Frequently asked questions

Bad breath, also called "halitosis", is an unpleasant smell or odour on your breath that can be easily detected by others. It is estimated that up to 50% of the population suffers from bad breath!

Bad breath can have negative effects on your relationships, friendships, and social situations, including your romantic life. It can ruin interviews, dates, first impressions, and interactions with work colleagues. Some people may not even be aware they have bad breath until a close friend or someone else points it out to them – which many people are reluctant to do.

The good news is that if you suffer from bad breath, you have many options to help alleviate the problem and avoid potential embarrassment.

Causes of bad breath

It is not uncommon to have temporary bouts of bad breath. There are a number of possible reasons for bad breath; some suggest the presence of other conditions, and some do not. In most cases, excessive odour-causing bacteria in the mouth cause bad breath. These bacteria thrive and multiply on food particles left on and between teeth. As they grow and multiply, the bacteria metabolize the food particles and as a by-product, emit sulphur, which has an unpleasant odour.

Several other factors can cause bad breath, including:

Certain foods, such as garlic, onions and coffee

Tobacco products, such as cigarettes and chewing tobacco

Prescription medications

Dry mouth

Poor oral hygiene

Although temporary bouts of bad breath are common, the underlying medical conditions (e.g. acid reflux disease), systemic diseases (e.g. diabetes, liver disease) or periodontal disease (gum disease, or gingivitis) can cause bad breath. Bad breath is an especially common sign of early gingivitis. Constant, severe bad breath can suggest the presence of many of these conditions.

How to prevent bad breath?

In most cases, practicing good oral hygiene and scheduling regular preventative care dental appointments can significantly reduce the occurrence of bad breath.

10 tips to help get rid of bad breath:

Flossing and brushing your teeth is crucial. Brush twice per day using a soft-bristled toothbrush and fluoridated toothpaste.

Remember to clean the surface of the tongue while brushing your teeth (bacteria tends to accumulate on the tongue, which can cause bad breath).

Floss at least once per day to remove food particles between your teeth. If you are unsure of how to floss properly, please speak with your dental care provider.

Use a mouthwash with an anti-bacterial agent 1-2 times per day after flossing and brushing to kill odour-causing bacteria, freshen breath and improve your oral hygiene overall.

Chew sugar-free gum after meals or snacks to help clear your mouth of odour-causing bacteria.

Drink plenty of water during and after meals & snacks to help rinse food particles and bacteria from your mouth.

Quit smoking and/or the use of all tobacco products, as tobacco can cause foul breath as well as other oral hygiene and health problems (periodontal disease, gingivitis, dry mouth or oral cancer).

Minimize the amount of alcohol you consume, as alcohol can cause dry mouth.

Add more fruits and vegetables to your diet, as the fibrous quality of these foods can help naturally remove odour-causing plaque from your teeth.

Minimize the amount of coffee and odour-causing foods you consume (e.g. onions, garlic, certain spices) as these are difficult to eliminate from your breath.

10 ways your dentist can help you with your bad breath problem:

Professionally clean your teeth: Regular cleanings performed by a dental care provider (at least every six months) can help ensure that excess odour-causing plaque and bacteria are effectively removed from your teeth.

Rule out underlying oral health problems: Regular examinations performed by a dentist can determine if underlying oral health problems (e.g. infection, dry mouth, cavities, gingivitis or periodontal disease) are causing bad breath. If any of these conditions that cause bad breath are present, your dental care provider can develop a treatment plan with you to effectively remedy the problem.

Recommend an effective toothpaste & mouthwash: Maintaining good oral hygiene should be a crucial aspect of your day, and with regular use of the right dental care products, it should be an easy one too. A dentist or dental care provider can provide you with recommendations on which toothpastes and anti-bacterial mouthwashes are most effective for managing bad breath. The dentist or hygienist may also provide you with a special type of mouthwash or mouth spray if your bad breath is severe. Effectively flossing and brushing will also help prevent gum disease and tooth decay too!

Test your breath: A dental care provider can determine if you actually have bad breath by testing your breath using meters, such as a Halimeter or an OralChroma. These types of breath meters measure the amount of sulfides in your breath that can cause bad odours.

Recommend a good tongue scraper:Because odour-causing bacteria tend to accumulate on the tongue, especially towards back of the mouth and back part of the tongue, a good tongue scraper recommended by a dentist can help.

Check for ill-fitting or loose dentures, oral appliances or removable braces: Areas of your mouth can become irritated when orthodontic devices or dentures are too loose or do not fit properly, causing sores on your gums and even infection. It is recommended that you visit a dental care provider at least twice yearly to ensure your orthodontic devices or dentures are fitting properly and have them professionally cleaned to remove excess bacteria. At these appointments you can also receive recommendations on the best dental care products for maintaining your oral appliances and maintaining good oral health.

Check for old dental work: A dentist can fill new cavities or repair defective fillings that have been trapping food particles or have become infected. The dentist can also check old dental bridge work, veneers, full or partial dentures or dental crowns to ensure there are no infections, breakages or trapped food particles, all of which can cause bad breath.

Determine if your wisdom teeth need removal: When wisdom teeth are only partially erupted they can become difficult to clean, leaving food particles trapped in and around them. This can cause tooth decay, infection and a foul odour, and your dental care provider may advise a wisdom teeth extraction.

Check your prescriptions:Certain medications can contribute to dry mouth (xerostomia) and a foul taste and odour in your mouth. A dentist can help pinpoint which medications (e.g. blood pressure pills, anti-depressants, anti-histamines) may be causing the problem and may recommend discussing these medications with your medical doctor.

Suggest a complete physical with a medical doctor: If the dentist determines there are no oral health issues present after an oral examination, the dentist may recommend undergoing a complete physical examination with a medical doctor. Bad breath can be caused by other underlying health problems including liver problems, acid reflux, diabetes and sinus infections. Find a medical clinic near you today.

Don't suffer the consequences of having bad breath – try these helpful tips and see your professional Forever32 Dental team for help!

What Expecting Mothers should know?

The earliest stages of dental development are found when the embryo is approximately 5 to 6 weeks old. Development of the primary teeth begins at this time.

At birth, there are normally 44 tooth buds present in various stages of development. Enamel formation is well under way on the primary teeth (also known as baby teeth).

Prior to birth, the mother's body provides nutrition to the developing child. Good nutrition before pregnancy helps carry the mother and child through the first few weeks of development, which are critical. Hormonal changes can cause pregnancy gingivitis (inflammation of the gums). Maintenance of good oral hygiene and removal of any irritants helps to reduce the inflammation.

During pregnancy, fever and illness can leave marks on the developing teeth. Antibiotics, particularly tetracycline, taken during pregnancy may cause yellow-brownish stain on the primary enamel. The staining does not usually effect the integrity of the tooth.

Pregnancy can cause changes in the mucous of the mouth that may be a concern. Good oral hygiene and proper nutrition is essential to keep the mother and child healthy. As a precaution, dental x-rays should be avoided during pregnancy. If anx-ray cannot be avoided the mother will be protected with a lead apron with attached thyroid collar.

When Do I Begin Brushing My Child's Teeth?

A new-born's gums should be massaged daily with a clean, moistened gauze. When the teeth begin to show in the oral cavity a very small soft bristled, brush should be used without toothpaste until the child is approximately 18 months of age.

When the child is ready for toothpaste, only a tiny drop should be placed on the brush. Children have a tendency to swallow toothpaste and fluoride may be ingested in excessive quantities. Although fluoride is effective in preventing cavities, it is a toxic substance and should not be ingested. The child should be encouraged to spit out the excess and rinse their mouth with clear water.

Remember to change your toothbrush every 3 months. Make sure the head of the brush fits the child's mouth. A good way to measure is to place the head of the brush behind the lower teeth. Use light pressure with a soft bristle brush. Brushing should take approximately 3-4 minutes. Make tooth-brushing an enjoyable activity for the child and they will want to repeat the behaviour.

Fluoride

Fluoride absorbs into the enamel of the teeth making them more resistant to acid producing bacteria.

