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Canal Treatment

What Is Canal Treatment? (Endodontics)

Canal treatment is the removal of the small, thread-like tissue, meaning the tooth core (pulpa), in the centre of the tooth. When the damaged, ill or dead pulpa is removed, the remaining gap is cleaned, shaped and refilled. The root canal is closed by this process. Tears ago, ill or damaged teeth were extracted. Today even teeth in conditions to be lost can be recovered by the canal treatment.

The most general reasons of pulpa damage are the following:

  • Cracked tooth
  • Deep caries
  • Damages to the tooth due to severe impacts on the tooth in the past or recently.

When the pulpa is infected or is death, abscess generating purulence can accumulate at the tooth root, inside the mandibular or maxillary bone if this should not be treated. The abscess may destruct the bone surrounding the tooth and cause pain.

How is Canal Treatment Performed?

The canal treatment consists of several steps which require multiple sessions depending on the situation. These steps are the following:

  • • Primarily a hole is drilled at the back of the front teeth or the crown of the molar or premolar tooth
  • • The pulpa gap and the root canals are cleaned, widened and shaped for the canal filling after the removal of the ill pulpa (pulpectomy).
  • • Temporary filling is performed in the hole drilled into the crown in order to protect the tooth when multiple sessions should be required.
  • • Then the temporary filling is removed and the pulpa gap and the canal are permanently filled. Gutta percha called rubber material with a conical tip is inserted in each of the canals and adhered to its place with cement (adhesive). Sometimes a metal or plastic stick may be placed into the canal for a structural support
  • • At the final step, a crown is placed on the tooth in order to recover the initial look and shape of the tooth. When the tooth should be broken, the application of a post may be necessary prior to the placement of the crown.

How Long Can The Repaired Tooth Be Used?

Treated and repaired tooth/teeth can be used a lifetime with the correct mouth and tooth care. Since new caries can develop in the treated tooth, mouth care and regular dentist controls are necessary in order to prevent other possible future problems.

The treated tooth will get fragile and more sensitive against breaking since the pulpa, keeping the tooth vital, doesn’t exist anymore. This issue is important when deciding on applying a crown or filling to the tooth after the canal treatment.

The most frequent used method in order to check the success of a canal treatment is to compare the x-ray images taken prior to the treatment with the x-ray images taken after the treatment. This comparison will indicate whether the bone loss continues or not or whether the bone recoveries or not.

Why isa canal treatment performed?

It must primarily be known that no artificial tooth can take the place of a natural tooth. Therefore we need to protect our teeth until the final stage with treatments. One of the most common treatment methods when one of our teeth is harmed is the canal treatment. The canal treatment is assistive at the protection of damages teeth. The pulpa (the soft layer inside the tooth including the nerve, blood, lymph vessels) will die when it is damaged such that it will not heal itself. Generally bacteria at broken teeth or deep caries cause this. The bacteria will cause purulence in the core of the tooth. The tooth and the tissue around it will be subjected to infections when the damaged or ill pulpa should not be removed. And you may completely lose your tooth at the end.

What will happen when no canal treatment is performed?

The tooth will lose its vitality, the infection may spread on the whole tooth in cases where the pulpa can’t heal itself due to deep caries and cracks. The infection can reach the tissues at the root end when no canal treatment should be performed. Also the bone surrounding the tooth will be infected and abraded. Abscess will generate in this developed space. This table is accompanied by pain and swelling and the tooth is lost in a short time.

Stages of the canal treatment;

  1. Primarily the tooth in narcotized in order to perform pain and ache free treatment.
  2. Then the caries is cleaned and the ill and soft tissue is removed when the tooth core is accessed. Nerve and tissue residuals are cleaned.
  3. The tooth canal is formed until the root end. The healing may be accelerated by applying some medicine when necessary.
  4. The top of the tooth is closed with temporary filling materials until the tooth heals between the sessions. Upon determination of the generation of purulence and the end of purulence flow at the root end, the canal is filled with a special filling material until the root end.
  5. In some cases, it is possible to complete the canal treatment during a single session healthy without the need for these sessions.
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Implantology (Screw Tooth) Treatments

Implants are artificial teeth roots placed into the mandibular or maxillar bone in order to provide the function and aesthetic of missing teeth.

