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Frequently Asked Questions

Tooth Whitening

 

Is it for anyone?

Tooth whitening can provide with exceptional results for anyone who wishes it. The stains can have any cause: smoking, coffee or tea. Tooth whitening removes stains caused by trickling, fluorine and hereditary stains. The treatment is not recommended for pregnant women and patients under 16 years of age or that suffer of periodontal disease.

What is the level of whiteness the denture can achieve?

The tests have proved that after whitening the denture gains in between 5 and 14 points on the Vita scale. The results depend on the prior level of pigmentation, but the result will always be of a much whiter and brighter denture.

What is the length of time the effect stays visible?
The effect varies from individual to individual and depends in it’s diet. Anyway the effect signals it’s presence for about two years.

Is it safe?

Yes, the scientific articles have proved that using hydrogen peroxide for whitening the denture is safe and efficacious. The method is used for a significant number of years by the dentist community. It doesn’t alter the structure of the teeth; it just makes them appear whiter and brighter.

How long does the treatment take?

In just 30 or 40 minutes yellow spots that have developed over the years will be gone completely.

Does the treatment work on porcelain teeth?

The whitening treatment doesn’t generally work on porcelain teeth. We recommend discussing the matter with the dentist, to find out what to expect.

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The technique of flossing

The technique of flossing for a long lasting oral health

Regardless of the hardness of the toothbrush or the intensity of tooth brushing or the technique used, tooth brushing cannot clean in between the teeth. The solution?
Ideal oral hygiene should include oral floss, tooth brushing, after each meal (at least two times a day) and regular professional care.

The secrets of flossing

For example if you should decide to throw away your toothbrush and floss once or twice a day, you will get better oral hygiene if you would only brush (3, 4 or 10 times a day).

Learning how to floss takes time and patience. The best method of learning is being explained by a specialist. Some dentists offer these pieces of advice for a fee. It is the best expense a patient can do.
• twist the thread 2 times around your opposite fingers, forefinger or middle finger. Choose the most comfortable variant.

• insert the thread carefully between the teeth, removing plaque and deposits by moving the fingers up and down and along each tooth. All this time you should avoid damaging the dental papilla

• The side teeth are cleaned the very same way using a new segment of dental floss for each tooth

Alternatives to flossing

There are some alternatives to flossing. Each variant is acceptable bun cannot substitute flossing.

• Buccal douche are comfortable and easy to use. They are indicated for patients with artificial teeth, ortodonthycal interventions or that simply have difficulties in using oral floss.

• Patients that use brushing and oral floss regularly, but still sense an unpleasant smell should try and use a toothbrush for the tongue to remove bacteria accumulated.

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When and how children denture must be cared for

When and how children denture must be cared for

Using a wet gauze or a soft tooth brush clean your child’s gums even before tooth eruption.

When denture appears use a soft tooth brush for children. For extended flour protection you should use tooth paste if your dentist recommends it. As a parent you should pay attention to any white or brown spots on your child’s denture. They can indicate the presence of tooth decay.

The specialist recommends stopping breast feeding or alimentation using the feeding bottle before the child reaches is one year old. This ensures dental disharmony and feeding bottle generated decay.

Parents should teach their children to brush their teeth before night time. Denture is much more sensitive to tooth decay during sleep because of hipo salivation.

Why should parents be concerned with the child’s oral health?

The most frequent problem with the easiest way of prevention is the feeding bottle generated decay. Most parents, uninformed, expose their children to tooth decay by introducing sugar in their alimentation (juice, child destined alimentary formulas, even breast milk). Children that fall asleep with feeding bottle, filled with a liquid that contains sugar are very exposed to tooth decay. As a parent you can often prevent tooth decay by early visits to the dentist. The dentist can offer assistance by recommending flour based treatment that will ensure a healthy denture.

When should visits to the dentist commence?

When denture begins to emerge. Normally the first visit should be made during the first 18 to 24 month of life.

When do the teeth start to burst?

The first tooth normally appears in between 6 and 12 month.

What happens during my child’s first stomathological check?

Usually the first visit represents just an accommodation with the cabinet. Because the degree of comfort differs from child to child, we evaluate each child individually and act consequently. As a specialist you should understand the importance of earning the child’s trust. When possible the parent is asked to seat on the treatment chair holding the child on the knees. As the little patient gains trust the gum and the teeth are delicately examined and the occlusion monitored, keeping under close eye the changes that appear with the child’s growth. In the same visit the parent receives instructions regarding the way the child should clean his teeth.

Is it necessary that my child is seen by a pedodontist?

Most dentists are trained to offer the most competent dental care for your child. Pedodontists are the specialists that treat children exclusively. That makes them a good choice. Your dentist will recommend it if necessary.

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Mobile and fixed artificial teeth

 

Plates, crowns, bevels

The plate
• replaces missing teeth
• upgrades mastication
• replaces partial plates
• upgrades esthetics
• prevents dental migration
• prevents future dental loss
• protects the periodontal – the tissue that sustains the tooth in it’s socket
The plate is a multifunctional restoration designed to match your natural teeth replacing the missing ones. A plate can be made out of ceramics, metals and ceramics or gold. A plate should match the color and physiognomy of your natural denture. The plate is fastened by cementation. Regular visits to the dentist contribute to long lasting results therefore protecting the investment.

