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Dental Emergency- What to do…

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR

Accidents do happen and when it happen it’s important to act quickly. Head and neck region is one of the most sensitive and also the most affected area. It’s important to know what to do in a dental emergency because knowing what to do when one occurs can mean the difference between saving and losing a tooth. No matter what kind of emergency it is, it is important to see your dentist as soon as possible after the incident has occurred. Here are some do’s and don’ts; which you should do in the most common dental emergencies:

Chipped or cracked tooth: If you crack a tooth, immediately rinse your mouth with warm water to clean the area. If you chip a tooth, try and save any broken pieces. There is a strong possibility that swelling will occur, so cold compression in the affected area can be used to minimize this. Make an appointment with your dentist as soon as possible so that all the risks can be ruled out and proper steps can be taken in order to save the tooth.

Knocked out tooth: It is important to keep the tooth that has been knocked out moist at all times to keep it healthy. If you can, place it back in the tooth’s socket or inside your mouth between your check and gums. This is the best environment for the tooth to be in. If you are unable to do this, place it in a jar of milk and get to your dentist as soon as possible. There is the highest possibility of your tooth being able to be saved if you see your dentist within one hour of the incident occurring.

Jaw Fracture: If you suspect that your jaw might be broken, immediately apply a cold compress to reduce inflammation. Immediately go to your dentist or the emergency department at the hospital to get an x-ray.
Dislodged Tooth: Try to relieve pain by applying a cold compress to the outside of the mouth or by taking an over-the-counter pain medication. See your dentist as soon as possible.

Soft tissue injuries: These are injuries to the soft tissue inside your mouth such as your tongue, cheeks, lips and gums, which cause bleeding. Your first priority is to control the bleeding by rinsing out your mouth with water, applying pressure to the affected area with a moistened piece of gauze and reducing swelling by applying a cold compress. If the bleeding does not stop, go directly to your dentist or doctor and continue to apply pressure on the area until you can be treated.

For toothaches: Rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Clove oil dampen cotton pellet on the affected area also helps. If pain persists take some analgesic and see your dentist.

Investigations like x-rays may be taken to evaluate the extent of damage; also it helps in treatment planning. Few precautions can be taken like using sports guard while playing outdoor games, avoid consuming too hot or too cold food items and not using teeth to cut things or open bottles to be on safer side. Always remember, when you have a dental emergency, it’s important to visit your dentist as soon as possible.

How to use- MOUTHWASH

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR

When we talk about good oral hygiene, three things come on our mind brushing, flossing and using mouthwash. These are often told by the dentists as well. Today we are going to talk about mouthwash. Mouthwash is a part of a good daily oral hygiene practice. Mouthwashes are beneficial, in removing food particles left in between and on the teeth even after brushing and flossing. Since, it’s a liquid; it can be reach where a tooth brush and floss cannot.

While mouthwash is not a substitute for proper brushing, it can help with a number of oral health issues like cavity protection, bad breath management and in therauptic uses. There are various types of mouthwash available. Broadly, mouthwashes containing fluoride can help in preventing the formation of tooth decay. Alternatively, antiseptic mouthwashes can help reduce the bacteria that cause gum disease and decay. Other mouthwashes may help reduce teeth sensitivity.

There are few myths regarding the use and effects of mouthwash. Let’s discuss it.

Firstly it’s a very common one, mouthwashes cures bad breath. Yes, mouthwash may temporarily cure stinky breath, but it’s not a permanent solution. There can be multiple reasons for bad breath like the food you consume, or if you have any respiratory infection or some systemic disease like diabetes etc or you have lot of plaque and tartar build up all over your mouth. So, freshening your mouth with mouthwash won’t help for long. Better see your dentist to know the exact cause of bad breath and then target the real problem.

Secondly, all mouthwashes are the same. Not really, as discussed before, there are different mouthwashes for different needs. In general, mouthwash can be classified as, regular or therapeutic uses. Rinsing with a regular mouthwash will loosen bits of food from your teeth, lessen bacteria in your mouth, temporarily reduce bad breath and leave a refreshing taste in your mouth. On the other hand, therapeutic rinses contain additional active ingredients such as essential oils, chlorhexidine, fluoride, betadine etc which has been proven to reduce plaque, fight cavities, reduce teeth sensitivity or help in gingival healing by keeping the bacterial count minimum.