IN WHICH CASES ARE IMPLANTS APPLIED?

It is applied in cases with one missing tooth, when it is aimed to not to touch the adjacent healthy teeth, in form of fixed bridges by placing two or more implants in cases with multiple missing teeth ant to provide the stuffiness of the prosthesis in a mouth without any tooth.

WHAT ARE THE ADVANTAGES OF IMPLANTS?

Implants are durable, comfortable and reliable applications. The prosthesis made on implants take the place of the natural teeth and form the most natural structure. The health teeth are kept off during the completion process of the missing teeth. They have a much longer lifetime compared with all other prosthesis. Normally, the effects of tooth loos will also be psychologically along being physiologically. As a special application to replace the natural teeth, implants provide definite and the most health solution for any type of problem to be caused by teeth losses.

CAN IMPLANTS BE APPLIED AT ANY AGE?

Yes, but only at the youth, the bone development needs to be completed. And this is realized at the age of 16-17 for girls and 18 for boys. There is no upper age limit for mandibles. Older people need teeth implants more since they lose more teeth and due to the osteoporosis.

The advantages of the implant treatment

Implant applications, which are one of contemporary treatment approaches for the treatment of missing teeth, include an artificial tooth root made of titanium and placed into the mandibular and maxillary bone in order to provide the function and aesthetic of missing teeth. At patients with a single missing tooth, the aesthetics and the functions can be provided by placing only one implant to the location of the missing tooth instead of applying prosthesis by cutting the two adjacent teeth. And in different cases, fixed bridges can be made for the toothless area with the implants placed to appropriate locations in a sufficient number instead of removable prosthesis. The durability of the bridge to be made with implants in a sufficient number can be increased when the toothless area should be very long. At patients without any teeth in the mandible and the maxilla and using ‘hyperlink’ prosthesis, the stuffiness of the removable prosthesis is provided by applying two to four implants on both the mandible and the maxilla.

Implants against the disadvantages of prosthesis

In cases where there no teeth in the mandible and the maxilla, the limits of the soft palate prosthesis cover the whole mouth roof and this causes a nausea reflex and an inability to use the prosthesis.

The usage of the whole palate is not necessary at prosthesis applications with implant solution. Since the prosthesis is also supported by the implants, its limits do not reach the palate dome. Thus, nausea is eliminated.

Advantages of the implant treatment

Also a prosthetic bridge application can be performed instead of an implant treatment. But the healthy teeth both in the front and back of the toothless area must be used in order to bear the bridge. These teeth are downsized by cutting them and bear the crowns to which the bridge is attached. This results in the loss of the dentine of the cut healthy teeth and decrease of the lifetime of the teeth. An efficient solution is provided without the need to cut these health teeth thanks to the implant treatment.

The Lifetime of an Implant Treatment

No pain or ache is suffered at implant applications when the appropriate anaesthesis methods are applied. The lifetime of an implant treatment depends on several factors. The most important among these is the provision of the mouth hygiene very well. And another important issue not to be forgotten is the patients are faced with the risk to lose their implants due to the same reason why they had lost their natural teeth when the recommendations are not obeyed to and the controls are not performed timely. Sufficient time needs to be spared for the cleaning of the implant applied region

THE IMPLANT STAGES

Implant applications consist of two stages. The first is the surgical stage. The implant sub-structure is placed into the mandibular or maxillar bone. Then comes a waiting period of 2-6 weeks. Bone generation occurs between the bone and the implant during this period. And the formation of the upper structure takes up to one week.

IMPLANT CARE

Mouth care should be performed properly and without being neglected. This care is necessary for our own teeth, too. It needs to be sustained also after the implant placement. Without the sufficient cleaning, we may lose our implant in the same way as we lose our own teeth. The first indications start with redness of the gingival, swelling, bleeding and itching and result in the loss of the implant with bone degradation.

Who Cannot Use Implants

Uncontrolled diabetes patients, persons with congelation deteriorations, those who were subjected and are still subjected to cortisone treatment for a long term cannot have implants. In previous years, those with large bone losses couldn’t have implants, but today the bone is converted appropriate with grafts and implants can be applied.

What Are The Risks Possible To Be Faced During The Implant Treatment?

