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You have just found out that she is pregnant, but she just had a canal yesterday. Suddenly, she remembered what a friend told her about a main root canal, with negative effects on the child. She panicked and had to drive all the way back to ask his dentist for her situation. In general, midwives advised to delay any medical or dental procedure that may affect the developing fetus during pregnancy, even if the risk is minimal. However, it is not always easy to move Root canal treatment in the same way as the suspension of tooth whitening.

Potential risks of Root Canal Treatment at the time of pregnancy

A root canal is not really have a direct effect on the fetus during pregnancy. Although the film is necessary to examine the tooth, the radiation in question is minimal and x-rays are directed towards the mouth and not the abdomen. Other possible sources of risk associated with root canal treatment are: anesthesia. Dentists often use small amount of anesthesia to pregnant women. But if the dose is not sufficient to alleviate the pain of the patient, the dose may be increased gradually. As the tension of the dental procedure has a detrimental effect on the baby, additional anesthesia is preferable to allow the stress affects the baby. Or antibiotics. They are often prescribed by dentists to fight infection after dental procedure. However, they do not prescribe antibiotics that are safe for pregnant women.

How to be a safe treatment during pregnancy

When your dentist recommends a root canal, be sure to let you know you are pregnant. This allows you to make the right decisions about how and processing time. Often the first quarter is the most crucial. This is when the fetus begins to develop. If there is no need to rush in treatment may be postponed until the second trimester or after delivery. However, if treatment should be done immediately, inform the dentist of your situation will help the process as safe as possible.

Prevent Root Canal in Pregnancy

Pregnant women, like everyone else, need a balanced diet. It is then necessary to limit sugar intake as much as possible not only for health but also for the baby. In addition, maintaining good oral hygiene is necessary to prevent any dental problems throughout the pregnancy period. And if you have regular dental checkups during pregnancy, it is important not to lose. All this will help avoid the need for root canal treatment and maintaining safe and easy pregnancy.

Dental treatment almost always is not something most of us look forward. This is not the kind of appointments that we are most eager to participate. Often, we hope that the date will be moved or canceled. Dentists are probably the most feared among therapists. Children often behave like lambs sweet when they are told they should be sent to the dentist as punishment for misconduct. Most of us have been afraid of dentists since we were young. Often, we are committed to the dentist our family has known for years but it is also wise to evaluate if our dentist provides us with adequate treatment. Otherwise, it is probably best to seek new and better practitioner. Moving to a new location also presents the problem of finding a good dentist. In addition, many of us who do not have a dentist regularly.

How do you find a new dentist and good? Your first instinct may be to turn the yellow pages and let your fingers do the searching. Although most of us will do just that, finding a new dentist through the yellow pages and local dental societies are not very good ideas. They may have a complete list of dentists in the area, but they do not judge them, and do not give points for comparison. Instead, try these sources:

1.Check a dental school nearby. Dental schools are good sources of good dentists. You can call and request the names of faculty members in office.

2.Check the hospitals and health centers that provide dental services in your area. The dentist is responsible for these structures could give good recommendations. The dentist is responsible for the well-known reputation, and presentations to his colleagues who practice in the area.

3.You can ask an orthodontist or a periodontist if you know. They will be able to recommend a good doctor. These specialists should be familiar with the type of dental work to contractors.

4.If you move to a new location, you can ask your current dentist if he knows a good dentist in your new location.

Your new dentist must carry out a preventive approach. This means that your first visit, he will conduct a medical and dental history with a full head and neck examination. Head and neck exam is usually done on the patient is first visit and every 6 months thereafter.

Your dentist should give you sufficient knowledge of how to take care of your teeth and perform good oral hygiene. These are preventive measures in the fight against tooth decay and other dental problems.

Your dentist should be invited back for regular checkups. This will ensure that no problems can not be controlled. The dental hygienist must perform oral prophylaxis or brushing your teeth after every six months.

Your dentist should take x-rays more responsibly. complete set of X-rays should not take more than once every five years or more. Do not take X-rays, the other is as bad as X-rays too often.

Your dentist and dental hygienist must practice proper care against infections. Should wear rubber gloves and a mask in the treatment of their patients. Your dentist should be bright, explaining all the procedures of the health clinic is the implementation and or use for patients and protect themselves from unwanted infections. Finding a good dentist is not so difficult if you know how to handle it.

Pune Dentist Your Independent Dental guide

Poor oral function and inferior self-esteem are just a couple of the many difficulties associated with tooth loss. Complete or partial dentures, often the solution to the problem of tooth loss, may not restore oral function completely because of poor fit due to jaw bone deterioration. Bridges, often the solution to single tooth loss, have their drawbacks too, because placing a bridge requires the teeth surrounding the missing tooth to be ground down and compromised.

To improve the aesthetics and function of tooth replacement, dental implants were developed and have gained popularity in recent years. Dental implants are titanium “screws” which are placed in the jawbone replacing the root of the lost tooth. Dental implants provide an alternative to standard removable complete and partial dentures and bridges while improving chewing function almost completely.

The Problem

In order to be a candidate for the dental implant placement procedure, a patient must have sufficient bone height and width to support the titanium post or artificial tooth root. Unfortunately, if a patient has been without a tooth or teeth for a prolonged period of time, the bone that once supported the teeth becomes weakened and deteriorates, resulting in a lack of bone height to sustain a dental implant. This is especially true when tooth loss occurs in the maxillary (upper) jaw bone. Because the maxilla rests against the sinus, when bone loss occurs, the sinus expands to fill the space once occupied by jaw bone.

