Dental Treatments

Teeth Implant

What are Teeth/ Dental Implants?

Dental implants are attached with dentures, crowns or bridges to replace any missing teeth. A dental implant is a metal rod that has an internal screw which is used to hold the false tooth in place. The implant is usually made of titanium, as it has proven to be the safest as of yet. One implant can usually support 1-2 missing teeth, to replace your full mouth of teeth; approximately six implants are needed on the lower and upper part of the mouth.

Consult your dentist to find out if you are a candidate for the procedure.

Dental Implant Procedure –What happens during the surgery?

When going during the surgery you will be given an anaesthetic, when the anaesthetic has taken effect the surgeon will begin the procedure.

First, the dentist will make a cut in your gum and drill a hole into your jawbone. This hole is where your implant will be inserted. After healing, (which can be up to several weeks or even months depending on your body) the implant will be inserted, and then false teeth.

Depending on your choice, you can either get teeth attach permanently or attach in a way that allows you to remove them for cleaning. These teeth act as natural teeth that fit in your mouth comfortably and match the colour with rest of your teeth.

Improved appearance –Dental implants are made to look and feel like your own teeth, they are designed to fuse with bone, this way they slowly act as permanent. Improved speech –Dentures might cause slipping of words, murmurs or speech deficiencies, by adapting to teeth implants you can speak without worrying about your teeth slipping out  Improved comfort – Because they become part of you, implants eliminate the discomfort of removable dentures.

Easier eating –Sliding dentures can make chewing difficult. Dental implants function like your own teeth, which allow you to eat comfortably. Further you don't have to worry about removing any dentures after eating, this can reduce the amount of pain and discomfort when eating around other people Improved self-esteem –Dental implants can enhance your smile and help you feel better about yourself.

Improved oral health –Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health.

Individual implants also allow easier access between teeth, improving oral hygiene. Durability –If you maintain your teeth and follow the guidelines of your dentist, your teeth implants can last you a very long time, they can even last you a lifetime if taken care appropriately Convenience –You no longer have to worry about slipping away to a corner and removing your dentures, implants do not have to be removed as they act as natural teeth.

Post Treatment Advice

Teeth Whitening

Teeth whitening as the name implies is the treatment leads to whiter teeth and bright natural smile. The aim of teeth whitening treatment is have a natural white teeth  a little brighter in color than the sclera of the eyes. Teeth whitening do not fit everyone. And it is not recommended to use in the following cases:

1. Age less than 16 years:  it is not recommended for ages under 16 years  because the nerve is usually large and close in the  young and therefore bleach solutions can affect the health of the nerve or lead to its  sensitivity.

2. During pregnancy or breastfeeding: teeth whitening is not recommended during pregnancy or lactation.

3. Sensitive Tooth: bleach usually increases the sensitivity of the teeth, and its use may aggravate  the problem.

4. Infections or gum disease.

5. The presence of fillings, crowns or bridges: whitening cannot bleach fillings, crowns or bridges. So the whitening  will bleach natural teeth and creates a type of heterogeneity. And in case you are interested in whitening . bleach must be done first, and then wait at least two weeks to take the teeth color, and then the doctor put the filling or crown.

6. High discoloration of  teeth: whitening works well on  bleaching yellow teeth, the teeth that tends to be  brown in color be bleached harder while the  dark gray or violet color teeth cannot be bleached well  or could not be whitened at all.  In such cases fillings or crowns are used as an option . Your dentist is the only one who can give you the best choices.

7. Unrealistic Expectations:  teeth whitening teeth lead to beautiful looking in the vast majority of patients. But there is a percentage of people do not respond to this process such as  smokers who should know that the results will be not encouraging  unless they stop smoking, especially during the bleaching process. Teeth Whitening Systems? With all types of bleach results will vary from one person to another, and degree of success of bleach rely on the condition of  dental health, the type and degree of yellowing teeth, the type and concentration of the solution used in bleach, time used, and follow the patient instructions, and whitening system used .

Dental Issues

Tooth Sensitivity

Tooth sensitivity is a state of discomfort or pain that afflicts one tooth or set of teeth when eating food or drinks hot or cold, sugary or sour or even when breathing cold air through the mouth. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth.

 

What Causes Sensitive Teeth?

 

Sensitive teeth occur when the underlying layer of your teeth -- the dentin -- becomes exposed as a result of receding gum tissue (the protective blanket that covers the tooth roots). The roots, which are not covered by hard enamel, contain thousands of tiny tubules leading to the tooth's nerve center (the pulp). These dentinal tubules (or channels) allow the stimuli -- for example, the hot, cold, or sweet food -- to reach the nerve in your tooth, which results in the pain you feel.

 

There are many factors that may lead to sensitive teeth, including:

 

  • Brushing too hard. Over time, brushing too hard or using a hard-bristled toothbrush can wear down enamel and cause the dentin to be exposed. It can also cause recession of the gums (the gum tissue pulls away from the teeth).
  • Use of whitening products

 

To Reduce Tooth Sensitivity?