These may be infections in the early stages and allergy, gingival diseases due to insufficient mouth care and periimplantitis (tissue infections around the implant) in the late stage after the completion of the over-implant prosthesis. Particularly smoking in the early stage increases the infection risk. Full ceramic restorations are recommended at appropriate cases for the over-implant prosthesis in order to prevent allergic reaction, due to the high tissue compatibility and easiness of cleaning.

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Surgery

MAXILLOFACIAL SURGERY

Working area

Maxillofacial surgery includes, along with pathologies lead by mouth and teeth related cysts and tumors, also teeth and maxillofacial cracks, the removal or eruption of teeth recessed in the chin, the corrections at the hard and soft tissues of the mouth in order to assist the preparation of prosthesis. Pains in the maxillofacial region, joint diseases of the mandible are in the working area of the maxillofacial surgery, too. Also the termination and treatment of the indications of some systemic diseases in the mouth are also in its working area.

The working area includes also the placement of implants, frequently applied in dentistry in recent years, into the chin, advanced implant surgery applications like placement of bone grafts in cases with insufficient bone for an implant.

Another subject within the working area of the maxillofacial surgery is congenital or later developed maxillofacial anomalies. The frequently seen among these are lip and palate clefts, cases in which the chewing function and aesthetics are deteriorated due to forward or backward positioning of the mandible or the maxilla.

Diagnosis Methods

Whilst maxillofacial surgeons use traditional diagnosis methods like x-ray images, they also use advanced techniques supported by tomography and with which the 1:1 bone model of the patient is obtained. Thanks to this, the definite diagnosis prior to the operation can be established and an exact operation plan can be developed. It must be worked multidisciplinary with the other specialization fields of the dentistry like the orthodontics, the prosthodontics in order to be successful during the diagnosis and the treatment.

Treatment Methods

Whilst the surgical processes related to maxillofacial diseases can be performed under local anaesthesia (regional narcotisation), they are also able to be performed under general anaesthesia, too. The patients are kept in the hospital after greater surgical processes and monitored. The comfort, existing diseases of the patients, their concern regarding and fear from the treatment are primarily respected and the patients are treated accordingly.

APICAL SURGERY

What is Apical Resection- Apical Surgery – Root End Surgery?

The process called apical resection is the removal of infected tissues, pathologies, purulence, small sized cysts by the section and removal of the root end. This process is performed in order to provide the respective teeth and its surrounding a health structure in case of inflammation at the root end and root canal treatment of the infection or when this should not heal though the repetition of this treatment.

Cases in which Apical Resection Operations are Performed:

  • Impossibility to perform the canal treatment properly due to a structural or formal deteriorations of the tooth root,
  • Impossibility to perform a canal treatment due to the existence of an unremovable restoration on the tooth,
  • In order to remove the tool when the tool should be broken during the canal treatment and the broken tool should definitely be removed,
  • When the pain of the patient still sustains though a performed canal treatment,
  • In cases with cysts at the tooth root,
  • When 1/3 end of the tooth root inside the bone should be broken.

How is the Apical Surgery Performed?

  • Primarily, a clean environment is prepared.
  • The gingiva is cut and removed from the area in order to get an access to the bone on the tooth root end and the root end on which the process will be performed.
  • The revealed root end is removed and the infected surrounding tissues are cleaned.
  • The end of the root canal is sealed.
  • The gingiva is placed to its location and sutured.
  • The bone around the root should be healed and all indications should be disappeared

To Do’s Prior to the Surgical Operationr

Smoking

  • It should not be smoked for 2 weeks prior to and after the operation since smoking delays the healing of the wound location and decreases the success ratio particularly at sinus lifting and implant operations.

Blood Thinners

  • If there should be any blood thinner usage like Persantin, Kumadin, Aspirin or a daily vitamin E usage, then this will cause more than normal bleeding..
  • Blood thinner materials should be stopped being used for at least 3 days to 1 week prior to the operation.
Please consult your physician prior to stopping the usage of any medicine.

2 Days Before the Appointment

  • Start using the prescription given to you. Perform 2 times/day mouthwash for 1 minute.

1 Night Before the Appointment

  • If your surgeon should have recommended tranquilizers (sedatives), please take these. This will ensure that you can sleep well and comfortable. Take the tranquilizer again 1 hour before coming to the appointment.

