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Ways To Fight A Gum Infection

Gum Infection or disease is an inflammation of the gum line that can progress to affect the bone that surrounds and support the teeth. The three stages of gum infections from least to most severe are: gingivitis, periodontitis and advanced periodontitis. There are numerous types of infections that can occur in the mouth, the majority of which take place in the soft tissues around the teeth. Generally, these are caused by bacteria that collect as plaque and sits along the gum line. Once these bacteria begin feeding on food particles and sugars in the mouth, they produce acidic waste that causes tooth decay, or cavities. This all begins with oral hygiene, or the lack thereof. Some people have more issue with bacteria than others, but in the majority of cases improving the way you take care of your teeth can help prevent plaque from causing as much damage. Gum Infections or disease is caused when bacteria (plaque) are not removed by daily brushing and flossing, luckily these infections preventable.

Causes of Gum Infections

  1. Plaque: Gum Infections or disease is most commonly caused by plaque which is a thick film of bacteria forming on gums and teeth that daily brushing, flossing and rinsing can get rid of.
  2. Smoking: Smoking interferes with the normal function of gum tissue cells, making your mouth more vulnerable to infections like gum disease.
  3. Hormonal Shifts: During pregnancy or even during typical monthly menstrual cycles, hormones can rise and fall, making gums more susceptible to gum infections. Pregnancy does not mean you automatically have problems with your gums or teeth, it just shows that you should take extra-special care of your mouth during this time to maintain your oral health.
  4. Prescription Medicines: Medications may have a side effect of dampening saliva production and flow, leaving a dry mouth where bacteria can more readily spread.
  5.  Nutritional Deficiencies: It’s hard work to get all the daily vitamins, but when you are not getting enough vitamin C, this could be especially harmful to the gums. A diet that is high in sugar and carbohydrates and low in water and vitamin C is a recipe for gum problems.
  6. Crooked Teeth: There are common situation where the teeth overlaps and are crooked or rotate, this can create a breeding ground for gum disease. That is because the misalignments created more spaces where plaque can build up and harm the teeth and gums.
  7. Family History: Histories of gum disease in a family is something to be mention to the dentist, as it may put one at slightly increased risk for developing the bacterial infection.

Prevention of Gum Infections

Preventing gum infections is as simple as implementing good oral hygiene plan. Doing this will prevent the buildup of bacteria that leads to the infections.

These Hygiene programmes Includes:

A.  Brush your teeth twice a day.
B. Floss regularly to remove plaque from between teeth.
C. Visit the dentist rountinely for a check-up and professional cleaning.
D. Don’t smoke.
E. Using an antibacterial mouth rinse to reach all the areas of the mouth your brush cannot reach

What Exactly Is A Root Canal Treatment

Root canal treatment is a dental procedure to replace a damaged tooth or infected pulp with a filling. Root canal therapy is performed when the pulp which is composed of nerves and blood vessels in the tooth becomes infected or damaged. It is one of the most common procedure performed. This simple treatment can save the natural teeth and prevent the use of dental implants  or bridges.

 

The symptoms that a root canal therapy is needed may include:

1. Unprovoked or spontaneous pain.
2. Discoloration of the tooth.
3. Recurring pimple on the gums.
4. Pain when chewing or when pressure is applied.
5. Swelling of gum.

 

Tooth pulp may become damaged or diseased without presenting any symptoms. An x-ray is needed to diagnose it. A root canal therapy can be done by a dentist or an endodontist.It requires one or more office visits. An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the teeth’s dental pulp.

Root canal therapy is probably the most common treatment performed by an endodontist. The first step in root canal procedure is to take an x-ray  to determine if there are any signs of infection in the surrounding bone. Local anaesthesia will be used to numb the place by your endodontist. Since the nerve is dead, anaesthesia may not be needed. The endodontist anaesthesizes the area to make his patient more relaxed.

The next step is to keep the area dry and free of saliva  during treatment. A dental dam which is a thin sheet of rubber will be placed over the affected and adjacent teeth. The dental dam allows the root canal treatment to be carried out in a sterile environment .

An access hole will then be  drilled into the tooth, allowing access to the pulp chamber and root canals for treatment.The infected and dead pulp tissue is removed from the tooth with root canal files. Water or sodium hypochlorite is used periodically to flush away the debris. This process is not painful because  the area is numb and the tissue being removed is either dead or dying.