It is available in various flavours and can be applied to the teeth either with a fluoride tray that gently rests in the mouth for 4 minutes or the hygienist can apply fluoride by painting it on the teeth, if the child is less co-operative.

Fluoride is also present in the drinking water of many cities across Gujarat State.

Ensuring your child uses fluoride toothpaste and receives fluoride treatments will help to develop and maintain healthy teeth and bones.

Nursing Bottle Decay

Cavities can occur in very young children who routinely fall asleep while nursing on a bottle. The sugar in the nursing bottle (cow's milk, juice, formula or sugary drinks) turns to acid, dissolving tooth enamel.

Breast-fed babies are also susceptible if they constantly fall asleep with breast milk on their teeth. Early sings include white spots and tooth discoloration. Damage to primary (baby) teeth can jeopardize the development and proper eruption of the permanent teeth.

You can protect your child by not letting your baby go to bed with a bottle unless it contains plain water, clean your baby's mouth regularly and don't dip pacifiers in honey or other sweet ingredients.

Pit & Fissure Sealants

The placement of pit and fissure sealants on the first set of permanent molars is an important part of a total hygiene care program for maximum protection against tooth decay.

The pits of the teeth are the deep grooves on the chewing surface of the tooth and the fissures are channels that extend down the sides of the teeth, facing the cheek or tongue.

This type of dental treatment is recommended for primary or permanent teeth that contain deep, narrow pits on the chewing surfaces.

These pits are traps for bacteria, which will lead to decay. It is difficult, and often impossible, to reach these areas with a toothbrush during normal cleansing.

Pit and fissure sealants are of greatest benefit to children, especially when the first sets of permanent molars erupt into the dentition between the ages of 6 and 13. These are generally considered the cavity prone years.

The sealant material is made of a type of liquid plastic that bonds directly to the prepared tooth surface. Sealants can be white, clear, or opaque in colour and feel smooth when touched. There are no toxic effects from the use of chemical sealants and the application is painless.

Properly sealed teeth should retain their sealant material for 6-7 years or longer. During every 6 month continuing care appointment, the dentist or hygienist will re-examine the sealant to ensure that it remains in place to continue the protection. Research has shown that the placement of pit and fissure sealants has dramatically reduced the incidence of dental decay in children during their cavity prone years. They also reduce the need for more complex and costly procedures being required that could compromise the structure and integrity of the tooth.

Nutrition

Good dental health depends on an adequate supply of nutrients that are properly used by the body. The bacteria in plaque uses simple sugars as their food and reacts within the mouth by producing an enzyme (or acid) that will affect the enamel of teeth.

The types of foods that cause tooth decay contain refined sugars such as is found in candy, soft drinks, and crackers.

Refined sugars stay in the mouth often long enough to react to the bacteria in plaque. Natural sugars are found in fruits and vegetables but they usually clear the mouth rapidly before the sugar is converted. Dried fruits, such as raisins, contained a concentrated form of natural sugar that sticks to the teeth. If raisins are ingested with nuts or grains as in cereal, the stickiness is generally washed away from the teeth.

Children's chewables, whether they are in the form of vitamins or analgesics, should always be followed by the child rinsing their mouth with clear water. Aspirin and vitamin C both have an acid base and are mixed with sugar to make it more palatable for the child.

Thumb-Sucking

Thumbsucking can have a damaging effect on the growth of the jaw, the facial contour and even speech. It causes improper alignment of the jaw, which can be serious. Often this oral habit will disappear, but if it doesn't and it extends beyond 4 years of age, corrective action should be taken.

It is important to encourage your child to end the habit without causing embarrassment or shame.

You should ask your dentist to speak to your child while you are not present. Often children will listen to an adult with whom they are less familiar. If the child continues the habit, a habit-correction appliance can be inserted in the child's mouth as a reminder to keep the thumb out.

What is considered a dental emergency?

The following list of dental symptoms can be used as guidelines to recognize whether or not your condition may be considered a dental emergency. Dental symptoms can range in severity and urgency. A dental condition may be considered urgent, but not an emergency. However, urgent conditions still require the attention and care of a dentist as soon as possible.

Dull, continuous ache(Non-emergency)

A dull, continuous ache is not usually considered a dental emergency or urgent. However, a toothache should never be ignored because it generally means there is something irritating the nerve root of the tooth. Contact us to schedule a dental appointment at your earliest convenience.

Causes of Toothache

Do you know the causes of toothache? Were you aware that the tooth is the most sensitive part of the human body?

From time to time we can develop toothaches or throbbing tooth pain that can last for a day or longer, which can affect our eating habits, our ability to sleep, and how we go about our day-to-day lives. Knowing the causes of toothache is very important in properly treating the actual issue and not just relieving the toothache pain.

What Can Cause Toothache Pain?

There are several causes of severe tooth pain including:

Sensitive or infected gums

Abscessed tooth

Chipped or broken tooth

Damaged filling

Grinding of teeth

Decayed food

Bacterial infection

Severe trauma to the teeth as a result of an accident

Wisdom teeth coming in (late teen, early adult years)

Additional causes of toothache such as cold drinks, sweet foods, biting down, or putting pressure on the teeth can at times be triggers or make the tooth pain worse.

Toothache Symptoms to Watch For.

Depending on the severity and causes of toothache, there are several symptoms you may experience:

Tooth pain that can be described as sharp, throbbing, and constant

Tooth pain that occurs when pressure is applied to the teeth

Swollen or painful gums

Swelling and inflammation around the tooth

Fever

Headache

Earache

Foul-tasting drainage from the tooth or infected area

When to Call a Dentist for a Toothache?

Whether or not you know the causes of toothache, be sure to call your dentist if your toothache lasts for more than 1 or 2 days. If symptoms such as a fever, earache, or foul taste accompany the toothache, you should also call your dentist immediately. If your tooth pain affects what you can or cannot eat or your sleeping patterns, or if you find yourself constantly taking painkillers to try to relieve the pain, contact your local dentist.

Don’t postpone seeking treatment to find the causes of toothache, as the issue will likely only get worse or more severe.

Only a dental examination can determine the causes of toothache, which is necessary for the proper treatment.

How to Get Rid of a Toothache?

Once your dentist has determined the causes of toothache pain he or she will be able to recommend proper treatment to treat both the pain and the cause of the pain. For example:

If a cavity is causing the tooth pain then a filling or extraction may be required.

If the toothache pain is caused by an infection at the tooth’s nerve you may require a root canal.

If your gums are infected you may need to be prescribed an antibiotic.

If you are clenching your jaw or grinding your teeth you may require a custom night guard.

Need to Call an Emergency Dentist?

If your toothache pain is severe and you do not have a dentist, or if you need an emergency dentist, please contact our Dental Clinic anytime. We also offer evening appointments for your convenience.

Broken denture(Non-emergency)

DO NOT attempt to repair your denture on your own, as you could cause additional damage to the denture or your mouth. Call your denturist to schedule a dental appointment, or contact us to schedule a dental appointment at your earliest convenience.

Sensitivity to cold(Non-emergency)

Tooth sensitivity to cold is not considered a dental emergency as it is generally caused by various factors, which can include dentin exposure, acidic foods, recent routine dental procedures, gum recession, brushing too hard or teeth grinding. Contact us to schedule a dental appointment at your earliest convenience.

Sensitivity to heat(Could be Emergency)

Tooth sensitivity to heat is considered urgent because it can indicate that an infection may be present. Contact us to schedule an appointment for as soon as possible.

If significant swelling, pus or fever is present, this kind of heat sensitivity could be considered a dental emergency. Call our Emergency Helpline for immediate assistance.

Fractured tooth(Could be Emergency)

A fractured tooth may be a dental emergency depending on the degree of fracture and pain to the area. If the fracture is severe you should seek emergency medical attention.

If damage to a fractured tooth is minor or moderate, it is considered urgent, but may not be a dental emergency. Avoid hot and cold foods and biting/chewing in the area of the fractured tooth until seen by a dentist. Contact us to schedule an appointment for as soon as possible or call our Emergency Helpline for immediate assistance.

