Himachal Dental

Power Toothbrushes Can Prevent Implant Failure

Posted in Dental Implants,Preventive Dentistry by UK Dental Tourism on September 3, 2010

As a substitute for a missing or lost tooth it is hard to beat a dental implant for realism and authenticity. Dental implants are the only dental replacement that restores the whole tooth from crown to root and as a result is the sturdiest restoration available.Unlike other restorations, a dental implant will last a whole lifetime if properly cared for. 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.Just like your natural teeth, you need to care for and clean dental implants. Plaque and bacteria that form around an implant can cause inflammation known as peri-implantitis. Daily cleaning of all the surfaces above and below the gumline is very important. The use of power brushes, whether electric oscillating or ultrasonic, can play a sound role in the successful maintenance of dental implants.

It is growing faster than any other segment in dentistry, and the suggestions for treatment planning and subsequent maintenance are being revised at a confusing, almost dizzying rate.Patients are bombarded with more information about maintenance every year. Dental hygienists are experts in helping our patients keep their dentition or implants healthy and their surrounding gums “in the pink.”

I believe the maintenance for dental implants should be discussed during treatment planning. Successful implant maintenance is time consuming. If patients do not receive enough education about implant maintenance, they cannot fully understand or make appropriate decisions about their care.

When we suggest the electric brush as part of home care aids, we should review the difference between natural dentition and dental implants. Natural dentition has a periodontal ligament and 13 Sharpy’s fibers that support the gum tissue and protect the sulcus from bacterial invasion. A dental implant does not have any of these anatomical features. It does not have a periodontal ligament, but a perimucosal seal (a thin band of tissue with one horizontal fiber running around the circumference), and the gum tissue may or may not have the complement of keratinized tissue. These two differences before all others, such as bacteria, restorative design, or the number of implants, will influence which electric/sonic brush I select.

Dental implants must be maintained more diligently than natural teeth due to the factors listed above. Implants and the surrounding tissue are subject to the same bacterial invasion as natural dentition. Just as the gingiva surrounding natural dentition can experience gingivitis, so can the tissue around implants. We just use a different term. Gingivitis that affects the soft tissue around an implant is called peri-implant mucositis. This is defined as reversible inflammatory reactions in the soft tissues surrounding a dental implant exposed to the oral environment, with no bone loss. Peri-implantitis surrounding dental implants is the term for inflammatory reactions in the hard and soft tissues, with loss of supporting bone.

Powered toothbrushes like Rotadent, Oral-B, Sonicare are safe for use around dental implants.By selecting a powered brush over a manual brush,patients who lack the motivation to do a competent job, or are challenged by physical conditions such as arthritis, will be able to properly maintain their implants.A very small head shaped like a conventional brush can give the best results.While choosing a brush head, you should choose one that will maximize cleaning of the flat surfaces, and that will carry the chosen toothpaste/gel or fluoride into the interproximal spaces.Softer the bristle its better.Remember — never use whitening or abrasive toothpaste when cleaning implant surfaces, no matter how soft the brush. Use a gel or fluoride rinse. Replace all brush heads every three months.

We also advice patients to use Waterpik, a fantastic tool to clean under the implant crowns and bridges.The Waterpik® Water Flosser fitted with a Pik Pocket™ Tip  is ideal for cleaning below the gum line. This soft tip is placed slightly under the gum-line and the gentle pulsations of water or therapeutic solutions flush out bacteria.Delivering CHX with the Waterpik Pik Pocket™ Tip is More Effective than Rinsing with CHX for Implant Maintenance.

We advise all our patients to regularly see the hygienist and to brush, floss their teeth and use mouthwash. This same advice is given to our implant patients as well.Once implant treatment has been completed, our hygienist will show our patients how to maintain their oral health and how to look after their implants. Implants need looking after just as much as natural teeth.For any more information please call us at 07974-106163








Regular Dental Visits Can Save You Money

Posted in Preventive Dentistry by UK Dental Tourism on September 2, 2010

Why do I have to visit the dentist for checkups if nothing hurts? Because you can’t see what the dentist sees. Shimla dentist uses magnification for every examination he does. And with a special camera, he can show you cavities, leaking fillings, gum disease, tooth wear, or even oral cancer that you would never know existed. Dr. Goma can prevent small problems from developing into larger health concerns that will cost you considerably more time and money to fix in the future.