Once the tooth is perfectly  cleaned, it needs to be sealed. A rubber-like material called gutta percha is often used. Your dentist will close the opening in your tooth with a temporary filling, while you wait for the permanent crown. It is a thermoplastic material which is literally heated and then compressed into and against the walls of the root canals to seal them. It is very important to seal the canals to prevent them from becoming reinfected with bacteria.

The final step may involve further restoration of the tooth. Your tooth will require a permanent restoration,  a filling or a crown to replace lost tooth structure and act as a complete seal to the top of the tooth.

Maintaining a good oral hygiene should be compulsory. Visiting  your dentist  occasionally  to X-ray the treated tooth and to make sure that all signs of infection are gone  is needed. Avoid chewing on hard foods such as ice because it can cause teeth to break, and can harm root canals.

Getting A Wisdom Tooth Surgery in Singapore

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Our mouth goes through many changes and the appearance of third molar i.e. wisdom tooth is a major landmark that usually takes place between the ages of 17 and 21. The term wisdom teeth is used because they come through at a more mature age. Anthropologists believe that wisdom teeth were evolution’s response to our ancestors’ early diet of rough foods such as roots, nuts, and meats that require serious chewing power. They can be very useful to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal. The jawbone, adjacent teeth and nerves can be damaged by poor alignment of wisdom teeth.

Wisdom teeth can also be impacted. This means that they are implanted within the soft tissue or the jawbone or only partially rupture through the gum. Partially ruptured wisdom teeth can give bacteria a place to enter the gums and create a place for infections to occur. This may also lead to pain and swelling of the jaw. It is very easy for oral infections to enter the blood stream and affect the entire body.

Impacted wisdom teeth tend to develop cysts (pockets of fluid) around them, which can damage the tooth and neighboring tissues including bone.

Removal of Wisdom Teeth

 

 

The stage of development and the position of the wisdom tooth are factors that determine the ease at which a doctor or oral surgeon can extract them. A wisdom tooth that is fully erupted can be removed as easily as other teeth. However, incision into the gums and then removal of the portion of bone that lies over the tooth is required for wisdom tooth that is implanted in the jawbone.

During the procedure, one of these three types of anesthesia can be used and it’s dependent on the expected complexity of the wisdom tooth extraction. These anesthesias include:

1. Sedation anesthesia:

This is administered through an intravenous (IV) line in the arm. The patient won’t feel any pain and will have little memory of the procedure. The patient might sleep during the procedure and will also receive local anesthesia to numb the gum during the whole procedure.

2. Local anesthesia:

This anesthesia is administered near the site of the extraction. It numbs the gum. The patient remains sedated through the extraction of the tooth.

3. General anesthesia:

The patient will either get drugs through a vein or breathe gas in through a mask. The patient will be asleep the whole time and might not wake up for an hour or so after the surgery.

In the procedure, the doctor makes a cut in the gum to expose the tooth and the bone. He removes the bone that blocks the tooth, removes the tooth and cleans the site of the removed tooth of any debris from the tooth or bone. After cleaning the site then he’ll stitch the wounds so they heal quickly. To soak up blood he may also stuff gauze pads in the mouth of his patient.

After the procedure, the patient is taken to the recovery room if sedation anesthesia or general anesthesia was given.

Things that should be done after the extraction are:

  • Gently open and close your mouth to exercise your jaw.
  • Take the drugs prescribed by the doctor to reduce pain or swelling.
  • Eat soft foods.
  • Brushing should be started on the second day and avoid brushing against any blood clot
  • Visit the doctor if the pain or swelling doesn’t improve.

Things to avoid after extraction include:

  • Avoid eating hard, crunchy, or sticky foods that may scratch your wounds.
  • Avoid smoke. Smoking slows down healing.
  • Avoid drinking through a straw. Sucking may loosen blood clots.

Dental Pain Management

General medical practitioners are quickly called upon to manage acute dental pain in emergency situations, for example, domestically or in the rural areas, where it may not be possible for a dentist to provide immediate treatment. Common acute oral problems are usually easy to diagnose therefore simple management of the situation can reduce the pain and further discomforts until a dentist can be called upon. The history and examination can identify most of these problems. Several dental conditions have typical symptoms with different types of pain. Pain is a complex experience consisting of a specific sensation and the reactions evoked by that feeling.

The management of pain in dentistry encompasses some procedural issues, including the delivery of anesthetic and the management of post procedural pain, as well as pain diagnosis, management strategies for orofacial conditions that cause pain in the face and head, and the management of pain in special populations.