Appointment Day

* Continue taking the medicine indicated in your prescription. Take a pain killer-anti inflammatory 1 hour before the operation.
* Wear comfortable and wide clothes. Wear a t-shirt with an open neck, wide trousers and comfortable shoes. Don’t apply any make-up.
* Male patients need to shave on the operation day and, if any, cut their moustache and beard.

To Do’s After the Operation

Cotton Plug

  • Don’t remove the cotton plug placed on the operation area after the operation for 30 minutes, bite on it and then dispose it.
  • The initial bleeding of the extraction wound is stooped with this cotton plug.
  • It is not recommended to change the plug frequently since this will delay the congelation.

Bleeding

  • The initial bleeding is stopped with a cotton plug.
  • It is normal to experience a leakage like bleeding until the initiation of the congelation during the day within the first 24 hours (depending on the person and the wound location) after the disposal of the plug.
  • Consult your surgeon when the bleeding should sustain after 24 hours.

Spitting-Mouth Washing

  • The moth shouldn’t be washed and the saliva and blood accumulated in the mouth shouldn’t be spit after the operation.
  • This will deteriorate and delay the congelation and the healing tissue at the wound location.
  • This will cause infections and pain.
  • The saliva and blood leakage accumulated in the mouth shouldn’t be swallowed.
  • Don’t cough and blow your nose extremely when bone graft should be applied or sinus lift be performed.

Cold Application

  • A swelling depending on the nature of the operation may develop after the operation.
  • Cold bags are applied after the operation in order to decrease the possible swelling to a minimum.
  • Cold bag compresses or, if not available, ice compresses should be applied for 10 minutes during the first day.
  • Colour changes in the face may incur on the operated side.
  • This will disappear in 1 week – 10 days.

Prescription

  • Continue to apply the prescription of your surgeon until the medicine usage ends.
  • Taking pain killers after the operation will prevent the feeling of pain after the end of the narcotization.
  • Aspirin shouldn’t be taken since this will increase the bleeding.

Narcotization

  • The narcotisation feeling will disappear in approximately 3 hours.
  • This can last sometimes 1 and sometimes 4-5 hours depending on the personal and structural attributes, the type of the medicine.
  • No food should be eaten, no controls by biting should be performed until the narcotisation ends.
  • Narcoanaesthesia may incur after great operations in such regions.
  • No food should be eaten, no liquids like hot tea, soup should be consumed for at least 3 hours..
  • Later, food should be eaten with the non operated side, soft food should be consumed, food with particles and hard food should be avoided.
  • Don’t consume warm food and drinks for 24 hours..
  • Don’t consume food of which cleanliness you are not sure.

Heat

  • No bath should be taken since the heat will increase the bleeding,
  • It shouldn’t be stayed under the sun and
  • No warm food and drinks should be consumed.

Cigarettes-Alcohol

  • Don’t consume cigarettes and alcohol for 24 hours since this will deteriorate the wound location development.

Hygiene

  • The extraction wound at the operation location will close in 1-2 weeks.
  • Pay more attention on mouth hygiene in order to prevent the development of infections during this term.
  • Mouthwash after teeth brushing can be started 2 days after the operation.

Extraction of the Wisdom Tooth

The wisdom teeth generally start to take their place in the mouth at the ages of 15-20. But in cases where there is insufficient place in the chin, they cannot erupt and remain recessed under the gingival or in the bone. The wisdom teeth, which can’t find any place for them, push the teeth in front of them and this causes crowding. Beside this, they are easily subjected to caries and abscess can develop due to being far in the back and that the gingiva around them doesn’t have a normal anatomic structure.

