Himachal Dental


New Vaccine To Treat Periodontal Disease

Posted in Dental News by UK Dental Tourism on December 20, 2009
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Periodontitis refers to a number of inflammatory diseases affecting the periodontium — that is, the tissues that surround and support the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. Periodontitis is caused by microorganisms that adhere to and grow on the tooth’s surfaces, along with an overly aggressive immune response against these microorganism.Up to 30% of  adults suffer from the wide-spread gum disease, which causes gums to bleed and teeth to fall out. The condition has also been linked with heart disease, stroke, adverse pregnancy outcomes, dementia and cancer.

A diagnosis of periodontitis is established by inspecting the soft gum tissues around the teeth with a probe and x-ray films by visual analysis, to determine the amount of bone loss around the teeth. The cornerstone of successful periodontal treatment starts with establishing excellent oral hygiene. This includes twice daily brushing with daily flossing.Traditional treatment for the disease often involves scaling and cleaning, and even surgery .Periodontitis is a serious disease and dentists face a major challenge in treating it.

Scientists in the Cooperative Research Centre for Oral Health Science from The University of Melbourne have identified candidate vaccine antigens for the wide-spread gum disease periodontitis.CSL Limited, Australia’s leading biopharmaceutical company, has announced that a vaccine to treat severe gum disease is being developed in a new collaboration with Sanofi Pasteur, the world’s leading global manufacturer of vaccines.

Following more than ten years of research, scientists from The University of Melbourne and CSL, in the Cooperative Research Centre for Oral Health Science have identified candidate vaccine antigens for periodontitis.
This new vaccine approach targets the ‘ring leader’ of a group of pathogenic bacteria that cause periodontitis, the bacterium called Porphyromonas .CSL is in agreement with Sanofi Pasteur to undertake a funded program to develop a vaccine for the treatment of periodontal disease caused by Porphyromonas gingivalis.

It will provide dentists and patients with a specific treatment, which prevents disease progression, rather than managing its symptoms and damaging consequences.Ultimately, it is anticipated these findings could lead to the development of early interventional therapy or prevent the disease from starting.Click here to read the press release.

Visit Your Dentist To Cure Bruxism

Teeth grinding, or bruxism as it is clinically called, is the act of unconsciously grinding or clenching the teeth, either during the day or at night. It affects not just the teeth but the whole bone structure around them including the jaw. As such it is a dental problem but also considered a larger medical concern. Teeth grinding during the night is as common a complaint as snoring but because the noise is not as obtrusive little is done about it.This is a very common condition amongst children and adults,it has been estimated that about 50% of all the adults have or have had the tendency of grinding their teeth, out of that percentage about 20% grind your teeth in a constructive way, meaning that the Enamel which is the outermost layer of the teeth gets compromised by the constant friction and pressure.

Symptoms:
— Increased tooth sensitivity is known to be one of the symptoms that constant grinding cause
— Because of the constant friction some people report to have chewed tissue on the inside of their cheeks; this tissue trauma may lead to oral infections.
— Irritating sound. Married adults have reported that their partners constant clenching of the teeth has gotten so loud that it disrupts their night sleep.
— Earache may also be a symptom due to the constant jaw muscle contraction; this pain doesn’t necessarily indicate that there is something wrong inside the ear of a person who suffers from this condition.
— Worn tooth enamel, this is actually one of the most common symptoms caused by tooth grinding amongst the 20% of people who grind their teeth so hard that they change the shape and condition of their oral structure.

Possible Causes of Bruxism in adults:
— People who have an aggressive or hyperactive personality may be vulnerable to bruxism.
— High levels of anxiety, tension or stress can also lead to this condition.
— Anger and/or frustration

Possible causes of bruxism and children:
When it comes to children this condition is mainly attributed to the growth of their oral structure and jawbone, some researchers have observed that some of the children who grind their teeth to it because their top and bottom teeth don’t actually fit comfortably as they are coming out, in other cases they do so because of they may be teething or feel anxiety or anger.

Even though only 20% of the people who grind their teeth do it in a constructive way it is always recommended that you pay a visit to the dentist as often as possible if you suspect you may suffer from this condition. Treating bruxism at an early stage can help you avoid serious tooth decay and damage.Common treatments for teeth grinding range from the psychological to the preventative. Many believe that stress management will reduce the instances of teeth grinding. Dentists will often recommend using a mouth guard when sleeping to protect the teeth. Teeth that have been worn down can be repaired with crowns and other treatments such as bonding. Ask your dentist if you or someone you know suffers from teeth grinding. They can suggest the best method of treatment to help you get a good nights sleep.

