Gum disease - also known as periodontitis

Is a serious condition that affects the gums and surrounding tissues of the teeth. It is caused by plaque buildup, which can harden into tartar and lead to inflammation and infection of the gums. If left untreated, gum disease can result in tooth loss and other serious health problems.

Treatment for gum disease depends on the severity of the condition, but here are some common approaches:

• Scaling and root planing: This is a deep cleaning procedure performed by a dentist or periodontist. Scaling involves removing plaque and tartar buildup from above and below the gum line. Root planing smoothes the root surfaces of the teeth to prevent future buildup.
  
  
• Antibiotics: If the gum disease is caused by bacterial infection, antibiotics may be prescribed to kill the bacteria and reduce inflammation. Antibiotics can be applied directly to the gums, taken orally, or delivered in a slow-release form.
  
  
• Surgery: In severe cases of gum disease, surgery may be necessary to remove the affected tissue and promote healing. Types of surgical procedures include flap surgery, bone and tissue grafts, and guided tissue regeneration.
  
  
• Medications: In addition to antibiotics, certain medications can be prescribed to help control gum disease. These may include antimicrobial mouth rinses, enzyme-blocking agents, and anti-inflammatory drugs.
  
  
• Good oral hygiene: Proper brushing and flossing at home, along with regular dental cleanings, is essential for maintaining good oral health and preventing gum disease from progressing.

It's important to seek treatment for gum disease as soon as possible, as the condition can worsen quickly and lead to serious health problems. If you are experiencing symptoms such as red, swollen, or bleeding gums, pain when chewing, or loose teeth, it's a good idea to see your dentist or periodontist right away. With prompt treatment, gum disease can usually be effectively managed and the progression of the disease can be stopped.

Symptoms of TMJ (Temporomandibular Joint Disorder)

The symptoms of TMJ can range from mild to severe, and they may include:

• Pain or tenderness in the jaw, face, neck, or around the ear
• A popping or clicking sound when opening and closing the mouth
• Limited movement of the jaw or locking of the jaw in an open or closed position
• Headaches
• Tinnitus (ringing in the ears)
• Dizziness
• Difficulty in chewing or biting
• Neck and shoulder pain
• Causes of TMJ

The exact cause of TMJ is not well understood, but it is believed to be the result of a combination of factors, including:

• Arthritis
• Teeth grinding or clenching (bruxism)
• Stress
• Dislocation of the disc between the jawbone and the skull
• Trauma to the jaw or face
• Jaw misalignment
• Diagnosis and Treatment of TMJ

If you are experiencing symptoms of TMJ, it is important to seek the advice of a doctor or dentist. They may refer you to a specialist, such as an oral and maxillofacial surgeon or a physical therapist, for a definitive diagnosis.

Treatment for TMJ will depend on the underlying cause of the condition and the severity of symptoms. In some cases, simple self-care measures, such as avoiding hard or chewy foods, practicing stress management techniques, and applying ice to the jaw, may be enough to relieve symptoms.

Your saliva and why it’s so important

You probably don’t give too much thought to the saliva in your mouth but, if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

How your oral health links with your general health

 Research has shown strong links between periodontitis (advanced form of gum disease) and other health problems such as cardiovascular disease, stroke and bacterial pneumonia.

And pregnant women with periodontitis may be at increased risk of delivering pre-term and/or having babies with low birth weight.

However, just because two conditions occur at the same time, doesn’t necessarily mean that one condition causes the other. The relationship could work the other way.

For example, there is evidence that diabetics are more likely to develop periodontitis and have more severe periodontitis than non-diabetics.

Alternatively, two conditions that occur together may be caused by something else.

In addition, people who smoke or use alcohol have a higher than average risk of developing periodontitis and other conditions, including oral cancer.

Research is looking at what happens when periodontitis is treated in individuals with these problems.

The aim is to find out whether periodontitis does have an effect on other health problems.

If one caused the other, improvement in periodontal health would also improve other health problems.

While the research is not yet conclusive, the potential link between periodontitis and systemic health problems, means that preventing periodontitis may be an important step in maintaining overall health.

In most cases, good oral health can be maintained by brushing and flossing every day and receiving regular professional dental care.

How dentures can replace your smile

 If you’ve lost all of your natural teeth, whether from gum disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile.

Replacing missing teeth will benefit your appearance and your health.