Crowns

• restore damaged/fractured teeth
• increase the resistance of treated teeth
• upgrade the occlusion
• replace exaggerated obscurations
• upgrade esthetics

A crown is a restoration that covers the tooth completely, designed to fit above. It can be, made out of ceramics, metals and ceramics or gold. A crown should match the color and shape of your natural teeth. A crown is cemented over your natural tooth. . Regular visits to the dentist contribute to long lasting results therefore protecting the investment.

Bevels


• improve the color of your teeth
• close the spaces between teeth
• replace obscurations (long lasting results)
• modify the shape of the dental crown
• mantains dental structure
A bevel is a cover made out of porcelain or acrilyte witch is given the shape of the tooth, being permanently fixed on your natural teeth.

 

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Ortodontics

 

What is orthodontics?

Orthodontics is a specialty of dental medicine witch involves treatment of dental anomalies or osseous formation anomalies that sustain the denture (when the two maxillas don’t match correctly). The patients need orthodontics treatment have problems with their occlusion (deep or opened occlusion). The specialist orthodontist brings the tooth in the correct position or corrects the occlusion by using brackets witch are fixed devices on the tooth, wires, elastics, or other methods that work. The orthodontist can also use movable devices to reposition the teeth. In more complicated cases the patient may need surgical intervention to correct the occlusion. Both children and adults can be treated to correct their occlusion.

What happens if the teeth are not straightened?

Left untreated a patient can develop mastication problems or problems of the temporal-mandible articulation, because of the occlusion, cavity activity are more intense and the teeth are more difficult to attend and could damage the gum. An individual that has dental anomalies and an unaesthetic smile can have problems regarding social integration, low self esteem, and could lead to depletion.

When should the treatment begin?

It is never too late to correct the teeth and occlusion. Interceptive treatment (early stages) can begin with temporary denture or later with the definite denture. A dentist or an orthodontist must evaluate the child before he reaches 6 years of age. The dentist analyses the situation and establishes when the treatment must begin. Each individual is different and a unique rule doesn’t exist to treat a bad occlusion. The treatment depends on the severity of the problem. Still, as a general rule, functional problems, pronouncing problems, that appeared because of the pressure exercised by the tongue can be corrected at a young age, between 6 and 9 years of age. Structural problems, when denture and maxillaries found themselves in unusual position, will be corrected at an older age when they have stabilized their position.

How long will the treatment take?

It is impossible for the orthodontist to exactly evaluate the duration. Most cases vary between 15 and 48 month.

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Smoking and oral health

Smoking can affect profoundly oral tissue and periodontal health. Our responsibility as specialists is to inform the patient of the noxious effects smoking produces and to advice against it.

Oral tissues that appear suspicious witch seem pre malignant or malignant will always represent the priority during oral examination. The suspicion of such a lesion being present inside the soft or hard oral tissue should be treated with the highest priority considering the hazards of smoking. The dentist considers the lesion dangerous until analysis is complete. Oral cancer can be aggressive and turn rapidly to metastasis, and it could lead to the patient’s death if not detected early.

The characteristics for smokers are: idiosyncrasy for tooth decay and periodontal fall, unaesthetic coloration, unpleasant breath. Gustative and olfactive sense is affected. Tobacco and its secondary products have a direct and profound influence over oral tissue maintaining a constant inflammation situation. An important factor that must be considered in treatment planning is the fact that a smoker can heal slower following a surgery. The statement above has been proofed both clinical and physiological.

Smokers present a high rate of mortality. Choosing a dental plan and estimating its success depends on the patient’s smoker history. The diets, irregular eating, even excessive chewing of gum, gathered with smoking can lead to the following oral affections: tooth denudation (in case of voracious appetite), or premature abrasion of tooth surface. Replacing an oral vice for another is a common habit.

The good news is that stopping smoking can determine immediate improvement in oral health on the long term. The best moment to quit smoking is right now.

Not the least, the problem represented by smoking is of capital importance for us, dentists, because we care.

 

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Gingivitis

What is gingivitis?

Gingivitis is a swelling or a gum inflammation, representing the first step in periodontal disease. Healthy gum is colored in pink. The gum swells increases its volume and bleeds during brushing or flossing. Gingivitis is reversible and has no consequence if treated accordingly. If gingivitis advances, the infection can migrate deeper and trigger periodontal disease.
Gingivitis left untreated can affect profoundly soft tissue, bone and periodontal ligaments. The denture can gain pathological mobility leading in time to their elimination from the dental arch. Periodontal diseases are the main cause for losing teeth in adulthood.

Why does it appear?

Gingivitis appears as a result of insufficient oral care. Individuals that don’t wash their hands brush their teeth or doesn’t use dental floss regularly raise their chances in developing gingivitis.

How does it develop?

A combination of bacteria, saliva, and acids inside the mouth forms a deposit called bacteria plaque; witch attaches itself to the denture. Unresolved plaque hardens forming tartar that irritates the gum.

Witch are the symptoms?

Symptoms include soft gum, with a red hue. The gum is bleeds during brushing and flossing and can generate unpleasant smells. Some cases can exist without any symptoms.

How is it treated?

If your gum is swelled or if it bleeds during tooth brushing or flossing, you must see a specialist. The first step is a professional brushing to remove any plaque. New medication that heals early stages of a periodontal disease exists. These oral treatments seem promising although there is no evidence of it’s effectiveness over the time.

How can you prevent gingivitis?

The Association of American Dentists recommends:
• brush your teeth at least two times a day to remove bacteria from your denture
• use dental floss every day to remove bacteria and particles of food
• have a balanced diet and avoid snacks in between meals
• see a specialist periodically

 

 


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