Sedation Dentistry : Anxiety Free Smiles

If you are a person who would rather endure toothache and pain instead of going to the dentist to receive proper treatment then you need to know that you’re not alone. Many people are so phobic about going to the dentist that they prefer not to have any treatment all, the same can be said of people whose body gets completely tense after just having a thought of going to the dentist to have a teeth cleaning performed.

In order to address this issue in a field of sedation dentistry has been greatly improved and dentist are now able to offer different levels of sedation according to the patient’s fear intensity, the following are the levels of sedation which allow dentists to work with highly nervous patients had successfully perform root canals, wisdom tooth extraction and such.

* Minimal sedation
This is a little observation which is applied to people who are not completely afraid of a dental procedure but they would prefer to be mildly sedated in order to help them relax throughout the treatment.
* Moderate or conscious sedation
This is a slightly stronger type of sedation which allows patients to remain awake and somewhat drowsy while the dentist is doing a dental operation. Most people will partially remember the experience due to the intensity of the sedation.
* Deep sedation
This treatment is applied to people who are very nervous and uncomfortable with dental procedures, while they are still conscious to a certain level, they may not remember the experience. Even though this is a stronger level of sedation the patient can still be awakened.
* General anesthesia
This one is often applied to people who are going to have a serious or intrusive intervention performed such as a root canal, wisdom tooth extraction and such. This type of sedation successfully eliminates the chances of extremely nervous patients from being conscious during such procedures and since they are not conscious of what is going on they will have no memory of the operation.

A controlled and regulated approach to your chosen level of sedation allows your dentist to monitor your comfort throughout the duration of your treatment and post procedure experience is one which leaves you feeling refreshed and renewed from your treatment, safe in the knowledge that a visit to the dentist needn’t be one laced with the fear and anxiety synonymous with your past experiences. Under the watchful eye of your dentist, your sedatory dental treatment can equip you with the dazzling smile needed to project the health and vibrancy you feel from your renewed experiences in dental treatment.

Get The Best Dental Implant In India

There are several options available to replace missing teeth. Some patients opt to have a partial denture, others choose to have a fixed dental bridge. Both dental bridges and dentures have their advantages, most notably that they are both relatively affordable. However, they both also suffer from a degree of impermanency and are at times prone to breaking. Some patients are looking for a dental substitute with a greater degree of solidity. This is one of the reasons why dental implants are becoming the option of choice for patients to replace missing teeth.

A missing tooth can be the source of embarrassment. It can make people reluctant to smile for fear of exposing what is a very visible flaw. Missing teeth can also be damaging for your dental health. The hollows left by missing teeth can be breeding grounds for decay-causing bacteria. Gaps in the teeth can also encourage existing teeth to lean, causing painful interruptions in the bite. Missing teeth can also be the cause of facial tissue sinking and loss of profile. For these reasons it is important to replace the missing tooth as soon as possible and a dental implant is the most secure method of doing just that.

A dental implant takes the form of a tapered screw that is anchored into the jawbone. This acts as a solid base for a post and artificial tooth, or crown, to be attached. They work particularly well for patients who have strong and healthy jawbones and teeth. Because they are so solid dental implants do not prohibit the eating of certain foods that other dental substitutes can. Neither do dental implants require any kind of messy dental bonding or adhesives.A dental implant will take two or three sessions to fix.

Patients who have jawbones and gums which are strong, will particularly benefit from a dental implant. A good standard of oral hygiene is needed to maintain the implant but the permanency it provides really sets it apart from other dental substitutes. Many patients opt for implants, despite the extra cost, because of the feeling of security and permanency they provide. If you have a missing tooth, or are considering changing an existing artificial dental appliance, visit your dentist and ask about dental implants. For More information please call Goma Dental at 177-6450704.

Tips for Brushing and Flossing

Dental hygiene, also known as oral hygiene, refers to the process of keeping your mouth and teeth clean and healthy by following a routine of brushing, flossing and regular check ups with your dentist. As you are probably aware from television adverts, keeping teeth free from bacteria-rich plaque can help to prevent tooth decay and gum disease and can help to keep your breath fresh but most people don’t really understand why.

Plaque is a major cause of cavities. It is a transparent layer of bacteria that coast the teeth. Brushing your teeth will remove the plaque build up. You can also floss once a day to insure that all plaque is removed, even where the brush cannot reach. Brushing stimulates the gums too, which keep the gums healthy and prevent gum disease.