Broken braces and wires(Urgent)

If a dental wire becomes broken and is poking the gums, you can help alleviate pain by pushing the poking wire away from the gums using the eraser-end of a pencil. Call your orthodontist to schedule a dental appointment as soon as possible, or contact us to schedule an emergency appointment.

If a bracket or band becomes loose and is still attached to the wire, leave it in place and put some wax on it. If the wire comes out entirely, wrap the bracket in a tissue. Call your orthodontist to schedule a dental appointment as soon as possible, or contact us to schedule an emergency appointment.

If a wire becomes loose, try to put the wire back into place using tweezers and place wax on it. Call your orthodontist to schedule a dental appointment as soon as possible, or contact us to schedule an emergency appointment.

Swelling(Dental Emergency)

If you are experiencing sudden, severe discomfort, accompanied by swelling, there might be an infection in your mouth. If an infection is present, the area will appear red, tender and warm to the touch with some localized pus formation. Apply a cold compress to the inflamed area and call our Emergency Helpline for immediate assistance.

Abscessed tooth(Dental Emergency)

If an abscess is present, a localized pus formation can usually be seen at the root end of the tooth with redness in the area and swelling. If the condition is acute and there is an infection present, the dentist will likely prescribe antibiotics and analgesics right away before attempting to perform root canal therapy or other restorative procedures. Call for immediate assistance.

Knocked out tooth(Dental Emergency)

If your tooth is knocked out, control the bleeding by applying direct pressure with a cold compress. Do not be alarmed, as there may be extensive bleeding. Recover the tooth that has been knocked out (without touching the root end of the tooth!) and very gently place it back into its socket. It is possible to re-implant the tooth within 30 minutes of being knocked out. If you are uncomfortable placing the tooth back in your mouth, carefully transport the tooth in a glass of cold milk or wrapped in a cold, wet cloth. Call for our immediate assistance or seek help at your closest emergency facility.

Extruded tooth(Dental Emergency)

An extruded tooth is a tooth that has been forced out of its original position. If you have a tooth pushed inward or outward DO NOT force the tooth back into its socket. Call for our immediate assistance.

Facial fracture(Dental Emergency)

A facial fracture is an injury that results in broken bones to the face. In the event of a severe facial fracture ensure the airway is open and apply direct pressure to any bleeding areas. Call 108 or transport the victim to hospital emergency immediately for medical attention.

Inlays / Onlays

Inlays and onlays are a type of indirect filling used to restore teeth that are severely damaged or decayed. Generally, when more than half of the tooth's biting surface is damaged, inlays and onlays are the recommended choice of dental restoration.

Inlays and onlays are custom made in a lab, then bonded to the damaged area of the tooth. Inlays and onlays can be made of porcelain, gold or composite resin. Porcelain is the material of choice for inlays and onlays due to its strength and color, which matches the natural color of your teeth.

Onlay - Onlays (similar to dental crowns) are used to restore the outside of the tooth surface that has been severely decayed or damaged. Onlays are custom made to fit around the outside of the tooth, restoring the shape and function of the tooth. In many cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.

Inlay - Inlays (similar to dental fillings) are custom made restorations applied to the inside damaged tooth surface. Inlays are fitted to the tooth and then cemented in place to help strengthen the overall tooth structure.

Advantages of inlays/onlays

• When compared to traditional metal fillings, inlays and onlays have many advantages:

Inlays/onlays give the tooth a natural, aesthetic appearance

Inlays/onlays can increase the strength of a tooth by up to 75%

Inlays/onlays are resistant to stains

Inlays/onlays can help insulate the tooth from exposure to hot and cold

Inlays/onlays are durable and can last from 10 to 30 years

Inlays/onlays can prevent tooth loss by preventing further decay from occurring to the affected tooth

How are inlays/onlays applied?

Inlays and onlays require two dental appointments to complete the procedure. During the first visit, the damaged or decaying area of the tooth is removed and the tooth is prepared for the inlay or onlay. To ensure the inlay/onlay delivers proper fit and bite, an impression of the tooth is made by the dentist, and sent to a lab for custom fabrication. The dentist will then apply a temporary sealant on the tooth and schedule the next appointment.

At the second appointment, the temporary sealant is removed. The custom made inlay/onlay is then bonded to the tooth with a strong resin and polished to a smooth finish. The result? Natural looking teeth and a new and improved smile!

Amalgam Fillings

Amalgams are commonly known as silver fillings. They do contain some silver; however, they are a mixture (or alloy) of metals that are bound together, or in other words, amalgamated. Traditional amalgam fillings were bound together by using mercury; however, many of the newer amalgam materials do not use mercury.

Amalgam fillings have been used for many years and are often the preferred treatment for posterior fillings.

The average biting force in the posterior jaw is approximately 170 lb. of pressure. A dental restoration must be able to withstand such forces. Amalgam fillings do not change easily under stress and are soft, pliable and easily shaped into the prepared cavity. The amalgam then hardens quickly to form a very strong dental restoration able to endure the stress associated with chewing and biting. With specialised dental bonding systems, it is possible to create a bond between the amalgam and the tooth structure. This reduces the possibility of leakage or recurrent decay forming beneath the restoration.

Metals, as those used in amalgam restorations, are excellent thermal conductors. They rapidly transmit heat and cold through the tooth. Amalgam fillings help to protect the pulp against sudden temperature changes. The retention of this type of dental restoration is excellent and can last many years within the mouth.

GIC/Composite Resin Fillings (White)

Composite restorations have a natural, tooth-like appearance and are used primarily on anterior teeth, although many patients now prefer to have composite fillings placed on posterior teeth.

A major advantage of this type of restoration is that they match the tooth colour and are aesthetically pleasing.

Composites are made of a mixture of plastic and acrylic materials such as polymer matrix, quartz and lithium aluminium silicate. Polymerisation is a process in which a resin material changes from a plastic state into a hardened restoration. They are also capable of bonding directly to the tooth structure reducing the possibility of leakage.

The length of time that it takes to perform a composite resin restoration depends on the size of the restoration. Some restorations will only involve one surface and may not require anaesthetic, so the appointment may only take 10 to 15 minutes. When the procedure involves more surfaces of the tooth, the procedure may take longer. A composite resin restoration will restore the tooth to its original function with an aesthetically pleasing result.

Veneers

Veneers are thin, customized shells of porcelain ceramic that bond directly to the front surface of your anterior (front) teeth to enhance your smile. The result is a natural, dazzling smile!

Veneers can permanently transform teeth that are:

Chipped

Cracked

Worn

Spaced unevenly

Crowded

Severely stained

How much do veneers cost?

The cost of porcelain veneers depends on many factors including previous dental work, the present condition of your teeth and how many veneers you might require. Placing custom veneers requires a high degree of technical skill and attention to detail by a skilled cosmetic dentist.

Do veneers look like normal teeth?

When bonded to teeth, ultra-thin porcelain veneers are virtually undetectable and highly resistant to unsightly staining caused by coffee, red wine, tea and even cigarettes. For strength and appearance, the resemblance of veneers to healthy, white tooth enamel is unsurpassed by other dental restorative options.

How long do veneers last?

With proper care, porcelain veneers can brighten your smile for well over a decade. To prolong the life of your porcelain veneers, refrain from using your veneers as tools to open and cut things, and maintain regular brushing and flossing practices. If accidental breakage or damage to veneers occurs, it is usually possible for the dentist to replace only the veneer involved.

Root Canal can provide an effective means of saving a tooth that might otherwise require removal. The presence of the teeth and their root structures helps to maintain the overall structure of the jaw. Root canal treatment may be recommended if the pulp of the tooth becomes dead (non-vital).

The pulp is the main source of blood supply to the tooth and it receives its nourishment from vessels that pass through the roots of the tooth (root canals). If the pulp becomes non-vital, if there is irreversible inflammation present or if the tooth has suffered trauma through an injury, root canal treatment may be warranted. A tooth that is abscessed will show a localised pus formation at the root end of the tooth. If the abscess is left untreated you may experience severe discomfort and the infection could spread to the surrounding bone.

Root canal treatment may not be recommended if the tooth has a poor prognosis (can not be saved) or if the inflammation is reversible. A pre-existing health condition may also affect the decision as to whether or not the client should undergo root canal treatment. Your dentist will discuss all available treatment options.