One of the vital qualities of a successful dental practice is appropriate pain management. However, there is a significant question on which drugs will be best for treating acute dental pain. If clinicians were to ask, patients might expect a prescription-strength pain medication (usually an opioid) following any dental procedure that involves potentially significant postoperative pain. Because patient satisfaction is the main concern for dentists, not prescribing an opioid pain medication could cause dissatisfaction among certain patients and lead to negative reviews.

Investigation Of Dental Pain
(history and examinations)

 

When investigating acute dental pain, the history should focus on the pains: location, type, frequency and duration, onset, exacerbation and remission (for example the response to heat or cold), severity, the area of radiation. Also, associated pathology and referred pain should also be considered.

In the examination of dental pain, there are key body parts that need to be scrutinized to be sure that the pain is of dental origin. The tongue, buccal mucosa, the floor of the mouth, hard palate, teeth and periodontal tissues, tonsils, temporomandibular joints, airway, ears, salivary glands and lymph nodes.

 

Some Tests That Assists In Diagnosis Of Dental Pain

 

  • Pulp sensitivity test: Dry ice is placed on the cervical third (neck region) of the tooth crown. A response to the stimulus indicates that the pulpal tissue is capable of transmitting nerve impulses. No response may indicate pulp necrosis.
  • Percussion test: Using an instrument handle, the tooth is tapped in the longitudinal axis. A painful reaction suggests possible periapical inflammation.
  • Mobility test: Holding a tooth firmly on the buccal (cheek) and lingual sides between the fingers enable mobility to be assessed. All teeth have a certain amount of mobility.
  • Palpation: Careful palpation around the area of concern may reveal tenderness and the type and extent of swelling.
  • Probing: Placing a fine, blunt probe gently into the gingival sulcus surrounding the tooth enables the health of the gingival tissues to be assessed. Bleeding and sulcus depths greater than 3-4 mm indicate gum disease.

 

Types Of Dental Pains

The different types of dental pains are: Dull, throbbing, persistent pain and Short, sharp, shooting pain.

What is Oral Surgery?

The concept, oral surgery is a wide one with lots of scopes. Oral surgery specializes in treating many diseases, injuries and defects in different parts of the body including the head, neck, face, jaws, then the hard and soft tissues of the oral (mouth) and maxillofacial region. Oral surgery is an internationally recognized surgical specialty.

In many countries, however, oral surgery is a dental specialty which focuses on the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects related to the functional and aesthetic aspects of the face.

Conditions that Require Oral Surgery

Now there are certain conditions which require oral surgery, and they include:

Impacted Teeth

Wisdom teeth are the last set of teeth to develop. More often, one or more of these wisdom teeth fail to erupt in proper alignment or fails to rupture through the gum line fully and becomes enclosed or “impacted” between the jawbone and the gum tissue. Other teeth can also be impacted so what an oral surgeon can do is to remove the impacted and damaged teeth.

Cleft Lip and Cleft Palate Repair

Cleft lip and cleft palate occur when all or portions of the mouth and nasal cavity do not grow together properly during foetal development. The result is an opening in the roof of the mouth. This can, however, be corrected through oral surgery. Oral surgeons work as part of a team of healthcare specialists for a successful surgery and correction.

Unequal Jaw

This happens when the upper and lower jaws fail to grow properly, and it happens to some persons. This can cause difficulty when speaking, eating, swallowing and breathing. Some of these problems like improper teeth alignment can be corrected with braces and other orthodontic appliances. More serious issues require oral surgery to move all or part of the upper jaw, lower jaw, or both into a new position which is more balanced, functional and healthy.

Facial Injury Repair

Fractured jaws and broken facial bones can be repaired through oral surgery. So you do not need to worry about those broken noses, oral surgery can get it right.

Sleep Apnea

If the dentist suspects that a patient has a sleep disorder, the patient will likely be referred to a sleep clinic for polysomnography, an overnight clinic test that monitors his or her sleep patterns. The patient will then be referred to an oral surgeon if the cause of the sleep disorder is sleep apnea which needs immediate surgery. Surgical procedures involve removing the soft tissues of the oropharynx or the lower jaw.

 

Specific factors must be considered when choosing an oral surgeon to avoid complications. These factors include:

Years of practice:

A patient wants to select and be referred to an oral surgeon who has built a successful practice through years of experience. The more oral surgery an oral surgeon has performed, the more experience and expertise he can offer.

Continued Learning

An excellent oral surgeon must have taken continuing education courses to keep him up-to-date on the latest procedures and technological advances in the field.