 

Some steps you can take to prevent tooth sensitivity include:

  • Maintain good oral hygiene. Continue to follow proper brushing and flossing techniques to thoroughly clean all parts of your teeth and mouth.
  • Use a soft bristled toothbrush. This will result in less toothbrush abrasion to the tooth surface and less irritation to your gums. Brush gently and carefully around the gum line so you do not remove more gum tissue.
  • Use desensitizing toothpaste. There are several brands of toothpaste available for sensitive teeth. With regular use you should notice a decrease in sensitivity. You may need to try several different brands to find the product that works best for you. Another tip. spread a thin layer of the toothpaste on the exposed tooth roots with your finger or a Q-tip before you go to bed. Do not use a tartar control toothpaste; rather, use a fluoridated toothpaste.

Tooth Ache

What are the causes of acute toothache ?

1. Pain when eating food or drinks cold or hot or sugary :


- This pain  results  of a cavity  in the tooth  because of cares . Food or drinks enter into the tooth and the stimulates the  nerve supply , causing pain. In the early days pain lasts a few seconds to a minute.
- treatment of this case is to put a dental filling to close the cavity.

2. Severe pain without any cause or acute  pain during sleep:


- This pain is due to the attack of cares to the nerve.
- you may get rid of this pain by  following one of two the following options : treatment of the nerve or extraction of the tooth . Treatment depends on the extent of dental cares . If it  is widespread and has damaged  a large portion of the tooth structure , then the  solution is to extract  the tooth. If  the tooth is  restorable  then the best way is root canal  treatment  .

3. Acute  pain when chewing (  on occlusion of  teeth ) :
- pain may be caused of :
1. A fracture of a tooth or tooth root.
2. Acute inflammation at the root of the tooth.
-  pain may be relieved by : either root canal treatment  or extraction of tooth.

4. Severe pain when brushing teeth:
- With the deteriorating of the health condition of the gums due to negligence or because of age, the gum recedes  revealing the  sensitive teeth roots. Touching brush to these roots or touching the inflamed gums will cause tooth ache .
- If the pain is a result of gum disease  , then treatment begins  by cleaning it at the dentist and follow his instructions.  But If the pain is due to a contact of the rush  to the sensitive tooth roots , then  the use of special toothpaste for sensitive teeth for a week at least is enough to solve the problem. See your dentist to find out the best toothpaste for your condition.

Tooth abscess

Tooth abscess is a painful infection at the root of a tooth or between the gum and a tooth. It's most commonly caused by severe tooth decay.

 

What are the Symptoms of an Abscessed Tooth?

 

toothache that is severe and continuous and results in gnawing or throbbing pain or sharp or shooting pain are common symptoms of an abscessed tooth. Other symptoms may include:

  • Swelling and redness of the gum
  • Fever
  • Pain when chewing
  • Sensitivity of the teeth to hot or cold
  • Bitter taste in the mouth
  • Foul smell to the breath
  • Swollen neck glands
  • General discomfort, uneasiness, or ill feeling
  • Swollen area of the upper or lower jaw
  • An open, draining sore on the side of the gum

 

Treatment of  an Abscessed tooth  ?

Strategies to eliminate the infection, preserve the tooth, and prevent complications are the goals of treatment for an abscessed tooth.

To eliminate infection, the abscess may need to be drained. Achieving drainage may be done through the tooth by a procedure known as a root canal. Root canal surgery may also be recommended to remove any diseased root tissue after the infection has subsided. Then, a crown may be placed over the tooth.

The tooth may also be extracted, allowing drainage through the socket.

Finally, a third way to drain the abscess would be by incision into the swollen gum tissue

TMJ ( Temporomandibular Joint Disorders )