The Solution

To solve this issue, sinus augmentation (lift) procedures have been developed allowing bone in the upper jaw to be regenerated providing ample space to place a dental implant. The sinus lift procedure, invented in the mid 1970′s has been refined and is now frequently successfully performed. Different versions of the sinus lift procedure have evolved over time, each successful in different cases.

Successful, predictable dental implant placement in the posterior maxilla typically requires a minimum of 10mm of vertical bone height. Moreover, bone density in the posterior maxilla is often poor, which could lead to complications during implant fixation. To address these problems, maxillary sinus elevation surgery was developed to increase the amount of bone available for implant placement and has proven successful and become popular, allowing patients with insufficient bone to undergo dental implant surgery. The type of sinus augmentation that a surgeon chooses to use on a given patient depends on the surgeon’s preference as well as patient anatomy.

Types of Sinus Augmentation (Lift) Procedures:

The Lateral Window Technique (LWT)

Implant placement can be performed simultaneously with the sinus elevation procedure or following a healing period that can last 6-9 months. Immediate placement during sinus elevation reduces overall healing time and eliminates another surgical procedure, which can be desirable to patients. The decision to place an implant during sinus augmentation is dependent on the presence of adequate bone volume and quality to provide for initial stability of the implant. Rosen and colleagues (1999) recommended at least 5mm of native bone for immediate implant placement during sinus augmentation. However, more recent studies have found that implant stability can be achieved with less than 5mm (Peleg 2006).

Lateral Window Sinus Augmentation: The lateral approach involves a modified Caldwell-Luc operation to gain access to the sinus cavity. A bony window is created in the lateral maxillary wall, the Schneiderian membrane is elevated, and bone grafting material is a combination of autogenous bone and allograft. An absorbable collagen membrane is placed between the bone graft and the membrane as well as over the bony window.

This technique is usually the preferred method of sinus elevation in situations of poor bone quality and minimal residual bone height because it allows for direct visualization and accurate bone placement and volume at the position of the implant. Also, tearing of the membrane can be easily treated, minimizing contamination of the graft during healing.

The Crestal Core Elevation (CCE)

The Crestal Core or Crestal Window Elevation technique is an alternative to the traditional Lateral Window technique typically used in Sinus Elevation surgeries. While usually successful, the Lateral Window technique may cause patients to withstand post-operative pain, bruising and swelling. This limitation of the Lateral Window technique may be due to the “blind” nature of the procedure and the lack of visibility when the clinician is manipulating the Schneiderian Membrane and opening the sinus floor. To combat the associated post-op complications, the Crestal Core technique was developed.

The Crestal Core technique for sinus augmentation is reportedly less invasive than the lateral window technique. In an August 2010 study posted in the Journal of American Periodontology, 45 patients who had undergone the CCT were retrospectively evaluated over a 1-11 year period of time. The Crestal Core technique was successful in 31 of 45 sites (68.9%) and partially successful in 6 sites (13.3%). Surgical failures were reportedly due to core detachment which resulted in large tears of the sinus membrane. Implants placed in successful sites presented 100% survival rate during the duration of the study.

The conclusion was made that the Crestal Core Technique, when implemented simultaneously with molar extraction provided therapeutic benefits to the patient post-operatively. The subsequent dental implant placements using CCE showed a fantastic survival rate as well in the evaluated population.

The Crestal Window approach to sinus augmentation is simple, predictable technique which results in very low patient morbidity. It is, therefore, a suitable alternative to traditional sinus augmentation, giving clinicians a choice of techniques when approaching cases of varying degrees of difficulty and complication. The Crestal Core Technique may be the best option for elevating the sinus for many patients.

The Osteotome Technique (Summers Technique)

One of the more conservative methods of sinus elevation is the Osteotome or Summers Technique. This technique involves sinus elevation immediately followed by dental implant placement. During the osteotome technique, a tiny hole is made in the jaw bone and bone grafting material is inserted into the area between the sinus floor and the bone, increasing the distance between the sinus and the jaw. This technique allows for immediate implant placement and allows for shorter post-treatment waiting times. The Osteotome technique is considered one of the least invasive of the sinus augmentation techniques.

Balloon Sinus Elevation

The minimally invasive Zimmer Sinus Lift Balloon allows for improved vertical sinus elevation results and gives clinicians added security when performing a traditional lateral wall sinus lift procedure — protecting the Schneiderian membrane from tearing, which can significantly disrupt an implant case. The balloon instrument is also well-suited for effectively measuring the required bone grafting material. For example, 1cc of saline, which is used to inflate the balloon, is equal to 1cc of grafting material.

The Zimmer Sinus Lift Balloon is available in three convenient, single-use configurations for optimum efficiency and ease-of-use. The angled design is ideal for lateral window procedures, the straight model is well suited for a crestal approach, and the popular micro-mini design can be used for either of these indications.

Conclusion

Numerous studies have shown that dental implant survival rate is higher in patients whose dental implants were placed in grafted sinuses than the dental implants placed without sinus lifts. The sinus augmentation procedure provides a way to increase the amount and quality of available bone and allows for the placement of longer implants, leading to increased stability. Many different techniques exist for effective bone augmentation below the sinus, a few of which were discussed earlier in this report. Which approach is used is largely dependent on the extent of the patient’s bone loss and the specific procedure that is slated to be performed for the dental implant and final restoration. Given the many options available for sinus augmentation, it stands to reason that only a highly trained dental specialist can decide which procedure is the most suitable option for proper, successful treatment.

