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General and Preventive Dentistry Pediatric Dentistry

Did you know this about your child’s milk teeth?

The most common myth about baby teeth is that, they need not be treated as they will fall off and will be replaced by permanent teeth! But the fact is that baby teeth are equally important as permanent teeth and require appropriate oral care. Let’s look at some of the primary reasons why your baby’s teeth should be tended to, and what is the Importance of Baby/Primary/Milk Teeth.

  1. Mastication (Chewing)

Function of baby teeth is to help in chewing food and to function till the eruption of permanent teeth. If proper oral hygiene is not maintained, allowing milk tooth to decay leads to pain, discomfort and abscess. Because of this children can resist eating, affecting their overall growth

  1. Smile and psychology

Children upwards of age 4years, are also esthetically concerned when it comes to the appearance of teeth. Thus any discoloration of teeth is likely affect them psychologically. Milk teeth are important to maintain child’s psycho-social well-being as well. Healthy baby teeth are an immense boost to a child’s self-confidence and self-esteem.

  1. Facial Development

Milk teeth are an important factor affecting normal growth of jaw bone and helps in molding shape to face. They help in appropriate development of adjacent structures thus allowing enough space for the permanent teeth to erupt. Either loss or extra primary tooth affect the occlusion of future permanent teeth indirectly affecting the facial profile of an individual.

  1. Prevention of abnormal growth

Milk teeth are space saver holding spaces! Lets look at another important issue which is the prevention of abnormal growth of teeth and how to maintain natural space for permanent teeth. When permanent teeth are developed enough, they can erupt into the oral cavity, where the milk teeth were holding space for permanent teeth. This prevents malocclusion. Premature removal of primary teeth because of decay or ill-maintained space may cause permanent teeth to erupt in improper positions. This results in crooked teeth, chewing difficulties, facial asymmetries, TMJ problems, and last and most important, decaying of teeth.

  1. Speech

Milk teeth help in the development of speech, especially front teeth. Certain sounds are produced when tongue contacts the upper front teeth and certain sounds are produced when tip of upper front teeth comes in contact with lower. In absence of front teeth children find difficult to pronounce sounds like “th” and “f”. Without healthy, properly-aligned teeth, the child may face problems of articulating words and clarity in speech.

  1. Prevention of fear of Dentist

As long as milk teeth are healthy no painful treatment is required to save tooth from decay. Once the tooth becomes badly infected, it leaves the dentist with only extraction or pulpectomy as an option which has to be done under local anesthesia. At this stage child will be more anxious due to painful and long procedures.

So, visit the dentist as soon as the first tooth comes in the oral cavity and build the habit of visiting the dentist once in every 6 months right from childhood.

It would doubtlessly help in avoiding and reducing not only dental problems but general growth-related problems as well. Healthy milk teeth can also lower the financial burden for parents in future for complicated procedures.

Our dentists are dedicated to providing exceptional oral healthcare so that the little ones’ dental appointments will be non-traumatic and stress-free. Our Pedodontists make sure the child is comforted and ready for treatment by communicating in a kind and compassionate manner.

Call us at +91-9141160212 to book an appointment with our Pediatric dentistry Specialist.

General and Preventive Dentistry

How Safe is a Dental Visit During Pregnancy?

Dental health is an important part of the prenatal care and its importance shoots up during pregnancy, but it is often not stressed enough. The way you care for your oral health is no exception because pregnancy comes with many responsibilities and needs special dental care.

Risk for oral health problems increases during pregnancy and the dental infections can soon spread to other parts of the body and affect your overall health.

Why is dental health important and how does it affect pregnancy?

Pregnancy increases the risk of certain dental health problems, so maintaining a good dental hygiene can help you have a healthy pregnancy and a healthy baby. Tooth decay and other related issues may lead to infections that could cause harm to the baby.

According to the findings of a new study, there is a link between periodontal disease and premature birth. Premature birth is the one that occurs early, well before 37 weeks of pregnancy. Dental issues can put your baby’s health at risk as pregnant women with gum disease are significantly more likely to go into early labor and deliver a premature baby who may have more health problems and complications than babies born through a full term.

The benefits of receiving oral healthcare during pregnancy far outweigh potential risks. During pregnancy, routine dental visits are necessary and safe.  It is also important to keep your dentist informed if there are any changes in the medications that you take or if you facing any dental issues such as swelling, bleeding or any infections.

How does pregnancy affect your dental health?

