Articles on tooth

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.

3 Ways of Replacing a Missing Tooth

Dr. Anil Vaidyan, Dentist
Dentistry has evolved with rapid strides in this age of technological advancement. It is now possible to fabricate a tooth for a person in America by a dentist in India, and such kind of procedures are done regularly across the world.Teeth replacement has never been easier than ever before with the advancements in dentistry. It has become almost painless and comfortable for the patient. And one should not wait for the complications of non- replacement of a tooth to arise to look for a dentist.Here are the 3 ways by which a missing tooth can be replaced:ImplantsDental ImplantImplants are root-shaped structures placed into the bone. After the bone around the implant stabilises, tooth is built by taking support from the implant.Why are implants superior?They can be placed without taking support from other teeth. They can be used to fabricate teeth in areas where several teeth are missing.The implant success rates are as high as 98%, and generally lasts for a long time.They are technologically very advanced systems.Negatives of implants:On the downside, they can be very costly, depending on several factors.Crown and BridgeCrown and BridgeNow if you are a kind of person who want to avoid the surgery involved in implant placement, you could opt for crown and bridge for missing teeth replacement.A crown and bridge is fabricated by placing crowns over the teeth adjacent to the missing area and a bridge is made to connect those crowns.Advantages of Crown and Bridge:It is easier and faster to fabricate.No surgery needed.One of the oldest and time-tested methods for replacement of teeth and comparatively cheaper.Disadvantages of Crown and Bridge:The teeth shaped for crowns are at increased risk of decay and fracture.Removable DenturesComplete DenturesNow if you don't like surgery or don't want your teeth to be cut for placing crowns, then we have the removable -teeth -options like:Cast partial Dentures -  are removable dentures made of thin metal framework and teeth attached onto them to resemble our natural teeth. These are made when only several teeth are absent.Complete Dentures - is made in situations where teeth are totally absent. They also need to be removed daily for maintenance. Complete dentures can also be supported by implants or even natural teeth.These removable dentures might be difficult to maintain since they require removal and cleaning daily, and might not feel like your natural teeth. But sometimes they might be the only best option. So these are the 3 ways by which your teeth could be replaced, and hope this would help you in making an informed decision.

Do's & Dont's After Tooth Removal

Dr. Swasti Jain, Dentist
1. TO CONTROL BLEEDINGBite firmly on the gauze for 45 minutes to an hour.Applying pressure over an extended period is the key.Don't keep changing the gauze, and don't chew on it. Just put it in place and close down, for the full 45 minutes to an hour.The blood clot that forms in the tooth's empty socket is an important part of the healing process, so be careful not to do anything that will dislodge or disrupt it.Avoid vigorous rinsing or spitting. - These activities may dislodge the clot.Don't disturb your extraction site. - Don't touch or poke at it with your finger. Don't explore it with your tongue.Don't consume hot liquids and foods. - Hot items, especially liquids like soup, tea, and coffee, tend to dissolve blood clots.You should avoid smoking or using a straw (these activities create suction). Also, don't blow your nose. And if you need to sneeze, sneeze with your mouth open. (See below for more details.)It's best to avoid strenuous work or exercise. 2. SWELLINGIt's common and normal for some degree of swelling to occur after having a tooth pulled. The amount that ultimately forms is typically proportional to the extent of the surgery that has taken place. That means:After very simple extractions you may notice very little, possibly none.With more involved cases (longer, more difficult extractions or the removal of several teeth) you may notice a pronounced enlargement, possibly involving a large portion of your face.Generally speaking, the amount of swelling that forms can be minimized via the application of ice packs on the outside of your face over the area where your surgery was performed, starting immediately upon the completion of your procedure.3. AVOID SMOKINGPeople who smoke tend to experience a higher level of complications with extraction site healing. That means if you can avoid smoking for the first 24 hours (and preferably 48 hours and longer) after having your tooth pulled, it will be to your benefit.4. AVOID BLOWING NOSEThat's because doing so can create a pressure difference between your mouth (via the recesses of your extracted tooth's socket) and your sinuses that might be great enough to disrupt what in some cases may be just a paper-thin layer of bone separating the two.5. EATING Take soft and cold diet for first 24 hrs.Try chewing from the other side of the extraction site.6. NUMBNESSAfter your tooth has been pulled, some portion of your mouth will still be numb, possibly for some hours. Besides just the area immediately surrounding your extraction site, this will likely include some aspect of your lips, cheeks or tongue too.This sensory loss can result in accidents. As examples ...You might unknowingly bite your lip or tongue while chewing, possibly even repeatedly.You might not be able to test hot (temperature) foods and beverages adequately, which could result in burns.

Why Replace a Missing Tooth?