You must have heard people saying, anyone can use the mouthwash and mouthwash is harmless. Well that’s not true. Many mouthwashes contain a high amount of alcohol. This can cause dry mouth, which is a cause of bad breath, and irritate oral tissues. In some people, the alcohol can cause sensitivity to the root surfaces of the teeth. There have also been studies suggesting a link between alcohol-containing mouthwash and oral cancer on long term use. Also, Long-term use of alcohol containing mouthwashes can kill ‘good’ bacteria and should never be given to children. Alcohol-free mouthwashes are also available. But other ingredients can cause side effects, too. Many can stain your teeth or cause a burning sensation, and therefore it isn’t recommended for long-term use. Mouthwash is not meant to be ingested, so it may cause problems if accidentally swallowed. It’s not usually recommended for young children before the age of six. This is because most children would swallow the mouthwash instead of spitting it out. Most mouthwashes contain fluoride and few contain alcohol both of these are not advisable to swallow even in trace amounts. Yet there are few mouthwashes available that are specifically made for children because they contain no alcohol and are fluoridated in right amounts. This results in protection against cavities with safety.

Mouthwash cannot replace brushing and flossing. Yes, it cuts back the level of bacteria in your mouth. But not for the whole day if brushing and flossing is not done. Plaque must be removed by a physical action and that’s exactly the role of flossing and brushing. Regular flossing and brushing with a soft-bristled toothbrush will do a much more effective job of removing plaque and debris than mouthwash alone. Research shows that adding a rinse with mouthwash to your oral care routine can in fact improve the overall cleanliness of your mouth and help keep gum inflammation at bay. But mouthwash is usually considered an add-on, not a replacement for brushing and flossing.

The best way to use mouthwash is to gargle or rinse just for a few quick seconds and then spit. Most mouthwashes are at their most effective when in contact with your mouth tissues for 30 seconds per use. Keeping the mouthwash for too long in mouth can cause loss of taste sensation for few days and may irritate the gums and soft tissues all over. If you are using the mouthwash on regular basis you may dilute the mouthwash with water in 1:1 ratio if recommended or needed.

Ask your dentist for advice about the best mouthwash for you. Read and follow the instructions on the label, looking for how much to use and for how long to rinse with the mouthwash. Always remember mouthwash isn’t a short-cut.

Are your gums bleeding?

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

Most of us once in a while or often must have noticed spitting a bit of blood in the sink after brushing and flossing, it may not seem like a big deal, and in fact you may not even notice it anymore. But the truth is that bleeding gums are never something to ignore. More often than not, bleeding gums are an early sign of gum disease which should be addressed immediately. The common reasons for bleeding gums:

Inefficient oral hygiene practices
The most common reason for red, swollen, puffy, or bleeding gums is inefficient and inadequate oral hygiene. This means that the basic routine of brushing and flossing twice daily is not being done. It takes very little time for plaque and tartar to build up on teeth and along the gum line, in fact almost immediately after brushing it begins to rebuild. This buildup of plaque is what irritates gums and may cause irreversible damage in the gums and bones if left untreated for long.
Remedy: Be sure to follow your cleaning routine so that your teeth, gums, and other oral tissues are properly brushed in the morning and in the evening, being sure to also floss at least once every day. You may find it more effective to brush with an electric toothbrush which can be beneficial for gums as the rotating head massages gums and promotes blood flow to the tissues, which helps to fight off infection. Additionally, try using an antibacterial mouthwash after brushing and flossing to give cleaning routine a boost.

Your regular diet
Fruits, vegetables, dairy products, and foods high in vitamin C are essential building blocks of a diet that keeps your mouth happy. Foods that are high in sugar, starch, and acid on the other hand are not good for your oral and general health. Sugars from sweet food items stick to teeth and along the gum line, if not removed soon after consumption, start to damage teeth and gum tissues. If you indulge in these types of foods throughout the day and don’t brush your teeth between meals, you are essentially adding more destructive bacteria to your mouth with each bite.
Remedy: Vegetables and fruits are great for your oral health as they scrape against teeth and dislodge destructive food and bacteria while being very low in sugar. Dairy products such as cheese contribute to healthy teeth and gums as well and, for swollen gums, foods with anti-inflammatory properties such as fish oil are great to add to your diet. Substituting a meal with a big salad filled with healthy proteins and vegetables can do wonders for your oral and overall health.

