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Mouth sores(Ulcers)

mouth ulcer 2

Mouth ulcers are painful areas in the mouth and gums.

While mostly harmless, mouth ulcers can be extremely uncomfortable and make it difficult for some people to eat, drink, and brush their teeth.

Mouth ulcers range in size, and the exact symptoms of the mouth ulcer will depend on what type of ulcer a person has.

Fast facts on mouth ulcers:

  • Most mouth ulcers are recurring
  •  Acidic foods can aggravate mouth ulcers.
  • It is important to note that a doctor or dentist should examine any new ulcer and any ulcer lasting longer than 3 weeks.
  • For most people, mouth ulcers will clear up within 2 weeks.

Causes

The exact cause of mouth ulcers is still not known and varies from person-to-person. Still, there are some common causes and several factors that may aggravate mouth ulcers, including the following:

  • Biting the tongue or inside of the cheek
  • Braces, poor-fitting dentures, and other apparatus that may rub against the mouth and gums
  • A deficient filling
  • Stress or anxiety
  • Hormonal changes during pregnancy, puberty, and menopause
  • Medications including bit-blockers and pain killers
  • genetic factors

 

Symptoms of minor and major ulcers include:

  • one or more painful sores that may appear on the cheeks, the roof of the mouth, or the tongue
  • the appearance of round lesions that have red edges and are yellow, white, or gray in the middle

During more extreme outbreaks of mouth ulcers, some people may experience fever, sluggishness, and swollen glands.

Treatment

In many cases, the pain and discomfort from mouth ulcers will lessen in a few days and then disappear in about 2 weeks with no need for treatment.

For people with much more painful or frequent recurrence of mouth ulcers, a dentist may prescribe a solution to reduce swelling and lessen pain.

Also, a dentist may prescribe an antimicrobial mouthwash or an ointment to be applied directly to the infected patch. This can help to ease discomfort. Various mouth ulcer treatments are also available to purchase

  • Avoid spicy and sour foods until the ulcers heal.
  • Drink plenty of fluids.
  • Regularly rinse your mouth out with warm, slightly salted water.
  • Keep your mouth clean.
  • Use an alcohol-free medicated mouthwash
  • Use a topical steroid mouthwash or ointment – generally prescribed by your dentist or oral medicine specialist.

 

 

 

Tongue Thrust

tongue

Tongue thrust, also known as reverse swallow or deviate swallow, is a condition in which the tongue is pressed up against the teeth or between them while gulping. In many cases, this condition leads to the movement of the tongue incorrectly to the sides, instead of moving forward to the teeth. This improper positioning of the tongue can occur even as the tongue is at rest, and in this case, it will lie too far forward.

Types of Tongue Thrust

Tongue thrust is an orofacial myofunctional disorder (OMD), having many different types.

  • Unilateral thrust when the tongue pushes unilaterally to the sides between the back teeth during swallowing
  • Anterior thrust refers to the case when the upper incisors are extremely protruded and lower lip is pulled in by the lower lip.
  • Bilateral thrust, when the tongue pushes between the back teeth on both sides during swallowing. Large tongue can also be noted

Tongue thrust in babies

In babies who are breastfed or bottle-fed, tongue thrust is normal. As the child gets older, their swallowing and speaking pattern should evolve.

However, some types of bottle nipples — and prolonged use of a bottle — can lead to an abnormal tongue thrust that lasts past the infant stage and into early childhood.

There are several other potential causes for tongue thrust that begin in infancy. Some of these include:

  • Long-term sucking habits that influence the tongue’s movement, like sucking of the thumb, fingers, or tongue
  • Allergies accompanied by chronically swollen tonsils or adenoids
  • Tongue-tie, where the band of tissue beneath the tongue is tight or short
  • A swallowing pattern known as reverse swallow

Tongue thrust has a number of telltale signs that manifest in children who have developed the pattern. These can include:

  • Tongue is visible between the teeth. The tip of the tongue sticks out between the teeth, whether the child is resting, swallowing, or speaking.
  • Mouth breathing.
  • Inability to close the lips completely. This could be due to a structural abnormality or habit.
  • Open bite. This occurs when the front teeth don’t meet when the teeth are closed.
  • Slow, fast, or messy eating.
  • Speech impediment. Lisping of s and z sounds is common.

