pyorrhoea

Receding gums

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

Gum recession is a common dental problem that occurs gradually, so most people don’t realize they have it. It is the process in which the margin of the gum tissue that surrounds the teeth wears away or pulls back, exposing more of the tooth or the tooth’s root. When it occurs pocket or gaps are formed between the gum line, which makes it easy for disease causing bacteria to damage the tooth. The first sign of gum recession is usually tooth sensitivity, or you may notice your tooth looks longer than normal.

Reasons for receding gums

  • Aggressive brushing techniques- By brushing your teeth too vigorously, you can wear away the enamel on your teeth, and your gums will start to recede. Always use a soft or extra soft toothbrush and be gentle but thorough.
  • Tobacco products- People who chew or smoke tobacco are more likely to develop sticky plaque on their teeth which is hard to remove so therefore can lead to gum disease. The chemicals also damage all of the soft tissues in the mouth and leads to receding gums.
  • Gum diseases-Bacterial gum infections like periodontal disease destroy the gum tissue and the supporting bone that holds your teeth in place. These diseases cause gum recession.
  • Insufficient dental care-Inadequate brushing and flossing habits will lead to excessive accumulations of plaque and tartar on and between your teeth. The buildup of plaque and tartar irritates the gums and can cause them to recede.
  • Teeth grinding and/or clenching- By putting too much unnecessary force on your teeth you can cause the gums to recede.
  • Genetics-Some people are simply more susceptible to gum disease. Therefore, even if you are a diligent brusher and flosser, you may be predisposed to gum disease, which leads to receding gums.
  • Crooked teeth or a misaligned bite-It can be much harder to keep crooked teeth clean. A misaligned bite can cause a person to put excessive forces on some teeth and minimal forces on others. Both can lead to gum recessions.
  • Lip or tongue piercings-Body jewellery can rub against your gums, which can irritate them and wear away the gum tissue.
  • Hormonal changes-For women who experience hormonal fluctuations, especially during pregnancy or menopause, their gums can become more inflamed and hence more vulnerable to receding gums.
  • Accelerated orthodontic treatment -By moving the teeth too quickly during an orthodontic treatment, the gums can start to recede, due to the body’s inability to adjust to rapid tooth movement.

Gum recession Treatment

For mild gum recession, your dentist can perform a deep cleaning also known as tooth scaling and root planning on the affected area. This procedure removes plaque and tartar that has built up on the teeth and root surfaces below the gum line. Then the exposed root area is smoothed to make it more difficult for bacteria to attach on the tooth surface. Sometimes antibiotics may be prescribed to get rid of any remaining harmful bacteria. If you have excess bone loss, then you may require gum surgery and tissue grafts to repair the damage caused by gum recession.

How to prevent gum recession

The best way to prevent gum recession is to take good care of your teeth by brushing and flossing every day and visiting your dentist every six months. If you are experiencing gum recession, your dentist may want to see you more often. Also, always use a soft-bristled toothbrush and ask your dentist to demonstrate the proper brushing technique. If you have misaligned teeth, or if you grind your teeth, discuss treatment options with your dentist. Lastly, quit smoking if you are a smoker and eat a well-balanced diet. By following these simple guidelines, you’ll enjoy a healthy smile for years to come.

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.

Tooth brushing Mistakes

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

Tooth brushing is such an ingrained habit, few people think twice about it. But as with any habit, you can get sloppy, and that can lead to cavities and gum disease.

1: Not Using the Right Toothbrush
Consider the size of your mouth when picking a toothbrush. If you are straining to open wide enough to let the brush in, the brush is probably too big. The handle has to be comfortable. It should feel comfortable as you are holding and the toothbrush head should be small so that it reaches the very last tooth as well. The more comfortable it is in your mouth and your hand, then the more likely you will use it and use it properly.

2: Not Brushing Often Enough or Long Enough
Softly brushing your teeth at least twice a day is recommended. ”Three times a day is best.” With too much time between brushings bacterial plaque will build up, boosting the risk of gum inflammation and other problems.
Brushing should last at least two minutes, three minutes is even better. Most people fall short of both time lines. It is often recommended to divide the mouth into quadrants and spend 30 seconds a quadrant. Some electric toothbrushes include built-in timers.

3: Not Picking the Right Bristles
Some toothbrushes have angled bristles, others straight. So is one type better? NO…..”It’s more related to technique than the way the bristles come out. What is important when buying a toothbrush? Bristles that are too stiff can aggravate the gums. It is recommended to use a soft-bristled brush. Bristles should be sturdy enough to remove plaque but not hard enough to damage the teeth when used properly.

4: Not Brushing Correctly
Long horizontal strokes along the gum line can lead to abrasions. Aim your bristles at the gum line at a 45-degree angle and do short strokes or vibrations. Softly brush up and down your teeth, not across your teeth. The strokes should be vertical or circular, not horizontal.
Be sure to brush outer and inner tooth surfaces, the chewing surfaces, and your tongue.