Cases Which Require the Extraction of the Wisdom Teeth

  1. Caries; The cleaning and care of the wisdom teeth is more difficult since they are far in the back in terms of their location and can generally not erupt in the correct direction and thus they are easily subjected to caries. Beside this, canal treatment cannot be applied in most cases due to their root canal structures which are very different from the other teeth.
  2. Influences on the Second Large Molar Tooth; The wisdom teeth can cause material losses and caries at the adjacent teeth by the accumulation of food rests around them or the pressure they apply on the adjacent large molar teeth since they generally cannot erupt in the correct position. Wisdom teeth with the potential to cause such damages need to be extracted, too.
  3. Pericoronitis; (Inflammation of the surrounding gingiva) In cases where the wisdom teeth remain partially recessed, infections caused by the bacteria between them and the gingival above them may d develop. During this, situations like the swelling of the face, difficulties in opening the mouth, pain, breath odour, swelling of the lymph and fever may be experienced.
  4. Crowding; When the wisdom teeth cannot erupt in their normal position, they can cause a movement of the other teeth due to the pressure they apply on the teeth during the eruption and situations like a crowding in the teeth alignment may occur.
  5. Pain; When the wisdom teeth cannot erupt in their normal position, they can cause pain due to the pressure they apply on the adjacent teeth.
  6. Cyst Development; In cases where the wisdom teeth are fully recessed or partially recessed, they can cause a cyst development at some patients. Such a case can be diagnosed with a panoramic x-ray image to be taken by the surgeon.
  7. Cheek Biting; Even if not faced very frequently, the wisdom teeth can cause cheek biting and mucosa wound complaints at patients since they generally cannot erupt in a normal position. In such cases, it is good to extract the wisdom teeth since they don’t perform a normal function.

Why is it Necessary to Extract Recessed Wisdom Teeth Though They Don’t Cause Any Problems?

If a recessed wisdom tooth will cause any problems or not is unpredictable. But when a problem occurs, the treatment may be more painful and complicated compared with the other teeth. The most frequent caused complaints by the infection of a recessed wisdom tooth are pain, swelling at the corner of the chin, limitations of mouth opening and difficulties in swallowing.

After the Operation

  • The wound location should not be played with. Otherwise pain, infection or bleeding may develop.
  • It should not be chewed with this side during the first 24 hours.
  • It shouldn’t be smoked during the first 24 hours since smoking will increase the bleeding and deteriorate the healing.
  • It should not be spitted. This will increase the bleeding and the congelation may be displaced.
  • The bleeding needs to be controlled. A plug with gauze is applied when there should be no suture. The plug needs to be kept in the mouth for half an hour for congelation development. A new plug is placed when the bleeding should continue after removing the previous plug.
  • Control of the swelling. The circulation is decreased and the swelling of the face is prevented by applying a cold compress of the region. The application needs to be as follows; it continued in periods like 20 minutes cold compress – 20 minutes break – 20 minutes cold compress and so on.
  • Mouthwash with lukewarm salt water every 2 hours needs to be performed after the first 24 hours. The mixture is prepared with a tea spoon salt into a glass of water.

Apical Resection (Resection of the Root End)

Apical resection, root end resection; is the process to remove the root end and related infected or pathological tissue. This process is performed in order to provide the respective teeth and its surrounding a health structure in case of inflammation at the root end and root canal treatment of the infection or when this should not heal though the repetition of this treatment in case of a related chronic pathology.

The main goal of the modern dentistry is to prevent teeth losses. Presently, dentists show their best efforts in order to keep the natural teeth in the mouth. This is because even the loss of only one tooth result in negative changes in the common teeth health and the look.

Anti-microbial mouthwashes may be applied and anti-inflammatory and/or antibiotic medicine may be used upon the suggestion surgeon before the apical resection, which may last 30-90 minutes depending on the tooth to be applied.

Operation

  • The gingiva is cut and removed from the area in order to get an access to the bone on the tooth root end and the root end on which the process will be performed. The revealed root end is removed and the infected surrounding tissues are cleaned.
  • The end of the root canal is sealed. The gingiva is placed to its location and sutured.
  • The bone around the root will be healed and all indications should be disappeared in a couple of months.
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Radiological Examination

The method to support the above mentioned diagnosis is the radiological examination. Standard obtained panoramic and right and left biting x-ray images provide information about not detected interface caries, chronic lesions, recessed teeth, problems of the periodontal tissues (osteoporosis), formations at the chin bones, exuberant fillings, and at children in addition to these the location of the permanent teeth, development of the roots and the resorption of the roots of the milk teeth.

Periapical x-ray images obtained for traumatic teeth at such moment and in definite intervals act as a guide about the status of the tooth, the root and the surrounding of it.

Beside this, panoramic x-ray images of all persons above the age of 40 years, no matter whether there are any complaints or not, are important in order to determine diseases or bone pathologies without and clinical indications.