If you enjoyed this article on maxillary sinus augmentations, there is a good chance you will like these articles from my blog as well:

• “What Are Dental Implants“
• “Dental Implants Information“
• “Answers To Common Questions About Dental Implants“
• “Dental Implant Time Lapse Video“
• “Dental Implant Success Rates”
• “Metal Free Ceramic Dental Implants“

Thanks for Reading !!

Planning is prepared? Expected to achieve accolades in the near future? If you have already programmed with your orthodontist or need help deciding which best suits the needs for treatment of orthodontic braces, you probably have some questions or concerns about the process of orthodontic treatment. Once you fully understand what to expect from your treatment and how to take good care of your teeth, you can reduce the uncertainty or questions you have about orthodontic treatment. If you have questions or concerns about your orthodontic treatment, we should certainly consult your orthodontist responsible for career guidance.

Do Braces Hurt

One of the most common questions people ask before starting treatment is Do braces hurt?; And Every person reacts differently in pairs, but it is important to talk to your orthodontist about a couple of options for reducing or irritation. When all is said and done, the fees for the treatment far outweigh any inconvenience that may be experienced. The first time you have braces, or after some changes in the mouth may be sore. Over the counter painkillers can actually help reduce pain if necessary. Fortunately, most orthodontic treatment is currently less cumbersome and less important, is more comfortable and more discreet than the old-style dentistry. All orthodontic treatments can help to produce smooth as possible.

Braces Care

After applying your brakes, your orthodontist will ensure that they are prepared and equipped to take care of your keys, gums and teeth. Flossing and brushing are more important than ever for people with braces, so you want to ensure you get the right tools cleaning help maintain good oral hygiene being. You can also avoid certain foods while in the process of treatment, such as ice, popcorn, nuts, gum, corn, hard or sticky candy. soft or hard foods can damage the brake and loosen the bands. The more you follow these rules, unless you find the interruptions throughout your orthodontic treatment, which means you will have your new smile at the right time.

Exceptional dental care

The remains and plaque can get caught in the little room between the son and the media, which can lead to staining of dental caries and enamel. Flossing and brushing becomes even more important when you start orthodontic treatment. If possible, brush your teeth after each time you eat to get rid of dirt, and floss at least once a day with a special wire orthodontics. If you do not have a toothbrush with you, rinse your mouth to clean your dentures leftovers. An experienced specialist can demonstrate the proper techniques for care and cleaning of your teeth throughout your orthodontic treatment. You should definitely ask about special cleaners that make cleaning around braces less difficult and more effective.

If your appointment with the orthodontist comes, I hope you feel more relaxed about the orthodontic treatment treatment. If you have not yet made an appointment with an orthodontist, consider consulting with one before making any decision. It can help you determine if the brakes are the best way of correcting their teeth.

If you lose several teeth, or have been weakened or softened the teeth extractions, there are options to keep a confident smile. Your dentist can give you a list of options suitable for the particular situation, and usually contain artificial teeth and bridges.

Dentures replace missing teeth or extracted teeth. Typically, acrylic resin prostheses are usually removable. There are four main types of dentures including complete, with all the teeth and the tissue is removed. Partial dentures, also known as &;bridges", fill in the difference between missing teeth. conventional prostheses associated with the process in which it was resolved all the teeth before the patient is fitted to the whole set of dentures. In addition, the immediate dentures to fit directly into the mouth when the teeth were removed, after which the changes are made.

When implants are for you, it is important to keep them clean and the food particles and other debris that can cause bad breath and sores inside the mouth. Remove the dentures every day and brush with a brush and a detergent specifically for dentures. Do not use harsh chemicals, artificial teeth, and do not cook for them, because this can cause them to become deformed. Regular medical check-ups with your dentist to make sure that your dentures do not cause irritation around the gum.

Bridges, on the other hand, are generally used in patients who only need one or more replacement teeth. Bridges are not removable, but tied directly to the teeth are broken or damaged. There are a number of bridges available, all of which are destined for a particular type of dental problem. Dental dental crown, the area more natural, with a traditional bridge together. Resin-bonded bridge fuses with artificial teeth with a special cement, and is often used as a missing or broken teeth can be found in front of the mouth. Finally, the cantilever bridge is used when there is only one tooth on both sides are missing or broken tooth.

As with all dental care, cleaning to prevent infection in the mouth. It is very important to brush your teeth after every meal to remove food particles that can be retained in your dental work. Avoid sugary foods and starches, as they may turn into damaging acids that can promote plaque buildup in its deck. You should also floss every day after the bridge was completed. Your dentist may recommend a specific type of dental floss that can help you reach all parts of the new bridge. With good hygiene and regular dental cleaning visits, the average dental bridge can last up to 10 years.

Dentures and bridges are unique solutions to dental care that can help reveal a bright smile for many patients. Talk to your dentist about the best repair or replace your teeth, making sure to take care of your teeth to maintain the quality of your extensive dental work.