Treatment of Tongue thurst

Tongue thrust often corrects with time or at the age of 8-9 years. Self-correction is due to musculature Balance during swelling.

  • Orthodontic treatment can be carried out.
  • Speech therapy is indicated.
  • If an associated habit is present like thumb sucking than it must be treated first.
  • Training the tongue for correct swallow & posture.
  • Use of appliances to correct position of tongue.
  • Correction of Malocclusion.

Leukoplakia

 

Leukoplakia is a reaction to a chronic irritation, like rough teeth, badly fitting dentures, smoking, and smokeless tobacco. It can show up as white patches or plaques in the mouth, is usually painless, and can’t be scraped off. Leukoplakia can also be a precancerous condition. Persistent patches or other changes in your mouth. Mild leukoplakia is usually harmless and generally goes away on its own. More serious cases may be linked to oral cancer.

Symptoms of Leukoplakia:-

This condition is marked by unusual looking patches inside the mouth. These patches can vary in appearance. Generally, patches resulting from leukoplakia have the following features:

  • white or grey color
  • thick, hard, and raised surface
  • hairy (hairy leukoplakia only)

Rarely, the patches have red spots. Redness may be a sign of cancer.                           Leukoplakia most often occurs on the tongue. However, cheeks and gums are also vulnerable. The patches may take several weeks to develop, but they are rarely painful.      Causes:­-Smoking is the most common cause. Chewing tobacco can also cause leukoplakia. Biting the cheek, rough uneven teeth  and dentures (especially if improperly fitted).   

 

What Causes Leukoplakia?

  • Irritation from rough teeth, fillings, or crowns, or ill-fitting dentures that rub against your cheek or gum
  • Chronic smoking, pipe smoking, or other tobacco use
  • Sun exposure to the lips
  • Oral cancer (although rare)
  • HIV or AIDS

What Are the Symptoms of Leukoplakia?

The presence of white or gray colored patches on your tongue, gums, roof of your mouth, or the inside of the cheeks of your mouth may be a sign of leukoplakia. The patch may have developed slowly over weeks to months and be thick, slightly raised, and may eventually take on a hardened and rough texture. It usually is painless, but may be sensitive to touch, heat, spicy foods, or other irritation.

How Is Leukoplakia Diagnosed?

Your dentist may suspect leukoplakia upon examination; however, a biopsy will likely be taken to rule out other causes, such as oral cancer. During the biopsy, a small piece of tissue from the lesion will be removed to be examined in a lab. A numbing agent will be used so that you will not feel any pain.

Treatment for Leukoplakia?

Treatment for leukoplakia, if needed, involves removing the source of irritation.

For example, if leukoplakia is caused by a rough tooth or an irregular surface on a denture or a filling, the tooth will be smoothed and dental appliances repaired.

If leukoplakia is caused by smoking, you will be asked to minimize or stop smoking or using other tobacco products.

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DIFFERENCE BETWEEN ABFRACTION, ABRASION, EROSION AND ATTRITION

DIFFERENCE BETWEEN ABFRACTION, ABRASION, EROSION AND ATTRITION

Abfraction, abrasion, erosion and attrition  all involve some tooth damage, but at different locations on the tooth. While they have varying causes, they can interact and create a bigger problem. It’s possible to have abfraction, abrasion, erosion and attrition at the same time.

Abfraction

Abfraction is a wedge-shaped flaw on the tooth at the point it meets the gumline.

It’s caused by friction and pressure on the tooth and gums, which causes the neck of the tooth to start breaking off.

Abrasion

Abrasion is likely to be found on the teeth closest to your cheeks, also known as the buccal side. Unlike the V-shaped appearance of abfraction, the damage caused by abrasion is flat.

Abrasion is caused by friction from foreign objects, such as pencils, fingernails, or mouth piercings. Using a hard toothbrush, abrasive tooth products, and improper brushing technique can also lead to abrasion.

Erosion

Erosion is the general wearing away of tooth enamel. Teeth may have a more rounded appearance, with hint of transparency or discoloration. As erosion progresses, you can start to see dents and chips in the teeth.

Unlike abfraction and abrasion, erosion is more of a chemical process, happening on the surface and subsurface of the teeth. It’s caused by high acid levels in the saliva. This may be due to acidic foods or drinks, dry mouth, or health conditions that cause frequent vomiting.