Without support from the denture, facial muscles sag, making a person look older. You’ll also find it harder to eat and speak things that people often take for granted until their natural teeth are lost.

There are various types of complete dentures.

A conventional full denture is made and placed in the patient’s mouth after the remaining teeth are removed and tissues have healed which may take several months.

An immediate complete denture is inserted as soon as the remaining teeth are removed. The dentist takes measurements and makes models of the patient’s jaws during a preliminary visit. With immediate dentures, the denture wearer does not have to be without teeth during the healing period.

Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque.

And even if you wear full dentures, it’s important to visit your dentist regularly to maintain your overall oral health and get early warning of serious issues such as oral cancer.

Choosing the right toothbrush for your needs

 It would be easy to get overwhelmed by the huge range of dental care products now available.

Even looking just at toothbrushes present a wide range of choices.

There are hundreds of manual and powered toothbrushes to choose from.

Start by looking for products that carry the American Dental Association Seal of Acceptance – this is an important symbol of a the product’s safety and effectiveness.

When you buy a toothbrush, replace it every three to four months. Replace it sooner if the bristles become frayed as a worn toothbrush will not clean your teeth properly.

Make it easy for your children to brush their teeth by choosing a child-sized toothbrush and make it more interesting for them by selecting fun colors and designs.

Often people who have difficulties with hand, arm or shoulder movements find that powered toothbrushes are the best choice. However, it’s also possible to make a few small changes to modify a manual toothbrush and make it easier to use.

For example, you can:

– Enlarge the handle with a sponge, rubber ball, or bicycle handle grip
– Lengthen the handle with a piece of wood or plastic
– Bend the handle slightly while running it under hot water

Your dentist will give you tips on what toothbrushes would be right for your needs.

How older adults can handle dry mouth and taste problems

Reduced saliva flow that results in a dry mouth is a common problem among older adults.

It is caused by certain medical disorders and is often a side effect of medications such as antihistamines, decongestants, pain killers and diuretics.

Some of the common problems associated with dry mouth include:
– Constant sore throat
– Burning sensation
– Problems speaking
– Difficulty swallowing
– Hoarseness or dry nasal passages

Left untreated, dry mouth can damage your teeth. Without adequate saliva to lubricate your mouth, wash away food, and neutralize the acids produced by plaque, extensive cavities can form.

Your dentist can recommend various methods to restore moisture. For example, sugar-free candy or gum stimulates saliva flow, and moisture can be replaced by using artificial saliva and oral rinses.

Another issue that can affect older adults is a loss of appetite due to a change in your sense of taste. Besides an age-related decrease in the sense of taste and smell, certain diseases, medications and dentures can contribute to a decrease in your sense of taste.

Whether you are suffering from dry mouth or problems with your sense of taste, your dentist will be able to make suggestions to help.

Whats involved in getting a dental implant?

Dental implants are increasingly popular as a way to replace missing or damaged teeth.

Their great advantage is that they look natural and feel secure helping you to restore your smile and eat more easily.

Implants are an ideal solution for many people but they are not an option for everyone.

Placing implants requires some surgery so patients must be in good health, have healthy gums and have adequate bone to support the implant.

They must also be committed to taking action to maintain their oral hygiene and to visiting the dentist regularly.

The process for placing implants is as follows:

First, surgery is performed to place the anchor. This can take up to several hours. Following the surgery, you may need to wait up to six months for the bone to grow around the anchor and firmly hold it in place. Sometimes follow up surgery is required to attach a post to connect the anchor to the replacement teeth. Alternatively, the anchor and post may already be attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is to fit specially-made artificial teeth to the post portion of the anchor. This can take a few weeks to complete as several fittings may be required.

Implant surgery can be done either in a dental office or in a hospital, depending upon a number of factors. A local or general anesthetic may be used. Usually pain medications and, when necessary, antibiotics are prescribed.

After your implants are fitted, your dentist will give you tips and advice on maintaining your oral hygiene.

Your dentist can help you decide whether you would be a good candidate for implants.

Things to look out for during pregnancy

Every woman wants to maintain their own health during pregnancy and to take whatever steps are necessary to give the baby the best possible start.

There are a few factors in your oral health to look out for during this time.

One consideration is that its common for pregnant women to have the urge to eat between meals. The risk is that frequent snacking on carbohydrate-containing foods can encourage tooth decay.