1. What is a root canal?

A root canal is a dental procedure needed when the tooth’s root becomes inflamed or infected. The procedure involves removing the bacteria in the root canals of the tooth and then sealing the tooth up again so that bacteria cannot re-enter.

2. Is pain after root canal normal?

It is normal to feel tenderness in the area for several days after your root canal, as well as some soreness in your jaw after keeping it open for the entire procedure. Pain will usually peak 17 to 24 hours after the procedure. Over-the-counter pain medications can help alleviate post root canal pain along with keeping your head elevated when sleeping the first few nights. Any severe pain or pressure that lasts for more than a few days should be reported to your endodontist.

3. How long does a root canal take?

Depending on your endodontist and the severity of your root canal, the dental procedure will usually take between 30 and 60 minutes of 4 to5 appointments. Some endodontists prefer to perform the entire root canal in one visit, while other endodontists prefer to do the root canal in several appointments in order to let the tooth dry and be able to disinfect a second time before filling. The number of root canal appointments will also affect the total length of the procedure.

4. What root canal symptoms should I watch for?

Common root canal symptoms can include:

Severe tooth pain and tooth sensitivity that worsens over time

Swollen or tender gums near the infected area

Pus-filled pimple around the gum

Abscess in the jawbone (visible on an x-ray)

Darkening of the tooth

5. Do root canals hurt?

Many people ask, “Are root canals painful?” If the pulp in the tooth is dead there are no nerves, so you shouldn’t feel anything. If the pulp is still alive, you will need a local anesthesia to help with the pain management.

6. What should I expect after a root canal?

As stated above, you can expect some tenderness around the area where the root canal was. Post root canal treatment instructions will usually include:

Wait to eat until all the numbing has come out of your mouth.

Avoid chewing or biting on the tooth until it has been restored by a crown.

Continue to brush and floss your teeth as normal.

Return to normal activities after the anesthesia has worn off.

7. Should I worry about root canal infection after the procedure?

Your endodontist will keep careful watch for any recurring infection in the tooth. It is important to watch for signs of infection, including:

Severe pain or pressure that lasts for more than a few days

Visible swelling inside or outside the mouth

Original symptoms returning

8. What is a normal root canal recovery time?

You should experience continual gradual healing during the first week after your root canal.

9. Do I need to see a root canal specialist?

Depending on the severity of the root canal, your dentist may refer you to an endodontist who specializes in root canal treatment. Endodontists are dentists with additional years of training that focuses on diagnosing tooth pain and performing root canals and other procedures inside the tooth.

10. Should I get a root canal or extraction?

Some may wonder if the tooth will recover on its own or if they should just get an extraction and dental implant. Only your dentist will know if a root canal is necessary and if there are root canal alternatives available based on the severity of the infected tooth and your medical history.

Regularly scheduled professional cleanings reduce the build up of plaque and tartar on your teeth and help prevent dental decay and gum disease. Based on an assessment of your teeth and gums, your dentist will create a treatment plan to best meet your oral health needs. Our advanced dental hygiene services include:

Digital radiography

Gum tissue evaluation (periodontal charting)

Scaling and root planing

Oral cancer screening

Instruction in brushing and flossing techniques

If you require more than just a regular hygiene care, your dentist may prescribe a deep cleaning (Scaling and Root Planing). This procedure is usually done in sections. The cleaning takes two sessions, in which half of the mouth is cleaned in each session. First the teeth and the gums are anaesthetized, then the teeth are cleaned using a combination of ultrasonic and hand instruments. It is normal to experience temperature sensitivity after the appointment. Your teeth may even be sensitive to chewing. Your gums will be sore and may bleed.

Sometimes your dentist may advise the placement of an antibiotic (arestin, perio-chip) in the pocket if it is greater than 4mm. In that case, patients should postpone brushing for 12 hours and avoid the use of interproximal cleaning devices (flossing) for 10 days. Also patients should avoid eating hard, crunchy, or sticky foods for 1 week.

After completion of the treatment, it is important to follow good home care which includes regular brushing, flossing, and using a mouth rinse (prescription or over the counter). Your dentist/hygienist may put you on a 3-4 month follow up care. Failure to comply will return your gum condition back to its initial pre-treated state. Regular follow up care will allow gums and bone to heal and will prevent further destruction. Gum disease is a silent disease and the importance of follow up care cannot be emphasized enough.

PYORRHOEA

Periodontitis is another, more clinical name for gum disease and pyorrhoea, and is an inflammation of the tissue around the teeth, often causing shrinking gums, bleeding when brushing and/or flossing and loosening of the teeth at its worst.

Like many diseases, Periodontitis doesn’t sound particularly pleasant but let’s shed some light on this very common oral problem through some of the most frequently asked questions…

What is periodontal disease?

Periodontal disease is an infection of the gums, teeth and jaw bone that can pose a serious threat to your oral health and overall health. Periodontal disease can start at just about any age and exists in two main stages: Gingivitis and Periodontitis:

Gingivitis (gum disease)

Gingivitis, also known as gum disease, occurs in the early stages of periodontal disease. Gingivitis is an inflammation of the gums caused by dental plaque that forms on teeth. As excessive dental plaque builds-up on teeth, the surrounding gums become irritated, red, inflamed and may easily bleed. If not removed, dental plaque built up on teeth hardens to form tartar.

Periodontitis

If gingivitis is not properly treated, it can advance to the later stage of periodontal disease called periodontitis. Periodontitis is an inflammation of the tooth or teeth. Over time, as plaque builds up below the gum line, the tissue that attaches the gums to the teeth is destroyed by bacterial enzymes in dental plaque. This causes the gums to pull away from the teeth and small "pockets" of infection form between the teeth and gums and fill with more plaque. Eventually, if periodontitis is not properly treated, the jawbone supporting the teeth will be destroyed and teeth may be lost.

Other causes of periodontal disease include smoking, excessive consumption of alcohol, improper use of dental floss and toothpicks, poor nutrition, vitamin C deficiency, pregnancy and certain medications.

What are the symptoms?

The main symptoms of gum disease are sore, swollen and inflamed gums that tend to bleed during brushing. If gum disease is left untreated it can progress into more advanced symptoms like bad breath (halitosis), loose teeth, gum abscesses, receding gums and a metallic taste in your mouth, too name but a few.

What causes it?

Gum disease can be caused by several things, but bad oral hygiene is the most common cause. Your mouth is naturally full of bacteria and when this combines with saliva it creates a sticky film known as plaque, which builds up on and around your teeth. The plaque’s bacteria feed on the residue of carbohydrates (sugary or starchy foods) and they produce acid.

Over time it’s this plaque acid that erodes your tooth’s enamel, causing tooth decay. Other plaque bacteria can irritate your gums too, making them inflamed, sore and prone to bleeding when brushed.

WHAT ARE THE SYMPTOMS OF PERIODONTAL DISEASE?

Red, swollen, sore gums

Gums that bleed when brushing and flossing

Teeth that appear longer or become loose

Large spaces that form between the teeth

Gums that begin to pull away from the teeth

Chronic bad breath

Periodontal disease, if left untreated, can contribute to other health problems including heart disease and diabetes. If you're pregnant, having periodontal disease is also linked to premature birth or low birth weight. Your smile's health affects the overall health of your body.

Who does it affect?

Gum disease is a very common condition and affects 3 out of every 4 adults in the India over the age of 35. But that doesn’t mean it’s something that only happens later in life. Sadly, more than half of teenagers have some form of the disease too. Another group at high risk from the disease are smokers. Smoking is known to cause around 50% of all gum disease cases in the India, so it’s now time to quit smoking, not only for your overall health but also for your gums’ sake too.

IS PERIODONTAL DISEASE TREATABLE?