If you ever find that you lose a tooth or several teeth, remember that dentures and bridges are a viable way to restore your teeth and smile. Dr. Aakash Shah is a qualified Pune Dentist and dental Surgeon

Many dentists say that for a complete oral health status is a must for us to take these eight steps for dental health. Brushing and flossing is beneficial for oral health. There are cases that brushing and flossing are not enough. To ensure that the person to maintain good oral health, these steps are followed.

1. An understanding of the oral health needs of an individual. People have different dental problems. Some people have problems with tooth sensitivity. Others have cavities. There are those who have gum disease. It is vital for a person to visit your dentist about your current situation.

2. You should keep a daily routine of health. The daily routine is to brush your teeth three times a day. You can use dental floss is necessary to brush your teeth immediately. In addition to assessing dental and cleaned at least every six months is very important. Those people who have braces or health of the need to consult with their dentists in a dental procedure.

3. Use a fluoride toothpaste. Fluor has many advantages. It strengthens the teeth and it also helps prevent tooth decay. There are so many dentists that are available today if you want an extra dose of fluoride. That may be so, it is always best to consult your dentist about them.

4. Daily brushing and flossing are essential. This will usually remove the plaques that are in decline. Dentists frequently advise their patients to brush their teeth after every meal. If plaque is not removed, bacteria back in your mouth lead to dental problems.

5. Eat a balanced diet. Too sweet products should be avoided. Sweets, sweet biscuits, cakes and other sweet foods stays in the mouth can produce bacteria. citrus or vitamin C is also useful for bones and teeth.

6. Regularly check your mouth if there are cases of swollen gums, lesions, wounds, discolored teeth, chipped teeth and other problem areas.

7. Quit smoking and drinking from time to time. This practice is not only beneficial for the body but also to the oral health of an individual. Chain Smokers tend to develop mouth cancer.

8. Has a fixed dental check up. To maintain the healthiest state of the gums and teeth, a regular visit to the dentist is necessary confidence.

By going these steps you can prevent from root canal treatment, dental implants etc.

Entrusted to the dentist can provide a great help to any problem of oral health. These steps are useful, if a person wants to maintain a healthy lifestyle and Good Dental Health. Dental waiting for your visit. Check your local dental office hours.

Oracare Dental Center has been in the field of dentistry for a long time and maintains a website at the Pune Dentist, where you can get answers to all your questions.

At some point in almost everyone's life, a tooth needs to be removed. It may be damaged in an accident, or it may decay and come out on its own or with help from a dentist. Sometimes a dentist needs to remove a crooked tooth to create space for others. When you find yourself missing a tooth for any reason, your dentist may consider replacing it with dental implants.

There are many reasons to replace teeth that are missing. Most people are concerned with how a missing tooth makes them look. It may also become difficult to eat your favorite foods if a tooth is missing. Furthermore, when there is a space, your other teeth may begin to shift out of alignment to fill the missing gap. This can cause problems with your bite and result in jaw pain.

You can prevent problems in the long term, it is better to replace missing teeth as soon as possible. Time says the jaw begins to deteriorate when the tooth does not take so drastic a change in appearance. Over time, the less the support of the bone is what is even more difficult is the system installed. The longer you wait, the fewer options may be. A dental implant is a titanium post that is embedded in the gum. It works just like the root of the tooth and the tooth must be strongly being added later. They are very strong, but you have to worry about them, as you natural tooth. This means that to maintain a clean denture tooth brushing and flossing regularly and visiting the dentist checks.

If you experience this type of denture, you may be wondering what the procedure entails. Your dentist will create a space for the implant into the jawbone. This is done using a special dental drill that your dentist is very experienced with. Using X-rays, the exact location and determination of titanium implants to be fitted. After it is established, it takes a number of months to move from the bone to form around the implant. In this way, it will be handled almost as strong as your natural tooth. If an artificial tooth is attached to the implant too soon, you can not get the result you were hoping to achieve. The healing process will be closely monitored by your dentist.

Once the professional has determined that the implant is strongly linked to the jaw, which is equipped with artificial teeth. This may be a replica of ancient porcelain tooth, bridge, or other dental prostheses. Your dentist will decide what works best for you. This can be fixed or removable, depending on your particular situation. Replacing a missing tooth or teeth have benefits beyond their appearance. It is important for your overall health, too. Missing teeth can affect the food we eat, how your face and jaw feels and how to interact with others. A healthy smile builds confidence. Dental implants are a way to get a healthy smile.

Looking for the best Pune Dentist, we are on your dental service in the evening. Consider the excellent dental health by the best pune dentist.

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Even though toothpaste (in some form or another) has been around as long as the Ancient Greeks have, the formula (as we know it) did not become popular until World War I. As soon as companies began manufacturing toothpaste, people began to purchase the magical concoction – guaranteed to produce glistening teeth! White teeth were all the rage after World War I had ended, and toothpaste quickly became a product that most people simply couldn’t live without.

Toothpaste is one item that nearly everyone uses today, but what makes this concoction so special? Whether you brush your teeth once per day or three times per day, chances are that you’ve never taken the time to read that ingredient list. Some believe that the ingredients contained in a standard package of toothpaste are essential – others believe that water may be just as effective. In the end, there’s a good reason why most toothpaste packages warn: “Do Not Ingest!”

10. Formaldehyde

That same ingredient that coroners can’t live without can be found inside of your toothpaste tube. Formaldehyde kills all of those small bacteria that climb onto your teeth after eating or sleeping. If a large amount of formaldehyde is accidentally ingested, the result could be fatal. Severe formaldehyde ingestion results in jaundice, kidney damage, liver damage, and death.

