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PERIODONTAL (GUM) INR   0 INR  0
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PERIODONTAL (GUM)

Periodontal (gum) disease can be a very aggressive infection: Left untreated, it can destroy the vital periodontal structures that protect teeth and maintain their attachment to the jaw. The end result—tooth loss—harms both your health and appearance. Controlling gum disease and ultimately restoring health and appearance to damaged gums and tooth-supporting bone requires aggressive treatment—sometimes even surgical measures. Periodontal (gum) surgery treats moderate to advanced disease. Infection Control: An Important First Step Gum disease is primarily caused by bacterial plaque, a thin film of food remnants and bacteria that builds up on tooth surfaces when oral hygiene is inadequate or inefficient. As the gums become infected by the bacteria, the body responds with inflammation, a defensive mechanism aimed at isolating the bacteria and destroying it. But as the war between body and infection rages, the inflammation becomes chronic and damages the surrounding gum and bone tissues. This causes gum attachment and supporting bone to be lost from the teeth, creating spaces between the gums and teeth known as periodontal pockets. The progression of periodontal disease becomes a vicious cycle: As the pockets deepen, dental hygiene becomes less effective. The only way to stop gum disease is to remove bacterial plaque and calculus (hardened plaque deposits) from all tooth surfaces—including from the roots that lie beneath the gum line. Dentists use special hand instruments (or ultrasonic equipment) called scalers to manually remove calculus. If you need a deeper cleaning of the root surfaces, your general dentist may refer you to a periodontist (gum specialist) for a manual plaque-removal technique known as root planing or debridement. If the tissues don’t appear to be responding as desired, then antibiotic treatment to reduce bacterial levels might be introduced. Splinting teeth together, or bite adjustment—where a tiny bit of tooth enamel is removed to reduce forces received by a particular tooth—may also be included to help stabilize loose teeth. Of equal importance is a necessary change in behavior and lifestyle on the part of the patient. The disease develops and advances primarily because of a lack of effective hygiene, so the patient must therefore renew and maintain a daily habit of brushing and flossing, and a routine of regular dental visits for cleanings and checkups (at least twice a year and maybe more with advanced gum disease). He or she should also consider stopping tobacco use and other habits that harm oral health. Surgical Techniques If the infection has caused deep periodontal pockets (5 mm or more) or has settled beyond the reach of manual scalers, then gum surgery may be needed to access, clean and repair the diseased areas. Flap surgery is one type of procedure used to access the deeper pockets of infection and clean them. The surgeon, usually a periodontist, creates a three-sided flap in the gum tissue, with one side still attached to the blood supply. The resulting opening resembles the flap of an envelope. Opening the flap, the surgeon can then access deep periodontal pockets to perform plaque removal, as well as repair receded gum tissue or lost bone. When finished, the surgeon then sutures the flap closed with self-dissolving stitches. Regenerative techniques may also be needed to re-grow lost tissue and bone. These involve the use of various grafting procedures to obtain tissue from the roof of the patient’s mouth or another source and attach it where needed. Once in place, the graft acts as a scaffold for new gum tissue to grow upon and develop. These micro-surgical techniques require meticulous skill (and some level of art) not only to place the grafting material so it is most conducive to growth, but also to fashion it cosmetically to achieve the most attractive result. These and similar procedures are usually performed with local anesthesia, sometimes supplemented with other sedation methods. Special cleaning instructions will be given to protect the site from further infection, and any minor discomfort after the procedure can usually be managed with anti-inflammatory medication (like ibuprofen) for a few days. Treating Disease Today, Preventing It in the Future Gum disease treatment, including surgery, isn’t a cure—the prospect for reoccurrence is always there. Proper hygiene and maintenance by both you and your dentist is essential for preventing this. Gum surgery is performed to regenerate lost bone and to help create an environment around the teeth and gums that makes it easier to clean and maintain them. Gum surgery, then, should be considered as part of an overall strategy to stop periodontal (gum) disease’s unchecked advance so that healing can take place. This will allow you to keep your natural teeth for as long as possible—maybe even for life.

