands; have undergone cancer chemotherapy or radiation; and who smoke are more likely to develop cavities. Saliva is important in fighting cavities because it can rinse away plaque and food debris, and help neutralize acid. People who have limited manual dexterity and have difficulty removing plaque from their teeth may also have a higher risk of forming cavities. Some people have naturally lower oral pH, which makes them more likely to have cavities.How Can I Prevent Cavities? The easiest way for tooth decay prevention is by brushing your teeth and removing plaque at least three times a day, especially after eating and before bed. Flossing at least once a day is important to remove plaque between your teeth. You should brush with a soft-bristled toothbrush, and angle the bristles about 45 degrees toward the gum line. Brush for about the length of one song on the radio (three minutes). It's a good idea to ask your dentist or hygienist to help you with proper brushing methods. Blushing and Flossing teeth are to do it daily to stop caries. Reducing the amount and frequency of eating sugary foods can reduce the risk of forming cavities. If you are going to drink a can of sweetened soda, for instance, it is better to drink it in one sitting, than sip it throughout the day. Better yet, drink it through a straw in one sitting, to bypass the teeth altogether. Getting to the dentist at least twice a year is critical for examinations and professional dental cleanings. Reduce high sugar food can reduce dental cavity significantly. To reduce the incidence of cavities, use toothpaste and mouthwash that contains fluoride. Fluoride is a compound that is added to most tap water supplies, toothpastes, and mouth rinses to reduce cavities. Fluoride becomes incorporated into our teeth as they develop and makes them more resistant to decay. After our teeth are formed, fluoride can reverse the progress of early cavities, and sometimes prevent the need for corrective dental treatments. Mouthwash with fluoride. The recent drop in the number of cavities is largely due to the addition of fluoride to our drinking water. Mass water fluoridation is the most cost-effective measure available to reduce the incidence of tooth decay. The Environmental Protection Agency has determined that the acceptable tap water concentration for fluoride is 0.7 to 1.2 parts per million. A dental procedure called sealants can also help reduce cavities on the top and sides of back teeth (occlusal, buccal and lingual surfaces). A sealant is a white resin material that blankets the tooth, protecting the vulnerable pits and fissures of the tooth. Sealants are routinely placed on children's teeth to prevent cavities on their newly developing molars. The use of sealants to prevent cavities is also a cost-effective way to reduce the incidence of cavities on adults as well. Sealants are generally not used on teeth that already have fillings.  People who have a dry mouth are at risk for developing cavities, and can have their dentist prescribe artificial saliva and mouth moisturizers, as well as recommend chewing sugarless gum to stimulate saliva production. Finally, an antiseptic mouthwash containing chlorhexidine gluconate such as Orahex, Orahex Plus, Clohex etc can also be useful in killing bacteria associated with dental caries.

Importance of Brushing With Tooth Paste

Dr. Pankaj Rao, Dentist
Brushing with toothpaste is important for several reasons. First and foremost, a toothpaste and a correct brushing action work to remove plaque, a sticky, harmful film of bacteria that grows on your teeth that cause cavities, gum disease, and eventual tooth loss if not controlled. Second, toothpaste contains fluoride, which makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage can even be seen. Third, special ingredients in toothpaste help to clean and polish the teeth and remove stains over time. Fourth, toothpaste help freshen breath and leave your mouth with a clean feeling.What type of toothpaste should I use? As long as your toothpaste contains fluoride, the brand you buy really does not matter, neither does whether or not it is in the paste, gel or even powder form or containing a certain flavor. All fluoride toothpaste work effectively to fight plaque and cavities and clean and polish tooth enamel. Your toothpaste brand should bear the ADA (American Dental Association) seal of approval on the container, which means that adequate evidence of safety and efficacy have been demonstrated in controlled, clinical trials.If your teeth are hypersensitive to hot or cold, consider trying a toothpaste designed for sensitive teeth. These "desensitizing" toothpaste, which contains strontium chloride or potassium nitrate, protect exposed dentin by blocking the tubes in the teeth that are connected to nerves. Desensitizing pastes must be used for at least one month before any therapeutic effects are felt.Toothpaste containing baking soda and/or hydrogen peroxide (which are both good cleansing agents) give the teeth and mouth a clean, fresh, pleasant feeling that can offer an incentive to brush more, but fluoride is the true active ingredient at work protecting your teeth. Some prefer a tartar-control toothpaste containing pyrophosphates to prevent the build-up of soft calculus (tartar) deposits on their teeth. New pastes offer advanced whitening formulas aimed at safely removing stains to make teeth brighter and shinier, although they can't nearly match the effectiveness of a professional bleaching formula administered or prescribed by a dentist.How much should I use?Contrary to what toothpaste commercials show, the amount of paste or gel needed on your brush for effective cleaning does not have to be a heaping amount. Simply squeeze a pea-sized dab of paste on the top half of your brush. If you brush correctly, holding the toothbrush at a 45-degree angle and brush inside, outside and between your teeth, the paste should foam enough to cover all of your teeth. Children under age 6, however, should be given a very small, baby pea-sized dab of toothpaste on their brush. Is brushing with toothpaste enough to fight cavities and gum disease?No. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between teeth and at the gumline is just as important. Studies show that plaque will regrow on teeth that are completely clean within three to four hours of brushing.