Bacteria in your mouth called plaque can convert the sugar and starch in your mouth into an acid that attacks tooth enamel. After repeated attacks, tooth decay can result.

So, when you need a snack, try to choose foods that are nutritious for you and your baby such as raw fruits and vegetables and dairy products.

During pregnancy, your bodys hormone levels rise considerably. Gum problems, such as gingivitis, are especially common during the second to eighth months of pregnancy. They may cause red, puffy or tender gums that bleed when you brush.

This is an exaggerated response to plaque caused by higher levels of progesterone in your system. Your dentist may recommend more frequent cleanings at some stages to help you avoid problems.

Occasionally overgrowths of gum tissue, called pregnancy tumors, appear on the gums during the second trimester. These localized growths or swellings are usually found between the teeth and are thought to be related to excess plaque.

They bleed easily and are often surgically removed after the baby is born.

Studies indicate that pregnant women who have severe periodontal (gum) disease may be at increased risk for pre-term delivery, which in turn increases the risk of having a low-birth-weight baby.

So its particularly important to maintain good oral health during pregnancy. Make sure you clean your teeth carefully and visit your dentist regularly.

How cancer treatment affects oral health

When someone is undergoing cancer treatment, its important that they involve their dentist in their program of care.

They should schedule a dental exam and cleaning before the treatment actually begins and then repeat it periodically during the course of treatment.

Its important that they tell the dentist that they are being treated for cancer and that they also discuss any dental procedures, such as extractions or insertion of dental implants, with the oncologist before starting the cancer treatment.

Its therefore a good idea to ensure that the dentist and oncologist have each others details to enable them to discuss any issues to help the patient.

And the dentist and physician should be informed about any issues such as bleeding of the gums, pain, or unusual feeling in the teeth or gums, or any dental infections.

Maintaining excellent oral hygiene during cancer treatment is vital to reduce the risk of infection and to help aid the treatment process.

Dental plaque – what it is and how to avoid it

You’ve probably heard people talking about plaque and maybe you’ve some idea of what it is.

But its useful to know a bit more about it so that you can do whats necessary to minimize the risks.

Plaque is a sticky film of bacteria that forms on teeth and gums.

When you’ve eaten a meal or snack, the bacteria in plaque release acids that attack tooth enamel. When this happens regularly, the enamel can weaken. This eventually leads to tooth decay.

The food we eat often causes plaque bacteria to produce acids. So, if you eat a lot of snacks, your teeth may be suffering acid attacks all day.

If you don’t remove the plaque through effective daily brushing and cleaning between the teeth, it can eventually harden into calculus or tartar.

Another effect of plaque is that it also produces substances that irritate the gums, making them red and tender or causing them to bleed easily.

If you want to prevent tooth decay and gum disease, make sure you have a balanced diet and avoid having too many snacks between meals.

When you feel like a snack, go for foods such as raw vegetables, plain yogurt, cheese or a piece of fruit.

The process of installing Invisalign

Invisalign is a system of clear mouthguards that can be used instead of braces to help straighten teeth.

The big advantage is that Invisalign looks better and is more comfortable than braces.

However, not everyone is a candidate for using the system so you with have to check with your dentist.

If an orthodontist certified in Invisalign says you can benefit from the system, they will take impressions of your mouth, write up a detailed specification and then send everything to a high-tech lab.

Next, the lab will show the orthodontist a preview of the appliances.

The lab then makes a series of aligners – depending on the situation, you may need between 12 to 48 aligners.

After the impression of the teeth is taken, it will normally require a visit to the orthodontist every six weeks.

Some patients will be advised to wear metal braces for a period and then switching to Invisalign when their mouth is ready.

For many people Invisalign provides an ideal way of making their smile look better.

What Causes Sensitive Teeth?

If you sometimes find the taste of something hot or cold painful on your teeth, you may suffer from sensitive teeth.

Sensitive teeth is a common problem which may be caused by cavities and fractured teeth.

But it can also be caused by worn tooth enamel, a cracked tooth or an exposed tooth root.

Tooth enamel is the strongest substance in the body and it protects the crowns of healthy teeth. A layer called cementum protects the tooth root under the gum line.

The part underneath the enamel and the cementum is called dentin, which is less dense than enamel or cementum.

The dentin contains small hollow tubes or canals called tubules. When the dentin loses its protective covering, the tubules allow hot, cold, acidic or sticky foods to reach the nerves and cells inside the tooth.

