PREVENTIVE DENTISTRY

Gums Periodontal Health

Periodontal Disease is the later stages of gum disease. This is when the bacteria infection under the gums progresses deeper and affects the bone and tissue supporting the tooth.

Your gums will:

  • Bleed when brushing or flossing.

  • Will be red, swollen and tender.

  • Bad Breath.

  • The gum will have pulled away from the tooth, this is called ‘Pocketing’

  • Pus may be seen in the pockets around the tooth.

 

The infection damages the tissue that connects the gum to the roots of the tooth.

 

Once the tissue has been destroyed the gum pulls away from the tooth, this forms a pocket which bacteria thrive in. If not treated, in time the bone anchoring the teeth in the jaw will dissolve, making the teeth loose and eventually the teeth will fall out

 

Periodontal disease is irreversible, but you can slow down the progression by regular visits to the Dentist and Hygienist also improving your oral hygiene at home.

Sports Mouthguards

Mouthguards are made from a plastic material called Ethylene Vinyl Acetate (EVA). EVA is strong and tough and can be easily moulded to fit precisely over your teeth and gums.

Mouthguards are the most effective protective pieces of equipment to help prevent injury to the mouth - protecting the teeth, lips, cheeks and tongue. A mouthguard does not only protect your mouth, it can also cushion blows to the mouth or jaw therefore preventing damage to the jaw, neck or brain.

Having a dentist take special impressions will create a guard to perfectly fit your mouth, teeth and gums, providing ultimate protection. The procedure is very simple; your dentist will take moulds of your teeth both upper and lower. They will be sent to the dental laboratory where our technician will fabricate your custom made guard. 

Your sports mouth guard will need replacing over time. Just bring it along to your check-ups and your dentist will inspect it for wear and tear.

Periodic Examination

The best way to maintain good oral hygiene is to brush and floss your teeth and to visit your dentist for regularly. Your dentist not only examines your teeth for signs of decay or damage, he also looks for early signs of gum disease and oral cancer.

It is normally recommended that you visit your dentist twice a year, although people who have severe gum disease or a weakened immune system may need to visit the dentist more often.

Your dentist will first ask if there have been any problems since your last dental check up and take a note of any new medication that you may be taking.

At your check up your dentist will :

  • Check for early signs of decay or breakages

  • Check existing restorations

  • Look at your gums for early signs of gum disease – this will be done using a probe which is gently placed between the tooth and your gum to determine the  stage of gum disease

  • Examine your tongue, throat, cheeks & lips for signs of oral cancer

  • Examine jaw joint evaluation

X-rays of your teeth are usually taken every two to three years, unless your dentist notices a problem and needs an X-ray to look inside the tooth.

If cavities are found or your dentist feels that your oral hygiene needs to be improved, he will create a treatment plan outlining the work to be carried out and the costing; you will then need to make an appointment for the necessary treatment.

Occasionally, patients are referred to other dentists who specialise in the relevant fields of dentistry.

Oral Hygiene

In order to keep your gums healthy you need to remove the daily build up of plaque from all the surfaces of your teeth by:

  • Brushing your teeth twice a day, for two minutes each time. Ask your dentist which type of tooth brush is best for you, as many of us use brushes that are too hard or too large.

  • Floss your teeth, as a toothbrush doesn't always reach into the gaps in between the teeth or below the gum line.

  • Do not brush your teeth too hard as this can damage your gums, ask your dentist or hygienist to show you the correct technique

  • Use fluoride toothpaste.

Healthy gums are:

  • Pink in colour

  • No areas of redness or inflammation

  • No bleeding when brushing or flossing

  • No tenderness or discomfort

Initial Consultation

The first people you will meet will be our friendly reception staff, who will ask you to complete a medical form.

Our dentist needs to be aware of your general state of health as this can often impact upon the condition of your teeth and gums and may effect medication such as anaesthetics and antibiotics we may use for you.

At your consultation you will have the opportunity to discuss any dental concerns you may have or how you would like your teeth improved.