During Pregnancy
Most women experience gingivitis during pregnancy, which can lead to gum disease. Hormones released during pregnancy make mothers-to-be much more vulnerable to gum disease even if they brush and floss twice each day as the gum tissues are in general more irritable and less able to fight off infection.
REMEDY: Visiting your dentist as soon as you know that you are pregnant is essential so that you can get professional advice and set up regular appointments for cleanings and checkups throughout your pregnancy. Brushing and flossing at least twice every day is the most important thing to do to keep your oral hygiene in check. You may want to use a non-alcoholic antibacterial mouthwash after each time you brush and floss your teeth to ensure each corner of your mouth has been cleaned.

Hereditary Gum disease
For those who know that gum disease runs in their family, they must be even more cautious in their oral hygiene. Knowing your family oral history may help to manage your own oral health.
Remedy: If gum disease does run in your family, tell your dentist. They can offer expert council about how best to care for your teeth daily to prevent issues from showing up. Brushing, flossing, and using an antibacterial mouthwash daily is essential in fighting against the bacteria that irritates gum tissues and cause destruction.

If you’re a smoker
The toxins found in cigarettes are extremely destructive and weaken the gum tissues which can cause discoloration, swelling, and bleeding in gums. In addition, once gums are exposed to such harmful toxins, bacteria found in the mouth are more able to enter the gums and into the bloodstream. This can cause further irritation, bleeding, swelling, and infection.
Remedy: Quitting smoking is the only way to completely rid you of cigarette toxins and allow your gum tissues to rebuild and become healthy again. In addition to this, brushing and flossing twice daily is important to keep harmful bacteria from attacking weakened gum tissues. Speak to both your health care and dental professionals about smoking cessation programs that can help you kick cigarettes for good and for your overall health.

Conclusion
Finally, regular professional cleanings from your dental professional are essential even if your oral hygiene techniques are good. Professional cleanings offer a deep clean and can eradicate plaque and difficult tartar that you may not be able to reach or were unaware was there. It’s important to keep in mind that gum disease is not the end of your oral health. Most of the time it can be reversed if treated at the right time and, with proper oral hygiene and dental professional care it can be eradicated. Call your dentist today to set up an appointment to discuss your oral health concerns and to have a check up.

Dental Health for Women

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

Everyone needs to look after their oral health, but for women, specific periods in their life can affect their oral health significantly. Changes in female hormone levels during puberty, menstruation, pregnancy and menopause exaggerate the way gums react to plaque. Since, gum disease is usually painless, many women may not even realize they have it until it reaches an advanced state. As, gum disease is a bacterial infection, it can enter the bloodstream and may be a factor in causing other health complications like:

  • Heart disease: People with gum disease may be more at risk for heart disease and have nearly twice the risk of having a fatal heart attack.
  • Stroke: Few studies found a casual relationship of oral infections as a risk factor for stroke.
  • Diabetes: People with diabetes are more likely to have gum disease and may make it more difficult for diabetics to control their blood sugar. Gum disease may also be a risk factor for diabetes, even in otherwise healthy individuals.
  • Respiratory problems: Bacteria that grow in the oral cavity can travel to the lungs causing respiratory disease such as pneumonia – especially in people with gum disease.
  • Pregnancy outcomes: Pregnant women who have gum disease may be more likely to have a baby born too early or too small. Gum disease may also trigger increased levels of biological fluids that induce labor.

Women can expect their dental health to change during these specific periods of their life in the following ways:

  • Puberty: The increase in estrogen and progesterone causes blood vessels to dilate which can affect gums and can cause bleeding, swelling and redness. The changes in hormones affect the bacteria in the mouth at this time, meaning that cavities and bad breath can develop. Ulcers are also more common in teenagers than children.
  • Menstruation: In the lead up to their period, some women experience swollen or sensitive gums that are prone to bleeding, while others can experience mouth ulcers or cold sores. Once menstruation begins, these symptoms commonly disappear.
  • Oral contraceptive: Taking an oral contraceptive is common for many women. The synthetic hormones in these tablets can cause gingivitis, an inflammation of the gums, which results from an excessive build up of plaque.
  • Pregnancy: The significant changes in hormones during pregnancy make oral health care a priority for women during this time. Gingivitis is, again, common in pregnant women, but also ‘pregnancy tumours’, which are non-cancerous, benign growths that develop when swollen gums become irritated. Normally, these tumors will naturally shrink and disappear after the baby’s birth, although if they interfere with brushing or are uncomfortable, the dentist may decide to remove them.
  • Lactation: There are many benefits of breastfeeding for both mother and baby, but the period of lactation can also negatively impact a woman’s oral health. Adapting to life with a new baby can often mean that women skip brushing and flossing their teeth, resulting in an increased likelihood of cavities and gum disease developing. The increase in stress and tiredness can also cause Bruxism to develop, which is the grinding or clenching of teeth during sleep. This can result in headaches, neck and jaw pain, or teeth cracking.
  • Menopause: There are many possible changes that can occur in a woman’s mouth during menopause. These include burning mouth syndrome, dry mouth, gingivitis and mucosal changes which can result in changes in the appearance of gums and can cause them to bleed easily.

It is very important to ensure that women maintain their good daily dental hygiene so that the teeth and gums are at their best to deal with these hormonal fluctuations. To reduce this plaque build-up on teeth following care should be taken:-

  • Brush two to three times daily and floss once a day
  • Choose health food and not high-sugar foods
  • Avoid snacking
  • Drink mainly water and milk. Avoid adding sugar to drinks
  • Chew sugar free gum after starchy and high sugar foods to help stimulate saliva
  • Have regular check-ups at your dentist, to check your teeth and gums to detect any early problems and remove plaque and calculus build-ups to keep your mouth healthy.

SMILE IS INFECTIOUS

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Dr.Saket Gaurav
B.D.S.(India), PGD.Ortho, PGDAD(Cosmetic)
International Dental Practitioner
DENTAL MAKEOVER, Delhi NCR.

When you look at someone’s beautiful dazzling smile, it spreads like an infection and paints a ray of
sunshine all over your face. Smile is so universal that even a new born knows it by heart & when the
captivating smile is shared it melts the wall. But it is only possible when you have healthy and white
teeth.

COSMETIC DENTISTRY: A branch of dentistry dealing with the appearance of your teeth. It
handles the modification of your smile and anything having to do with how your teeth and gums look in
terms of the length, shape, color, alignment and proportion. But as a dentist for me it is obtaining the
most beautiful and long-lasting improvement in the appearance of someone’s smile with the minimal
amount of treatment. The primary aim of cosmetic dentistry is to improve the aesthetics of a person’s
teeth, gums or bite. There are a variety of cosmetic procedures available that are appealing to many
people. The most popular procedure is tooth whitening in which teeth are bleached to remove stains
and appear brighter. Other cosmetic dental procedures available to help you achieve your perfect smile
are:-

  • Dental implants provide custom, natural-looking replacements for missing teeth
  • Crowns /caps and dental bridges give you that whiter, brighter smile and later one also closes
    the missing space
  • Dental veneers hide many flaws
  • Tooth-colored restoration replace metal fillings for a natural appearance
  • Dental bonding uses a material that looks and feels like tooth enamel to repair damage and
    flaws
  • Inlays and onlays (or indirect fillings) remedy tooth decay or similar structural damage

A smile makeover typically involves one or more cosmetic dentistry procedures such as dental veneers,
dental implants, gingival sculpting and teeth whitening to give you the look you’ve always wanted
Full mouth reconstruction offers natural-looking and clinically sound treatments to correct functional
problems with your bite, muscles, teeth and bone structure.

First impression is the last impression and everyone is becoming more self conscious of their teeth when
they have chipped, discolored, deformed, crooked or missing teeth. They may feel the need to cover
their mouth every time they laugh and tend not to smile with their teeth in photos. Apart from affecting
a person's self confidence, it can also affect a person's oral health particularly if chipped or missing teeth
are left untreated. Good thing is that most of these issues can be resolved and treated or at least
worked out to get better than what it was before. Also, as a dentist, I believe there are always one or
more treatment options available for any dental issues at an affordable cost.

Depending on the complexity and severity of the problem, referral to dental specialists may be
necessary. Ask your dentist or oral health professional for further details. Always remember to get
dental health check up and oral prophylaxis (scaling) of your teeth every six months to keep your teeth
and oral health in good shape and also to check the condition of the treatment already taken.