Dr. Akshay Rathod, Dentist
Most adults can expect to have 32 teeth. The four third molars, or “wisdom” teeth, are often extracted because they do not grow into the mouth well or there is not enough room for them to remain in proper alignment. It is very unusual to have wisdom teeth replaced. But the other 28 teeth are needed.Extraction is basically removing a decayed or broken tooth which cannot be saved. Removal of teeth is gradually not the first option for a lot of dental issues. However, a large number of dental infections and other causes end in extraction. The front teeth, because of their visibility, are more likely to be replaced by patients for the sole purpose of aesthetics/looks. The back teeth are often neglected and not replaced since they are not visible, though they play a higher role in terms of chewing, food digestion and function. In many patients, reasons for impaired bite and crooked tooth are traced back to failure to replace a removed tooth. A few people consider removal of teeth as their first option in order to get rid of the pain, but what they do not realize is the after-effects of extraction.When you lose a tooth, the efficiency decreases and function suffers. When you lose a tooth, you lose some ability to chew food properly. This may mean that you either place more stress on the other teeth in order to chew all the food you eat, or you do not chew well enough and what is swallowed is not quite ready to be digested. This can lead to digestive difficulty. You might have to eliminate certain favorite foods because you cannot chew them thoroughly.Let us look at the some of the issues as a result of not replacing a missing tooth:1. Reduced chewing/digestive efficiency (Indigestion): The back teeth play a significant role in chewing the food and contributing to the initial stage of digestion. The salivary enzymes play a significant role in digestion when the food is chewed and missing back teeth tends to make people swallow food faster without chewing properly than if good amount of chewing were to happen. Studies show that loss of each posterior tooth (molars especially) reduces tooth efficiency by 10%.2. Malocclusion (Improper alignment of teeth): A malocclusion happens due to the empty space created, into which 3 teeth are trying to move. The tooth before and after the empty space tend to slowly tilt towards the empty space in between. Also, the opposing upper or lower tooth supra erupts into this space. Each tooth plays a critical role in maintaining the adjacent and opposing tooth in place, which is lost when a tooth is not replaced after removal. As the teeth keep encroaching in the empty space, chewing efficacy reduces leading to lesser usage of that side, eventually making that side unusable.3. Bone loss: The tooth also is essential for maintaining healthy bone, and if not replaced, it can lead to accelerated loss of alveolar bone. Good bone support is very essential for construction of dentures and/or placement of implants (fixed replacement of missing teeth), especially in old age, when complete dentures which are almost always removable need to be done and when implants are not possible due to increased bone loss. This is true especially in the lower teeth, where denture retention is a big challenge.4. Extra pressure on other teeth: Not replacing a tooth puts additional pressure on the remaining teeth, leading to accelerated bone loss and wearing off of the enamel. The remaining teeth are loaded with extra work since one/few of the teeth are missing. The excess work load eventually reduces the life of the remaining teeth.5. Aesthetics: Removal of teeth makes you look older as there will b sinking in of the face when back teeth are not replaced, leading to a puckering. In case of extraction of canines, the supporting pillar of the face is lost and the face starts sagging. There is loss of self-image and self-esteem and a feeling that you are getting old. Once you start losing teeth, you can actually start to look old.So, the next time, think twice before extracting a tooth. In cases where tooth loss is inevitable, ensure you plan how to replace it in the earliest possible time period. The more replacement of missing tooth is delayed, the more difficult it is to replace it later and the more expensive it will turn out for the patient. Fixed dentures or removable dentures can be the options, depending on age, food habits, finances, etc. Implants also could be another option, which is the new-age solution for replacing teeth. A detailed discussion with your dentist regarding replacement, before removal of a tooth will help you plan better.

Fed Up of Tooth Discoloration?

Dr. Akanksha S.D, Oral Medicine and Radiology
What makes tooth loose its color?*Tobacco use*Drinking tea,coffee,cold drinks *Red wine                                                                                   *Plaque/Tartar deposits*Tooth Trauma*Cavities6 Home remedies to naturally whiten your teeth...*Brush after drinking or eating-Most food does not stain teeth, but if you are a coffee drinker or if you smoke, you can pretty much count on having discoloured teeth from staining. If this is the case then having your teeth cleaned every three months may be in order, besides trying some of the natural remedies listed here.*Coconut oil pullingSimply put a spoonful of coconut oil in your mouth & swishing it between your teeth for 5 to 20 minutes. Or adding a few drops to your toothbrush and brushing with it can be helpful. You can also add the coconut oil to a corner of a clean wash cloth and rub it on.  Also, coconut oil has antimicrobial properties so it’s great for your gums as well.                                             *Apple cider vinegarIt makes sense that apple cider vinegar would eventually work as a mouth gum cleaner & remove stubborn stains on the teeth, especially from coffee and nicotine. It has been proven that it does work as a natural teeth whitener but you have to be consistent and it takes at least a month of continuous usage to see results. *Lemon & Orange peelThere have been reports that lemon or orange peels will also help you in  whitening your teeth. Guess you don’t know until you try.  Here again, these food products are very healthy & good for your stomach but the acid content might eventually wear away the enamel or the teeth.*Baking soda & hydrogen peroxideThis works great as a natural teeth whitener. Many people confirm to the fact that it does make their teeth look whiter *StrawberriesSimply mash up about two three strawberries and rub this yummy mixture all over your teeth. Finally, you can always go to your dentist for Oral Prophylaxis to get instant results!

