How implants changed dentistry

Implants are one of the most important developments in dental care over recent years.

They have created opportunities that didn’t exist before for people to improve their dental health and create the smile they want.

Implants were discovered by Swedish scientist and orthopedic surgeon Dr. P.I. Branemark and they have transformed the quality of life for people who have missing teeth.

The basis of a dental implant is a titanium rod about 1cm long. This is placed inside the jawbone and is designed to serve the same purpose as tooth roots.

Implants can either be used to replace lost teeth or to help keep dentures in place more securely.

One of the reaons implants have changed dental care so much is that, previously, there was often no other way to replace missing teeth permanently.

And there are many people who cannot tolerate removable dentures or don’t want to wear them for some other reason.

The introduction of implants had made a big change in their lives.

Choosing the right mouthwash to meet your needs

These days many people like to use a mouthwash and there is a huge range of options to choose from.

The key to choosing the right one for your needs is being clear about what you are using it for.

Many people opt for mouthwash because they want to have fresh breath.

But many mouthwashes contain alcohol which can cause the mouth to dry. It’s best to minimize the chances of suffering from dry mouth as it can increase your risk of tooth decay and gum disease.

Therefore if you want fresh breath, a breath spray or drops may meet your needs better.

Another reason for using mouthwash is when you’ve been told you have a gum disease such as gingivitis. In this case, you’ll need to choose a mouthwash that contains ingredients known to kill the bacteria that cause gingivitis.

If you like to use a mouthwash that improves your oral health, use one that contains fluoride.

Read the directions of your mouthwash and make sure you spit it out.

Don’t assume that the most expensive mouthwashes are best. Think carefully about your needs and check the ingredients.

Your dentist will be able to advise you on the best choice of mouthwash.

Treating Sensitive Teeth

Sensitive teeth is a common problem that causes many people to feel discomfort with hot or cold foods and drinks.

It can also make it uncomfortable to brush or floss the teeth and therefore can lead to further oral problems.

However, sensitive teeth can be treated.

If you suffer from this, your dentist may suggest that you try a desensitizing toothpaste, which contains compounds that help block transmission of sensation from the tooth surface to the nerve.

For desensitizing toothpaste to work, you normally have to make several applications.

If the desensitizing toothpaste does not help, your dentist may suggest further solutions.

For example, fluoride gel – which strengthens tooth enamel and reduces the transmission of sensations – may be applied to the sensitive areas of the teeth.

If the sensitivity is caused by receding gums, your dentist may use bonding agents that “seal” the sensitive teeth.

The sealer is usually made of a plastic material.

If there is severe hypersensitivity which cannot be treated by other means, there is the option of endodontic (root canal) treatment.

Sensitive teeth is a problem that can stop you enjoying your food but is one that can often be solved.

How scaling and planing can help clean your teeth properly

Dental plaque is a film that builds up on your teeth and, if it is not removed through good oral hygiene, it can lead to tooth decay and gum problems.

Over time it can ultimately form a hard, rough sediment known as dental tartar or calculus, which attracts further plaque buildup.

Calculus has to be removed by a trained professional such as a hygienist or dentist.

They may do this by manual tooth scaling or using an ultrasonic device.

If the buildup is light or moderate, the dentist or hygienist may use manual scaling instruments of various shapes and sizes.

If the buildup of tartar and stains is heavy, an ultrasonic cleaner may be used. This may be followed by hand scaling.

Build up of plaque can cause inflammation of the gums leading to breakdown of the connection between the teeth and the supporting structures.

Root planing is a procedure to treat gum disease by thoroughly scaling the roots of teeth to establish a smooth, calculus-free surface.

This treatment may require local anesthesia to prevent pain. Thorough periodontal scaling customarily involves several dental visits

If conditions are more advanced, surgery may be needed for complete debridement of the roots to arrest the disease process.

Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay.

It’s therefore important to follow your hygienist’s advice on how often to return for regular cleanings – even if your insurance only covers two a year.

The keys to keeping your mouth healthy

A healthy mouth is a good indication of your overall health and helps you to keep a great smile and continue eating what you want for many years to come.

There are a few steps you can take to make sure your mouth is as healthy as possible:

– Brush your teeth twice a day using a good quality toothbrush

– Renew your toothbrush regularly. It will only keep your mouth healthy if the brush is in good condition and the bristles are strong. You should replace it at least every three or four months

– Clean between your teeth. Your toothbrush can’t reach everywhere and bacteria can linger between the teeth so its important to clean between them every day using floss or an interdental cleaner

– Visit your dentist regularly for professional cleaning and oral examinations

Your dentist will be able to give you tips on what other products you should consider to help improve your oral health.