5 Myths About Weight Loss

Ms. Raminder Kaur Deshmukh, Dietitian/Nutritionist
Myths about how you can lose weight can sabotage even the healthiest and nutritious diet plan which you are following. Here are few of them:1. QUICK AND EASY SOLUTIONSThere is nothing called fast weight loss. The biggest misconception is doing something which gives you instant result but at the same time will give long lasting effects. There are various products in the market like capsules, powders, creams which may actually do more harm than good. The biggest myth is slimming pills are safe for weight loss.2. STARVINGThe good news is that you and anybody can follow it. you don't need to starve to lose weight. In between healthy snacking leads to weight loss and t also helps in boosting your metabolism. Healthy snacks include soy chips, limited amount of nuts, roasted chana, zucchini chips, fruit chat. unhealthy snacks like noodles, samosa, spring rolls, cookies are definitely going to increase your weight. so don't starve but at the same time eat sensibly.3. CARBS ARE BADIt is a myth that all carbs are bad. carbs provide energy to keep you going throughout the day and also required for protein sparing action. But the type of carbs is important. processed carbs like maida, sugar are bad for health but complex carbs like daliya are good for weight loss.4. ONCE YOU HAVE LOST WEIGHT YOU WILL NEVER GAIN This is one of the most common and the most dangerous myth. weight loss once achieved needs to be maintained throughout life. one should be willing to make lifestyle modification change and dietary habits as when we age our metabolism slows down. Also once the weight is lost it is going to rebound if we start having the same diet as we were having initially.5. "DIET" FOODS CAN HELP YOU LOSE WEIGHT Are foods labelled as 'low fat' a healthier choice ?? check yourself the label to see how much fat it contains. some low fat foods may also contain high level of sugar thereby the calories may be high in the same product. similarly, check for the calories in diet drinks and diet snacks. A lot of junk food is marked as healthy.

Do You Have Missing Teeth? These Could Be Its Consequences

Dr. Milind Darda, Dentist
My back tooth was extracted due to decay and pain, when I was growing up. Is it important to replace this tooth? How does it affect, after all it is just one back tooth not even visible during speech.Let’s talk about it in detail. Here is a list of problems that a person can have due to missing teeth:Shift in the position of adjacent teeth: Our teeth are in the position because they are supported by adjacent and opposing teeth to stay in the position. If a tooth is missing, it can cause changes in adjacent teeth angulations + opposing teeth can grow down.Spacing in teeth: Spacing always been a problem in cases of missing teeth were not replaced, which can further affect aesthetic and bite.Gums problem: The Gum problems increase after a few years due to change in inclination and position of teeth and food lodgement between teeth. The gum disease for long period may loosen teeth.Teeth cavities/decay: Food accumulation due to spacing can lead to tooth decay.Predisposition to joint disorders: Joint soreness, headaches may be seen due to disturb bite and disturb eating efficiency.Loss of integrity of dentition.Likelihood of fracturing fillings more oftenAll these disturb integrity of dentition. Just because of one tooth, you probably think is missing and is not doing any harm, might take you to the land where saving adjacent or opposing teeth will not be a simple procedure and will involve complex treatments.This critical situation can be avoided if you regularly visit your dentist who can guide you well about different Teeth Replacement options that are available. So hurry before it’s too late.