* Gum Disease – What’s the most common disease? What accounts for 70% of all tooth loss? Gum disease. Recent studies show that people with periodontal disease are twice as likely to develop heart disease or diabetes. Oral bacteria can enter the bloodstream through the gums, jeopardizing your whole-body health. Signs of gum disease may include bleeding gums and pockets between the teeth, but you may not have any symptoms at all. Dr. Goma treats early and advanced periodontal problems, but early treatment is always easier and more successful.
* Tooth Decay –  If the dentist finds a cavity, he simply removes it and replaces it with a white filling. Problem solved. However, if your cavity gets below the gum line, into the root canal area, or underneath the tooth cusp, you may need crowns, implants or more advanced, costly care. Dr. Goma can help you prevent cavities with regular checkups and cleanings.
* Oral Cancer – Oral cancer is one of India’s deadliest cancers, claiming the lives many every year. Risk factors include tobacco, alcohol consumption,  cheek or lip biting, and poorly fitting dentures. However, 25% of oral cancers occur in people who have NO risk factors at all. During your regular dental checkup, Dr. Goma screens your head and neck while checking your mouth with magnification. When caught in its early stages, oral cancer has an 80 to 90% cure rate.

Regular visits to the dentist’s office may not only save you money, they may also save your life. To schedule your checkup or cleaning, call our dental office at 177-6450704.

Cure For Bruxism

Posted in Preventive Dentistry by UK Dental Tourism on June 29, 2010
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Teeth grinding during sleep may not seem like the biggest problem other than being annoying for anyone you have to share a bed with, but if it continues over a period of time it can break down tooth enamel and cause serious structural damage to teeth.

Also known as bruxism, for many years subconscious teeth grinding was thought to be caused solely by stress and anxiety. This may be true for some cases but these tend to be temporary. Many dentists have conducted studies in recent years to demonstrate another more common cause for the condition.

They have concluded that bruxism is more often than not caused by a disruption in bite. This is the way the top and bottom teeth sit together and can be affected by such factors as physical trauma, tooth loss and tooth movement. If the teeth do not sit together comfortable it may cause the jaw muscles to spasm and move, which leads the teeth to rub against each other.

If this happens for several hours a night over an extended period you can imagine that it doesn’t take long before an irreversible process of enamel removal begins to take effect. If the enamel breaks down it can lead to dangerous cavities which expose the dental nerves to infection and can be extremely painful. Our dentists can treat bruxism ether by correcting the misalignment or by providing the patient with a dental appliance to protect the teeth during sleep.

Preventive Dentistry In Shimla

Posted in Preventive Dentistry by UK Dental Tourism on March 22, 2010

Preventative dentistry is the practice of making sure your teeth are in the best possible shape and that everything is being done to protect them from the threat of tooth decay and gum disease. It involves drawing up a plan with your dentist or hygienist, which you can stick to ensue that your teeth and mouth are as healthy as they can be.

The process starts with an initial consultation with your dentist. They will assess your teeth for any problems that need sorting out and make a further appointment to carry out any repair work necessary. Once the required dental repairs have been carried out it is then time to have your teeth completely cleaned by the hygienist. By using scaling and polishing, the hygienist will remove tartar and make the surface of the teeth smooth so that it is hard for plaque to stick to it.

Once the teeth are completely cleaned it is considered a fresh start. Your clean and repaired teeth are healthy and it is up to you to keep them that way. The hygienist will draw up a hygiene plan, which if stuck to correctly will help to keep your teeth as healthy and clean as when you leave the surgery. This may involve using new cleaning techniques or products and may even involve a change in your eating habits or small lifestyle adjustments. Of course you will not be completely on your own as your plan will involve regular check ups with the dentist to assess progress and ensure it is working for your teeth.

If you think you could benefit from a preventative dentistry plan to keep your teeth and gums healthy then make an appointment with a dentist.