This causes hypersensitivity and occasional discomfort but fortunately, the irritation does not cause permanent damage.

Following proper oral hygiene helps prevent the gums from receding and causing the pain of sensitive teeth.

Brushing your teeth incorrectly or even brushing too much can cause gum problems.

Your dentist will advise you on the best daily routint to maximize your oral hygiene.

How to stop your dentist using too much jargon

Having a good relationship with your dentist means they should be able to explain things clearly to you and talk to you in language you understand.

The challenge for the dentist is that, as with any type of medical and professional training, they have to learn many unusual and technical terms.

This jargon has a purpsoe as it allows professionals to communicate clearly with each other on the same basis.

But often there is no need to use this terminology with the patient. Using these terms becomes a habit and they forgat to translate for the patient.

Soemtimes. it’s easier to say what you are thinking to a patient rather than have to translate it into something he or she will understand. And the dentist is usually thinking using the jargon.

Many common dental words such as restoration (filling), dentition (set of teeth) and occlusion (how the teeth come together) can easily be translated into terms patients understand.

Your dentist wants to help you understand as much about your dental health as possible so they would prefer that you stop them and ask what terms mean or simply ask them to speak in plain English.

They often slip into jargon out of habit or because it allows them to communicate more easily with others on the team.

They want you to get the treatment you need and be satisfied. So they won’t mind if you stop and remind them to communicate more effectively.

Your saliva and why it’s so important

You probably don’t give too much thought to the saliva in your mouth but, if you think of it like a bloodstream you’ll realize how important it is.

Like blood, saliva helps build and maintain the health of the soft and hard tissues.

It removes waste products from the mouth and offers first-line protection against microbial invasion that might lead to disease.

Saliva is derived from blood and therefore can also be used to detect disease.

Saliva enhances enamel protection by providing high levels of calcium and phosphate ions. It contains the minerals that maintain the integrity of the enamel surface and helps protect against caries.

When salivary flow is reduced, oral health deteriorates – much in the same way body tissues suffer if blood circulation is disrupted.

Patients with dry mouths (xerostomia) experience difficulty chewing, speaking and swallowing. A major cause of dry mouth is medication – almost eighty percent of the most commonly prescribed medications lead to dry mouth.

Chewing gum after a snack or meal stimulates salivary flow, clearing food from the mouth and neutralizing plaque acid.

Your saliva is important to your oral health both for preventing disease and in helping to diagnose problems.

The secrets of brushing and flossing your teeth effectively

Though many of us say we brush our teeth regularly, you get the best results by making sure you brush properly.

Here are the steps you should follow:

First, place the toothbrush at a 45-degree angle to your gums.

Then, move the brush back and forth gently in short (tooth-wide) strokes.

Brush the outer tooth surfaces, the inner tooth surfaces, and the chewing surfaces of the teeth.

Use the “toe” of the brush to clean the inside surfaces of the front teeth, using a gentle up-and-down stroke.

Finally, brush your tongue to remove bacteria and freshen your breath.

As well as brushing your teeth, you should floss them every day. Heres how to floss for best results.

Break off about 18 inches of floss and wind most of it around one of your middle fingers.

Then wind the remaining floss around the same finger on the opposite hand. This finger will take up the floss as it becomes dirty.

Hold the floss tightly between your thumbs and forefingers.

Guide the floss between your teeth using a gentle rubbing motion. Never snap the floss into the gums.

When the floss reaches the gum line, curve it into a C shape against one tooth. Gently slide it into the space between the gum and the tooth.

Hold the floss tightly against the tooth. Gently rub the side of the tooth, moving the floss away from the gum with up and down motions.

Repeat this method on the rest of your teeth.

Don’t forget the back side of your last tooth.

If you have difficulty handling dental floss, consider other types of interdental cleaner such as special brushes, picks or sticks.

Your dentist or hygienist will be able to give your further tips on how to brush and floss for best results.

Solving the problem of bad breath

Bad breath – which is also known as halitosis – is a worrying problem that can also be embarrassing.

But theres no need to put up with it. If you suffer from bad breath, your dentist will be able to suggest a range of solutions.

Your dentist will be able to spot problems such as gum disease, dry mouth or other disorders. Thats why its important to maintain good oral hygiene, schedule regular visits to the dentist and have professional cleaning.

Make sure you brush your teeth twice a day and clean between your teeth each day using floss or interdental cleaners. Don’t forget to brush your tongue, too!

