Periodontal disease is a chronic inflammation of the periodontium which in some cases may lead to tooth loss. Many patients diagnosed with this disease mistakenly feel hopeless as healthy teeth are lost. It’s a disease that can be prevented as long as it’s not too late. The patient suffering from periodontitis doesn’t lose his teeth overnight. Usually the cause of tooth loss can be tracked several years back.
At first patients report no symptoms. Bacteria infiltrate into the gums, sulcus and periodontium leading to inflammation.
These are the first characteristic symptoms which may suggest periodontal disease. The doctor will then concentrate on treating the inflammation, eliminating bacteria and cleaning the sulcus. First and formost, all tartar removal and crucial hygienic procedures must be performed.
If we do not intervene early enough and patient ignores the early symptoms, the gums will recede revealing the sensitive parts of the tooth below the gums. Bacteria will infiltrate the gums even deeper and attack the periodontium, which is the tissue between the bone of the maxilla or mandible and the tooth, gradually destroying it. This causes inflammation and the patient will notice that his teeth are loose.
That was a healthy tooth!
Very often however, patients will ignore the early symptoms of periodontitis. They take gum recession as a sign of getting old. As the patient loses a tooth due to periodontitis they are in shock; and that is when most patients turn to a dentist for help. Unfortunately, there is only so much that can be done at this stage. If there is a change in gum tissue, bleeding, taste, and smell do not hesitate or prolong getting a dental opinion.
Prevention is better than a cure
Periodontitis not only can but must be prevented. Moreover, it doesn’t require any effort at all! Anyone who wants to avoid periodontitis must take good care of their oral hygiene, brushing teeth on a regular basis, flossing, use mouthwash and most importantly visiting the dentist for regular check-ups (every 6 months) in order to monitor teeth and the surrounding tissue. Removing tartar and performing other hygienic procedures is a must.
Modern dentistry uses the newest accomplishments of biological engineering, one of which are titanium tooth implants, placed during routine procedures.
Aside from implants being a safe alternative to missing teeth, patients are greatly satisfied with the everyday comfort and esthetic effects of the implant(s).
Scientific research conducted on hundreds of patients around the world, supported by year-long periods of observation prove that implants are biologically safe. Statistics show that placing implants is successful in 90% of all cases.
After tooth loss, we shouldn't contemplate replacement for too long. Time is not on our side. Facial aesthetics worsen, the facial profile collapses and occlusal function deteriorates. When one tooth or many teeth are missing other teeth groups are being overstrained which results in loose teeth and inclination towards the empty space. In a few years time other teeth might also become loose. Technology often lets us be faster than the changes our bodies make naturally. We can replace one or multiple teeth with an implant before the body realizes there is a tooth missing.
Implants are biologically friendly. Just a few implants may support a whole group of teeth, for example by placing an extensive porcelain bridge. Implants may also stabilize removable dentures.
Inserting the implant is most beneficial soon after tooth extraction.
This guarantees immediate restoration of smile aesthetics and proper occlusion. Areas where teeth were missing for many years may require additional preparation, however that does not rule out treatment.
In order to acquire full function of the implant the patient must restore all missing teeth. Otherwise the implant may be overloaded which leads to disintegration.
Bad breath can really make life hard. It is often caused by bacterial infections, lack of dental hygiene, but also medication, smoking and drinking alcohol excessively.
Do you have bad breath?
Do you find yourself questioning your breath? If you are unable to come to conclusion on your own you can ask a friend. Asking someone who you trust can point you in the right direction. If you are too embarrassed, you can check it yourself 2-3 hours after a meal when the amount of bacteria in the mouth is at its peak. Remember not to brush your teeth, chew gum or use mouthwash before doing the test.
- Open your mouth and stick out your tongue. Rub your fingers a few times on the back of the tongue and smell your finger.
- Take a dry toothbrush and brush your teeth just like you’d always do for three minutes. Don’t use any water or toothpaste. Smell the toothbrush after half a minute of brushing.
- Using a non-fragrant woven tooth floss to clean the areas between your teeth. After a minute smell the floss.
We can assume that the smell of the toothbrush or floss string is the same as the one coming out of the mouth.
Bad Breath: Common causes...
In 90% of bad breath cases the causes are poor oral hygiene, gum disease or caries. These symptoms are the cause of (delete by) tartar, caries, periodontitis, gingivitis but also a poorly fitted prosthesis which may cause food to gather underneath.
This may be a result of everything that limits the amount of saliva produced (e.g. high temperature, air conditioning). Saliva washes off the stale substances from the teeth. Since our body produces less saliva in the night bad breath is most intense in the morning.
Bad breath: A dentist will take care of it
It is extremely important that caries, changes in the gums, necessary extractions, broken teeth, root tips, fistulas and areas of inflammation are addressed when at the first signs of a problem occur. A prosthodontic specialist must check if your prosthesis or single teeth are in proper shape and aren’t worn out- their porous surface may limit the ability to thoroughly clean it of bacteria.
When you’re finished with your treatment plan, keeping up with oral hygiene should be enough for nice breath. You should brush your teeth, use mouthwash or at least chew gum after each meal.
Except for regular tartar removal at the dental office you can use mouthwash or capsules inhibiting tartar accumulation. Don't forget to clean your tongue too!
Bad breath - and otolaryngologist can help too
If you think your oral hygiene is perfect and still have bad breath, you should consider visiting an otolaryngologist. Perhaps the cause of your problem lies in the tonsils or sinuses.
The modern digital X-ray machines that are used in our office release a minimum amount of radiation required. Even if we make a series of X-rays, the amount of radiation you receive will still be smaller than the natural radiation you are exposed to everyday (coming from the sun, earth and outer space). Additionally, modern X-ray films require only a fraction of a second to capture the tooth projection.
Organs most vulnerable to radiation like- bone marrow, the thyroid and salivary glands lie outside of the area exposed to the radiation. Today’s X-ray machines are designed to send a beam of radiation only the size of the film limiting exposure to the tooth and surrounding bone.
Can we take X-rays during pregnancy? If possible, X-rays should be avoided during pregnancy, however in emergency cases or if it is vital for the treatment, it is possible to take an X-ray. During an intraoral X-ray, the radiation beam does not go through the fetus. Apart from that, a special lead shielding gown is used for additional protection.