Mouthwash Definitely Helps To Cut Out Bad Breath

Feeling fresh on waking in the morning itself is energizing, at the same time bad breath can ruin our whole day. This is a very common condition affecting people living in India irrespective of their age and gender. Bad breath, halitosis, or fetor oris is a condition where an unpleasant odour comes out of mouth while exhaling. It could be due to different reasons. Generally, bad breath occurs due to some conditions of mouth, tongue, gums, or teeth. The commonest cause is improper oral and dental hygiene. Sometimes it could be due some disease conditions affecting the respiratory tract such as sinusitis, tonsillitis, chronic lung disease, or other systemic conditions such as diabetes, liver, kidney diseases, etc. Sometimes, this could be psychological too.

Many people use mouthwash as a part of their dental hygiene. And it definitely helps to cut out bad breath and other dental related problems. But do you know exactly what a mouthwash is and what it contains? Are you wondering how to use it effectively to protect your teeth? Here are some tips and facts about mouthwash and their use.Most of the mouthwashes and rinses are designed to be used only after brushing.  Only a proper tooth brushing technique can remove the food ingredients from your teeth. Mouthwash just acts as a mouth deodorizer with a few additional helpful ingredients to control bacteria in your mouth. But its absolutely necessary to keep you teeth clean with a tooth brush.

There are different types of mouthwashes available in the market.

• Fluoride rinses are very useful to protect against cavities by making the enamel harder.
• Anti-plaque rinses contain ingredients which help to loose and detach plaque from tooth surface as well as the gum line.
• Smoker’s mouthwashes also are available in the market. These will remove tobacco stains from the teeth and mouth.
• Desensitizing mouthwashes are used to control teeth sensitivity and have to be used in conjunctions with desensitizing toothpaste.

Gargle with a mouthwash for 30 seconds. Then spit it without swallowing. Preferably brush your teeth first and then start gargling with a mouthwash. If you are using a medicated mouthwash then it’s a good idea to avoid eating food for at least 30 minutes after the mouthwash. You can use your mouthwash more often. But limit its use to once a day for children as the major ingredient of all mouthwashes is alcohol. If you are using mouthwash to control your bad breath do it only on a short term basis.Other cleaning devices such as tongue scrapers and inter-dental brushes are also useful in the battle against plaque. Mouthwashes may be useful but can also cause further dental hygiene issues so you should always ask your dentist before using them. Finally, it is crucial that this hygiene routine is backed up by regular visits to your dentist.Call 177 645 0704 for a free consultation at Goma Dental Clinic in Shimla.

Good Oral Hygiene Effects General health

Posted in Preventive Dentistry by UK Dental Tourism on February 23, 2010

Oral health is integral to general health, and quality of life, psychologically by influencing how they grow, enjoy life, look, speak,chew, taste food and socialize, as well as affecting their feelings of social well-being. Manifestations, which are often the first signs of the disease professionals may be the first to discover them and recommend further medical assessment. Furthermore, certain systemic conditions can have direct negative effects on the oral cavity. Oral diseases share common risk factors with the four leading chronic diseases – cardiovascular diseases,cancer, chronic respiratory diseases and diabetes — including unhealthy diet, tobacco use, and harmful alcohol use. Poor oral hygiene is also a risk factor.

Uncontrolled diabetes
Diabetes especially has oral health implications, and can lead to changes in the oral cavity. Poor glycemic control in diabetics is associated with gingivitis and more severe periodontal diseases.

Oral signs and symptoms of diabetes can also include a neurosensory disorder known as burning mouth syndrome, taste disorders, abnormal wound healing, and fungal infections. Individuals with diabetes may notice a fruity (acetone) breath or frequent dry mouth, which can also lead to a marked increase in dental decay. Patients with chronic respiratory diseases who use inhalers also have higher risk for oral fungal infections and chronic respiratory diseases

Chronic respiratory diseases:
Systemic diseases, and the medications used to treat them, often cause adverse oral side effects, such as reduced salivary flow, altered senses of taste and smell, jaw and facial pain, overgrowth of the gums, bone loss and mobility of teeth.Also, numerous medications cause dry mouth, which leads to an increased risk for cavities.

