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Bruxism or Night grinding

Bruxism or night grinding is an excessive grinding of the teeth or clenching of the jaw. Causes of night grinding may include abnormal alignment of the jaw, intense concentration or situational anxiety or stress. Mild bruxism may not require treatment. However moderate to severe bruxism leads to jaw disorders, headaches, damaged teeth and other oral problems line flattened, fractured, chipped or loose teeth and decreased chewing efficiency. Worn tooth enamel, exposing deeper layer of your tooth causes sensitivity.

TREATMENT

  • Self treatment – Taking steps to relieve stress, practising good sleep habits and avoiding caffeine in the evening may help reduce grinding.
  • Dental treatment – The dental treatment for bruxism is dental guard, mouth guard, nocturnal bite plates or bite splints. The night guard is a plastic dental appliance that fits over the teeth. They work by putting a barrier between your teeth. When you clench your jaw, the night guard for teeth helps to lighten the tension and give cushion to the muscles in the jaw.

Methods of cleaning mouth guard

  • Wash your night guard with warm water immediately after wearing.
  • Keep your night guard on a clean surface and dry it fully, this will prevent it from bacterial growth.
  • Do not keep your night guard in bathroom, it may cause humidity to wear it down with time. Best way to keep in bedroom in a strong and dry case.
  • It is also important to clean your night guard with toothbrush but not with toothpaste, toothpaste can be abrasive and may cause it to wear out speedily. You can use soap and toothbrush to clean the night guard.
  • When it comes to mouth safety and fitness, the dental custom made night guard is an excellent investment.

POST RCT DENTAL CARE

  1. After root canal treatment (RCT), temporary filling is done which need 30 minutes to set. In this time dint touch tongue over treated teeth.
  2. Don’t eat hard and sticky food until permanent filling and cap is done.
  3. Don’t eat or chew until effect as anesthesia or numbness goes away.
  4. For mild discomfort or swelling do saline water (Luke warm water plus salt) gargling
  5. Don’t too much delay capping and fixing of crown over RCT treated teeth.
  6. Practice good oral hygiene RCT treated side of the jaw. Do regular brushing.

REMEMBER ROOT CANAL TREATRMENT IS A PAINLESS AND TOOTH SAVING DENTAL PROCEDURE.

*Brush your teeth at least twice a day with a fluoride containing toothpaste. Brushing especially before going to bed plays a very important role in preventing cavities.

*Clean between your teeth daily with dental floss or interdental brush (If gaps between teeth present) or water flosser.

*Have sealants placed- They are protective coating applied to the top surface of the teeth.

*Mouth rinse- Rinsing of mouth with antimicrobial mouth rinses after brushing or eating can aid in cavity prevention as suggested by your dentist.

*Chew gum- Chewing certain sugarless gums can actually help to prevent cavities by increasing the flow of the saliva in your mouth.

*Avoid frequent snacking and sipping of the beverages other than water, also those food which sticks easily on to the tooth surface should be avoided.

*Aerated cold drinks will cause demineralisation of your teeth and causes more risk of cavities.

*Visiting your dentists for regular check-ups and cleaning is a key for preventing cavities.

Toothbrushes come in all different sizes with various styles, angles, brush-head shapes, bristles & more. It can be difficult to know what is best for your teeth.

Here are some tips for choosing the right toothbrush for you: –

1.Soft Bristles – Its best, they are gentle on your gums & teeth.
2.Comfortable Handle – Look for a toothbrush that provides a non-slip grip.
3.Small Brush heads – This helps you reach smaller places better & till last teeth in the jaw.
4.Powered toothbrush – It is a good investment as it controls pressure & prevents damage to the teeth because of aggressive brushing.
5.Get what you like – Some brushes have flexible heads, different shaped heads & different bristle styles. Choose whatever is comfortable for you.
6.Replace regularly – Even if you choose a great toothbrush, it will lose its effectiveness after a few months. It’s better to replace your tooth brush every 3 months or fraying of the bristles is noticed.

Root canal treatments are an essential treatment for successfully removing the infected tissue and bacteria throughout the canal. The procedure is delicate and done by a root canal specialist/ endodontist to avoid complications. A dental microscope provides these unique advantages to the patient.

● Magnification – It provides greater clarity and improved vision, which allows the best quality of the oral examination, enabling your dentist in detecting early signs of something as simple as caries or severe gum problems.
● Precision – Microscopic treatment is the new standard of care in dentistry. It helps in accurately locating and removing the nerve from the tooth root without damaging the remaining tooth.
● Low chance of complications – Dental microscope allows the dentist to get the job done with high precision, eliminating damage to surrounding tissues, reducing the healing time and lowering the risk of post-operative infection or discomfort to the patient. By incorporating a dental microscope into our practice, we strive to provide world-class dental care to our patients.