For example, antimicrobial mouth rinses and toothpastes can reduce the germs in your mouth and reduce the risk of gum disease.

Also, fluoride mouth rinses can help reduce and prevent tooth decay. Studies have shown that using mouth rinses provides valuable protection over and above that provided by fluoride toothpaste alone.

Look out for the ADA seal when buying toothbrushes and other dental products. This is a sign that the product has met American Dental Association standards for safety and effectiveness.

Following these steps can help ensure that you continue to enjoy great oral health.

What dentists are doing to improve services for older adults

As people are living longer and enjoying good health for many years, dentists are increasingly offering improved services to recognize the special needs of older adults.

This growing segment of the population is wearing fewer dentures and they are keeping their natural teeth longer. They are also concerned to maintain good health and a great smile for many years.

However, patients in this group sometimes require special consideration because reduced mobility and dexterity may make daily oral hygiene difficult.

And certain medical conditions and impairment may make them more anxious when visiting the dentist.

For example, problems with vision or hearing loss may cause worry. Always let the dentist and staff know if you have any concerns so that they can adjust their treatment and their pace to meet your needs.

Older patients can sometimes put up with problems such as toothaches, bleeding gums and clicking dentures because they are not aware of the wide range of treatments and techniques now available.

Dentists are increasingly sensitive to the special needs of and the importance of dental health in the older patient.

As many older patients are more health conscious than ever before, regular visits to the dentist ensure their oral health is an important part of their overall health.

How removable partial dentures can help you

Removable partial dentures usually involve replacement teeth attached to plastic bases, connected by metal framework.

They attach to your natural teeth with metal clasps or precision attachments. Precision attachments generally look better than metal clasps and are nearly invisible.

Crowns may be required on your natural teeth to improve the fit of a removable partial denture.

When you first get a partial denture, it may feel awkward or bulky. But you will gradually get used to wearing it.

It will also take a bit of practice to get used to inserting and removing the denture. It should fit into place easily and you should never force it.

Your dentist may suggest that you wear your partial denture all the time at first. While it will be uncomfortable for a while, it will help you identify if any parts of the denture need adjustment.

After making adjustments, your dentist will probably recommend that you take the denture out of your mouth before going to bed and replace it in the morning.

With a denture, eating should become a more pleasant experience compared to having missing teeth.

But, initially, you'll need to eat soft foods cut into small pieces. And avoid foods that are extremely sticky or hard.

Some people with missing teeth find it hard to speak clearly so wearing a partial denture may help. However, you'll probably need to practice certain words at first to get completely comfortable.

While it can take a little getting used to initially, a partial denture can help you enjoy your food with less worries.

Diabetes and your dental health: How your dentist can help

If you've been diagnosed with diabetes, its important that you let your dentist know so that they can give you the best care possible.

As more than 15 million Americans have diabetes, your dentist will be familiar with the issues and will give you the specialist care you need.

This is important because diabetes can lower your resistance to infection and slow the healing process.

Its important to tell your dentist:

– If you have been diagnosed with .diabetes
– If the disease is under control
– If there has been any other change in your medical history
– Names of all prescription and over-the-counter drugs you are taking

The most common oral health problems associated with diabetes are:

– Tooth decay
– Periodontal (gum) disease
– Salivary gland dysfunction
– Fungal infections
– Infection and delayed healing
– Taste impairment

If you have regular dental checkups and keep your dentist informed about your status theyll be able to help you reduce and manage these risks.

Caring for people who have special needs

People at any age can have a condition that makes it difficult for them to look after their own dental health.

This could affect people who suffer from a wide range of conditions such as stroke, spinal cord injury, multiple sclerosis, mental retardation, Down syndrome, genetic disorders, Alzheimer's disease or arthritis.

However, people in all of these categories have the same dental needs as everyone else – they need daily brushing and flossing, regular dental visits and a balanced diet.

There are some steps caregivers can take to make it easier to look after people in those categories.

If the person is uncooperative or uncontrollable, try to explain what you are about to do and schedule the task for a time of day when they are rested.

Move in a calm, slow, reassuring manner to avoid startling them. Give praise and encourage them when they help themselves.

Support the persons head, and take special care to prevent choking or gagging when the head is tilted back.

If the person is unable or unwilling to keep their mouth open, your dentist will explain how you can make and use a mouth prop.

Ask your dentist for advice on how to care for people with special needs and check if they have facilities for caring for these needs in the dental office.