Pregnant women are more likely to suffer from dental problems because a lot of changes occur in the body which affects the overall health of the to-be-mother. Some of the common issues and their after-effects :

  • The type of food you eat while you are pregnant can affect your dental health. During pregnancy, your eating habits are likely to change as you may crave for a variety of foods and eat more of certain foods, much more frequently than you did before
  • Your gums may be sore and tender or you are more tired than usual due to nausea and other pregnancy related health issues so you may brush and floss your teeth less often than you did earlier on a regular basis
  • Hormonal levels such as estrogen and progesterone may increase in your body during pregnancy which in turn will increase your risk for certain oral health problems
  • Hormonal changes make your gums more prone to plaque and cause inflammation, swelling and bleeding of the gums which is known as pregnancy gingivitis which may lead to overgrowth of tissues on the gums and cause pregnancy tumors

What factors increase your risk for certain dental problems during pregnancy?

  • Increased acidity in the mouth: During pregnancy, if you have vomiting that is caused by morning sickness, your teeth get exposed more to stomach acids and gastric juices and that may harm the enamel of your teeth.
  • Cavities, tooth decay or caries: Being pregnant makes you more likely to have tooth decay and cavities. The bacteria that causes cavities may be passed on to your baby during pregnancy and after birth as well and this may cause serious dental problems for your baby’s teeth in their later stages of life.
  • Gingivitis: Gingivitis is the inflammation, redness and swelling of the gums and the pregnancy hormones increase your risk of having it. If left untreated, it may lead to serious gum diseases.
  • Loose teeth: The tissues and bones that keep your teeth intact may temporarily loosen due to high levels of hormonal changes that takes place in your body.
  • Periodontitis or gum disease: If gingivitis is not treated, it can lead to periodontal disease which causes serious infections in the gums that may lead to bone loss around teeth. Severe gum disease can occur because of smoking too. Periodontitis can lead to serious conditions like bacteria in the bloodstream which is known as bacteremia and that needs immediate medical attention and treatment.

How can you prevent dental problems during pregnancy?

  • Brush your teeth twice a day with fluoride toothpaste and a soft bristle toothbrush and also floss regularly as it helps in preventing any serious dental problems in future.
  • Reduce the food intake that is high in sugar content by choosing low-sugar foods and keeping a check on the food labels.
  • Choose vital dietary requirements and supplements rich in vitamin C, calcium and B12.
  • Visit the dentist regularly for a dental check-up and seek emergency dental care at any stage of pregnancy.

To know more about routine dental check-up that you may need as a mother-to-be, visit our dentist’s team at Credence Dental to ensure your safety and your unborn child’s safety.

Call us at +91-9141160212 to book an appointment with our Specialist Dentist

General and Preventive Dentistry

Is Teeth grinding and Jaw Clenching on Rise due to Coronavirus Stress?

What is Bruxism?

Do you grind or clench your teeth, suffer from jaw tension or facial pain?

Did you know you may be inadvertently damaging your teeth by grinding them?

Then this could be ‘Bruxism’, and we are sure most of you have never heard of this clinical term.

Bruxism, also known as teeth grinding or clenching is a condition in which you grind or clench your teeth or jaws excessively. Clenching your teeth and jaws puts tremendous pressure on the muscles, tissues, and structures around your jaw which can lead to temporomandibular joint problems (TMJ).

Bruxism occurs in both children and adults and transpires when the upper jaw rubs both sets of teeth together.

If you are suffering from this condition, and if you find yourself clenching your teeth unconsciously when you are awake, it is known as awake bruxism and if you clench or grind your teeth while you are sleeping, it is called sleep bruxism.

If you notice you grind your teeth occasionally, it usually does not cause any harm but when the teeth clenching and grinding occurs frequently on a regular basis, the teeth may encounter severe damage, and also there is a high possibility that other dental or oral health complications may arise.

Bruxism may be caused by stress, anxiety, an abnormal bite, crooked teeth, missing teeth, and other lifestyle factors. It’s important that we seek regular dental care to understand the signs and symptoms of bruxism so that it can be treated at an early stage.

The doctors have not been able to completely determine the causes of bruxism and hence the actual reason is unknown but they suspect it is due to the combination of physical, psychological, and genetic factors.

If your bruxism symptoms are mild, you may not need any treatment but if it’s frequent and severe, it can lead to jaw disorders, headaches, damaged teeth, and various other health problems.

Few of the common causes of bruxism are:

  • Stress, anxiety, tension, and depression: Stress or increased level of anxiety, anger, and frustration can lead to teeth grinding.
  • Age: Bruxism is quite common in young children and it usually goes away by adulthood.
  • Personality type: You may be at an increased risk of bruxism if you have an aggressive, competitive, or hyperactive personality.
  • Medications and other substances: At times, it can be an uncommon side effect of some psychiatric medications such as certain antidepressants.
  • Smoking and drinking: The risk of bruxism may also increase if you smoke tobacco, drink caffeinated beverages such as alcohol or have an addiction to recreational drugs.
  • Family history of bruxism: Sleep bruxism is usually a genetic condition. If you have this symptom, there are high chances that bruxism runs in your family and this disorder may exist among the other members of your family as well.
  • Other health disorders: Few medical disorders and mental health conditions such as Parkinson’s disease, dementia, gastroesophageal reflux disorder (GERD), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (ADHD) are also coupled with bruxism.