Diabetes can weaken the body’s resistance to infections, and high blood glucose levels in saliva can help bacteria to thrive. Therefore,uncontrolled diabetes and uncontrolled gum disease enhance one another. Diabetics have about twice the risk for periodontal disease as healthy patients, and almost one-third of people with diabetes have severe periodontal disease.Inflammatory periodontal disease can also be a predictor of death from ischemic heart disease and heart attacks in patients with diabetes.

Heart Disorders:
Additionally, periodontal disease has been identified as a risk factor for such conditions as heart disease and rheumatoid arthritis, perhaps through a pathway of increased systemic inflammation.Not many people are aware of recent research that associates heart disease and even strokes with poor oral hygiene. A lax regime in oral care leaves the blood low in Lipoproteins, research shows that this disorder is a leading factor in hardening of the arteries. Every dentist has an advisor on duty, and they are there to prevent problems rather than push up the bill. Bad oral hygiene kills off the good part of High Density Lipoprotein (HDL) and Low Density Protein (LDL), both of which serve to carry naturally produced proteins from one organ to another. If the proteins aren’t absorbed by their receptacle organ then the organ will experience problems, This leads to many of the diseases which together can cause a heart attack. All this can be prevented by spending a little more time on brushing, flossing and making sure that our gums are healthier.

Oral and pharyngeal cancer is the sixth most common malignancy reported worldwide and one with high mortalityratios among all malignancies. The global number of new cases was estimated at 405,318 about two-thirds of them arising in developing countries. Highest rates are reported in South Asian countries such as India and Sri Lanka. The Indian sub-continent accounts for one-third of the world burden.In the USA alone, 30,000 Americans are diagnosed with oral or pharyngeal cancer each year.

How for Maintaining Good Oral Health

* Drink fluoridated water and use fluoride toothpaste.
* Take care of your teeth and gums.
* Thoroughly brush with a soft toothbrush twice a day and floss to reduce dental plaque and prevent gingivitis.
* Visit a dental provider regularly.
* Eat wisely – avoid snacks with sugars and starches and limit the number of snacks eaten throughout the day. Also, eat the recommended five-a-day helping of fiber-rich fruits and vegetables.
* Individuals with diabetes should work to maintain control of their blood sugar; this will help prevent the complications of diabetes, including an increased risk of gum disease.
* Avoid tobacco and limit alcohol.

Good Oral Hygiene

Maintaining a good standard of oral hygiene is crucial in the war against tooth decay and gum disease. Just a few minutes of brushing and flossing each day could save you a lifetime of costly and painful dental treatment.

When it comes to oral hygiene, prevention really is better than cure. Dental problems are very easy to prevent but often very difficult to cure. Dentists recommend that patients brush their teeth twice a day for three minutes using an appropriate brush and toothpaste. This helps to prevent the build up of plaque on the tooth enamel. Plaque is a filmy substance made up of bacteria, decaying food particles and other debris. It breaks down the enamel causing cavities to develop, which if left unchecked will eventually penetrate to the root of the tooth causing toothache, abscesses and even tooth loss.

Flossing helps to remove plaque from between the teeth which is very hard for regular toothbrushes to reach. It allows you to clean below the gum line which is also hard to clean with a normal brush. This can be significant in the prevention of gingivitis, or gum disease as it is more commonly known.

Brushing and flossing are the front line defence against all forms of dental decay and disease and their importance cannot be underestimated. However, it is important, no matter how much of a fervent brusher you are, to keep up six-monthly check-ups with the dentist. Even patients with good standards of cleaning are susceptible to tooth decay, and a dentist will be able to spot the first signs of any problems.

Keeping teeth and gums clean can also have the added advantage of keeping your breath fresh. Flossing removes trapped food particles from between the teeth which are the cause for over 90 per cent of all cases of halitosis. Using tongue cleaners and inter-dental brushes can also help to keep your mouth free of bacteria. Your dentist will be able to offer you advice on which brushes are most suitable for your teeth and give further instruction on the best methods of maintaining good oral hygiene.By making these few small sacrifices and tying it together with the all important six-monthly check ups with a your dentist you can help to prevent any future dental concerns. An extra few minutes each day to maintain dental hygiene is a small price to pay for a life free of the pain and worry caused by dental disease.