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.

Why its not inevitable that you'll lose your teeth as you get older

Advancements in dental techniques and the increased focus on preventive dentistry means older adults are keeping their natural teeth longer than ever before.

A survey by the National Institute of Dental and Craniofacial Research showed that the rate of toothlessness in the 55 to 64 age group has dropped 60 percent since 1960.

Whatever your age, its important to practice good oral hygiene at home and to visit your dentist regularly. A few simple steps can help you maintain good oral health throughout your life.

Plaque, the sticky, colorless layer of bacteria that causes tooth decay and gum disease, can build up quickly on the teeth of older adults, particularly when they neglect oral hygiene. This can increase the risk for tooth decay and periodontal disease.

So its important to brush your teeth twice a day with fluoride toothpaste, and clean between your teeth daily with floss or interdental cleaners.

Regular dental checkups are also an important part of caring for your teeth.

This can help you save your teeth and gums and prevent other dental problems. It will save you time and money in the long-run as well.

The causes of bad breath

Bad breath – also known as halitosis – is an unpleasant condition that can cause a great deal of embarrassment.

And, for many people, its made even worse by the fact they don’t even know that they have it.

There are many possible causes for bad breath so, if you think you might have the problem, talk to your dentist.

What you eat affects what you breathe out. Certain foods, such as garlic and onions, contribute to objectionable breath odor and even dieters may develop unpleasant breath from infrequent eating.

If you don’t brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath.

Bad breath can also be caused by dry mouth (xerostomia) which occurs when the flow of saliva decreases.

One of the reasons why its especially important to talk to your dentist about bad breath is that it may be a sign of an underlying medical problem such as respiratory tract infection or gastrointestinal problems.

Persistent bad breath or a bad taste in the mouth can also be a warning signs of gum disease.

Smoking can also cause bad breath, stain teeth and reduce your ability to taste foods.

For all these reasons, you shouldn’t put up with the problem of bad breath. Talk to your dentist and find out what might be causing the problem.

The causes of bad breath

Bad breath – also known as halitosis – is an unpleasant condition that can cause a great deal of embarrassment.

And, for many people, its made even worse by the fact they don’t even know that they have it.

There are many possible causes for bad breath so, if you think you might have the problem, talk to your dentist.

What you eat affects what you breathe out. Certain foods, such as garlic and onions, contribute to objectionable breath odor and even dieters may develop unpleasant breath from infrequent eating.

If you don’t brush and floss daily, particles of food remain in the mouth, collecting bacteria, which can cause bad breath.

Bad breath can also be caused by dry mouth (xerostomia) which occurs when the flow of saliva decreases.

One of the reasons why its especially important to talk to your dentist about bad breath is that it may be a sign of an underlying medical problem such as respiratory tract infection or gastrointestinal problems.

Persistent bad breath or a bad taste in the mouth can also be a warning signs of gum disease.

Smoking can also cause bad breath, stain teeth and reduce your ability to taste foods.

For all these reasons, you shouldn’t put up with the problem of bad breath. Talk to your dentist and find out what might be causing the problem.

Taking steps to stop oral cancer before its too late

Oral cancer hits more than 30,000 Americans every year but you can minimize the risk by taking steps to ensure its caught early enough.

The first indications of oral cancer may be a very small, but dangerous, oral spot or sore that you are not even aware of.

In a routine examination, your dentist will carefully examine the inside of your mouth and tongue.

If they notice a flat, painless, white or red spot or a small sore, this may be completely harmless. But harmful spots or sores often look the same as harmless ones.

To ensure that a spot or sore is not dangerous, your dentist may choose to perform a simple test, such as a brush test. This collects cells from the lesion which can them be analyzed.

Any positive results from a brush test must usually be confirmed by a biopsy before deciding the next step.

If precancerous cells are found, the lesion can be surgically removed if necessary during a separate procedure.

When caught early enough, the chances of preventing the cancer developing are high but only half of those diagnosed survive more than five years.

Thats why regular dental examinations are so important for your overall health and not just to have good teeth.

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.

Why cavities aren't just for kids

Tooth decay or cavities result from destruction of the tooth enamel and can lead to a range of problems from toothache to bad breath.

Cavities occur when foods containing carbohydrates (sugars and starches) such as milk, sugared drinks, cakes or candy are frequently left on the teeth.

Bacteria that live in the mouth thrive on these foods, producing acids as a result. Over a period of time, these acids destroy tooth enamel, resulting in tooth decay.