Alternative treatment plans are easily determined after the detection of all problems supported by the obtained radiological findings. In brief; half an hour spent during the first examination shows the way for a complete oral diagnosis and later to a successful and aware treatment approach.

The radiological examination is a stage which must never be neglected and always be carefully evaluated at implant works. Whilst panoramic x-ray images may be obtained in order to get a general opinion prior to preparing the plaster models, x-ray images may also be obtained by directly placing templates and metal spheres. This depends on the working conditions of the surgeon. But that what needs to be known is that it is mandatory to evaluate the statuses of the adjacent teeth, the bone, the resorption level, anatomic structures radiological prior to making decisions for an implant. The distance to anatomic structures by the aid of metal spheres is calculated as follows. The diameter of the metal sphere is known by us, i.e. 5 mm. The diameter of the image of this 5 mm metal sphere is measured on the panoramic x-ray image and the vertical height of the region where the implant will be placed with a ruler and a proportion is established and the height of the implant body is selected according to this.

Except the panoramic images, periapical images are used in order to see the bone in the region where the implant will be placed better, lateral x-ray images are in order to understand the angle, the thickness and the vertical height of the symphysis region particularly at patients without any teeth and occlusal graphics are used in order to understand the diameter of the symphysis region.

All these images provide us the sizes in 2D. Computer Tomography (CTs) is used in order to obtain 3D images. CTs are particularly useful at situations like pendant sinuses, and whilst it would be the ideal to evaluate with CTs at implant works, the costs of the method require sometimes in cases able to be decided on with the other films to behave conservative.

Clinical and radiological checks provide an idea on the dimensions, morphology and quality of the bone to be worked on.

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Periodontology

INFORMATION ABOUT GINGIVAL DISEASES

Periodontal diseases affect three of four persons during a period of their lives and cause the early loss of the teeth. Peridontal diseases can be successfully treated when these are diagnosed timely.

WHAT IS A PERIODONTAL DISEASE?

Diseases which affect the supportive tissues (like bone) around the teeth and the gingival are called periodontal diseases. At gingivitis, the first indicator of periodontal diseases, the gingiva surrounding the teeth gets red, swells and easily bleeds. Whilst this stage of the disease is not much trouble causing, irrecoverable problems at the gingival and the bone tissue around the teeth may occur and periodontitis may develop.

Periodontitis is the advanced stage of periodontal diseases. The supportive tissues ensuring the hold of the teeth in the mouth and the mouth get damaged. Deep pockets generate due to the bone loss along the teeth. The teeth begin to rock the more the disease develops and finally the extraction of the tooth may get obligatory.

WHAT ARE THE INDICATIONS OF GINGIVAL DISEASES?

There are many indications of gingival diseases. Consult a dentist when you detect the indications below:

  • Bleeding of the gingival during teeth brushing
  • Red, swelled and when touched bleeding gingiva
  • Separation of the gingival from the teeth
  • Continuous breath odour
  • Purulence flowing between the gingival and the teeth
  • Rocking and from each other separating teeth
  • Change of the teeth closing during biting
  • Change of the closing of movable prosthesis

CAUSES OF GINGIVAL DISEASES?

The main reason for gingival diseases is bacteria plaque on the teeth which are yellowish-grey organic adhesions. The base for a healthy mouth is the removal of the bacteria plaque from the environment with daily cleaning.

The bacteria plaque will stiffen when it is not removed and tartar called accumulations will generate. The toxins (harmful materials) generated by the bacteria in the plaque harm the gingiva. The toxins damage the supportive tissues around the teeth, the gingiva retreats from the teeth, more bacteria plaque accumulate in the developed pockets.

The more the periodontal disease develops the deeper the pockets get and the bacteria plaque adheres on the revealed surface of the teeth. The bone support of the teeth is eliminated and non treated teeth begin to rock and are finally extracted.

Though the bacteria plaque is the main cause of periodontal diseases, also the factors below can influence the development of gingival diseases;

  • The nutrition habits and smoking
  • Diseases which affect the defence system of the body like cancer and AIDS
  • Uncontrolled diabetes
  • Hormonal changes during pregnancy
  • Birth control tablets and some heart medicine and antidepressants can influence our mouth health.

HOW TO PROTECT AGAINST GINGIVAL DISEASES?