9. Detergent

Foam, suds, activation! What would toothpaste be without that satisfying soapy feeling? Manufacturers use regular detergent in order to appease the masses that prefer bubbly toothpaste. While bubbles may be fun, be careful if you accidentally ingest a large amount of this stuff – swallowing detergent can cause digestive tract burning.

8. Seaweed

Stretchy and slimy, seaweed holds that paste together. Without this green stuff, toothpaste would simply fall apart! The good news is that seaweed isn’t toxic. In fact, seaweed has a number of nutritional benefits, though hitting the sushi bar is a better way of gaining those benefits.

7. Peppermint Oil

Minty, minty, minty! Fresh breath can only be kept fresh with the help of peppermint oil! While refreshing when brushing your teeth, peppermint oil can cause a slow pulse, heartburn, and muscle tremors if it is consumed.

6. Paraffin

As slick as the petroleum that it is derived from, paraffin creates a smooth paste that oozes onto your toothbrush. As you might imagine, paraffin wasn’t meant to be eaten. If you happen to swallow this ingredient, you may end up with abdominal pain, nausea, vomiting, and severe constipation.

5. Glycerine Glycol

Never heard of this ingredient before? Sure about that? Glycerin glycol is added to toothpaste in order to prevent the paste from becoming too dry – it’s also found in antifreeze. Even though glycerin is not toxic, this additive may cause nausea if swallowed.

4. Chalk

That’s right – chalk. Thanks to the fact that chalk is made from exoskeletons, it’s hard enough to remove all of that caked on gunk from your pearly whites. Chalk dust may cause lung problems if inhaled, and swallowing a bit of chalk could cause bleeding.

3. Titanium Dioxide

This is another common toothpaste ingredient, though it’s usually found in white paint. When added to toothpaste, titanium dioxide has the safe effect on your teeth as it does on walls – it keeps them nice and white (for a few hours, at least!). Ingesting titanium dioxide won’t hurt you, but it isn’t recommended either.

2. Saccharin

Something has to combat that terrible detergent taste! Saccharin is sweet, but not too sweet – just the way that most people like their toothpaste! Saccharin has been a hot topic of debate every since Theodore Roosevelt was in the White House. The USDA tried to ban the substance in 1972, though it is considered “safe” to ingest today.

1. Menthol

One last ingredient to add a minty note to your breath. Without menthol, toothpaste might taste like, well, chalk, glycerin, paraffin, detergent, titanium dioxide, and seaweed! Go ahead and ingest menthol if you like, but sipping some tea containing menthol is a far better idea than chewing on your tube of toothpaste.

My advice is to always buy toothpaste that has the ADA seal of approval on the box and has fluoride as an active ingredient.

If you enjoyed this article on the dangerous toothpaste ingredients, then there is a good chance you will enjoy these articles as well:

• “Tom’s Of Maine Organic Toothpaste Review“
• “How To Properly Clean Your Teeth“
• “Soladey Ionic Toothbrush: Eliminates The Need For Toothpaste“
• “Toothpaste That Changes Flavor Depending On The Weather“
• “The Environment Impacts Of Dentistry“
• “4 Ways Green Dentistry Can Save Green For A Dental Practice“

Thanks for reading !!

It is known that women are more susceptible to gum disease and associated periodontal problems.  The primary reason for this finding is related to both normal and abnormal hormonal changes that women experience throughout their life.  A few are listed below.

Puberty

During puberty, an increased level of sex hormones, such as progesterone and possibly estrogen, causes increased blood circulation to the gums. This may cause an increase in the gum's sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. During this time, the gums may become swollen, turn red and feel tender.

As a young woman progresses through puberty, the tendency for her gums to swell in response to irritants will lessen. However, during puberty, it is important to follow a good at-home oral hygiene regimen, including regular brushing and flossing, and regular dental care. In some cases, a dental professional may recommend periodontal therapy to help prevent damage to the tissues and bone surrounding the teeth.

Menstruation

Occasionally, some women experience menstruation gingivitis. Women with this condition may experience bleeding gums, bright red and swollen gums and sores on the inside of the cheek. Menstruation gingivitis typically occurs right before a woman's period and clears up once her period has started.

Pregnancy

Women may experience increased gingivitis or pregnancy gingivitis beginning in the second or third month of pregnancy that increases in severity throughout the eighth month. During this time, some women may notice swelling, bleeding, redness or tenderness in the gum tissue.

In some cases, gums swollen by pregnancy gingivitis can react strongly to irritants and form large lumps. These growths, called pregnancy tumors, are not cancerous and are generally painless. If the tumor persists, it may require removal by a periodontist.

Studies have shown a relationship between periodontal disease and pre-term, low-birth-weight babies. Any infection, including periodontal infection, is cause for concern during pregnancy. In fact, pregnant women who have periodontal disease may be seven times more likely to have a baby that is born too early and too small! If you are planning to become pregnant, be sure to include a periodontal evaluation as part of your prenatal care.

Women who use oral contraceptives may be susceptible to the same oral health conditions that affect pregnant women. They may experience red, bleeding and swollen gums. Women who use oral contraceptives should know that taking drugs sometimes used to help treat periodontal disease, such as antibiotics, may lessen the effect of an oral contraceptive.