Gum disease is both preventable and treatable. Today's periodontal treatments provide you with a variety of options that are gentle, safe, and effective. If you have been diagnosed with gingivitis or gum disease, your periodontist can help you determine what treatment best meets your needs. Periodontal treatments include:

Non-surgical treatment

Periodontal surgery

Periodontal therapy

Dental implants

At-home care (special toothpaste, mouthwash, toothbrushes, and prescription treatment trays)

Temporomandibular joints are the muscles and jaw joints used to open and close your mouth. TMJ disorders can be caused by injury to the face and jaw regions, bite problems, grinding teeth, clenching your jaw, whiplash, and even poor posture resulting in damage to the joints or misalignment. Facial, tooth and ear aches as well as "clicking" in the jaw, headaches, neck shoulder and back pain can occur.

Systemic disease such as rheumatoid arthritis, which effects the joints of the body, can also affect your jaw joint, causing degeneration. Forms or treatment include physical therapy, anti-inflammatory medication, and bite guards. In more serious cases, where severe pain is persistent, surgery may be necessary.

What is a mouthguard?

A mouthguard is a protective device that covers the teeth and gums to prevent and reduce injury to the teeth, arches, lips, gums and brain.

How does a mouthguard work?

A properly-fitted mouthguard can cushion a blow to the face, minimizing the risk of broken teeth and injuries to the soft tissues of the mouth.

Custom-fitted mouthguards can play a role in preventing concussions. When the upper and lower teeth slam together, the force of the impact is transmitted to the brain which can cause a concussion. A custom-fitted mouthguard can provide a resilient, protective surface to distribute and disperse the impact.

Can mouthguards actually reduce sports injuries?

When athletes do not wear mouthguards, they are 1.6 to 1.9 times more likely to experience a dental injury (Sports Medicine, 2007).

What does a mouthguard look like?

Mouthguards are made from rubber or plastic. They can cover the upper or lower teeth. To offer protection against concussions, mouthguards should cover the surface of the molars, preventing the upper and lower teeth from slamming together if the jaw is struck.

Is a mouthguard comfortable to wear?

Most store-bought mouthguards do not hold their shape, sometimes fitting so poorly that users alter them to make them more comfortable. Unfortunately, this reduces the mouthguard's protective properties. Custom-fitted mouthguards have a tight, comfortable fit because they are specifically tailored to the user's mouth.

Can a mouthguard be worn over braces?

Yes - in fact, having a custom-fitted mouthguard is especially important for people who wear braces or have fixed bridge work. A blow to the face could damage the brackets or other orthodontic appliances. A mouthguard can also provide a barrier between the braces and the cheeks or lips, helping to minimize injury to the soft tissues.

Can a mouthguard help me score more goals?!

It could! There is evidence that having a properly-aligned jaw improves body posture (Neuroscience Letters, 2004) which can increase balance, endurance and strength. A custom-fitted mouthguard could move the jaw into its optimal position, relaxing facial muscles and improving oxygen flow - factors that could maximize athletic performance.

How much does a custom-fitted mouthguard cost?

A single blow to the mouth from a hockey stick may result in months or even years of treatment, with costs ranging from hundreds to thousands of dollars.

Protect your head and mouth. Call our Dental Centre for a quote on obtaining a custom-fitted mouthguard for you or your child today!

For centuries, scientists have been trying to understand the relationship between Oral and Heart health. Studies thus far have demonstrated interesting links between Coronary Artery Disease and Gum Disease.

People with poor oral health are more likely to have heart attacks. While it has not been proven that one of these conditions leads to the other; it has been observed that inflammation and the same type of bacteria were common in both diseases.

1. Inflammation

People with advanced gum disease have an increased level of C-reactive protein (CRP) which is a protein that rises during body inflammation. CPR levels are also used to determine a person's risk of stroke. Inflammation seems to be a common factor in both gum and heart diseases.

2. Bacteria

During the early stages of gum disease, the gum becomes inflamed and bacteria overtake the mouth. These bacteria could find their way into the blood stream and result in the thickening of the artery, which creates plaque build-up, and may eventually lead to heart failure.

Some of the symptoms of gingivitis (gum disease) to look out for are:

Red, tender or swollen gums

Bleeding gums while brushing or flossing

Gums pulling away from your teeth

Recurring bad taste in your mouth

Bad breath

Loose teeth / teeth separating from each other

These top 3 dental preventive measures are your first defense against gum disease:

The Academy of General Dentistry advises that proper diagnosis and treatment for oral diseases can lead to a decrease in blood pressure and improve health If you know you suffer from heart disease, keep your dentist informed about your condition. Likewise, if you suffer from gum disease, you may want to get medical check-ups with your family doctor regularly.

What is an orthodontist?

An orthodontist is a dental specialist that analyses your mouth and surrounding bone structures to determine where your teeth should be. This helps your teeth and mouth look and work better. When there is enough room in your mouth, the orthodontist can manipulate teeth and bone to their optimal alignment using various orthodontic appliances. However, if there is not enough room in your mouth, some teeth may have to be removed to achieve the desired orthodontic results.

Orthodontic appliances can be made of metal, ceramic or plastic and may be removable or bonded to your teeth depending on your dental situation or preference.

Dental Malocclusions

Generally, dental malocclusions are the reason orthodontic treatments may be needed. Dental malocclusions are misalignments in teeth that include crowded teeth, protruding teeth, widely spaced teeth and bad dental bites. Malocclusions are caused when there is a difference between the upper and lower jaw sizes or when a tooth-to-jaw-ratio is off-balance.

Dental malocclusions can give you an unattractive smile and can impair proper mouth function making it more difficult to speak and/or chew properly. What is more, dental malocclusions make it difficult to effectively clean teeth. For this reason, those with dental malocclusions have a higher risk of developing oral health problems such as tooth decay, gingivitis (gum disease) and even tooth loss!

So... What are my treatment options?

At FOREVER32 DENTAL, we offer a range of modern orthodontic treatments to our patients including traditional braces and Invisalign® clear aligners.

Invisalign® Clear Aligners

Invisalign® braces can give you the beautiful, confident smile you've always wanted and no one can tell you're wearing them

Virtually invisible and removable, Invisalign braces can be an effective alternative to traditional braces for teens and adults who want to straighten their teeth while avoiding the embarrassment and burden of wearing metal wires, brackets, braces or headgear.

The Invisalign® System consists of a series of clear orthodontic appliances called aligners that allow you to comfortably straighten your teeth. Invisalign aligners are customized to fit your mouth and allow you to straighten your teeth in small steps to the desired, final position. Each pair of Invisalign aligners in the series is worn in two-week increments without interfering with your day-to-day life.

What are the advantages of Invisalign?

Invisalign aligners are not only invisible but are also easily removable. Invisalign aligners need to be removed only when eating, brushing and flossing, and can be worn while playing sports or while playing your favourite instrument.

Invisalign aligners are also comfortable. They do not contain cumbersome metal wires or brackets that have the potential to cause mouth abrasions over the course of treatment. Also, because Invisalign aligners do not contain metal wires and brackets, less time is usually spent at the dentist for orthodontic adjustments and repairs.

Traditional Braces

Traditional braces use elastics, bands, metal brackets, and wires that are placed on the front of your teeth to gradually manipulate your teeth to their optimal alignment.

Today, traditional braces have become "less traditional", allowing you to customize the look of your braces. For example it is possible to get ceramic, clear or tooth-coloured brackets for a discrete look. Alternatively you can get various coloured wires and bands for your braces to give them a uniquely colourful and trendier look.

Q: Who can wear braces?

A: Anyone of any age can wear braces! In fact, approximately 20% of people who wear braces are adults between the ages of 20 and 60 years old. Braces are used not only to enhance the attractiveness of your smile, but can correct improper alignment of teeth that can lead to periodontal disease and early tooth loss.

Q: How long will my orthodontic treatment last?

A:Orthodontic treatments are generally expected to last from 6 to 8 months for cosmetic treatments and 12 to 24 months for full conventional treatments. However, the duration of orthodontic treatment can depend on many individual factors. One of the most important factors in the duration of orthodontic treatment is the cooperation of the patient in keeping scheduled orthodontic appointments, maintaining proper hygiene, taking care of the braces and proper wear of orthodontic appliances.

Q: What should I expect on my first visit?