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head. This pain is resulted of  Grinding or clenching the teeth, which puts a lot of pressure on the TMJ: *Dislocation of the soft cushion or disc between the ball and socket * Presence of osteoarthritis or rheumatoid arthritis in the TMJ * Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth People with TMD can experience severe pain and discomfort that can be temporary or last for many years. More women than men experience TMD, and TMD is seen most commonly in people between the ages of 20 and 40 Common symptoms of TMD include: *Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide *Limited ability to open the mouth very wide *Jaws that get "stuck" or "lock" in the open- or closed-mouth position *Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth (which may or may not be accompanied by pain) or chewing *A tired feeling in the face *Difficulty chewing or a sudden uncomfortable bite – as if the upper and lower teeth are not fitting together properly *Swelling on the side of the face May occur on one or both sides of the face *Other common symptoms of TMD include toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus) How Is TMD Diagnosed? Because many other conditions can cause similar symptoms to TMD – including a toothache, sinus problems, arthritis, or gum disease – your dentist will conduct a careful patient history and physical examination to determine the cause of your symptoms. *Your dentist will examine your temporomandibular joints for pain or tenderness; * listen for clicking, popping, *or grating sounds during jaw movement; *look for limited motion or locking of the jaw while opening or closing the mouth; *and examine bite and facial muscle function. *Sometimes panoramic X-rays will be taken. These full face X-rays allow your dentist to view the entire jaws, temporomandibular joint, and teeth to make sure other problems aren't causing the TMD symptoms. Sometimes, other imaging tests, such as magnetic resonance imaging (MRI) or a computer tomography (CT), are needed. -The MRI views the soft tissue such as the TMJ disc to see if it is in the proper position as the jaw moves. -A CT scan helps view the bony detail of the joint Your dentist may decide to send you to an oral surgeon (also called an oral and maxillofacial surgeon) for further care and treatment. This oral health care professional specializes in surgical procedures in and about the entire face, mouth, and jaw area. What Treatments Are Available for TMD? Treatments for TMD range from simple self-care practices and conservative treatments to injections and surgery. Most experts agree that treatment should begin with conservative, nonsurgical therapies first, with surgery left as the last resort. Many of the treatments listed below often work best when used in combination Basic Treatments for TMD Some basic, conservative treatments for TMD include: *Apply moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple stretching exercises for your jaw (as instructed by your dentist or physical therapist). After exercising, apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day. Eat soft foods. Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans, and grains. In addition, cut foods into small pieces to decrease the amount of chewing required. Avoid hard and crunchy foods (like hard rolls, pretzels, raw carrots), chewy foods (like caramels and taffy) and thick and large foods that require your mouth to open wide to fit Take medications. To relieve muscle pain and swelling, try nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen or ibuprofen (Advil, Motrin, Aleve). Your dentist can prescribe higher doses of these or other drugs for pain relief. Muscle relaxants, especially for people who grind or clench their teeth, can help relax tight jaw muscles. Anti-anxiety medications can help relieve stress that is sometimes thought to aggravate TMD. Antidepressants, when used in low doses, can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only. Low-level laser therapy. This is used to reduce the pain and inflammation, as well as increase range of motion to the neck and in opening the mouth. Wear a splint or night guard. Splints and night guards are plastic mouthpieces that fit over the upper and lower teeth. They prevent the upper and lower teeth from coming together, lessening the effects of clenching or grinding the teeth. They also correct the bite by positioning the teeth in their most correct and least traumatic position. The main difference between splints and night guards is that night guards are only worn at night and splints are worn all the time. Your dentist will discuss with you what type of mouth guard appliance you may need. Undergo corrective dental treatments. Corrective treatments including replacing missing teeth and using crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem. Avoid extreme jaw movements. Keep yawning and chewing (especially gum or ice) to a minimum and avoid extreme jaw movements such as yelling or singing. Don't rest your chin on your hand or hold the telephone between your shoulder and ear. Practice good posture to reduce neck and facial pain. Keep your teeth slightly apart as often as you can to relieve pressure on the jaw. To control clenching or grinding during the day, place your tongue between your teeth. Learning relaxation techniques to help control muscle tension in the jaw. Ask your dentist about the need for physical therapy or massage. Consider stress reduction therapy, including biofeedback.

Cleft lip

Cleft lip ( cheiloschisis): a split  in the upper lip appears as openings  or gaps on the external surface of the lip . This split  often extends up to the upper gum or beyond the  nose involving the bones of the upper jaw Cleft palate (palatoschisis ): It is a fissure  in the roof of the mouth. This split may affect the hard palate (which is the anterior part of the roof of the mouth), or the soft palate (the posterior part of the roof of the mouth The reasons for the emergence of cleft lip: Genetic factors: Most scientists believe that the causes of cleft lip and/or cleft palate refers to  a group of genetic and environmental factors. Therefore, the risk of occurrence of these malformations happens in a newborn if a sibling, parent, or relative has had the problem. Medications: Another potential cause of the lip and palate malformations may be related to a medication a mother may have taken during her pregnancy and have side effects on the fetus . Among them: anti-seizure/anticonvulsant drugs, cardiovascular drugs , acne drugs containing Accutane, and methotrexate, a drug commonly used for treating cancer, arthritis, and psoriasis viral diseases: Cleft lip and cleft palate may also occur as a result of exposure of the mother during embryonic development to viruses or harmful chemicals .Orthodontics or other types of treatments offered by dentists. Orthodontics or other types of treatments offered by dental ? cosmetic surgeon: doing the necessary surgery to reshape the lip or lip and palate Beauty mutilated. specialist ear, nose and throat: to detect any problems facing the hearing and reach a treat Specialist Oral and Maxillofacial: for the restructuring of the upper jaw or building when needed , and to improve the function and appearance, and repair deformities gums Orthodontist: The process of settlement and Orthodontics that needs so. dentist: The provision of necessary medical care. pronunciation Specialist: To the test over a child 's ability to speak and eat. And for the follow - up to enhance a child 's exits characters. Audio Specialist: The treatment of communication disorders in child injured as a result of hearing impairment. And the follow - up to the evolution of hearing when the infected child. a social worker: The provision of the necessary support for the child 's family and provide any solutions to or assistance benefit them all. Do the children suffering from cleft lip and/or cleft palate need the care of a dentist ? "Generally, the preventive and restorative dental care needs of children with clefts are the same as for other children. However, children with cleft lip and cleft palate may have special problems require close monitoring and high dental care as: - Missing teeth. - Malformed, or incomplete. - Malposition of teeth. " "Early dental care ( in the initial stages of disease )  Like other children, children born with cleft lip and cleft palate require: proper cleaning, - Good nutrition" "Fluoride treatment in order to have healthy teeth. Appropriate cleaning with a small, soft-bristled toothbrush should begin as soon as teeth erupt. If a soft children's toothbrush will not adequately clean the teeth because of the modified shape of the mouth and teeth, a toothette may be recommended by your dentist. A toothette is a soft, mouthwash-containing sponge on a handle that's used to swab teeth. Many dentists recommend that the first dental visit be scheduled at about 1 year of age or even earlier if there are special dental problems. Routine dental care can begin around 3 years of age. " Orthodontic care. A first orthodontic appointment may be scheduled before the child has any teeth. The purpose of this appointment is to assess facial growth, especially jaw development. After teeth erupt, an orthodontist can further assess a child's short and long-term dental needs. After the permanent teeth erupt, orthodontic treatment can be applied to align the teeth. Prosthodontic care. A prosthodontist is a member of the cleft palate team. He may make a dental bridge to replace missing teeth or make special appliances called "speech bulbs" or "palatal lifts" to help close the nose from the mouth so that speech sounds more normal. The prosthodontist coordinates treatment with the oral or plastic surgeon and with the speech pathologist to provide the required care

Overlapping Teeth

There are many reasons that lead to malocclusion, , twisting, or overlapping teeth. Some people have large teeth relative to the size of their mouths, causing crowding teeth due to the lack of sufficient space to accommodate the teeth.