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

Don't Crack Those Teeth: Tooth Breakers to Avoid

Dr. Ragini Parmar, Dentist
Our teeth are as strong as they are fragile. They are strong in that they serve us well for chewing and grinding down most kinds of foods, but this does not mean the ability of our teeth should be abused because if pushed far enough, a tooth is sure to crack. Let’s have a look at what foods to avoid so that we are consistently looking after our teeth and not exerting an unnecessary amount of pressure on them.Candy  - This is certainly one of the leading causes of cracked teeth. Hard candies are meant to be sucked not bitten into with gusto. They are very hard on the teeth and were originally designed to be sucked for the release of flavor. Be careful when candies and chocolates have just been taken out of the freezer. Exercise that self-control and don’t chomp right into that rock hard sweetness.Food Packaging - How many times have you sat down with a bag of chips or peanuts and for lack of anything else to open it with, ripped it open with your teeth? Or opened a bottle of cola with your teeth. In those moments of sheer determination where you just have to get to what’s inside that sturdy packaging, carry a small pair of scissors and a bottle opener in your bag or a pen knife in your pocket.Popcorn - Believe it or not popcorn has been responsible for a lot of visits to the dentist. Do you recall sitting at the cinema and munching happily on soft fluffy popcorn? Well once the soft fluffy popcorn is gone, you are left with hard kernels that are incredibly yummy with all the salt and butter. As a standard, when you reach the bottom of the popcorn – put the box away!Olive Pits - Olive pits can be found in a number of places, maybe the stray olive pit in a salad, sandwich, or pasta. It is very disconcerting when you bite into something expecting it to be soft but find a hard pit under your teeth. Truth is sometimes there is no sure shot way to avoid this. Eat mindfully and chew carefully to avoid cracking a tooth.Nuts - Nuts are full of proteins and generally a really good snack when you are staving off the hunger pangs. Pistachios and walnuts have hard shells that we sometimes like to crack open with our teeth. Use pliers or a hammer to crack them open. As a rule, try and avoid chomping down on foods that are harder than your teeth.Ice - Many people have the habit of chewing on ice when they’re nervous or restless. Ice can cause irreparable damage to the teeth. Ice wears down the enamel and could even cause it to chip or break.     Let’s not take our teeth for granted. Let’s treat our teeth with respect and be thankful for how well they serve us. And the rule of thumb, ‘If you can’t break it with your hand, don’t break it with your teeth.’ is a golden rule you should follow. Remember, teeth are strong but they are not invincible!

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.

Got a Missing Tooth? Your Guide to Replacement

Dr Rahul Malhotra
In today's world, a visit to the dentist is the most procrastinated item on your checklist! With the advent of refined food and lack of roughage in one's diet, the chances of decay and subsequent loss of teeth are high. On a practical note, a lot of youngsters have one or more missing teeth. So, the question arises as to why do we need to replace a missing tooth ? Let's review the possible implications of loss of teeth1. Loss of balance on both sides,When patients tend to lose a tooth on one side, they automatically start using the opposing side, which intern leads to totally neglect of the affected side. The side which is used more becomes more prone to cavity formation and gum disease.2. Loss of jaw bone Replacement of teeth is of utmost importance as missing teeth induce loss of jaw bone which can further weaken the neighboring teeth. Breakdown of the bone in the area of the missing tooth can impair future replacement procedures.3. Drifting of teethOver a period of time, teeth have a tendency to move or drift into any empty space,  this happens both sidewards and downwards, eventually close this space, making your bite wayward thus inducing a change in the way you bite. Consult your dentist today for timely replacement of missing teeth as modern dentistry has a wide variety of treatment options ranging from removable appliances, fixed teeth and dental implants. Replacement of teeth thus have a dual role- both functional and aesthetic.To conclude, missing teeth can impair your chewing efficiency and can have a negative impact on your digestive system.  This can also lead to loss of self-esteem and confidence in some individuals.. As it is rightly said, a stitch in time saves nine!!