How to identify if you have bruxism?

Most people are completely unaware, whether they grind their teeth especially in cases where grinding often occurs while you are asleep. However, if you experience a dull, constant headache or sore jaw when you wake up, it is a telltale sign of bruxism. Bruxism during sleep is often a common occurrence and a bigger problem as it may go undetected for a longer period, sometimes years, as you may not even suspect you have it.

Why teeth grinding can be a harmful condition?

  • Chronic teeth grinding can result in a loose tooth, tooth fracture, or loss of teeth as it may wear teeth down to stumps.
  • It causes both short and long term headaches and other health disorders.
  • It can permanently damage one’s teeth as the enamel may get worn away.
  • Severe grindings may damage the teeth and it affects your jaws too. If left untreated, it can also cause or worsen temporomandibular joint disorder which can change the appearance of your face.

teethgrinding

 

 How to diagnose and care for bruxism?

  • Relieve stress as tension and anxiety can worsen the already existing condition. A warm bath or an exercise can help you relax as relaxing will ensure that the teeth grinding is reduced and decrease the risk of developing a chronic case of bruxism.
  • Practice good sleeping habits to relax your mind.
  • Avoid caffeine or any other stimulating substances in the evening.
  • Schedule regular dental visits and dental exams.

When to see a dentist or a dental doctor?

See a dentist if you:

  • Are concerned about your teeth or jaw and have any of the symptoms such as increased tooth pain, tooth sensitivity, locked jaw, or tight jaw muscles that won’t open or close completely.
  • When tooth wear leads to severe sensitivity or an inability to chew food properly.
  • Teeth grinding or clenching which seems loud enough to wake others up from sleep.
  • Have damaged, sensitive, or worn-down teeth.
  • Feel pain or soreness in the jaw, face, and ears.
  • Cannot open or close your jaw completely.
  • Have a dull headache starting in your temples.
  • Pain that feels more like an earache, though actually it is not related to your ears.

How can a dentist help with bruxism?

Diagnosis and treatment of Bruxism:

  • A dentist can help you to stop grinding your teeth by fitting you with a mouth guard to protect your teeth from grinding during sleep.
  • If you feel that stress is the major cause for you to grind your teeth, ask your dentist how to reduce or deal with your stress and anxiety issues. Starting an exercise routine or a program, attending stress counseling, seeing a physical therapist, or obtaining a prescription for muscle relaxants are some of the options available to cope up with stress.
Cosmetic Dentistry General and Preventive Dentistry Root Canal Treatment and Endodontics

3 Factors That Affect Your Root Canal Treatments’ Longevity

The Success of a Root Canal Treatment (RCT) depends on many factors but the result is crucially dependent on the elimination of root canal infection present before starting the treatment, and the prevention of contamination during treatment.  A successful root canal procedure must be performed with great precision and effective sealing of the roots should be fulfilled.

The longevity of the root canal treatment varies on multiple factors.

Firstly the diagnosis of the root canal problem should be error-free and the root canal procedure should be carried out with much care. Having said that the root canal procedure is conducted on an infected tooth, and is only is fair to say that this tooth is weaker than the rest of the healthy teeth.

One has to understand that to perform the RCT procedure, the endodontic specialist has to drill a hole into the crown of the decayed, infected tooth to clean the pulp. After space is cleaned and shaped, filling the root canal is very crucial. Filling of the root canal is done by using a rubber compound called gutta-percha to protect the teeth from micro-organisms. A temporary filling or crown is used to close the access hole on the crown of the operated tooth. Normally these filling or crowns are made of silver amalgam or composite resins.

The second factor that contributes towards the longevity of the RCT is the care after the root canal sittings. The fitting crown/cap on top of the root canal treated tooth is a must. Many patients neglect the importance of having the root canalled tooth fitted with a cap since the pain has subsided. The RCT-filled tooth, without the crown, has a high risk of fracture, which can be avoided by the fitting of the Crown/cap.

Once the RCT is completed, the after-care is extremely important in determining the life-span of the treatment. Proper care of the affected tooth (in addition to the other teeth) includes brushing, flossing, the right diet, and regular visits to the dentist are very important. Avoiding bad habits like chewing your nails or opening plastic packages with your teeth will also help your crown last longer.