Menopause and Post-Menopause

Women who are menopausal or post-menopausal may experience changes in their mouths. They may notice discomfort in the mouth, including dry mouth, pain and burning sensations in the gum tissue and altered taste, especially salty, peppery or sour.

In addition, menopausal gingivostomatitis affects a small percentage of women. Gums that look dry or shiny, bleed easily and range from abnormally pale to deep red mark this condition. Most women find that estrogen supplements help to relieve these symptoms.

Bone loss is associated with both periodontal disease and osteoporosis. Research is being done to determine whether the two are related. Women considering Hormone Replacement Therapy (HRT) to help fight osteoporosis should note that this may help protect their teeth as well as other parts of the body.

So, what can women do to help prevent or minimize gum problems?

Steps to Protect Oral Health:

Careful periodontal monitoring and excellent oral hygiene is especially important for women who may be noticing changes in their mouths during times of hormonal fluctuation. To help ensure good oral (and overall) health, be sure to:

• See a dental professional for cleaning at least twice a year.
• if you or your dentist notice problems with your gum tissue. Problems may include:
  • Bleeding gums during brushing
  • Red, swollen or tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath
  • Pus between the teeth and gums
  • Loose or separating teeth
  • A change in the way your teeth fit together when you bite
  • A change in the fit of your dentures
• Keep your dental professionals informed about any medications you are taking and any changes in your health history.
• Brush and floss properly every day. Review your techniques with a dental professional.

For more information, check out the American Academy of Periodontology.  Happy and Healthy Mother's Day!

Source:  AAP

Cary Feuerman, DMD

Periodontal Associates

Nurses who care for elderly patients with dementia now have a tailored approach to dental hygiene for these special patients, thanks to a pilot study by a team of nurses.  "Poor oral health can lead to pneumonia and cardiovascular disease as well as periodontal disease," said Rita A. Jablonski.  According to Jablonski, assistant professor of nursing, Penn State, persons with dementia resist care when they feel threatened. In general, these patients cannot care for themselves and need help. 

Jablonski and her team introduced an oral hygiene approach called Managing Oral Hygiene Using Threat Reduction (MOUTh) specifically for dementia patients. Many of their strategies focus on making the patient feel more comfortable before and while care is provided, the researchers report in the current issue of Special Care in Dentistry.  "We have come up with 15 strategies -- techniques to help reduce threat perception," said Jablonski. These strategies include approaching patients at eye level if they are seated, smiling while interacting, pantomiming, and guiding patients to perform their own care by placing a hand over the patient's hand and leading.  People with dementia are often no longer able to distinguish low or non-threatening situations from highly threatening situations. This happens when the parts of the brain that control threat perception -- particularly the fight, flight or freeze responses -- begin to deteriorate. As a result, patients with dementia often react to something as intimate as a nurse brushing their teeth as a perceived threat.

In the past 30 years the number of nursing-home residents who still have their own teeth has risen significantly. Many of these people need assistance with their dental hygiene, as well as with other hygiene.

Jablonski and her team conducted a pilot study with seven people who had either moderate or severe cases of dementia. The researchers used the MOUTh technique on the subjects for two weeks, recording the state of the patients' mouths and how the patients reacted throughout the study.  At the beginning of the study all seven subjects had poor oral health, as determined by the Oral Health Assessment Tool. Eight categories concerning oral health are scored between zero and two. The lower the score the healthier the mouth. The average score for the subjects at the start of the study was 7.29. By the end of the study the average score was 1.00.

"To my knowledge, we are the only nurses in the country who are looking at ways to improve the mouth care of persons with dementia, especially those who fight and bite during mouth care," said Jablonski. "Our approach is unique because we frame resistive behavior as a reaction to a perceived threat."

Cary Feuerman, DMD

Periodontal Associates

Source:  Science Daily

• “6 Things Your Teeth Say About Your Health“
• "Diabetes And Oral Health"
• “The Mouth Is A Window To Your Overall Health“
• “Tooth Loss Linked To Memory Loss“
• “Healthy Gums Healthy Heart“

Invisalign braces are the most modern technology used in orthodontics, redefining orthodontic treatment. Invisalign straightens your teeth by using some plastic “mouthguard” like trays, you change every 2 weeks, for as long as needed till the end.

Any orthodontics treatment starts with the initial consultation and this doesn’t break the rule. Your orthodontist will check you with great care and, should you “qualify” for Invisalign, you’ll be ready to undergo the first step to the trays: your molds. For the Invisalign specialists to really be able to create your patient specific trays, they will need to obtain perfect dental impressions. So, don’t be scared if your orthodontist is that determined to have them perfect. They are needed this way, since your entire treatment for all these months will depend on them. At Align Technologies your impressions, the information about the course of treatment and all other initial materials, will be taken by other orthodontic specialists. They will make a positive out of your dental impressions; the plaster molds helping them see your teeth in their normal form. Because your orthodontist was so careful with those impressions, now, the Align Technologies specialists almost have your “teeth” there, and you won’t have to travel thousands of miles just so they can also do your consultation.

The plaster models are checked again and cleaned. Any residue or imperfection is manually checked and solved, so that the plaster can enter the other stage: 3D processing. State of the art scanners are able to create a three dimensional version of these plasters, and these can now be processed on the computer. A barrier coating is applied to protect it from the possible damage it can take on the next stage. Once sealed, the models get placed into a chase, then in a mixture of urethane resin and hardener. They spend some hours in a vacuum pressure chamber the resin hardens and makes them look as blocks. Each tray gets into a destructive scanning machine. This removes paper thin slices 3000 of an inch, while a digital camera takes two dimensional images of each of these slices. The computer gathers more than 300 such images to create the 3D model.