5: Brushing Too Often or Too Hard
While brushing your teeth three times a day is ideal, but brushing twice is must. Excessive brushing could expose the root of the tooth to irritation, and that could in turn irritate the gums. Brushing vigorously can also erode tooth enamel. The trick is to brush very gently for two to three minutes.

6: Skipping Inner Tooth Surfaces
Most people forget to brush the inner surfaces of teeth — the surface that your tongue presses against.
The plaque you can’t see is just as important to remove as the plaque you can see.
The most commonly skipped area, dentists say, is the inner surface of the lower front teeth.

7: Starting in the Same Place Each Time
Many people start brushing the same part of their mouth over and over. Start in a different place so that
You don’t get lazy in the same area of your mouth.

8: Not Following Up With a Rinse
Bacteria can grow on an un-rinsed toothbrush. Then, the next time you brush your teeth, you may actually put old bacteria back in your mouth. Rinsing the toothbrush after you brush will help remove any leftover toothpaste, too.

9: Not Letting the Toothbrush Dry
If you have a toothbrush that’s perpetually moist, it will cultivate more bacteria.
If the bristles stay soggy, you can shape-out them as you use the brush. Or it might be a breeding ground for bacteria. It’s a good idea to shake out the moisture, and then recap it with a cap that allows air in.

10: Not Changing the Toothbrush Often Enough
It is recommended to get a new brush every three months or even sooner if the bristles look frayed. Once the bristles lose their normal flexibility and start to break apart, change your toothbrush. Some brushes have colored indicators that alert you when they need replacing.

Which is the better toothbrush: Electric or manual?

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

From the time we’re young, we’re taught that using a toothbrush regularly is one of the best ways to keep our teeth and gums healthy. But which toothbrush is best?

The earliest toothbrushes were actually small twigs people rubbed against their teeth to get rid of food bits and other pieces of debris. Over hundreds of years it evolved, beginning to feature bristles made from boar’s hair. In the late 1930s, when toothbrushes with nylon bristles were first invented, consumers choosing a toothbrush didn’t have many options. Now, the story’s completely different. Most stores that sell oral hygiene products now have an extensive collection of different types of toothbrushes on their shelves, including manual (disposable) and powered (electric) varieties.

Let’s take a look at the Pros and Cons of the two and find out.

Manual Toothbrush
Pros

  • Thoroughly clean teeth with proper brushing technique. Brushing only takes 2 minutes and you can most definitely keep your teeth at a grade A+ level with a manual toothbrush.
  • Multiple toothbrush styles, bristles, heads and colors to choose from. You have the ability to choose soft bristles if you have sensitive gums, and a smaller head if you have a smaller mouth. Some brands even make special prints on toothbrushes for children. Nevertheless, you’ll never be short of options with manual toothbrushes.
  • Easy to travel with. All you need is a toothbrush case and you’re all set to go for your trip. No need to worry about batteries or charging outlets.
  • No batteries or charging.
  • Inexpensive and often free whenever you make a trip to your dentist. Keep in mind that you should ditch your toothbrush after about 3 months of use.

Cons

  • More work.
  • No timing. Manual toothbrushes require you to guess how long your brushing session will last (unless you set a two-minute timer).

Electric Toothbrush
Pros

  • Easy to use. With a powered toothbrush, all you need to do is place the toothbrush at a 45° angle and let the toothbrush do all the work.
  • Less work for better results. Studies have shown that electric toothbrushes do a better job of cleaning your mouth and removing plaque and debris.
  • More fun to use for children. Children like to take the easy way out on chores. If a child never brushes their teeth because they don’t want to, try having them use an electric toothbrush. It’s less work, it tickles their teeth, and the timer will let them know they’re all done! It’s a lot easier (and more fun).
  • Built in timer. Electric toothbrushes use a built in timer that stops the toothbrush once two minutes are up; no more guessing!

Cons

  • Charging. You’ll either have to charge your toothbrush or replace its batteries.
  • Cost. Electric toothbrushes cost significantly more than a manual toothbrush. There are several types of powered toothbrushes but be prepared to pay more than you usually do.
  • Not as easy to travel with. Traveling with an electric toothbrush can be a hassle. They are bulky and bringing a charger along doesn’t help with room constraints.
  • Easy to break. Dropping your toothbrush can be fatal. You have to be more careful whenever using an electric toothbrush.

One last thing to point out: there have been a few studies that prove electric toothbrushes remove statistically significant more plaque compared to manual toothbrushes and are better at fighting gum disease. Despite the studies, your oral health will remain healthy (despite which type of toothbrush you use) as long as you consistently take care of your teeth. If you are on the fence of buying a powered toothbrush, talk to your dentists the next time you go for a checkup.