A:Your initial visit will give you the opportunity to meet your doctor and discuss possible orthodontic treatment options. This will allow our professional dental teams to answer any questions that you may have regarding your treatment. A clinical examination will be performed to determine an individualized course of treatment and you will be provided with an estimate of the treatment duration and cost.

Q: Do braces hurt?

A:Typically there may be minor, temporary discomfort two to three days after each adjustment of your braces. However, this discomfort can be effectively minimized with the use of over-the-counter pain relievers (e.g. ibuprophen).

Q: Will braces affect my diet?

A:Temporarily. A "soft foods diet" is recommended when braces are initially bonded to teeth as there may be a minor, temporary level of discomfort. "Soft foods" include foods such as soup, well-cooked pasta, peanut butter and tuna. After a few days when teeth begin feeling less sensitive, you can resume your regular diet - with some restrictions. Foods that have the potential to cause damage to braces must be avoided during orthodontics treatment including:

Chewy foods: bagels, hard rolls, licorice

Crunchy foods: popcorn, ice, chips

Sticky foods: caramels, gum

Hard foods: nuts, candy

Foods you have to bite into: corn on the cob, apples, carrots

Q: Can I play sports while wearing braces?

A:TYes. During orthodontic treatment, you will be able to play almost any sport or activity that you are currently involved with prior to orthodontic treatment. However, it is highly recommended that a sports mouthguard is worn during any sports activity to decrease the risk of damaging your orthodontic appliances or causing injury to the soft tissues of your mouth.

Q: Why do I have to wear a retainer?

A:Retainers are very important because they help keep your teeth straight at the completion of orthodontic treatment. If retainers are not worn as instructed, your teeth will move or will tend to relapse. Retainers are most crucial right after the braces are removed because this is when the teeth begin to stabilize. Wearing a retainer as instructed will help keep your teeth in their optimal position.

Q. What does orthodontic treatment cost?

A:It is impossible to determine the cost of a treatment such as this without seeing you in person. Each individual requires a customized orthodontic treatment plan that will vary in complexity, duration and with the orthodontic appliances used. However, orthodontic treatment is a good investment when compared with the cost of untreated problems caused by dental malocclusions. That is, orthodontic treatment can have long-term health benefits and may contribute to the avoidance of costly, serious dental problems later in life.

At the conclusion of your appointment, the dentist will provide you with post-operative care instructions. To maintain the integrity of the treatment that you receive, it is helpful to follow the instructions provided and if you have any concerns, do not hesitate to call your dentist.

Post-operative care is important following any dental procedure and recovery may be delayed if this care is neglected. Some swelling, stiffness, oozing of blood and discomfort is expected after surgery. It is helpful to have the patient observed by a responsible adult for the duration of the day of the surgery. The following includes our post-operative instructions and events, which may take place following this kind of surgery.

Bleeding: The gauze pad which was placed after surgery acts as a protective dressing and should be left in place 2-3 hours with gentle pressure applied. Some oozing is to be expected. If excessive bleeding is noticed, this is not normal. Most often, however, this can be controlled by the use of clean gauze placed directly over the surgical site and held with firm pressure for approximately 1 hour until the bleeding is controlled. If bleeding continues, call our dentist at any time +91 8866771818.

Pain: If it is necessary, you will be provided with a prescription for medication. This can be filled at any drugstore and should be used as directed. Pain may be expected soon after the surgery and will reach its maximum during the first few hours. It is recommended that the prescription be started approximately 1-2 hours after the surgery and continued as directed.

Nausea: If nausea is encountered in the immediate post-operative period, it is often increased by taking the pain medication. Remember not to take the pain medication without something in your stomach. The post-operative nausea may be relieved by taking 1 glass of glucose water such as GluconeD every hour for 5-6 hours. This can be followed with mild tea, broth, and soft foods before resuming your regular diet.

Swelling: Swelling and stiffness are to be expected. This swelling may increase over the first 2 days, and then it should start to subside. Swelling can be somewhat controlled by the use of ice and heat as follows:
- Ice: Use ice for the first 12-24 hours applying it to the cheeks for 20 minutes and removing it for 20 minutes alternately.
- Heat Swelling and stiffness may be relieved by warm, moist heat applied to the jaws on the 2nd and 3rd days following the surgery.

The stiffness which can sometimes occur will usually be relieved by the heat application, the use of chewing gum at intervals, and gentle stretching exercises beginning the day after surgery.

Nourishment: Nourishment should not be neglected. On the day of surgery, a light diet is recommended (instant breakfast, soups, shakes, etc.). The following day, a soft diet to a regular diet as tolerated may be started. The patient should not use a straw for several, since this may dislodge the blood clot.

Bruising: Depending on the nature of the surgery which was performed and the nature of the person, some discoloration on the face may be seen for 3-5 days after the surgery. If this happens, do not be alarmed.

Oral Hygiene: Rinsing, spitting, and tooth brushing should be avoided on the day of surgery. Starting on the day after surgery, frequent gentle rinsing with mile, warm salt water is encouraged. Brushing should also be resumed, being careful to avoid the surgical site for the first two days. Good oral hygiene is important to normal wound healing.

Activities: Activities for the first 24 hours should be minimal. Rest quietly with your head elevated. Smoking should be discontinued for at least 3 days. Do not expect to return to work or normal activities immediately. Two to three days rest is recommended and subsequently resuming activities as they are tolerated. Vigorous physical activities and sports should not be resumed until the surgical areas are comfortable, swelling is resolved and a normal diet is possible. Usually contact sports should not be resumed for approximately 1 week post-operatively. Musical wind instruments should not be played for at least 7-10 days after most oral surgery.

Numbness: Numbness will be lasts long 2-3 hrs after the procedure. Do not eat or bite anything before the numbness completely wearoff. Many times the roots of the lower teeth are adjacent to the nerve in the lower jaw. When the tooth is removed, the nerve may be slightly disturbed which may lead to a numbness of your chin, lower lip, and your lower teeth on that side. No one can determine exactly how long this will remain, but it is rarely permanent.

Taste and Odor: After the surgery, a bad taste or odor may occur. This is usually secondary to a lack of appropriate cleaning in the area. Commercial mouthwash may be used along with normal rinsing and brushing.

Uncommon Problems: Many people fear the possibility of a dry socket, which is a very unusual complication. If you have pain, however, that is not relieved by the pain medication or aspirin, this may be the case. If possible, you should return to our clinic or if the distance is too great, see your local dentist. Pain in the ear, difficulty swallowing, and difficulty opening and closing the jaws are symptoms which can occur with varying frequency, and usually are not significant. Swelling at a later date is uncommon, but if the swelling increases after 5-7 days, please contact our clinic +91 8866771818.

Emergency: If there is any difficulty in breathing, fever, excessive bleeding or any other disturbing problems following the surgery, you should call at our clinic immediately or go to the hospital in emergency.

We believe that good oral health habits should be maintained throughout your lifetime.

Preventative dentistry means you no longer have to suffer from tooth decay and tooth loss with age. With proper and regular dental care your teeth are designed to last a lifetime. Research shows that regular dental flossing and brushing is instrumental in preventing tooth decay and gum disease, or gingivitis.

Dental health care should be as important as your medical checkups. Your dental health is an essential component of your overall physical wellness because your oral health directly affects your overall health. That is, what happens in your mouth can affect other parts of your body. As well, missing teeth can result in changes in facial contour and create problems in the digestive tract.

An effective preventative care program includes practicing regular and effective oral hygiene habits and attending regular preventative care appointments at your dental centre. Maintaining dental care habits and regular dental appointments are both essential to achieving and maintaining good oral health, and to your overall wellbeing.

What is a preventative care dental appointment?

Regular preventative care dental appointments can help your dentist detect early gingivitis (gum disease) and tooth decay in its early stages, making treatment easier with less discomfort. Early detection of oral health problems can also help you avoid the necessity of having more complex and costly dental procedures performed.

During a preventative care dental appointment, your dentist will examine your teeth and supporting structures to ensure oral health problems are not present and that you are practicing regular and effective flossing and brushing. Next, your dental care provider or dental hygienist will perform a scaling (cleaning) of your teeth to remove tartar and plaque build up on your teeth.