In other cases we find in some people that the size of the upper jaw is different from the size of the lower jaw , creating the emergence of a deformed jaws.

What causes the teeth crowding ?

Most cases of crowded teeth and the emergence of one or both jaws together are hereditary cases, as is the case when you inherit the color of your eyes from one of your family members or when you inherit the size of your hand. the loss of some teeth at an early stage of the child's age or an adult may be among the reasons leading to the exposure to the teeth to crowding and inconsistent bite.

• Error in conducting a dental restoration (for example: filling or crown)

• The jaw is not wide enough to accommodate all the erupting teeth .

• Gingivitis.

• Overpressure on the teeth and gums.

• Severe facial injuries may be a factor in unconscious bite case .

• Tumors of the mouth and jaw.

• The practice of some habits that are harmful to the health of the mouth and teeth and suffered by children PHC thumb, push the tongue, continuation of the child to use the pacifier or a bottle of milk even after the age of three What are the health problems that result from teeth crowding and inconsistent bite? The resulting damages

• Impede the process of proper chewing.

• The difficulty of maintaining a clean teeth which increases the risk of tooth decay, infections or gum disease.

• Stress teeth and jaw and mouth muscles which increases the risk of fracture or broken teeth.

• Dissatisfaction smile and negative effects of this feeling on a person's self-confidence.

How do I know of my crowded teeth and inconsistency jaws?

Your dentist can detect the case of crowded teeth and malocclusion by conducting some medical examination to mouth, jaw, and external appearance of your face. Another indicator that your doctor look for:

• inconsistency teeth.

• abnormal facial appearance (especially at mouth area).

• Difficulty in chewing or biting.

• Difficulty speaking and Lisp.

The dentist usually refer you to an orthodontist (a competent diagnosis and treatment of teeth and inconsistent jaws.

What tests will be conducted by the Orthodontist?

X-ray: help to provide information on the location of the teeth and their roots under the gum, as well as the emergence of any teeth above the gum. it also shows the overall relationship between the teeth and jaws and between the jaws and head. Face photos: needs Orthodontist for these photographs for further tests related to the relationship of the teeth and jaw and head.

Tooth impression: when your dentist ask you to bite down on the material used to make the impression .

What are the methods of treating teeth crowding and inconsistent jaws?

After the diagnosis, the orthodontist will be able to determine the best method of treatment for you. your orthodontist may recommend various treatments, which can include:

braces to correct the position of the teeth removal of teeth to correct overcrowding reshaping, bonding, or capping teeth

Dental Hygiene

Bleeding Gums

Many of our visitors often indicate that their gums bleed when brushing teeth or when eating. I want to start saying that healthy gums do not bleed. There are multiple causes leading to bleeding gums, but the most common cause is a bacterial infection.



What relationship between bacteria and bleeding gums?
 


bleeding gums resulted when you do not follow the dentist instructions of dental care and hygiene .

 Or , due to Gingivitis , and the presence  of  plaque

• taking  certain drugs "as a heart disease and blood pressure medicines ."
• Lack of vitamin C.
• disturbance in hormones during adolescence or during pregnancy.
• fixing a tight dentures.

 


How serious bleeding gums?


Bleeding gums is a message from your gums to you. Telling you that your  bleeding gums need to care and cleaning. Your negligence of this letter may lead to increasing the problem of bleeding and the occurrence of complications . you may use a wrong  tooth brushing method . dentists advise teeth brushing for at least two minutes. But often the problem of bleeding gums continue even after brushing teeth properly for several days. This occurs because of the inability of toothbrush bristles to reach accumulated plaque in the areas between the teeth. So the  radical solution to the problem of bleeding gums is the  teeth cleaning by a dentist .

Dentist can ideally remove plaque and put an end for bleeding gums.

How can I avoid bleeding gums?


Key steps: 

• Brush your teeth using a soft toothbrush after every meal.
• Use floss  once a day at least.
• Visit your dentist every six months at least to remove the plaque, which are difficult to access with a brush.
• rinse with warm water and salt.
• Avoid eating between the three main meals.
• Avoid eating foods high in carbohydrates to prevent the formation of plaque on the teeth.
• Eat foods of high  fiber content such as "apples, carrots, brown bread."
 

 

Additional steps to reduce bleeding gums:

• Avoid smoking.
• If
 your denture is tight (go  to the dentist immediately to solve  this problem.
• Avoid aspirin (unless under your physician advise).
• If you have a deficiency in vitamins (take Multivitamins once daily).

 

What is the benefit of eating high-fiber foods?