These materials get sent to the technicians, who check once again if all is correct, the teeth and also the bite as the patient has it. The graphic designers will use a proprietary 3D application to cut each tooth and save it as a separate geometrical unit. The teeth are now separated and re-grouped on each arch in the position they will have once the treatment is complete. From the initial stage to the final result, there are many intermediate stages that make up the entire treatment. These are carefully considered since the treatment is different for each patient and the entire orthodontic process needs time. As in traditional braces case, we cannot have straight teeth over night, so all these stages are just the normal tooth movement created with each aligner till the teeth are straight and the bite corrected.

The quality check process is next, so that all the process, the teeth movement, prescribed treatment etc. are correct. The orthodontist who takes care personally of the patient is the one to decide if the treatment is a “go-go”, together with the patient him/herself. This application form is called “clincheck” After all the treatment was checked and approved the aligners will be created. A series of models are created of photo sensitive thermo plastic, each of them will then be turned into an aligner. The thermo plastic sheet is pressed over each model by the use of heat. Trimming comes next so that the aligners come half a millimeter under the gum line, reducing the chances of sores and making the removal easier for the patient.

The aligners are polished and disinfected in a series of cleaning tanks, each set being then packaged, labeled and shipped to the prescribing orthodontist.

If you enjoyed this article on invisalign braces, there is a good chance you will like these articles from my blog as well:

• “How To Shorten Time In Braces“
• “How And Why Teeth Move During Orthodontic Treatment“
• “What Are Clear Ceramic Orthodontic Braces“

Update from Dr. Eric Linden

www.drgums.com


Laser Periodontal Surgery Practice:

We currently have several documented 5 and 6 year post operative LANAP ( Laser Assisted New Attachment Procedure) cases showing radiographic "regenerative" changes. These cases are in the moderate to advanced periodontal disease categories. Our Laser Periodontal surgery patients are exhibiting excellent tissue responses in addition to improved radiographic bone levels. For obvious reasons, we will not be block sectioning to show further histology. But we would expect the histological findings to be similar to Dr. Ray Yukna's findings in 2007 in the International Journal of Periodontics and Restorative Dentistry. The type of attachment has been shown to be a "cementum mediated attachment in the absence of long junctional epithelium".

Our additional observations include rapid healing following the LANAP procedure compared to our"conventional" flap surgeries. Also, in our practice, the laser periodontal surgical procedure is considerably less traumatic and less painful in terms of the post operative experience than "traditional surgery" with sutures and periodontal packing.

We have been treating patients on blood thinners such as Coumadin and Plavix without any bleeding issues. There is no need to change the medication regimens of these patients which could adversely affect their medical risks.

In addition, we have been treating a large number of patients with the LANAP protocol before prosthetic replacements such as hips, knees, artificial joints and heart valves. We have also documented a number of patients having the Laser surgery before bone marrow transplants and chemotherapy. This laser surgical approach is much more desirable in both our healthy and medically compromised patients across our patient population in our practice.

We welcome any comments or questions and would happy to post cases as requested.

Best,

Dr. Eric T Linden
595 Chestnut Ridge Road
Woodcliff Lake, NJ 07677

170 West End Ave !L

New York, New York 10023

Bleaching vs. Whitening

In Office Tooth Whitening

Professionally Dispensed Take Home Whitening Kits

Over The Counter Whitening

• Tooth Whitening Strips: Out of the other effective teeth whitening procedures available, tooth whitening strips may be the most economical. Most of these strips are available commercially, over the counter. The effectiveness of the result achieved depends on the brand used. These strips contain peroxide of a low concentration 6-15%, and should be worn for about an hour once or twice a day for a particular number of days. It is said to achieve a shade three times lighter than that of the teeth originally present. The strips are generally comfortable when worn and may produce only mild difficulty while talking.

• Tooth Whitening Toothpastes: Tooth whitening toothpastes seem to be one of the easiest dental tooth whitening types and are available over the counter. They are used just like normal toothpastes and may cost a little higher than the regular toothpaste. However they are not very effective and do not cause any obvious whitening effect on the teeth; though they function as well as any other toothpaste. The disadvantage may lie in the case of overeager individuals who may brush vigorously and many times a day hoping to achieve a productive result, which may do more harm than good to their teeth.

• Tooth Whitening Chewing Gum: Most commonly advertised are tooth whitening chewing gums which contain bicarb soda, also used in the tooth whitening toothpastes. May be considered the best teeth whitening products available since they are easy to use. They do not contain any bleaching agent as that used in normal bleaching systems which are more effective. The gum should be chewed for around 20mins each, four times a day. Any difference in shade would take up to four weeks to appear.