Attrition

Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.

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Tooth Abfractions

afraction

Abfraction lesions on teeth are small notches caused by stress (forces) on your teeth. Biting, chewing, clenching and grinding put pressure on your teeth. Over time, this pressure can cause cracks and splits in the outer layer of your teeth near the gum line. Such lesions are fairly common in adults. Older adults are especially likely to have them. They occur more often in the back teeth, called premolars and molars. But they can occur in the front teeth as well and appear as V-shaped or wedge-shaped notches. Abfraction lesions don’t usually hurt but if the deeper layers of the tooth are involved, sensitivity might occur. These lesions do not heal over time. Some may worsen, and if left untreated, can cause the tooth to fracture. In order to prevent this, your dentist might recommend fillings of these lesions. This will not only strengthen the tooth, but also decrease the sensitivity if present.

What are the symptoms of abfraction?

You might first become aware of abfraction when you get food stuck in the wedge or when you flash a big smile. You might even be able to feel it with your tongue.

Abfraction is usually painless, but tooth sensitivity can become a problem, especially where heat and cold are concerned.

You may never develop other signs or symptoms, but if the damage continues, it could lead to:

  • worn and shiny facets on the tooth, known as translucency
  • chipping of the tooth surface
  • loss of enamel or exposed dentin

What causes abfraction?

Abfraction is caused by long-term stress on the teeth. This can happen in a variety of ways, such as:

  • bruxing, also known as teeth grinding
  • misalignment of the teeth, also called malocculusion
  • mineral loss due to acidic or abrasive factors

How is abfraction treated?

The diagnosis can usually be made on clinical examination. Tell your dentist about any health conditions or habits that can affect the teeth. Some examples of this are:

  • habitually clenching or grinding your teeth
  • eating disorders
  • a highly acidic diet
  • wrong brushing techniques
  • medications that cause dry mouth

Your doctor will recommend treatment based on the severity of your symptoms and whether you have co-existing dental problems. You might also want to consider how it affects your smile and ability to keep your teeth clean.

The damage can’t be reversed, but you can ease tooth sensitivity, improve appearance, and help prevent future damage. Some treatment options are:

  • Fillings.
  • Nightguard.
  • Toothpaste.
  • Orthodontics.

 

 

 

 

 

Midline Diastema

 

midline

Whether you love it or hate it, that space between your teeth has a name. A diastema is a gap between two teeth. Many celebrities are famous for their midline diastema, or space between their two upper front teeth.Diastemas are extremely common, especially among children. A diastema is a natural part of a child’s development and may correct on its own. In fact, up to 97 percent of children have diastemas, and that number significantly decreases as children grow and these spaces close up naturally. If a diastema remains after the eruption of adult teeth, it will become permanent and can only be corrected with professional dental treatment.

Diastema Causes

There are several reasons that permanent diastemas form. A diastema is often the result of a discrepancy between the size of the jaws and the size of the teeth. Crooked teeth usually come from overcrowding, where the teeth are too big for the jaw. The opposite is true for a diastema — teeth that are too small for the jaw may have gaps between them. Diastemas may also be caused by missing teeth, undersized teeth or bad oral habits, such as excessive thumb-sucking.A midline diastema can also be caused by a large labial frenum. Frenum is the tissue that connects your lips and gum.

Diastema Closure :- Diastemas usually cause no complications to your dental health, but many people choose diastema closure for cosmetic purposes. There are several types of diastema treatment available today.

Dental Braces — Most diastemas require a full set of dental braces and retainer therapy, as moving one tooth can affect the placement of the rest.

Cosmetic restoration—Esthetic composite resins generally used to close midline diastema especially in adult patients. It requires a gradual composite build-up on the mesial side of the tooth and stripping of distal surface of the tooth in order to achieve a natural shape and size of the tooth.

 

 

 

Dental Implant vs Bridge vs Denture

 

A Dental implant is a titanium post (like a tooth root) that is surgically positioned into the jawbone beneath the gum line that allows your dentist to mount replacement teeth.

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A Dental bridge is a false tooth that is held in place by the adjacent teeth on either side of the gap. Although artificial tooth  can be made from a variety of materials such as gold, typically they’re made from porcelain to aesthetically blend in with your natural teeth.

