What type of toothbrush should we use?
The best is either a medium soft or soft toothbrush with a rather small head. In addition, you should also use an interdental brush for plaque removal and dental floss for cleaning between the teeth where the toothbrush cannot reach. The manual or electric toothbrush is equally effective as long as you brush your teeth properly. Ask your hygienist or dentist for help.
How should we care for our children’s teeth?
First of all, you should use a toothbrush and toothpaste that is appropriate for your child’s age. You may also want to use plaque disclosing tablets that will enable you to see the areas where plaque has built up due to improper brushing.
What are fissures?
Fissures are grooves found on the chewing surfaces of the molar and premolar teeth, the most common areas for caries. To prevent these caries from developing, a sealant may be applied to the surfaces. Typically, children should get sealants on their permanent molars and premolars as soon as these teeth come in while the fissures are still intact and not yet discolored. The process involves no drilling and is painless.
Why should plaque be removed?
Plaque is formed from the coating found on the teeth and the minerals expelled from saliva. Bacteria then invade this plaque, settle in, causing permanent gum inflammation that may result in pyorrhea, loosening and, eventually, leading to the loss of teeth. Thus, regular plaque removal is extremely important (every 6 months) together with the proper tooth brushing technique.
What causes tooth discoloration?
Teeth may discolor from internal as well as external causes. External causes may be, for example, tea, coffee as well as the regular use of some mouth washes. Internal causes may be root canals, side effects of medications, fluorosis as well as old amalgam fillings. External causative factors may be removed through polishing, ultrasound plaque removal as well as with the use of the sand spraying technique. If even whiter teeth are desired, a tooth whitener may be used.
Is it worth to whiten teeth?
The teeth can usually be whitened by 3-8 shades. The procedure, however, is by no means permanent. Depending on the habits you may have (coffee, smoking), the treatment may be repeated every 1-2 years. This rate is not damaging to the tooth enamel. After treatment, your teeth may be sensitive for 1-2 weeks.
Implant or bridge?
Lost teeth may be replaced by implants or by a bridge anchored to the neighbouring teeth. In the case of bridges, the two anchoring teeth are chiselled down to make room for the crowns whereas with implants the teeth remain whole. Bridges are recommended when more than one tooth is missing in a row, the anchoring teeth to be chiseled down have big fillings or had root canal treatment or the implant is contraindicated (lacking enough bone, osteoporosis, diabetes, haemophilia, etc.).
When should wisdom teeth be removed?
Wisdom teeth should be removed when, due to lack of space, they cannot break through entirely and are forced into an anatomically bad position and location; when bacteria and pellicles get under the gums causing inflammation when the wisdom teeth did break through. If the teeth are covered by the gums and bone, they should only be removed if they cause complaints or if braces are to be worn. A panorama x-ray should be taken every 2 years if the wisdom teeth remain in place.
Should amalgam fillings be replaced by esthetic fillings?
If the amalgam fillings have a good seal and have no cavities and the patient is not allergic to metal, the replacement is not justified, possibly only for esthetic reasons.
When is a root canal necessary?
A root canal is necessary when the nerve of a root has become infected or damaged. During a root canal procedure the nerve and pulp are removed and the inside of the tooth is cleaned and sealed thus, saving the tooth from possible removal.
Metal ceramic or all ceramic crown?
Bridges and crowns may be made of zirconium or metal fused with porcelain. We recommend zirconium crowns to patients who are allergic to metal and to those for whom esthetics is important. The zirconium is the same color as the teeth and the metal will not show around the gum line as the gums recede. As far as strength and durability goes, there is not much difference between the two; however, the zirconium technique is slightly more costly.