Many people associate cavities with children but the changes that occur with aging make cavities an adult problem, too.

Recession of the gums away from the teeth, combined with an increased incidence of gum disease, can expose tooth roots to plaque.

Tooth roots are covered with cementum, a softer tissue than enamel. They are susceptible to decay and are more sensitive to touch and to hot and cold. The majority of people over age 50 have tooth-root decay.

Decay around the edges of fillings is also common to older adults. As many of them did not benefit from fluoride and modern preventive dental care when they were younger, they often have a number of dental fillings.

Over the years, these fillings may weaken, fracture and leak around the edges.

Bacteria accumulate in these tiny crevices causing acid to build up which leads to decay.

You can help prevent tooth decay by following these tips:

– Brush twice a day with fluoride toothpaste
– Clean between your teeth daily with floss or interdental cleaner
– Eat nutritious and balanced meals and limit snacking

Its also worth asking your dentist about supplemental fluoride, which strengthens your teeth, and about dental sealants, a plastic protective coating which is applied to the chewing surfaces of the back teeth to protect them from decay.

In addition, its important to visit your dentist regularly for professional cleanings and oral examination.

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 patients 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 patients 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, its important to visit your dentist regularly to maintain your overall oral health and get early warning of serious issues such as oral cancer.

Tips on choosing the best dentist for you

Choosing the right dentist for your needs is one way to give you the best chance of maximizing your oral health.

If you don’t already have a dentist – or want to find one better suited to your needs – here are a few points to consider.

– Get recommendations from family, friends, neighbors or co-workers

– Ask your physician or a local pharmacist

– If you are moving to a different area, ask your current dentist for recommendations in your new location

– Contact the local or state dental society

You can also use Yellow Pages or the American Dental Association directory at www.ADA.org.

Effective dental care depends on a great relationship between the dentist and the patient so you may want to visit more than one before making your decision.

To help decide if a dentist is right for you, consider:

Is the office easy to get to from your home or job?

Are the staff helpful and friendly?

Does the office appear to be clean, tidy and well organized?

Is the appointment schedule convenient for you?

What arrangements are made for handling emergencies outside of office hours?

Does it cater for any special needs you have?

As you’ll need to work closely with your dentist in caring for your oral health, it’s worth taking time to ask questions and take notes to make sure you choose the right one for your needs.

What to do if you have problems with your dentist

Choosing the right dentist for your needs is an important part of giving yourself the best oral health possible.

Sometimes you may find that things are not working out for the best and it’s important to take steps to resolve any problems rather than just put off your dental care.

First, talk to your dentist about any concerns. They will probably be able to accommodate your needs if you tell them what you are looking for.

In some situations, you may feel that you want to look around at alternative options – maybe there are other dentists who meet your needs better, taking into account factors such as location, office hours, fees and emergency arrangements.

If you are comparing fees, ask for estimates on full-mouth x-rays and a preventive dental visit that includes an oral exam and tooth cleaning.

If you have any doubts about treatment your dentist has recommended, it may be a good idea to set your mind at rest by getting a second opinion from another dentist.

However, even in the best dentist-patient relationship, problems can sometimes occur. If your dentist is not able to resolve your concerns, you can contact your state or local dental association.

They have established systems of peer review that provide an impartial and easy way to resolving misunderstandings regarding the appropriateness or quality of care.

If you are not completely satisfied with the dental treatment you are getting, it’s important to take steps to put it right – whether you sort it out with your own dentist or find another one.

How sedation and general anesthesia can make your visit to the dentist easier

While local anesthetics are often used in dental treatment, there is sometimes a need for anti-anxiety agents – such as nitrous oxide – or sedatives to help people relax during dental visits.

Dentists may use these agents to induce “minimal or moderate sedation”.

In this case, the patient reaches a relaxed state during treatment but can respond to speech or touch.

Sedatives can be administered before, during or after dental procedures by mouth, inhalation or injection.

More complex treatments may require drugs that can induce “deep sedation”.

This reduces consciousness and causes a loss of feeling which helps to reduce both pain and anxiety.

Sometimes patients undergo “general anesthesia” where the drugs lead to a temporary loss of consciousness.

A dentist may recommend deep sedation or general anesthesia for certain procedures with children or with adults who have severe anxiety or for people who have difficulty controlling their movements.

While these techniques to control pain and anxiety are used to treat tens of millions of patients safely every year, its important that you let your dentist know anything that might affect your ability to benefit from them for example, tell them about any illnesses or health conditions, whether you are taking any medications and if you’ve had any problems with allergic reactions to medications.