Hydrogen Peroxide vs. Carbamide Peroxide

Teeth Whitening Risks

• Sensitivity: Bleaching can cause a temporary increase in sensitivity to temperature, pressure and touch. This is likeliest to occur during in-office whitening, where higher-concentration bleach is used. Some individuals experience spontaneous shooting pains down the middle of their front teeth. Individuals at greatest risk for whitening sensitivity are those with gum recession, significant cracks in their teeth or leakage resulting from faulty restorations. It has also been reported that redheads, including those with no other risk factors, are at particular risk for tooth sensitivity and zingers. Whitening sensitivity lasts no longer than a day or two, but in some cases may persist up to a month. Some dentists recommend a toothpaste containing potassium nitrate for sensitive teeth.
• Gum irritation: Over half of those who use peroxide whiteners experience some degree of gum irritation resulting from the bleach concentration or from contact with the whitening trays. Such irritation typically lasts up to several days, dissipating after bleaching has stopped or the peroxide concentration lowered.
• Technicolor teeth:Restorations such as bonding, dental crowns or porcelain veneers are not affected by bleach and therefore maintain their default color while the surrounding teeth are whitened. This results in what is frequently called "technicolor teeth."

In Closing

• No amount of bleaching will yield "unnaturally" white teeth.
• Whitening results are not fully seen until approximately two weeks after bleaching. This is an important consideration if you are about to have ceramic restorations and want to be sure the color matches that of your newly bleached teeth.
• If cosmetic bonding, porcelain veneers or other restorations are part of your treatment plan, they should not be placed until a minimum of two weeks following bleaching to ensure proper adhesive bonding, function and shade matching.
• To avoid the technicolor effect, tooth-colored restorations will likely need replacement after bleaching.
• Recessed gums often reveal their yellowish root surfaces at the gum line. That yellow color has proven difficult to bleach.
• Pregnant or nursing women are advised to avoid teeth whitening. The potential impact of swallowed bleach on the fetus or baby is not yet known.

• “Technology Developed For Predicting Shade Color After Teeth Bleaching“
• “The History of Teeth Whitening“
• “Whiten Your Teeth With Strawberries“
• “Improve Your Life With Tooth Whitening“

Unfortunately, the translators did not know what Suzuki had in mind, and they may have chosen the wrong meaning – that the Suzuki cabinet had decided to “ignore” the request for surrender. The Japanese cabinet was understandably furious – but it was too late; Tokyo radio flashed it to America. The atomic bomb was dropped on Hiroshima August 6 by the allies who believed that the Japanese government had refused to accept surrender. Folks are still uncertain how accurate these accounts are, but it’s an amazing story of consequence and the delicate nature of how we communicate with each other and what communication gets changed along the way.

Facts get changed, twisted, tweaked, and corrupted the more they travel from person to person. I shared a great article from my friend, Larry Guzzardo, last week about dental office communication and how important the “little things” are – verbal or non-verbal – reminding me of the story about Hiroshima.  Articles, phone conversations, and emails can get tainted and changed, influenced by the experiences and colorations of different personalities and perspectives. In the dental office, “patient experience” is a powerful thing to share, as long as the message is clear.  Remember the “telephone game” you played when you were a kid? You tell the little girl next to you a story, then she tells the little boy next to her the same story, but it changes a little bit.  That story goes around the circle till it comes out the other side altogether different, with little bits of each courier still clinging to it. The true story was lost in translation.

A patient trying to share a positive dental experience is challenged in much the same way.  This is the era of  “YouTube/Facebook/Ipad/Iphone”, incredible internet bandwidth, and heavy video content on the web. If you aren’t considering trying to capture your patient experiences and share them in a simple – yet unfiltered – way, you might be missing out on the most genuine way to share who you really are and what your patients think about your dental experience.  Particularly when your dentistry offers profound quality-of-life improvements that patients might like to share with others.

I speak with dentists every day that have challenges with translating a profitable business into lasting wealth in retirement.  I always struggle to share the intricacies of how other dentists, with the same financial obstacles, overcame those challenges. Everyone’s financial goals are unique and, therefore, the solution becomes highly customized. Sharing these success strategies, to put their unique experience in my own words, always fails me. It’s no different for the dentist. “If only this patient could tell that patient what a positive experience they had with my dental team”, they might say. Some of the very best dental marketing firms that I partner with are effectively using video in their on-line marketing strategies with dentists.

Written testimonials have long been effective but they fail to directly translate the emotion, tone, and sincerity that video can. They allow the voice inflection, body language, and joy of a happy patient to translate purely without getting diluted in translation. Technology has allowed us to get out of our own way, so to speak, letting a happy patient express themselves. Try to capture some of those great patient experiences and communicate them effectively to achieve an authentic reflection of that dental office you’re so proud of.

Reversing cavities

Uses in dentistry

Most minimally invasive

Allowing repair

Differences of delivery

• “Why Some People Are More Prone To Dental Cavities Than Others“
• “New Inventions To Take The Pain Out Of Dentistry"
• “Tooth Regeneration Could Replace Dental Fillings“

Feb. 15, 2011 -- Many cases of mysterious nerve damage turn out to be caused by overuse of popular denture products, an increasing number of reports suggests.

The culprit: zinc in Fixodent, from Procter & Gamble, and -- until it became zinc-free last May -- Poligrip from GlaxoSmithKline.

The body needs zinc. But because the body balances zinc and copper, people who get way too much zinc have dangerously low levels of copper. Moreover, zinc overdose itself may be toxic.

The result is bone marrow suppression and degeneration of the spinal cord, usually resulting in crippling nerve damage. It's been called "human swayback disease."

This may be a good reason for edentulous patients to explore implant therapy to retain dentures more securely or for implant supported restorations.

Read full article: http://webmd.com/oral-health/news/20110215/zinc-poisoning-linked-to-popular-denture-creams