Eat high-fiber foods help to strengthen the gum tissue. Chewing fiber leads to generate moderate pressure which increases the activity of blood circulation in the gums, leading to more robust and resilient gums, gums in  this aspect  are similar to  body muscles requiring persistent  activation. On the other hand , neglect or lack of muscles exercise lead to weakness and atrophy , as well as the case of the gums . Eating soft foods frequently (such as hamburgers, French fries) leads to weakness and atrophy gum tissue, which minimizes  their ability to resist the attack of bacterial . It is worth mentioning that eating solid foods  as ice or  chicken bones or  opening  bottle caps or cracking nuts lead to tremendous pressure on the gums, leading to their tear and damage , and thus to its weakness, just as is the case with the muscles of the body .  high burden on muscles  lead to their tear and weakness . 

Oral Cancer

oral cancer includes benign and malignant tumors that affect the mouth and lips (often lower lip) and salivary glands. The men are more prone to oral cancer  than women, and often affects those  over forty. The smoking and the consumption of alcohol are the most important factors for oral cancer. As is the case for all types of cancers, the early detection of oral cancer in its early stages greatly assist in providing greater opportunities for the success of the treatment. Hence the importance of visiting  the dentist regularly to detect the disease in its initial stages, and to start treatment  before further bad developments .



The importance of early detection of the disease:


visit the dentist regularly gives the opportunity to early detection of the  disease before it spreads. The dentist will examine the neck of the patient and his mouth tissues, looking for tumors, ulcers, red or white patches.  the diagnosis of changes in the various tissues of the mouth may lead to discovery of oral cancer in its early stages and thus treated successfully. Otherwise , late discovery  of oral cancer may cause , the malignant tumors to grow deep in the tissues of the mouth, and then spread to reach the lymph nodes in the head and neck, which makes the situation more complicated.

Since the early detection of the disease is  of great  importance, it is very necessary to visit the dentist when you notice any change in the mouth or when infection in one of the following symptoms:

• oral sores or continuing infections that causes bleeding , especially those which are not  easily healed .
• change in the color of the tissues of the mouth, for example  the color may change  to red or white.
• pain , weakness or numbness  in different parts of the mouth or lips.
• sudden  weakness in the teeth.
• The presence of tumors, thickening, rough spots,  or corroded parts inside the mouth.
• Difficulty in chewing, swallowing, speaking or moving the jaw or tongue.
• change the consistency of the teeth with each other on each of the jaws when the mouth is closed completely.

 

What are the ways to prevent  oral cancer:

 

Quit Smoking: Smoking is one of the key factors for oral cancer , especially if accompanied by excessive alcohol intake. In fact, is this excessive intake of alcohol along with smoking the leading cause of injury approximately 75 % of patients with cancers of the mouth of the population of the United States of America .

Practice healthy habits: more than some lifestyles in addition to various environmental factors of risk of mouth cancer . For example:

  • Eating tobacco products : It may lead to cancer of the mouth.
  • Exposure to the sun for long periods continuously : It may lead to cancer of the lips .
  • work in factories or ports.


Nutrition: Recent studies suggest that eating sufficient amounts of fresh fruits and vegetables can help prevent injuries mouth turned into a deadly cancer cells . As vitamins increase the body 's immunity and therefore increase your immunity to all diseases in addition to cancer.

Mouth Spots (Oral thrush)

Mouth Spots often appear for adults who are suffering from an abnormality in the immune system, and may be the condition of the early indicators of HIV infection.

 

What are the causes of Mouth Spots (Oral thrush)?
 

  • Friction surfaces of sharp teeth, fillings, crowns, or....etc

  • All kinds of smoking, and eating tobacco products.

  • exposing the lips to the sun.

  • oral cancer but it is rare.

  • herpes virus or AIDS.

 

What are the symptoms of oral thrush?

  • White, cream-coloured, or yellow spots in the mouth. The spots are slightly raised. There is normally no pain in the area underneath the spots. If you scrape off these spots, they leave small wounds that bleed slightly.
  • Over the coming weeks and perhaps months, these spots become thick, prominent, and eventually becomes coarsely membrane and harsh.

  • Usually appearance of these spots do not follewed by any pain, but it may be sensitive when touching it, exposed to heat, when eating foods marinated or when exposed to any other reasons irritating them in the mouth.

 

 

 How does the doctor diagnose oral thrush? 

 

Dentist can be suspected being infected with the mouth spots by conducting some tests, but it is advisable to eradicate the living tissue of the mouth, for study and examination to exclude any of other diseases that oral spots could be one of its health complications.

 

How is oral thrush treated?

 

The way of treating oral spotted depends on removing the causes, for example:
 
If smoking is the cause, then you should reduce or quit smoking or using of any tobacco products.
Spots are often the mouth is harmless and is not cured within several weeks or months after they have been treated in an appropriate manner. And may resort your doctor to Akhaddaek the surgery to remove stains the mouth in case of failure of other treatment methods to remove. And being this surgery dentist or surgeon's mouth where the specialist in the case of local anesthesia

Plaque and Tartar

Plaque is a sticky non colored mix of bacteria , remains  of food and the substances they secrete. This plaque causes dental cares , infections and gum disease . If left alone, plaque buildup also gradually hardens, creating tartar or calculus on your teeth.

 

Causes of plaque and why considered as a health problem ?

 

This plaque is formed when the food remnants containing carbohydrates , like gaseous beverages , cake , sweets etc  repeatedly on the teeth . the bacteria lives on these food . The bacteria in tooth plaque are free to release acids that damage tooth enamel. Regular acid assaults on enamel can wear holes in teeth, commonly called cavities.