If your dental check up shows that your mouth is healthy, your dentist may refer you to your family physician as sometimes bad breath can be a sign of other health problems.

If the odor is due to periodontal (gum) disease, sometimes professional periodontal cleaning is needed to remove the bacteria and plaque that accumulate. And your dentist may recommend a special antimicrobial mouth rinse.

Keeping your mouth healthy and stopping periodontal disease are essential to reducing bad breath.

So make sure you schedule regular dental visits for a professional cleaning and checkup.

How mouth protectors can save your teeth

If you take part in sports that carry a significant risk of injury, you should wear a mouth protector.

Accidents can happen during any physical activity and, if you participate in sports such as football, hockey, basketball, baseball, gymnastics and volleyball, you might be grateful for the extra protection one day.

Something as simple as a misdirected elbow in a game, or a spill off a bicycle, can leave you with chipped or broken teeth, nerve damage to a tooth or even tooth loss.

Mouth protectors usually cover the upper teeth and they can cushion the effect of a blow to the face, reducing the risk of broken teeth and injuries to the soft tissues of the mouth.

In addition, if you wear dental appliances such as braces on your lower jaw, your dentist may suggest a mouth protector for these teeth as well.

A properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe. The three main types of mouth protectors are:

Stock: These are inexpensive and come ready to wear. But they often dont fit very well and they can be bulky making breathing and talking difficult.

Boil and bite: These can also be bought at many sport stores and may fit better than stock mouth protectors. You first soften them in water, then insert them and allow them to adapt to the shape of your mouth.

Custom-fitted: Protectors that are specially made for you by your dentist are more expensive but are likely to fit better than one you buy off the shelf.

Choosing to wear the right mouth protector can help you avoid serious long-term damage to your teeth and mouth.

Taking care of removable partial dentures

If you have removable plastic dentures, its important to look after them carefully.

You should brush them each day to remove food deposits and plaque. This also helps prevent them from becoming permanently stained.

It’s best to use a brush that is designed for cleaning dentures as it has bristles arranged to fit the shape of the denture. But a regular, soft-bristled toothbrush is also acceptable.

Avoid using a brush with hard bristles as these can damage the denture.

When you are handling a denture, hold them carefully. Try standing over a folded towel or a sink of water with them in case you accidentally drop them.

Its advisable to use a denture cleanser which has the American Dental Association seal of acceptance. However hand soap or mild dishwashing liquid are also acceptable for cleaning dentures.

Other types of household cleaners and many toothpastes are too abrasive and should not be used for cleaning dentures.

A denture can lose its proper shape if it is not kept moist. So it should be placed in soaking solution or water at night though one with metal attachments could be tarnished if placed in soaking solution.

As you age, your mouth naturally changes, which can affect the fit of the denture so, if they no longer fit properly, they should be adjusted by your dentist.

See your dentist promptly if your denture becomes loose as this can cause sores or infections.

Dont try to adjust or repair your denture yourself as this can damage the appliance beyond repair.

When you wear a partial denture, you need to continue brushing twice a day and cleaning between your teeth daily. This will help prevent tooth decay and gum disease.

Pay special attention to cleaning the teeth that fit under the denture’s metal clasps. Plaque that becomes trapped under the clasps will increase the risk of tooth decay.

Your dentist or dental hygienist can demonstrate how to properly brush and clean between teeth.

Regular dental check-ups and having your teeth professionally cleaned are vital for maintaining a healthy smile.

What to expect when having a tooth extracted

The process of having a tooth extracted may seem worrying but you’ll find it much easier if you know what to expect on the day and afterwards.

Your dentist will make the process as comfortable as possible for you by numbing the area around the tooth to be extracted.

In most cases, a small amount of bleeding is quite normal and your dentist will advise you what process to follow to allow healing as quickly as possible.

Generally, you should avoid anything that might prevent normal healing.

For example, it’s best not to smoke, rinse your mouth vigorously or drink through a straw for 24 hours afterwards as these could delay healing.

For the first few days, if you need to rinse your mouth, do it gently. If you are suffering pain or swelling, apply a cold cloth or an ice bag.

If necessary, your dentist will recommend something for any pain.

At the beginning, don’t clean around the socket where the tooth has been removed but you should brush and floss the other teeth as usual.

Modern procedures make having an extraction and the follow-up more comfortable than ever before.