For patients with stubborn stains on their teeth such as smoker’s teeth or stains from drinking tea, we will use a special polishing equipment called the Prophyjet. It is an instrument where water mixed with a special cleaning salt is jet out at high pressure to remove any stubborn stains. It can even reach any hard to reach areas which conventional polishing instrument cannot get into.
How often should I go for Scaling and Polishing
6 monthly scaling and polishing is usually adequate for most patients. However if tartar or stains is building up more quickly on your teeth then a more frequent visit to the dentist is needed. Feel free to call us for an appointment so that our experienced dentist could advise you accordingly.
Mouth guards should be used by anyone — children and adults — who play contact sports such as football, boxing, soccer, ice hockey, basketball, lacrosse, and field hockey. However, even those participating in noncontact sports (for example, gymnastics) and any recreational activity (for example, skateboarding, mountain biking) that might pose a risk of injury to the mouth would benefit from wearing a protective mouth guard.
Adults and children who grind their teeth at night should have a nocturnal bite plate or bite splint made to prevent tooth damage.
A mouth ulcer (also termed an oral ulcer, or a mucosal ulcer) is an ulcer that occurs on the mucous membrane of the oral cavity. Mouth ulcers are very common, occurring in association with many diseases and by many different mechanisms, but usually there is no serious underlying cause.
The two most common causes of oral ulceration are local trauma (e.g. rubbing from a sharp edge on a filling) and aphthous stomatitis (“canker sores”), a condition characterized by recurrent formation of oral ulcers for largely unknown reasons. Mouth ulcers often cause pain and discomfort, and may alter the person’s choice of food while healing occurs (e.g. avoiding acidic or spicy foods and beverages).
Treatment can range from simply smoothing or removing a local cause of trauma, to addressing underlying factors such as dry mouth or substituting a problem medication. Maintaining good oral hygiene and use of an antiseptic mouthwashes/sprays (e.g. chlorhexidine) can prevent secondary infection and therefore hasten healing. A topical analgesic (e.g. benzydamine mouthwash) may reduce pain. Topical (gels, creams or inhalers) or systemic steroids may be used to reduce inflammation. An antifungal drug may be used to prevent oral candidiasis developing in those who use prolonged steroids.
A doctor or dentist can determine by physical examination if there is a drainable abscess. X-rays of the mouth may be necessary to show small abscesses that are located at the deepest part of the tooth.
Dental Abscess Treatment
For an acute dental abscess that causes substantial pain or swelling, the doctor may incise and drain the abscess and/or try therapy with antibiotics. Abscesses that are eminently life-threatening may require hospital admission. Pain medication is commonly prescribed until the symptoms can be controlled. These initial measures are often necessary to temporarily relieve the signs and symptoms of an acute abscess; however, further treatment directed at eliminating the primary source of the infection is necessary to prevent recurrence. The location of this primary source determines the “definitive” treatment options, which may include root canal treatment, periodontal treatment, or extraction of the tooth.
A dry socket is caused by the partial or total loss of a blood clot in the tooth socket after a tooth extraction. Normally, after a tooth is extracted, a blood clot will form as the first step in healing to cover and protect the underlying jawbone. If the blood clot is lost or does not form, the bone is exposed and healing is delayed.
Treatment of dry socket focuses on reducing symptoms, particularly pain. Dry socket treatment may include:
• Flushing out the socket. Your dentist or oral surgeon may flush the socket to remove any food particles or other debris that may contribute to pain or infection.
• Medicated dressings.
• Pain medication.
Alveoplasty is a surgical procedure used to smooth out the jawbone. This is done in areas where teeth have been removed or where teeth have been lost. Alveoplasty can be done alone but it is usually performed at the same time with tooth extraction. Oral surgeons usually do alveoplasties although some dentists are also trained to do it.
How is alveoplasty done?
Alveoplasty is performed in the dentist’s office under local anaesthesia or using an intravenous sedation combined with local anaesthesia. Some of the patients may need general anaesthesia so their procedures may have to be done at the hospital. If teeth have to be removed then they will be extracted first prior tot the alveoplasty.
The surgeon will make an incision in the gum tissue and peel it back to expose the bone. The surgeon will use a rotary drill to remove the necessary bone and then use a file to smoothen it. When the bone has been smoothed, the surgeon will irrigate the area so that all the bone particles and debris are removed. If a stent is needed then the surgeon will replace the gum tissue over the bone and set the stent above it. Since the stent imitates the shape of a denture, the surgeon will be able to determine if the right amount of bone was removed. If the stent does not fit well then more bone will be removed until the stent fits properly. The gum tissue will be replaced and then it will be stitched closed. Surgeons usually use locking sutures that minimize the bleeding and seals the tissues closed.