 “Tartar is petrified plaque, Once it’s there, you need a dentist’s help ... tartar can’t be brushed off.” Tartar above the gum line also contributes to gingivitis, which is gum disease.and consequent jaw bones damage .

 

How to avoid plaque ??

 

  • Brush your teeth gently twice a day, using a fluoride-containing toothpaste. The exact technique isn’t as important as concentrating to make sure you’re softly brushing all the surfaces of your teeth.

 

  • Flossing Each Day. Brushing doesn’t reach the spaces between teeth, but plaque does. A simple daily flossing between teeth clears away plaque before it can cause damage. Flossing also cleans plaque at the gum line. If left alone, plaque below the gum line can lead to periodontal disease.

 

  • Visit your dentist or oral hygienist and dentist once every six months to ensure the cleanliness and safety of your teeth.

 

  • Consult your doctor the appropriateness of protective surfaces premolar - sealant - you.  A  cover layer of plastic coated surfaces of the teeth chewing to protect them from decay.

 

  • Eating balanced meals and try to minimize the snacks that may be dealt with between the main meals. If you need to eat one of these snacks, you should choose healthy meals and nutritious, such as: skimmed yougert, cheese, fruit or fresh vegetables, such as apple, where he works to remove residue and food particles from the mouth as it helps saliva in the mouth on the formula acids resulting from plaque and thus mitigate the harm.

Teeth Discoloration

There are several causes of tooth discoloration, including:

 

- Foods/drinks like:

  • Coffee,
  • tea,
  • colas,
  • wines,

- Tobacco use. Smoking or chewing tobacco can stain teeth.

- Poor dental hygiene. Inadequate brushing and flossing to remove plaque and stain-producing substances like coffee and tobacco can cause tooth discoloration.

- Disease. Several diseases that affect enamel (the hard surface of the teeth) and dentin (the underlying material under enamel) can lead to tooth discoloration. Treatments for certain conditions can also affect tooth color. For example, head and neck radiation and chemotherapy can cause teeth discoloration. In addition, certain infections in pregnant mothers can cause tooth discoloration in the infant by affecting enamel development.

- Medications. The antibiotics tetracycline and doxycycline are known to discolor teeth when given to children whose teeth are still developing (before the age of 8). Mouth rinses and washes containing chlorhexidine and cetylpyridinium chloride can also stain teeth. Antihistamines (like Benadryl), antipsychotic drugs, and drugs for high blood pressure also cause teeth discoloration.

- Dental materials. Some of the materials used in dentistry, such as amalgam restorations, especially silver sulfide-containing materials, can cast a gray-black color to teeth.

- Advancing age. As you age, the outer layer of enamel on your teeth gets worn away revealing the natural yellow color of dentin.

- Genetics. Some people have naturally brighter or thicker enamel than others.

- Environment. Excessive fluoride either from environmental sources (naturally high fluoride levels in water) or from excessive use (fluoride applications, rinses, toothpaste, and fluoride supplements taken by mouth) can cause teeth discoloration.

- Trauma. For example, damage from a fall can disturb enamel formation in young children whose teeth are still developing. Trauma can also cause discoloration to adult teeth

Visiting the dentist

Visiting the dentist aims  to maintain  healthy teeth and bright smile for life. It is very important to choose a dentist that you trust and feel comfort and peace. during your first visit the dentist will ask for  full information about your health. And then listen to the main reason for coming to the dental clinic. The doctor then examine your case and explain the needs of your teeth and put your treatment plan. Dental plans include:

• address the main reason for visiting the dentist (dental pain , cosmetic dentistry, cleaning or teeth whitening).
• address other problems in the mouth before they aggravate  (such as removing decay before it reaches the nerve or extracting the tooth  before it causes significant inflammation, etc.)
• preventive measures to avoid problems and pains (teeth cleaning and preventive fillings).
• explaining how to maintain and care of teeth and gums (as explaining  the correct way of brushing teeth, flossing)

How can the dentist help me to maintain my teeth health ?

• Full Cleanliness..

 

One of  the objectives of your visits to your dentist regularly is brushing your teeth fully, either done by the dentist or his deputy  the specialist of oral and dental health. The oral and dental health specialist will to remove plaque and tartar accumulated under the  gums, which may cause  gum disease and tooth decay and bad breath and other health problems. It also includes the cleaning process to refine and polish your teeth.


• integrated medical examinations..


During your visit your doctor will conduct  comprehensive medical examinations for your teeth and gums and mouth. He aims  to maintain your teeth and mouth health care  , and help you to avoid aggravating any health problem affecting your teeth by examining and treating it   in its early stages.


• X-ray ..


the use of X-rays depends on your age, the extent of the disease  and its  symptoms. The  X-ray helps your doctor in the detection of oral and dental diseases that cannot be seen by visual examination only  (such as the depth of tooth decay, damage to the jawbones, teeth penetration between the jaw bones and other teeth, tooth abscess, any tumors affect the mouth or jaws).

in the modern dental clinics you will find X-ray machines that do not produce  any significant amounts of radiation - compared to those emitted from the sun or the television. You have to wear a visor lead to protect yourself from any side effects may affect  you as a result of your exposure to x-rays.

In the case of pregnant women visit to the dentist, they must inform the dentist of their pregnancy , which shall be considered when  using  X-rays except in cases of extreme necessity.