The scaling process involves cleaning the crown of the tooth and below the gum line where dental plaque is often trapped. Following the scaling process, your dental care provider will polish your teeth. Children under the age of eighteen have fluoride applied to their teeth at the end of the preventative care dental appointment. Regular dental care checkupsevery six months will ensure your teeth are healthier and happier for years to come. Book an appointment with an FOREVER32 DENTAL CLINIC & IMPANT CENTER today.

Achieving the beautiful, brilliant smile you want may be as simple as having a professional teeth whitening treatment. Professional teeth whitening can effectively remove stains caused by cigarette smoking, drinking cola, coffee, tea, red wine, aging and chemical damage to teeth. With the aid of your dental team, the results can be long-lasting and dazzling!

What are my options?

In-office Whitening: In-office whitening procedure gives you a dazzling whiter smile in as little as 15 minutes!

During the whitening procedure, you will be fitted with a compact gel-lined tray positioned carefully in your mouth. To protect your gums from potential irritation, vitamin E oil will be applied before the procedure begins. Next, an LED light will be applied to the gel tray to activate the whitening gel ingredients, giving you a whiter brighter smile in just minutes!

One-hour chair-side whitening: Chair-side whitening is an in-office procedure where a dental professional applies a hydrogen peroxide whitening gel to the targeted teeth, and then applies a special light to the gel to accelerate the whitening process. Special care is taken to protect the gums and surrounding tissues while the whitening procedure is in progress. The laser whitening procedure may be repeated until the desired shade is achieved.

Your teeth can become up to 10 shades whiter in as little as one hour!

At-home teeth whitening system: An at-home teeth whitening system may be prescribed by your dentist. To use at-home whitening, the dentist will take an impression of your teeth for custom-fitted whitening trays and supply you with a whitening gel. The whitening gel is placed inside the custom whitening trays to hold the whitening agent against your teeth. When using an at-home whitening kit it is important to follow the instructions carefully and to visit your dentist regularly so your progress can be properly assessed.

An at-home teeth whitening system allows you to professionally whiten teeth under the supervision of a dentist, in the comfort of your own home!

How can we help? Teeth whitening services are available at our Dental Clinic. Our dentists analyze your smile to determine which teeth whitening treatment is best for you.

Considerations for teeth whitening

The results of teeth whitening can be spectacular. However, anterior (front) white fillings or dental crowns may be exclusionary from the teeth whitening process. That is, your natural tooth enamel may be whitened while the colour of your dental restorations remains the same. Also, if your teeth are severely stained, veneers may be a more appropriate option. For these reasons, you should always discuss teeth whitening options with your dentist to determine which teeth whitening treatment will best suit your needs.

Is professional teeth whitening harmful to my teeth in any way?

No. Professional teeth whitening products do not compromise the existing structure of your tooth enamel and have been subject to a multitude of studies for more than a decade, proving them to be safe and effective. The key is proper application.

Our dentists know that their top priority is to protect your oral health. Over-the-counter bleaching agents and products can cause harm to the gums and teeth if not applied properly. This is why teeth whitening should be prescribed and supervised by your dentist.

Patients can benefit from dental crown procedures by having a permanently restored, functional and aesthetically pleasing tooth. Crowns look and feel like the rest of your natural teeth!

A dental crown (sometimes referred to as a dental cap) is a type of dental restoration that can be used to cover a significantly damaged tooth where there is very little of the tooth structure left to restore. Dental crowns may be used if:

You have had a root canal

You have a large tooth filling

Your tooth is broken

Your tooth is badly stained, crooked or misshapen

A dental crown is permanently cemented onto the prepared tooth structure and fully covers the portion of tooth that lies above the gum line. Essentially, once prepared, a dental crown becomes the tooth's new outer surface. Dental crowns are often a dentist's treatment of choice because of the excellent clinical results achieved in creating a strong, permanent dental restoration. In addition, the aesthetic qualities of dental crowns enhance the overall appearance of your smile.

The two types of dental crowns commonly used are:

Porcelain fused to metal dental crown - This type of dental crown is often used on posterior (back) teeth due to the strength that the semi-precious metal can provide during chewing. The veneer or facing of the tooth consists of porcelain that gives the dental restoration a natural looking quality

Porcelain dental crown / ZIRCONIA CROWN - This type of crown consists of a very thin metal shell covered by layers of porcelain to resemble the shading and translucency of a natural tooth. This dental restoration is often recommended for anterior (front) teeth.

Dental Bridges

A dental bridge, also called a "fixed dental bridge", is a dental prosthesis that is used to replace one or more missing teeth within the same arch. Typically, a dental bridge is made up of an artificial tooth attached between 2 dental crowns. A dental bridge is permanently cemented in place and is held in place by your surrounding, healthy, natural teeth. Thus, it is permanent and non-removable.

Benefits of a dental bridge

Provides support, structure and function to the jaw, preventing adjacent teeth from drifting into the position of the missing tooth or teeth

Does not cause jaw bone loss

Protects the integrity of underlying gum tissue

Lasts up to 10 years or more

Patients benefit from toot replacement bridges by enjoying a permanently restored, functional and aesthetically pleasing bridge that replaces the missing tooth or teeth within the dental arch

With a dental bridge you will never have to be concerned with ill-fitting, uncomfortable partial dentures again!

Caring for your dental bridge

Taking good care of your dental bridge will ensure it lasts for many years. Dental bridges must be properly brushed and flossed every day like natural teeth. A floss-threader should be used to properly clean around and under the artificial tooth located in the middle of the dental bridge. As well, attending regular preventative care dental appointments is important for the maintenance and care of your dental bridge.

Dental implants are changing the way people live.

You can rediscover comfort & confidence while eating, speaking, laughing and smiling!

What are dental implants?

Dental implants are a permanent solution for tooth loss. They are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth.

A dental implant is a tooth restorative procedure that attaches a prosthetic tooth to a tiny titanium post that is surgically placed into the jaw bone where teeth are missing.

Dental implants can:

Replace one or more missing teeth

Provide support for a partial denture

Increase support and stability for a full lower denture, making it more comfortable

Benefits of dental implants

It is important to replace missing or broken teeth. Failing to replace broken or missing teeth can have serious, adverse consequences to your general health, chewing and appearance.

Dental implants look, feel and function like natural teeth. This gives you the confidence to enjoy eating, speaking, laughing and smiling without having to worry about "slipping" dentures or partials.

Dental implants can help preserve your facial structure by preventing jaw bone deterioration caused by missing teeth.

Dental implants do not affect the quality of your neighbouring teeth, since implants do not rely on neighbouring teeth for support.

Dental implants have a very high success rate of up to 90% and last for many years.

Losing all or some of your teeth does not mean losing your self-esteem or confidence.

Whether you have lost teeth due to disease or because of an accident, there are many options to enhancing or creating the smile that is right for you.

Why do I have to replace missing teeth?

If you are missing one or more teeth, it is important to fill those spaces with prosthetic teeth as soon as possible:

Every tooth requires an opposing tooth to give you a full and balanced bite. Without a full complement of teeth, you may be over-traumatizing some or all of your remaining teeth, making it difficult to chew and speak

Neighbouring teeth may drift out of position towards where teeth are missing, causing jaw problems

The absence of several teeth can compromise the integrity of the jaw bone and the contour of your face

Today's technology allows dentists to create a smile that is natural and confident. A denture doesn't have to look like a denture any more. High quality teeth in today's dentures are made with layers of different acrylics and are as close to your natural teeth as can be. It is nearly impossible to tell the dentures of today from the real thing, allowing you to smile with complete confidence.

Fortunately, there are many treatment options available to alter or adjust existing dentures if you are not ready to have new dentures made. Your dentist will evaluate whether you require a complete denture replacement or a minor to major denture adjustment on your existing dentures.

Full Dentures

A full denture is a removable dental appliance prescribed by a dentist when all the natural teeth in one or both of your dental arches are missing.

When being fitted for dentures, the dentist first takes an accurate measurement of your face and mouth. Next, the shape and the shade of each tooth are carefully selected creating a customized smile for you.