Your dentist will give you a full oral assessment to help accurately plan which treatments would be best for the health of your mouth.

During this examination we will be looking at:

  • Teeth and the way you bite

  • Original restorations  – Filling, crowns, veneers etc

  • The health of your gums and surrounding bone around each tooth

  • Your tongue, throat, cheeks & lips for signs of oral cancer

  • Jaw joint evaluation

Dental X-rays will also be taken of your teeth to check for -

  • Decay inside the tooth or between the teeth.

  • Abscess or cysts on the roots of your teeth.

  • Root positions

  • Bone loss

Once the examination is complete the dentist will dicuss the findings with you.

We will then create a treatment plan with alternative options for you, including all the benefits and risks of each procedure and the costings. This will allow you to decide what is best for your long term dental health.

Grinding Appliances

Teeth grinding is a surprisingly common occurrence and often happens whilst asleep. Most people are therefore unaware that they are grinding and only come to realise it when their partner complains of the noise the following morning.

Other noticeable effects of grinding (bruxism) are:

  • Ear ache

  • Jaw pain

  • Facial and neck pain

  • Sleep disorder - both yourself and partner

  • Sensitivity to hot and cold drinks

 

Why do we grind?

The most common reason for grinding is when we try and compensate for an imperfect bite. This is when the upper and lower jaw comes together but the teeth don’t seem to fit comfortably and you therefore try and force them into a perfect bite. Imagine chewing hard but with no food in your mouth.

You may also find that you suffer from jaw clenching, which if combined with grinding, will cause greater discomfort and damage to the teeth.

It is also thought that stress can lead to grinding although you may be equally unaware that you are doing so as it often happens during your sleep.

What are the consequences of grinding?

As you try to compensate for the imperfect bite you end up biting harder and thus causing damage to the enamel on your teeth. It becomes a vicious circle as you bite harder to try and make the teeth fit better you end up creating more damage to your teeth by initially wearing down the tooth’s enamel to gradually wearing down the tooth itself.

What can be done about it?

As most grinding occurs during your sleep, the most common solution is the use of a mouth guard to prevent such grinding. This helps reduce the pressure of tooth grinding and helps prevent further damage to your teeth. Your dentist may also be able make adjustments to your teeth order to achieve a better bite and thus reduce the subconscious effort you are making.

Naturally, if your grinding is a result from stress then you should learn relaxation techniques and stress management. 

Fluoride Treatments

Fluoride is a natural mineral found in food and water which helps to strengthen teeth and prevent tooth decay, by making the tooth more resistant to acid attacks from plaque and sugars. If fluoride is lacking from the diet, the teeth will be prone to tooth decay and cavities.

The hard outer surface of the tooth is called ‘enamel’, which contains mineral crystals. Everyday plaque bacteria and sugars in the mouth attack the enamel causing it to weaken. This process is called ‘demineralisation’. Minerals such as fluoride, calcium and phosphate from the food and water we consume and the toothpaste we use, helps to strengthen the enamel. This process is called ‘remineralisation’. Fluoride speeds up the remineralisation process.

Fluoride intake is very important when teeth are developing; it can be taken into the body in two ways –

  • The food and drink we consume or supplements.

  • Fluoride toothpaste, mouthwashes or when applied directly to the teeth by the dentist or hygienist.

Fluoride treatments are offered to children who have a number of cavities or are at high risk of developing cavities. Adults can benefit too. Fluoride treatment is a very simple process administered by the dentist or dental hygienist which helps to prevent tooth decay.

The Treatment 

  • The teeth will be cleaned to remove any food debris, staining.

  • A high concentrate fluoride foam or gel is placed into an arch shaped dental tray which is inserted over the teeth and left for the required time. Alternatively, a fluoride varnish is painted on to the tooth surface.

  • Nothing should be eaten or drunk for 30 minutes after the treatment to allow the fluoride to penetrate the teeth.

Fluoride supplements are available; please speak to the dentist to see which supplement is best for you or your child.