Do you have a tooth which is damaged and causing severe pain? Consult your doctor for the same to take an opinion on its survival. When you get a root canal treatment, Endodontist removes all the infection present with in the tooth and fill it with biocompatible material so that form, function and esthetics are maintained.

Teeth are integral part of the jaw or body. They are priceless. If you get hurt on your finger you will never cut and throw it, you would rather find treatment for it. Similar way tooth is an organ it has important role to play in the mouth. If teeth is infected get it treated rather than removal as each teeth play different role in the mouth and if one is missing the whole balance is disrupted and causes more damage to the other teeth and jaw joint (TMJ joint).

Benefits of root canal treatment being you don’t lose your original tooth, you may pay less for the procedure, treatment takes less time  and the process is nearly painless and immediate pain relief can be achieved. Extraction is advised only when tooth is compromised and cannot be saved by root canal treatment.

Instead of retaining the tooth if extraction is done – chewing efficiency, speech, lip and cheek support are lost. Missing teeth can cause drifting of other teeth leading to gaps and more cavities in between other teeth because of food lodgement ultimately leading to gum infection and bone infection. Finally where tooth is removed, bone loss will happen as there is no root to hold the bone.

As it is not advisable to leave the gap alone you have to go for artificial teeth like bridge or an implant to fill the gap which will increases the treatment cost almost 3 folds and and greater oral hygiene care and maintenance cost throughout the life.

Given a choice between root canal treatment or extraction, Root canal treatment should be the only choice as long as tooth can be saved.

In root canal procedure, Endodontist thoroughly clean out infection present with in the tooth by using advanced equipments and devices. Tooth is then filled with unique dental filling material that seals the tooth and prevents from reinfection.

Thanks to root canal, tooth is saved from extraction and dental health and wellness is maintained.

After root canal treatment requirement of crown depends on various factors like location of the teeth in the mouth—teeth towards the back of the mouth like molars and premolars are needed more for chewing, and generally require crowns, where  as incisors or canines which aren’t needed for chewing don’t always require crowns but if they are week then post and core (fibre) followed by crown is important to protect the tooth and prevent it from fracture.

Bite of the patient plays a very important role – if patient has grinding habit, teeth is prone for breakage as excessive biting forces might create cracks in the tooth ultimately leadings to breakage of the teeth.

Crown requirement depends on how much healthy tooth is remaining after removing diseased tooth.

Studies reveal that dental crown following root canal treatment Improves longevity of the tooth. Crown protects remaining tooth structure from further decay, reinfection and fracture.

Gum disease (Gingivitis) is the disease which causes infection and inflammation of the gums. It is one of the most common dental problem worldwide. Dental plaque is the common cause of this disease which release toxins and irritate and inflame the gums. Inflammation destroys the gums and cause them to separate from the teeth.

Some researchers suggests that the bacteria responsible for periodontitis can enter your blood stream through gum tissues possibly affecting your heart, lungs and other parts of the body.

Symptoms of gum infection(Gingivitis) are mild toothache, gum swelling, pain, gums may be red, painful to touch and looks longer than normal and gums may bleed on brushing. Mild gum disease can be corrected by improving oral hygiene by brushing, flossing and having plaques and tartar removed. Laser play a great role in controlling gum diseases.

Benefits of laser gum treatment are laser stimulates stem cells in the tissue to form new connective tissues, bone and collagen and helps body to regenerate lost ligaments and bone around the teeth. Laser limits bleeding , kills bacteria from the gums and minimise the risk of bacterial infection. Laser removes diseased tissues and bacteria from the pockets along the base of the teeth and helps gums to recover from infection and halt the disease process.