Even with the strictest dental hygiene routines it is still always necessary to see a dentist regularly to monitor for the first signs of any dental problems. It is also becoming more and more common to visit a dental hygienist as part of your regular check up. Hygienists are specially trained technicians who can remove any built up tartar and give the teeth a thorough deep clean alongside treatment from your regular dentist. Hygienists can also give the best advice on effective cleaning methods to help give your teeth the best protection possible.

Top tips on brushing:

– Gently brush your teeth, holding your brush at a 45 degree angle against your gum line. Use short strokes, starting from where the tooth meets the gum. Careful not to brush too hard as this could cause receding gums, and over time tooth sensitivity, or even tooth loss
– Using a sweeping motion, gently brush your tongue in a downward motion to remove the decay- causing bacteria. Not forgetting the roof of your mouth
– A lot of people do not brush for the suggested 2-3 minutes each day. Use an egg timer, or play a favorite song to get used to brushing for the suggested time

Laser Teeth Whitening For Shining Smile

Dental care begins at home, but sometimes teeth encounter problems such as discoloration, cavity problems, etc. These problems need to be solved by the dentist. There are many techniques available to get rid of these problems including sophisticated techniques for tooth whitening.Of all the cosmetic dentistry procedures, few have as an effective or dramatic impact as teeth whitening. This is a process that aims to make the teeth whiter by up to an incredible ten shades. It is widely offered by most dentists and is one of the most widely used and affordable of the cosmetic dentistry treatments. This method does not take a long time and you can get back home within an hour with white and sparkling teeth! Laser tooth whitening is a tooth bleaching method and involves the use of laser and a whitening gel in order to lighten the tooth shade and whiten them. Laser techniques have been used since 15 years by the dental fraternity.

For the most part, laser whitening is a fairly simple procedure.The first step in laser tooth whitening system is to manually clean the teeth and remove plaque. This is followed by the application of a peroxide based gel to the teeth. The peroxide gel is made up of a maximum strength formula, which makes sure that the laser which is to be applied further works properly and performs maximum cleaning. Further, the gel is subjected to specialized light in order to activate itself. This procedure takes almost an hour to complete and your teeth are whitened by making it many shades lighter.Depending on your diet and oral hygiene, this procedure will enable you to have white teeth for a maximum of two years.

The laser tooth whitening system is an easy process which doesn’t consume much of your time. It is painless as well! However, there are some pros and cons of this method. In most cases, laser bleaching causes no damage to your gums and teeth. Typically, even if you have gum disease, you can have this type of bleaching treatment. If you have fillings, they will not be loosened or damaged by laser whitening. You will also notice that the enamel on your teeth will not become soft. Unfortunately, your teeth may be a bit more sensitive after this procedure.The biggest con of laser tooth whitening system is the high cost involved in the treatment.  This further increases with the number of times the cleaning is to be performed. Another disadvantage associated with laser tooth whitening is that it may not work for teeth which have turned gray in color, as such type of teeth do not get bleached at all.

After reading this, you must have decided to try out the laser tooth whitening system. However, before opting for any treatment, do not get tempted by its popularity. Consult a specialist to know about this procedure, know about the advantages and disadvantages of tooth whitening, see whether the treatment suits your needs and most importantly think about the cost incurred on it. Choose a reputed dentist for this treatment. Your teeth are special and every care must be taken to preserve them for a lifetime.Remember though, the real secret to keeping your teeth white and preventing discolouration is regular brushing, a healthy lifestyle and regular dental check-ups. Keep smiling, as it costs nothing!

Emergency Treatment For Avulsed Tooth

The incidence of knocked-out teeth (avulsion) is high. Many of these teeth are knocked-out during school activities or sporting events such as football, basketball and hockey. The use of protective mouth guards has been encouraged and even mandated by some sports governing bodies but, even when penalized for not wearing a protective mouth guard, many athletes disregard the recommendation. Most of these teeth can be saved if they are treated correctly. Immediate reimplantation insures the best possible prognosis but this isn’t always possible since more serious injuries may be present and studies have shown that most people will not do it. Studies have shown that teeth that are protected in a physiologically ideal media can be replanted twenty-four hours after the accident with good prognosis. The success of delayed reimplantation depends on the vitality of the cells remaining on the root surface.