The bacteria plaque must be removed daily from the teeth by brushing the teeth and using dental flosses and mouthwashes in order to keep the teeth in the mouth for the whole life. Whilst daily mouth care keeps the generation of tartar at minimal levels, it may be not sufficient to prevent it completely. A tartar cleaning to be performed by a dentist ensures the removal of hardened tartars in the regions you couldn’t clean with the toothbrush and dental floss. The removal of tartars is called tartar cleaning.

WHAT IS THE TREATMENT FOR GINGIVAL DISEASES?

The early stage treatment of gingival diseases is tartar cleaning. At this stage, tartars and other harmful formations are removed from the teeth and the gingiva pockets. A surgical intervention may be necessary in more advanced cases. Regular teeth brushings to be performed and mouthwashes to be used after the treatment are important for the success of the treatment. Regular controls to be performed by the surgeon are important for the prevention of the disease.

PREVENTING GINGIVAL DISEASES

Allowing the accumulation of the bacteria plaque on the teeth and under the gingival line will irritate the gingiva by time and cause gingival diseases. It is very important to brush the teeth and to clean the inter-dental spaces in order to protect against gingival diseases.

How causes bacteria plaque gingival diseases?

When the accumulated plaque in your mouth is not cleaned, the bacteria will generate toxins and this situation will irritate the gingiva and harm your teeth. The beginning of gingival diseases is gingivitis. This disease causes the inflammation, swelling and sensitivity of the gingiva. Beside this, it causes bleeding during tooth brushing and dental floss using.

Who are under risk in terms of gingival diseases?

Gingival diseases affect all age groups, including children. But it is seen more frequent at mandibles. 3 of 4 persons have a gingival disease or experienced a gingival disease in the past.

Smoking and some other diseases increase the risk of gingival diseases. Therefore you need to inform your dentist about your general health status.

What should I do in case of gingivitis?

It is possible to protect against gingivitis with a proper mouth care and regular surgeon consultations. The best way to protect against the disease and to heal the disease is the regular cleaning of the bacteria plaque. This may be possible by two stage process consisting of brushing your teeth with a soft brush and cleaning the inter-dental spaces. This process will prevent the accumulation of the bacteria plaque on the teeth surfaces and under the gingiva line.

Gingivitis is not a chronic disease. It can be treated since it doesn’t cause any permanent damage to the teeth supporting bone.

What is periodontitis?

When gingivitis should not be treated, this can cause periodontitis, which a much severe disease. Periodontitis harms the gingiva and the bones, supporting the teeth. The treatment of peiodintitis is not possible, the caused damage cannot be recovered and it can only be prevented that the disease achieves a worse stage with a professional treatment program and developed regular mouth care to be performed at home.

When you should suffer under the periodontitis disease, your dentist can prevent the spread and worsening of the disease with a special care program for you. There are several mouth care products able to be used safely by periodontitis patients like rechargeable toothbrushes. It is proven by clinical experiments that rechargeable toothbrushes clean more bacteria plaque than manual toothbrushes and applying a developed mouth care is a very important factor in order to control gingival diseases.

What are the indications of periodontitis?

Periodontitis may develop without any visible symptoms at the beginning. Therefore, the examination by the dentist is very important for the early diagnosis of the disease.

The frequently seen symptoms of periodontitis are red, swelled gingiva, gingival retreat, sensitizing of the gingiva, gingival bleeding and the concentrated pressure felt between the teeth.

In advanced stages, a retreat of the gingiva, purulence between the teeth and the gingiva, rocking teeth and teeth losses can be observed.

Periodontitis begin, medium grade periodontitis, advanced periodontitis

How can I prevent the generation of periodontitis?

You can prevent periodontitis with regular mouth care. Here are some assistive hints on this issue:

  • Brush your teeth twice a day in the morning and in the evening before sleeping with a soft brush and fluorine containing tooth paste
  • Clean the bacteria plaque not accessed by your toothbrush daily
  • Consult your dentist at least every six months for examinations and cleaning
  • Don’t consume cigarettes and tobacco
  • Dentists recommend the replacement of your toothbrush every three months or when this is worn. Performed clinical studies reveal that a new toothbrush cleans more bacteria plaque than a 3 months old toothbrush.

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