Dental Caries In India

Posted in Preventive Dentistry by UK Dental Tourism on December 28, 2009
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Teeth are essentially indestructible under the correct conditions. However, in the living person, teeth are continuously being assaulted by microbial challenges. Dental caries ranks as one of the most universal burdens of man, but are not life- threatening. Dental caries is widespread in India. Advances in preventive procedures to deal with this disease have significantly reduced the overall caries rate. More than one-third of poor 2 – 9 year old children have untreated decayed primary teeth, and this number varies with age and race/ethnicity.Dental caries is highly prevalent in India, which is influenced by the lack of dental awareness among the public at large.

Dental caries is a multi-factorial disease requiring a susceptible host (a tooth), cariogenic microorganisms, and a suitable substrate (e.g., sugar) interacting for a sufficient length of time. Streptococcus mutans is the primary etiologic agent of this disease. Sm is transmissible, and a positive relationship exists between the number of Sm and dental caries. Dental decay did not become an important health problem until sucrose (sugar) became a major component of the human diet. However, good oral hygiene can reduce the chance of caries by reducing the number of cariogenic bacteria and removing the substrate, sugar. Sm is the primary etiological agent of dental caries in man and other animals. Under normal circumstances of health, Sm procduces bacterial acids that cause a continuous minute demineralization of the hard tooth surfaces. In addition, the consumption of acidic foods and drinks, and even toothbrush abrasion can cause enamel demineralization. If this demineralization is limited, the body’s own remineralization capability is able to restore the tooth’s lost minerals by using minerals available in saliva.

Dental decay (caries) is the result of irreversible solubilization (demineralization) of tooth mineral by acid, predominantly lactic acid, formed by plaque bacteria that adhere to teeth surfaces, after the consumption of foods that contain fermentable carbohydrates (sugar). Frequent sucrose ingestion increases the lengths of time that sucrose is available for fermentation and acid formation by plaque. Thus, eating frequency, the amount of sugar retained in the mouth (particularly on tooth surfaces), and the length of time that sugar is retained in critical areas, are more important than the total amount of sugars consumed.
The chemical conversion of sugar into simpler substances causes a quick decrease in pH (5.0 or <) at the plaque-enamel junction. Frequently consuming sugar or sugar-based foods causes Sm to flourish and become the principal bacterial organism in plaque. A drop of pH to this level puts undue pressure on the buffers in the saliva and lactic acid (the end-product of Sm metabolism) spreads into the outer layer of the tooth (i.e., enamel) causing it to begin breaking down, and to discharge calcium and phosphate ions at areas below the top surface enamel. This low (acid) pH is derived from acid-producing bacterial organisms, and favors demineralization over a period of time, resulting in a cavity. The tooth enamel (which is made up predominantly of hydroxyapatite) is permanently dissolved from these acids, particularly lactic acid. These bacteria begin to adhere more strongly to the tooth surface and form bacterial colonies or communities called “plaque”. Sm and other bacteria, such as lactobacilli, store sugars and continue to secrete acid long after the food has been swallowed. Dental plaque will continue to build up on the tooth surface, unless it is adequately removed. These processes result in dental decay.

The quest to control or eradicate dental caries has been on for a long time. Treatment of dental caries involves restorative or pulp therapy which is not only expensive but also painful and demanding for the children. Considering these factors prevention of caries seems to the most acceptable and desirable option.Proper dental care starts with selecting a good tooth brush. Start the process by selecting a soft-bristle brush to remove plaque and food particles. This is very important as this is where the tooth decaying bacteria thrive. There are many varieties of brushes available in the market. Try to replace your brush every two to three months. The tooth paste you use also matters a lot in your dental care. Depending on the condition of your teeth there are many kinds of tooth pastes available in the market. There are tooth paste for cavities, gingivitis, tartar, stained teeth and sensitivity.Proper brushing will cost you only two minutes.

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.

— 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.

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

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