When the dentist takes  a comprehensive X-ray or CT scan, that will help him to see the upper and lower jaw clearly within one image, which also helps him understand the nature of occlusion  and the relationship between your teeth and mandibular arch.

Frequency of visit ?


If your teeth and gums are healthy, you often have  to visit the dentist only once a year. If your doctor considers it necessary to provide a specific treatment methods such as: dental filling , remove wisdom teeth, or repair a broken crown, you should make an appointment with another doctor before leaving the clinic. And do not forget to ask your doctor to answer all your questions regarding the health of your mouth and your teeth because you will not find better than him  to help you .then to arrange  his treatment plan that includes solving all the problems of existing teeth in addition to a plan to  avoid any problems in the future.
 

How to brush your teeth

We often hear our visitors say : "Doctor  even I brush  my teeth every day ,  my gums bleed and my teeth still decay ". The secret lies in knowing the correct way of brushing teeth . you will find a number of tips on this page, which will contribute significantly to the reduction of  teeth  and gum problems, and will reduce your need to visit the dentist.

Please to follow up the following steps :

-Brushing teeth and gums together. The bacteria are living at the junction of teeth and  gum

-Brushing all surfaces of the teeth (external , chewing , and internal ). -Know the right angle  that touch brush teeth - 45 degrees.

-Move Brush in rotating and oscillating  manner to remove bacteria.

-Brushing teeth, including wisdom teeth - if any. -Brushing the tongue from the back to the front. -Brushing teeth twice a day at least.

What is the best toothbrush and why?

Best toothbrush is the soft, rounded-end bristles and a head that is small enough to reach all parts of your teeth , to remove the bacteria adherent plaque on the teeth.

Obviously the belief that the medium or coarse Brush removes debris  better, but studies have shown that this is not true, but vice versa, the medium or coarse Brush  remove the protective enamel layer of the teeth.

The teeth cleaning every six months is responsible for removing lime accumulated on the teeth, if any, and after removing solid tartar , all you have to do is to use a soft brush to remove plaque that accumulates constantly on your teeth.

Teeth whitening Systems

1. Whitening toothpastes: 
 you can find them on the shelves of  supermarkets , malls  or pharmacies and contain bleaching and chemicals materials . Whitening toothpastes do not make deeply bleaching  and you  could not obtain the better results such as those obtained at the dentist. The whitening toothpastes can bleach your teeth one degree or less. The whitening at the dentist can secure whitening of  teeth from three to eight degrees.

2. Home teeth whitening: 


a)  the dentist makes  a special container according to your teeth size . this vessel allows  to the maximum degree of contact between the teeth and bleach solution. teeth whitening solution placed into the container and left  in the mouth at bedtime. This is the best home way to whiten teeth.

b) You can buy prefabricated container of the teeth, and this vessel  is of one size  for all, and is relatively effective but not like the one made by your dentist. Bleach solution is placed inside the bowl and left during  sleep period in the mouth.

c) whitening strips : You can buy these strips  in supermarkets  or pharmacies, and put them  on the front teeth twice a day for 30 minutes for two weeks, during which the materials located on the segment laundering teeth, and can live results of this bleaching period of four months.

3. Whitening at the dentist: 
 better and faster means of teeth whitening, where the doctor uses materials severe bleaching, but does not affect the strength of the teeth, the doctor will put a protective layer of the gums around the teeth to avoid the effect of bleach it and then is put this material on the teeth directly. The laser can be used to accelerate the bleaching process.

 

Orthodontics

Crowding Teeth

There are many reasons that lead to malocclusion, , twisting, or overlapping teeth. Some people have large teeth relative to the size of their mouths, causing crowding teeth due to the lack of sufficient space to accommodate the teeth.

in other cases we find in some people that the size of the upper jaw  is different from the size of the lower jaw , creating the emergence of a deformed jaws

 

 

What causes the teeth crowding?

 

 •Most cases of crowded  teeth  and the emergence of one or both jaws together are hereditary cases, as is the case when you inherit the color of your eyes from one of your family members or when you  inherit the size of your hand.

 •The loss of some teeth at an early stage of the child's age or an adult may be among the reasons leading to the exposure to the teeth to crowding and inconsistent  bite.

 •Error in conducting a dental restoration (for example: filling or crown(

 The jaw is not  wide enough to accommodate all the erupting teeth .

 •Gingivitis.

 •Overpressure on the teeth and gums.

 •Severe facial injuries may be a factor in unconscious bite case .

 •Tumors of the mouth and jaw.

 •The practice of some habits that are harmful to the health of the mouth and teeth and suffered by children PHC thumb, push the tongue, continuation of the child to use the pacifier or a bottle of milk even after the age of three.

 

 

What are the health problems that result from teeth crowding  and inconsistent  bite?

 

The resulting damages:

 

I  • mpede the process of proper chewing.

  • The difficulty of maintaining a clean teeth which increases the risk of tooth decay, infections or gum disease.

  • Stress teeth and jaw and mouth muscles which increases the risk of fracture or broken teeth.

  • Dissatisfaction smile and negative effects of this feeling on a person's self-confidence

 

How do I know of my crowded teeth and inconsistency jaws?

 

Your dentist can detect  the case of crowded teeth and malocclusion by conducting some medical examination  to mouth, jaw, and external appearance of your face. Another indicator that your doctor look for:

 • Inconsistency teeth.