In normal conditions, a tooth is connected to the socket by means of a ligament, the periodontal ligament. When a tooth is knocked-out, that ligament stretches and splits in half. Maintaining the vitality of the cells that remain attached to the root surface is the key to success following reimplantation. Years ago, it was thought that the key to maintaining root cell vitality was keeping the knocked-out tooth wet thus giving rise to storage media recommendations such as water, the mouth and milk. Recent research has shown that one of the key elements for maintaining vitality is storing the tooth in an environment that closely resembles the original socket environment. This environment is one that has the proper cell pressure (osmolality), pH, nutritional metabolites and glucose. There are scientifically designed storage media that provide this environment. These storage media are now available to the consumer in retail products. Use of devices that incorporate the ideal storage media and protective apparatuses have increased the success rate of replanted knocked-out teeth to over 90% when used within sixty minutes of the accident.

There are many storage media available for knocked-out tooth storage. The most often recommended are: Water, Ice, Saliva, Physiologic saline, Milk, pH balanced cell preserving fluids etc. The most optimum storage media that are available have been shown to be pH balanced cell preserving solutions. The best known and most extensively tested is called Hank’s Balanced Salt Solution (HBSS). It has all of the metabolites such as Ca, P04, K+ and glucose that are necessary to maintain normal cell metabolism for long periods of time.

As with most accidents, prevention is always better than cure, so dentists always advise using the necessary protective devices.When physically demanding sports are concerned, this means always wearing a mouth guard. These can be uncomfortable and make talking to your team mates a real pain but that’s nothing compared to the pain and lifetime of embarrassment and dental complications a knocked out tooth can cause. It is advisable to visit a your dentist to have a mouth guard fitted to ensure the maximum level of protection. Other preventative measures include always wearing a seatbelt and steering clear of eating any hard foods.Whatever the circumstances, it is essential that you see a dentist immediately. A knocked tooth can be a serious trauma that can cause a lifetime of dental complications, even if the tooth has successfully slotted back in. If the tooth is not replaceable, a  dentist can talk you through the alternatives, which may involve dental implants or bonding.

Dentists Can Help Identify Patients With Heart Disorders

Dentists can help to identify patients who are in danger of dying of a heart attack or stroke, reveals a new study from the Sahlgrenska Academy. Thanks to the study, six men who thought they were completely healthy were able to start preventive treatment in time.

‘Dentists are really proud of their profession and feel no need to encroach upon doctors’ territory,’ says senior dental officer and professor Mats Jontell at the Sahlgrenska Academy. ‘However, we wanted to find out if we as a profession could identify patients at risk of cardiovascular disease.’

The study involved 200 men and women over the age of 45 who did not have any known cardiovascular problems. During a routine visit to their normal dentists in Boras and Gothenburg they were also checked out for known risk factors for cardiovascular disease.

‘These risk factors are not normally manifested in the mouth, which is why the dentists went beyond their normal check-up routine,’ says Jontell. ‘They also took the patients’ blood pressure and checked total cholesterol and blood sugar levels.’

The risk of a fatal cardiovascular disease was calculated using a software known as HeartScore. The dentists felt that twelve men had a ten per cent risk of developing a fatal cardiovascular disease over the next ten years and advised them to see their doctors. Six of the twelve were subsequently prescribed medication to lower their blood pressure.

‘Dentists regularly see a very large percentage of the Swedish population, and if there is sufficient interest they could also screen for cardiovascular risk factors which, untreated, could lead to a heart attack or stroke,’ says Jontell.(Reported ScienceDaily Nov. 25, 2009)

Historically, the American Heart Association (AHA) recommend prophylactic antibiotics for anyone with MVP, to be delivered prior to dental surgery or even cleaning. The theory was that such treatment would preemptively inhibit bacterial infection as a result of septic dental plaque seeping into the bloodstream. Although the theory may have been correct, the AHA recently concluded that the risk inherent in taking antibiotics actually exceeded the risk eliminated by preventing this very isolated, rare source of endocarditis. Antibiotic overuse runs of risk of resistant bacterial infection, liver stress, and the destruction of one’s beneficial gut bacteria which serve as part of our digestive and immune systems.

Prophylaxis for Dental Procedures Against Bacterial Endocarditis :

Regimen A : Penicillin

* Adults : Penicillin V (2 g orally 30 minutes to 1 hour prior to procedure and then 500 mg every 6 hours for 8 doses)

Regimen B : Penicillin plus Streptomycin

* Adults : Aqueous crystalline Penicillin G (1.000.000 U intramuscularly) mixed with procaine penicillin G (600.000 U intramuscularly) plus streptomycin (1 g intramuscularly).
* Give 30 minutes to 1 hour prior to the procedure, then penicillin V 500 mg orally every 6 hours for 8 doses

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