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Dentures are prosthetic devices constructed to replace missing teeth, and are supported by the surrounding soft and hard tissues of the oral cavity. Dentures are replacements for missing teeth that can be taken out and put back into your mouth.There are two main types of dentures: full and partial.

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Basis Dental Implants Dentures Dental Bridges
Performance Look and like natural teeth Function similar to  natural teeth Look and like natural teeth
Comfort Secure confident smile Poorly fitting denture can irritate gum tissue Sensitivity in supporting teeth
Durability Create normal bite force Reduce bite force Vulnerable to bite force
Bone loss Maintain jaw bone Causes loss of jaw bone Doesn’t prevent bone loss
Impact on natural teeth Doesn’t impact on natural teeth Partial denture can wear and increase cavities Require modification of natural teeth
Longevity Provide long term stability Less than a year Doesn’t stable more than 8 years Can last 10-20 years
Appearance Eat your favourite food Limited food choice Eat only limited food
Cost More expensive Less expensive More expensive
Time Take one month or one year depend on the mouth condition Less than one month Less than one month
Hygiene Brush, floss and see dentist like natural teeth Must be removed to clean and should not be worn while sleeping Cleaning under the bridges

Children oral health

children

Infant care

  • Use a washout or small amount of gauze to gently wipe your child’s gums even before his or her teeth begin to come in.
  • Ensure your child only eats healthy foods.
  • Give your child lots of milk and water to drink, avoid juice and other sugary drinks.
  • Do not use fluoride tooth paste, until after age 2.
  • Finds a pediatric dentist and schedule your child’s first appointment as soon as his or her first tooth emerges no later than his or her first birthday.
  • Continue to schedule regular dental checkups.
  • Limit snacks.
  • Switch from bottles to cups after your child’s first birthday unless bottles are medically necessary.
  • A frozen teething ring or a cool spoon can help alleviate teething pain.

Toddler care

  • Toddlers usually begin to brush their own teeth around age 2 but may need assistance up to age 5.
  • Use a pea-sized amount of fluoride toothpaste when brushing toddler’s teeth.
  • Don’t allow your child to swallow tooth paste.
  • Choose a child sized toothbrush with soft bristles.
  • Brush inside surfaces of the child’s teeth first, angling bristles toward the gum line.
  • Next, clean outside surfaces of your child’s teeth brushing gently the entire time.
  • Finally, brush the chewing surface of the teeth.
  • Start a brushing routine well bedtime so your child won’t be too tired to brush.

School-age child care

  • Continue to encourage your child to brush and floss regularly.
  • Routine checkups remain important as your child gets older.
  • If your child participates in sports make sure he or she wears a properly fitted mouth guard to protect teeth.
  • Promote healthy eating by preparing healthy lunches than don’t include soft drinks or sugary foods.

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POST-OP INSTRUCTION AFTER DENTAL IMPLANT

Parker-Family-Dental-Dental-Implants

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. Do not use straw.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a cotton pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or hard food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. The prescribed medication should be taken as directed by your dentist. Do not take medication without consulting your doctor.

Antibiotics

Be sure to take the prescribed antibiotics as directed by your dentist to prevent infection.

Oral Hygiene

Good oral hygiene is essential to good healing. The night of surgery, use the prescribed mouthwash before bed. The day after surgery, the mouthwash should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Be gentle initially with brushing the surgical areas.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising.

Wearing your Prosthesis

Partial dentures, flippers, or full dentures should not be used immediately after surgery.

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Make your teeth sparkle:-Tooth Jewellery

 

 Tooth-Jewellery

Make your teeth sparkle!

Tooth jewellery is basically an accessory which is fixed on any prominent front tooth.

 

A lot of jewellery designs in different sizes and colors are available to choose from, and you can pick depending on what you wish to express with your smile.

 

Advantages-

1.Dental jewellery is very affordable.

2.Very simple and short  procedure.

3.No pain.

4.Can be removed easily.

5.No tooth structure is damaged.

6.No drilling/holes required.

7.You can get them on your wedding matching with your attire.

Achieve a picture perfect on your big day.

Your shoes may be discreetly covered by your dress and you may choose jewellery with elegant simplicity, but you can be sure your smile will take center stage for every minute.

 

SHINE LIKE A STAR! KEEP ROCKING!!

 

KEEP SMILING!

BOOK AN APPOINTMENT