In short, the 3 major considerations to determine the endurance of your RCT starts with the diagnosis. Cautious care for the tooth undergoing the treatment is important and is the second consideration. Once the treatment is completed, the after-care of the RCT is imperative! With these three steps in mind, unquestionably a tooth or teeth with well-treated root canal fillings and restorations will last for many years, if not a lifetime.

Book an appointment with our RCT experts today! Ensure the first step of your RCT is well-taken care of. Our team of endodontists ensures that you are well-aware of the RCT regime. We are with you along with all steps of your Root Canal Treatment and ensure you have complete after-care support.

Consult an RCT specialist to get your root canal treatment procedure for better oral health.

Call us at +91-9141160212 to book an appointment.

General and Preventive Dentistry Gum Care Wisdom Tooth Management and Oral Surgery

Wisdom Tooth Management

Overview 

Wisdom teeth are basically your last tooth or third molar located at the back of your mouth. These teeth can credit to the mouth when healthy and properly aligned, but more often, they are malaligned and don’t have room to grow properly and end up creating problems for your other teeth and require removal

Age of wisdom teeth eruption

They usually erupt into the mouth between 17 and 25 years of age. They can, however, erupt many years later.

Symptoms of wisdom teeth growing In

  1. Pain or bleeding gums.
  2. Red or swollen gums.
  3. Jaw pain or swelling.
  4. Bad breath or an unpleasant taste in the mouth.
  5. Difficulty opening the mouth
  6. Pain in-front of ears

 

Reasons for wisdom tooth extraction

Since wisdom teeth are the last tooth to enter your mouth, most often they grow at various angles, sometimes horizontally/Obliquely. So there will be no room for the wisdom tooth to come up, as the other adult teeth have already developed.

  • Pericoronitis: It is an inflammation of the gum tissue surrounding the partially erupted tooth. Pericoronitis usually affects the wisdom tooth, where gum tissue covering the partially erupted teeth is infected by the food entrapment.
  • They’re impacted. Because they are so far back in your mouth, they cannot come into the mouth normally. They can be trapped in your jawbone or gums and sometimes they impinge on the nerve below them causing pain. A wisdom tooth that doesn’t erupt can lead to the development of a cyst which can damage bone and gum tissue or even if they erupt, they can cause pressure on the tooth in front of them resulting in crowding of a front tooth. 
  • They come in at the wrong angle. Reduced space may cause wisdom teeth to come through at an angle. They may press against your other teeth causing root resorption of the adjacent tooth leading to pain. 
  • High risk of decay – Wisdom teeth is difficult to reach from brush to clean. Thus harbour bacteria to grow resulting in decay (involving wisdom tooth and sometimes adjacent tooth)
  • Can complicate with orthodontic treatments to straighten other teeth.

The right time for extraction

The sensation of a tooth pushing through the gums can be painful. When there is space for the wisdom tooth to arrive, the pain will reside on its own after the complete eruption of the tooth. But if the pain persists or swelling, pus discharge is noticed contact your dentist.

 

Procedure

If a wisdom tooth is cavitated and completely erupted into your mouth, it can be grasped by extraction forceps, the tooth can be removed in a conservative approach. But if the tooth is impacted that is causing pain or other dental problems are usually surgically removed. 

Extraction is almost always done as an outpatient procedure, so you will go home the same day. The process includes:

  • Sedation or anaesthesia. You may have local anaesthesia, which numbs your mouth on the operating side only. Sedation anaesthesia doesn’t make you unconscious, it is given to relieve pain during the procedure. 
  • Tooth removal. During an extraction, your dentist or oral surgeon makes an incision/cut in your gums and removes any bone that blocks access to the impacted tooth root. After removing the tooth, the dentist or oral surgeon typically closes the wound with stitches and packs the empty space (socket) with gauze.

Procedure impact

Since local anaesthesia is given during the procedure, you will not feel the pain while extracting the tooth. You are advised to have prescribed antibiotics and painkillers given by the dentist to be taken after the extraction before the power of anaesthesia wears off. 

After tooth extraction

It is normal that wisdom tooth extractions may cause some pain and bleed even swelling of the site or jaw. Temporarily, some people have trouble opening their mouth wide due to swelling of the jaw muscles. You will be advised to follow instructions namely taking pain medication and using cold compresses to reduce swelling to care for wounds and managing pain and swelling.

Non-extraction teeth impacts

Wisdom teeth can be retained as long as teeth asymptomatic (pain-free). But as and when the pain persists for a longer duration or cavity has begun, always better to get the tooth removed. 

Care for a wisdom tooth that has already there in the mouth

It is crucial to maintain oral hygiene area near the wisdom tooth as it is difficult to reach from the toothbrush. Brush your teeth daily and make sure your brush reaching the last tooth. Visit your dentist once in six months to make sure all your teeth are healthy.

Call us at +91-9141160212 to book an appointment.