Partials

A partial denture is a removable dental appliance made with one or more prosthetic teeth supported by your natural teeth. Partial dentures may be prescribed by your dentist where there are one or more missing teeth or your neighbouring teeth are not strong enough to support a dental bridge.

How to properly care for your dentures

Taking proper care of your dentures will ensure they last for many years. You must care for your dentures as you would your natural teeth, making sure you brush them properly twice daily using a professional denture cleaner. To maintain your dentures you should:

Have your dentist polish your dentures every 6 months

Have your dentist check your dentures at least once per year

Reline your dentures every 2 to 3 years

Replace your dentures every 5 to 7 years

What are wisdom teeth?

Wisdom teeth are the third and last set of permanent molars located on the upper and lower arches of your jaw, and look very similar to your other molars.

The name for these third set of molars originated because wisdom teeth erupt at a later age where men and women become young adults and have (supposedly) gained ‘wisdom’. Almost everyone will grow 4 wisdom teeth; 2 on the top arch and 2 on the bottom arch. However, there are a small number of people who are born without wisdom teeth or who are born with only some wisdom teeth.

Wisdom teeth begin to erupt around the late teens (16 to 18 years of age) and usually fully develop by the age of 25.As a general rule, most dental professionals recommend removing your problem wisdom teeth before the age of 25. This is because the roots of your wisdom teeth have not yet completely grown, the surrounding jaw bone is softer and there is a lesser chance that nerves and other teeth will be damaged during the extraction. In most cases, wisdom teeth removed at a younger age will also result in a quicker healing time with less discomfort.

Why do wisdom teeth need to be removed?

Wisdom teeth can be beneficial to your oral health when they are healthy and properly aligned. However, many people do not have jaws that are large enough to accommodate these last set of molars. This can cause wisdom teeth to become misaligned with the rest of your teeth,

partially erupted or impacted,potentially causing serious oral health issues:

Misaligned wisdom teeth grow in awkward positions (e.g. horizontally, angled inward or outward) that can cause crowding of your other teeth on the same arch, damage to your adjacent teeth or even damage to your jawbone and nerves

Partially erupted wisdom teeth only partially break through your gums and can allow bacteria to enter around the tooth, causing infection, swelling and jaw pain.

Impacted wisdom teeth remain entrapped in your soft tissues and/or jaw bone and cannot properly break through your gums, causing trauma to the surrounding teeth and jaw bone.

Fully erupted & aligned wisdom teeth have fully broken through the gum line and are properly aligned with your other teeth on the same arch. However, fully erupted wisdom teeth are more prone to tooth decay as keeping these teeth clean can be quite difficult because they are hard to reach.

Symptoms of wisdom teeth problems

Not all problem wisdom teeth will display noticeable symptoms. However, if you have a problem wisdom tooth or teeth, you may experience one or more of the following symptoms:

Crowding of your other teeth

Movement of previously straight teeth

Difficulty brushing, flossing and cleaning your teeth

A feeling of overall tightness along your jaw and across your teeth

Improper fit of oral appliances, such as mouthguards or removable braces

Pain or stiffness in your jaw near where your wisdom teeth are growing

Swelling, pain, redness and/or abscess present around your wisdom tooth, indicating that an infection may be present

Pain or irritation originating from your cheek, tongue or top or bottom of your mouth from a misaligned wisdom tooth growing at an angle and poking the soft tissues of your mouth

Presence of tooth decay or gingivitis on or around your wisdom tooth and surrounding teeth

What to expect during your wisdom tooth removal

At FOREVER32 DENTAL CLINIC, our friendly and caring dental teams will strive to make you as comfortable and relaxed as possible during your wisdom teeth extraction. They will explain the process as they go and let you know what they going to do before they do it.

Depending on the complexity of the wisdom tooth extraction and your comfort level, you may be presented with several different options for anaesthesia:

Local anesthesia – involves one or more injections near the site of each extraction, along with a numbing cream applied to your gums. You will be awake during the tooth extraction. You'll likely feel some pressure and movement, but you shouldn't typically feel pain during the procedure.

Sedation anesthesia – involves an intravenous (IV) line in your arm, along with a numbing cream applied to your gums. You should not feel any pain during the procedure and will have limited memory of the extraction.

General anesthesia – involves medication administered by a Specialist (such as an Anaesthesiologist) that puts you in a deep sleep. You will be unaware of the procedure and have no memory of it upon waking.

What to expect after your wisdom tooth removal

Immediately following your wisdom teeth procedure, you may still be drowsy for a few hours from the dental sedation. It is important for you to arrange for a reliable friend or family member to drive you home (or accompany you all the way to your home) for your safety after your wisdom teeth removal.

You may also experience mild to moderate discomfort, bleeding and swelling in the areas where your wisdom teeth were removed. It is common for mild to moderate pain and swelling to persist for a few days after your surgery. But not to worry – your dentist will prescribe you analgesics (pain medications) to help relieve discomfort for a more comfortable recovery.

It is recommended that you take a few days off of school or work to provide you with enough time to properly recover and heal.

To help speed the healing process, follow these helpful tips after your wisdom teeth removal:

Change your gauze pads as needed and remove gauze pads from your mouth once all bleeding has stopped

Try to prop your head up with a few pillows when resting,so that you are not lying down flat

Apply a soft cold compress or ice pack to the outside of your cheek to help decrease the swelling

Try to get as much rest as possible for the first 24 hours

Avoid smoking and drinking through straws for at least 48 hours. This can loosen blood clots that have formed where your wisdom teeth have been removed and delay the healing process

Avoid drinking alcohol for at least 24 hours as it can irritate the surgical sites

Stick to eating only soft foods and liquids for the first few days such as soup broths, puddings, finely mashed potatoes, milkshakes and applesauce. As your mouth begins to heal, slowly add solid foods to your diet

Avoid rinsing your mouth for the first 24 hours. Only after the first day, begin rinsing your mouth gently with a warm salt water solution about every 3-4 hours (especially after meals) to help alleviate any pain or swelling and to keep the surgical sites clean

Keep your tongue and fingers away from touching the areas where your wisdom teeth were removed

Continue to brush your teeth twice per day, but do so very carefully and gently

Call your dentist immediately if you experience unusual symptoms after your wisdom teeth removal such as severe pain, vomiting and/or persistent bleeding 24 hours after your extraction.

What is dry socket?

Dry socket, also called “alveolar osteitis”, is a complication that can occur after the extraction of a permanent tooth. When the blood clot that forms over a healing tooth extraction site has been loosened or removed before the site has fully healed, the underlying bone and nerve tissues become exposed. This results in severe pain at the tooth extraction site and a dry socket.Dry socket usually occurs 2 to 3 days after a tooth extraction and must be treated by a dentist or oral surgeon to heal properly.

To help prevent dry socket and other complications after your wisdom teeth removal, please adhere to the following:

Do not vigorously “swish” or “gargle” liquids in your mouth for the first 24 hours

Do not smoke tobacco for at least 48 hours

Do not drink through a straw for at least one week

Do not consume alcoholic, caffeinated or hot beverages for the first 24 hours

Do not engage in rigorous exercise or sports for at least one week

Do not eat hard, chewy, spicy or hot (temperature) foods

Follow-up care with your FOREVER32 Dental Clinic & Implant Center

Approximately one week after your wisdom teeth removal, you can expect to attend a follow-up appointment at your dental clinic,where your dentist will examine your mouth to ensure everything is healing properly.During this time, let your dentist know of any other symptoms or concerns you may be experiencing.

Approximately one week after your wisdom teeth removal, you should be eating and drinking normally and should no longer require the use of analgesics (pain medications).

Dental x-rays (radiographs) are valuable diagnostic tools for the dentist. The primary reason for taking x-rays is to provide a method of detecting decay that is not visible to the naked eye. When decay is identified early, it is often easier to treat and less uncomfortable for the patient. A dentist will also use x-rays to spot changes in the supporting structures of the jaw, including the hard and soft tissues.

When a patient first visits us, the dentist may choose to take a full mouth series of x-rays. They are useful diagnostic tools that provide the dentist with a method of visualising the decay, or other types of dental pathology, that cannot be seen.