 • Abnormal facial appearance (especially at  mouth area(.

 • Difficulty in chewing or biting.

 • Difficulty speaking and Lisp.

The dentist usually refer you to an  orthodontist (a competent diagnosis and treatment of teeth and inconsistent  jaws.

 

What tests will be conducted by the Orthodontist?

 

X-ray: help to provide information on the location of the teeth and their roots under the gum, as well as the emergence of any teeth above the gum. X-ray shows the overall relationship between the teeth and jaws and between the jaws and head.

Face photos: needs Orthodontist for these photographs for further tests related to the relationship of the teeth and jaw and head.

Tooth impression  : when your dentist ask you to bite down on the material used to make the impression.

 

What are the methods  of treating teeth crowding  and inconsistent  jaws?

 

After the  diagnosis, the orthodontist will be able to determine the best method of treatment for you.

your orthodontist may recommend various treatments, which can include:

  • braces to correct the position of the teeth
  • removal of teeth to correct overcrowding  reshaping, bonding, or capping teeth

TMJ ( Temporomandibular Joint Disorders )

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head. This pain is resulted of  Grinding or clenching the teeth, which puts a lot of pressure on the TMJ: *Dislocation of the soft cushion or disc between the ball and socket * Presence of osteoarthritis or rheumatoid arthritis in the TMJ * Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth People with TMD can experience severe pain and discomfort that can be temporary or last for many years. More women than men experience TMD, and TMD is seen most commonly in people between the ages of 20 and 40 Common symptoms of TMD include: *Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide *Limited ability to open the mouth very wide *Jaws that get "stuck" or "lock" in the open- or closed-mouth position *Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth (which may or may not be accompanied by pain) or chewing *A tired feeling in the face *Difficulty chewing or a sudden uncomfortable bite – as if the upper and lower teeth are not fitting together properly *Swelling on the side of the face May occur on one or both sides of the face *Other common symptoms of TMD include toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus) How Is TMD Diagnosed? Because many other conditions can cause similar symptoms to TMD – including a toothache, sinus problems, arthritis, or gum disease – your dentist will conduct a careful patient history and physical examination to determine the cause of your symptoms. *Your dentist will examine your temporomandibular joints for pain or tenderness; * listen for clicking, popping, *or grating sounds during jaw movement; *look for limited motion or locking of the jaw while opening or closing the mouth; *and examine bite and facial muscle function. *Sometimes panoramic X-rays will be taken. These full face X-rays allow your dentist to view the entire jaws, temporomandibular joint, and teeth to make sure other problems aren't causing the TMD symptoms. Sometimes, other imaging tests, such as magnetic resonance imaging (MRI) or a computer tomography (CT), are needed. -The MRI views the soft tissue such as the TMJ disc to see if it is in the proper position as the jaw moves. -A CT scan helps view the bony detail of the joint Your dentist may decide to send you to an oral surgeon (also called an oral and maxillofacial surgeon) for further care and treatment. This oral health care professional specializes in surgical procedures in and about the entire face, mouth, and jaw area. What Treatments Are Available for TMD? Treatments for TMD range from simple self-care practices and conservative treatments to injections and surgery. Most experts agree that treatment should begin with conservative, nonsurgical therapies first, with surgery left as the last resort. Many of the treatments listed below often work best when used in combination Basic Treatments for TMD Some basic, conservative treatments for TMD include: *Apply moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple stretching exercises for your jaw (as instructed by your dentist or physical therapist). After exercising, apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day. Eat soft foods. Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans, and grains. In addition, cut foods into small pieces to decrease the amount of chewing required. Avoid hard and crunchy foods (like hard rolls, pretzels, raw carrots), chewy foods (like caramels and taffy) and thick and large foods that require your mouth to open wide to fit Take medications. To relieve muscle pain and swelling, try nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen or ibuprofen (Advil, Motrin, Aleve). Your dentist can prescribe higher doses of these or other drugs for pain relief. Muscle relaxants, especially for people who grind or clench their teeth, can help relax tight jaw muscles. Anti-anxiety medications can help relieve stress that is sometimes thought to aggravate TMD. Antidepressants, when used in low doses, can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only. Low-level laser therapy. This is used to reduce the pain and inflammation, as well as increase range of motion to the neck and in opening the mouth. Wear a splint or night guard. Splints and night guards are plastic mouthpieces that fit over the upper and lower teeth. They prevent the upper and lower teeth from coming together, lessening the effects of clenching or grinding the teeth. They also correct the bite by positioning the teeth in their most correct and least traumatic position. The main difference between splints and night guards is that night guards are only worn at night and splints are worn all the time. Your dentist will discuss with you what type of mouth guard appliance you may need. Undergo corrective dental treatments. Corrective treatments including replacing missing teeth and using crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem. Avoid extreme jaw movements. Keep yawning and chewing (especially gum or ice) to a minimum and avoid extreme jaw movements such as yelling or singing. Don't rest your chin on your hand or hold the telephone between your shoulder and ear. Practice good posture to reduce neck and facial pain. Keep your teeth slightly apart as often as you can to relieve pressure on the jaw. To control clenching or grinding during the day, place your tongue between your teeth. Learning relaxation techniques to help control muscle tension in the jaw. Ask your dentist about the need for physical therapy or massage. Consider stress reduction therapy, including biofeedback.