A dental implant is a prosthesis used to replace missing teeth. it is a small titanium post/fixture that is inserted into the jaws, on top of which a single crown (cap), a fixed bridge, a partial denture, or full denture can be attached. Once the implant integrates to the bone, a titanium structure known as the abutment is fixed acting as the connection between implant and the artificial tooth/teeth. Implant placement is a surgical procedure done under local anaesthesia where it’s placed into the bone. The surgical site is then closed and implant is allowed to heal and integrate into the bone for a few months. A three dimensional x ray analysis of the bone is done to determine the quality and quantity of bone to decide the length, width and numbers of implants to be placed. In case the bone levels are inadequate for implant placement, additional procedures like bone grafts can be done.Depending on the number of missing teeth implants can be used to support crowns, bridges and even removable dentures. They last a lifetime improving appearance, confidence, and Masticatory efficiency as dental implants are the closest innovation to natural teeth. Dental implants are highly biocompatible and can never get decayed. For a healthy individual with good oral hygiene and good health, dental implants are predictably successful with reported success rates above 90-95 percent. however, the health of the gums is vital to maintaining lasting implant success. home care by the patient and regular professional cleanings and check-ups are essential elements for implant sustainability. Each patient is different, and success relies upon diagnosis and planning and maintenance by the patient.

  1. Prevents Tooth Decay: Tooth decay is one of the most common chronic diseases in children. Good oral hygiene habits can help prevent tooth decay and cavities.
  2. Promotes Healthy Gums: Healthy gums are essential for supporting teeth and preventing gum disease.
  3. Boosts Confidence: A healthy, clean smile can boost a child’s confidence and self-esteem.
  4. Sets Up Good Habits: Teaching children good oral hygiene habits from an early age sets them up for a lifetime of healthy habits.

Teaching Good Oral Hygiene Habits to Children

  1. Start Early: Begin teaching your child oral hygiene habits as soon as their first tooth erupts.
  2. Make it Fun: Make brushing and flossing a fun experience for your child. Use a favorite toothbrush or toothpaste, and sing a song while brushing.
  3. Use Positive Reinforcement: Praise your child for good oral hygiene habits and encourage them to continue.
  4. Lead by Example: Show your child that oral hygiene is important by practicing good habits yourself.
  5. Supervise and Assist: Supervise and assist your child with brushing and flossing until they are old enough to do it themselves.

Here are some additional tips for brushing and flossing:

  1. Brush for Two Minutes: Encourage your child to brush their teeth for two minutes, twice a day.
  2. Use a Fluoride Toothpaste: Use a fluoride toothpaste that is designed for children.
  3. Floss Once a Day: Encourage your child to floss once a day to remove food particles and plaque.
  4. Replace Toothbrushes Regularly: Replace your child’s toothbrush every three to four months or sooner if the bristles become frayed.

 Conclusion

Teaching good oral hygiene habits to children is essential for their overall health and well-being. By starting early, making it fun, and leading by example, you can help your child develop good habits that will last a lifetime. Remember to supervise and assist your child with brushing and flossing, and encourage them to brush for two minutes, twice a day, and floss once a day.

Dental implants have become a popular solution for missing teeth, offering a natural-looking and functional replacement. However, 

the long-term success of dental implants depends on several factors, including proper care and maintenance.

Importance of Long-Term Care

While dental implants are designed to last for many years, they can still fail due to various reasons such as:

  1. Inadequate oral hygiene: Poor oral hygiene can lead to peri-implantitis, a condition that causes inflammation and bone loss around the implant.
  2. Insufficient bone density: If the jawbone is not dense enough, the implant may not integrate properly, leading to failure.
  3. Gum disease: Gum disease can cause inflammation and bone loss around the implant, leading to failure.
  4. Bite problems: Misaligned bites can put excessive stress on the implant, leading to failure.

 Measures for Long-Term Success

To ensure the long-term success of dental implants, follow these measures:

  1. Regular Dental Check-Ups

Schedule regular dental check-ups (every 6 months) to:

– Monitor implant integration and bone density

– Check for signs of peri-implantitis or gum disease

– Adjust the bite to prevent excessive stress on the implant

  1. Proper Oral Hygiene

Practice good oral hygiene by:

– Brushing the implant and surrounding teeth with a soft-bristled toothbrush

– Flossing daily to remove plaque and food particles

– Rinsing with antibacterial mouthwash

  1. Avoid Smoking and Tobacco

Smoking and tobacco use can increase the risk of implant failure. Quit smoking and tobacco 
use to ensure the long-term success of your dental implants.

  1. Avoid Excessive Force

Avoid using excessive force on the implant, such as:

– Biting or chewing on hard objects

– Grinding or clenching teeth

– Opening packages or bottles with teeth

  1. Monitor Bone Density

Monitor bone density regularly to ensure that the jawbone is dense enough to support the implant.

  1. Adjust the Bite

Adjust the bite regularly to prevent excessive stress on the implant.

 Conclusion

The long-term success of dental implants depends on proper care and maintenance. By following these measures, you can ensure the long-term success of your dental implants and enjoy a healthy, functional smile for years to come.

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