Archive for October, 2009

Teeth braces – questions and answers…

Posted by Dental News Team On October - 23 - 2009

Nowadays braces are a widely used instrument to correct faulty tooth placement.

Nevertheless there are some frequently asked questions to know…

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colorful brace

Do braces only correct displacements or are there some more benefits?

Only very few people know, that braces can also prevent tooth loss.

If your gums start receding, this can also be caused by faulty tooth placement – talk to your dentist about this or visit an orthodontist. Sometimes faulty tooth placement can increase the risk of an inflammation of the periodontal apparatus.

Braces and kissing, does that work?

Of course it does! There is no interaction between the braces and the tongues.

What’s about the dental hygiene if I wear braces?

A very important thing to know! With braces you have to brush and clean your teeth efficiently to avoid inflammations. Braces combined with poor dental hygiene can cause parodontitis.

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Should you need fixed braces or already have them, then get yourself an oral irrigator, only this can help you get your mouth thoroughly clean!

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orthodontics

Dental white fillings

Posted by Dental News Team On October - 22 - 2009

Plastic fillings – are they worth the cost?

kunststofffullungWhite fillings are in ever greater demand – but they are not always a good idea! People are sick of silvery mercury fillings (amalgamate), people want to look good, and this includes having a perfect set of teeth. Many people are now getting their amalgamate fillings replaced by plastic fillings – called composite fillings.

Composite fillings do not work that well in side teeth, a fact which many people do not know! Even manufacturers warn that these fillings should only be used to correct surface defects, since teeth do not react well to them. The tooth nerve often dies when this type of filling is used, leading to a root canal treatment.

Patients who get their amalgamate fillings replaced by plastic are in for a bumpy ride. The fillings consist of tiny building blocks called monomers. As soon as a dentist shines a lamp on the filling, these little monomers start to connect – like Lego blocks, a process called polymerisation, which results in polymers – larger building blocks. But these plastic structures are not stable enough to hold up under chewing, so little „Lego blocks“ – monomers – start to separate. These free-floating monomers are very toxic, they invade the tooth nerve, and the nerve dies.

You do not feel the pain right away, it may take years for the   „dead“ tooth to start making trouble, so patients do not always attribute this problem to the plastic filling. Some patients experience problems immediately after the plastic is inserted, such as problems when chewing, pressure, excessive sensitivity to heat or cold.

keramikinlayWhile some dentists specialize in this type of filling and use a coffer dam, special covers and layering methods to prevent complications, but plastic fillings still end up costing about as much as a ceramic inlay. But ceramic inlays are much better for your teeth than composite fillings – assuming the inlay is inserted correctly.

White teeth may be more trouble than they are worth!

Think about what you’re doing. If you invest in your teeth, then be sure to use goods materials – gold, titanium or ceramics! Or develop a better brushing technique, because if you have poor brushing habits then you will need fillings someday.”

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cosmetic-dentistry general topics

Water irrigator to clean teeth

Posted by Dental News Team On October - 21 - 2009

Many doctors still wrongly advise against using an oral irrigator!

Whether you use an oral irrigator made by Braun, Panasonic,  Waterpik, or any other manufacturer – regular use keeps your mouth healthy!

mundduscheDoctors who are not very knowledgeable about micro-biology argue that an oral irrigator washes bacteria deeper into the gum pockets. While this may sound obvious, this is actually false. First of all, bacteria can move: they have cilia, flagella which help them move around pretty quick! Second,  bacteria are not dangerous in and of themselves!

Parodontitis and also cavities are actually caused by plaque.  Plaque is organized like a little city, there are bacteria which specialize in adhering to the teeth. Other bacteria gnaw at the teeth while others are mainly responsible for transporting nutrients. Mature plaque is organized like an ant heap.

It takes mature plaque 24 hours to form, after which you run the risk of developing parodontitis and/or cavities. The longer you wait before removing the plaque, the harder it gets to remove.

You should make it a habit to remove plaque at least every 24 hours,but using a toothbrush you can only do that above the gums, while the oral irrigator also reaches the areas just below the gums – in the sulcus, and also between the teeth.

Used once a day in combination with regular brushing, the oral irrigator helps to keep your mouth healthy! Do not be afraid if your gums start to bleed a little and hurt at the beginning, this will stop eventually, just keep cleaning!

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general topics periodontology

Oral hygiene before bleaching?

Posted by Dental News Team On October - 21 - 2009

Does cleaning matter before bleaching?

Usually, yes!

When bleaching, the gums should not be inflamed, since inflamed gums bleed easily!
Blood may react with bleaching gel, moreover the gel is diluted and starts flowing uncontrollably around the mouth.

If you have a plaque problem on the insides of your teeth, or if you are a heavy smoker you should have your teeth cleaned before you undergo bleaching!

You should also go to a dentist if your gums are dark red instead of pale pink and the papilla are swollen – you may have parodontitis!

zahnfleischentzuendungCheck whether your gums are inflamed or healthy:
If your gums are pale pink and dimpled like an orange then your gums are healthy, and if you have very little or no plaque on the insides of your lower teeth, then you can have bleaching done right away.

How much does it cost to get bleaching done by a dentist?

Professional tooth whitening (bleaching) by a dentist costs between 200€ to 900€ in Central Europe.

Tea, coffee, red wine, tobacco, cola and natural ageing makes teeth darker or spotty. Bleaching can make your natural teeth whiter without complications.

Does bleaching damage the enamel or the teeth?

bleaching-vergleichsbild1Professional whitening is performed using active oxygen, which decolorizes the pigments found in the teeth. None of the enamel is removed, ground away or dissolved.

A glass of freshly squeezed orange juice is more liable to damage the enamel than professional bleaching.
Bleaching compared – before and after. If you brush your teeth after eating sour food or fruits, this may rub off some of the enamel, as certain foods can soften up the enamel.

After eating, you should always wait at least half an hour before brushing your teeth – then you’ll always have something to smile about!

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cosmetic-dentistry general topics periodontology
cosmetic-dentistry, general topics, periodontology

Dental bone grafts

Posted by Dental News Team On October - 20 - 2009

What is the best type of bone to use in reconstruction?

bonematerial1If parodontitis goes untreated for a long time, or teeth are lost and not replaced, then bone starts to recede. And once it is time for a dental implant, there may not be enough bone matter available to support the implant.

Fortunately, there are various materials available to reconstruct bone, but which one of them is the best?

A rule of thumb is that the more similar replacement bone is to human bone, the better it heals. The best bone to use is the patient’s own – as long as the chunk of bone used does not exceed a specific size – you can find out more on that here.

From a certain size onwards it is better to use purified replacement bone, ideally human bone, or animal bone, for example from cattle. Bone substitutes can also be produced, e.g. from algae. Synthetic bone takes the longest to heal, although research is still being done on the subject.

It does not help to infuse bone from a donor with your own cells.

It is much more effective to mix replacement bone with your own blood – this is usually enough, and facilitates absorption during an operation, but it is unclear whether it helps healing.

There are many studies on this topic, but they are often poorly structured and do not observe evidence-based medical guidelines. Moreover, many of the materials used to replace bone are distributed by doctors themselves, and they all have their favorites, so it is hard to remain objective!

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implantology oral surgery
implantology, oral surgery