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DENTAL HYGIENE INR   0 INR  0
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DENTAL HYGIENE

Dental Hygiene Hygiene Appointments To ensure that your teeth are clean and your dental hygiene is adequate, we suggest that you attend a professional hygiene appointment at Dental O So Gentle every 6 months. By doing so we can ensure that you retain optimal oral health. Oral diseases, including decay, periodontitis and gingivitis, are all asymptomatic in their early stages. That’s why we recommend that you maintain biannual hygiene appointments; prevention is always better than cure. Your hygiene appointment will usually involve: A comprehensive assessment of your teeth, gum and soft tissue. A thorough teeth cleaning and polish. A full evaluation of possible cosmetic smile enhancements. An application of fluoride as a decay preventing agent. Any recommendations required for dental treatments, such as fillings/restorations, implants, crowns and root canal treatments. This will constitute your treatment plan, if necessary. Why do I need a professional hygiene and exam appointment? You might think that as long as you brush your teeth, your oral health will be fine. While brushing you teeth is very important, a dental hygiene appointment ensures that your mouth is healthy in its entirety. A healthy mouth is vital for a healthy body. By ensuring your mouth is healthy you can decrease the risk of tooth decay and gum disease. In fact, gum disease has been identified as a risk factor in heart disease. How can I care for my teeth and gums? There are a few ways in which you can care for your oral health. Brush your teeth and floss every day – this will prevent decay, periodontal disease and plaque build-up. It is also advisable to brush after eating sweet foods. Fluoride – always use a toothpaste that contains fluoride. If you’re not sure which toothpaste is best, have a chat with your Dental O So Gentle dentist. Avoid smoking – smoking not only causes staining on your teeth, but it can also cause oral diseases. Visit the dentist – we recommend that you make a professional hygiene and exam appointment at either our Perth City or Beldon dental clinic twice a year. Protect your teeth – always wear a mouth-guard when playing sport and refrain from using your teeth as a tool, e.g. to open packets, rip tape etc.

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Gum Surgery INR   0 INR  0
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Gum Surgery

Gum surgery is used to treat gum disease in cases when the tissue around the teeth is unhealthy and unable to be repaired through non-surgical treatments. Gum surgery can also be performed for cosmetic reasons, as a way of elongating teeth and improving the architecture of the gums. Whether you’re undertaking gum surgery as a way to treat gum disease or you’re choosing it for cosmetic reasons, Dental O So Gentle’s dentists are experienced and qualified in performing gum surgery. What is gum disease? Gum disease is also known as periodontal disease and is caused by an infection of the bones and tissues that support and surround the teeth. There are two types of gum disease: gingivitis and periodontitis. While gingivitis is the more mild of the two, periodontitis is severe and can spread beyond the gums and cause damage to the surrounding bone and tissues. What is gum surgery exactly? There are a few types of gum surgery and each case requires a customised surgery to suit the specific requirements of that situation. Flap surgery/ pocket reduction surgery – this procedure is the removal of tartar from underneath the gums and the reduction in the size of the space between the gum and teeth. This surgery is performed to decrease harmful bacteria growth and to prevent further health problems. In certain cases, irregular surfaces of the damaged bone can be smoothed over, to help and reduce the amount of places in which bacteria can reside. Soft tissue grafts – this type of gum surgery is undertaken in the event where the gums have receded too far or are too thin. A graft tissue, removed from the roof of the mouth, is then stitched on to the area that has been affected. This grafting process allows the lost dental arch tissue to be restored and improves the aesthetic appeal of the gum area around the tooth. Guided tissue regeneration – this procedure occurs when the bone that supports the tooth is destroyed. The aim of this surgery is to stimulate bone and gum tissue growth. A small piece of mesh like fabric is inserted between the bone and gum tissue, often done in combination with flap surgery. This prevents tissue growth in the area where the bone needs to regenerate, allowing for the regrowth of bone and connective tissue to support the teeth. Bone Surgery – Bone surgery is performed after flap surgery has already been done. The bone is reshaped to rid the surface of any craters that may promote bacteria collection and growth. What can I expect from gum surgery? If you’re preparing to undergo gum surgery here is what to expect: Before the surgery – your dentist will clean your teeth to ensure that it is in the best state possible to receive surgical treatment. You will then be given a local anaesthetic to numb the area. During the surgery – your dentist will fold the gums back to form a flap that allows access to the tissue below the gums. This infected tissue will be removed and the appropriate tooth will be scaled to remove plaque and bacteria that might be growing beneath the gum line. This process will also smooth out rough spots that would otherwise promote gum disease reoccurrence. After the surgery – once the surgery is complete, your dentist will put the gums back into place using stitches. The stitches are resorbable and will dissolve by themselves. Is there any long-term pain after the surgery? Most people experience only mild to moderate pain, which can be managed with over-the-counter painkillers. If you experience moderate swelling we recommend the application of an ice pack to the swollen area. If you’re taking antibiotics as per your dentist’s instruction, make sure to follow the instructions carefully. It is not uncommon for there to be bleeding or swelling after gum surgery, however if these symptoms persist or if any other problems arise, make sure to contact your dentist immediately.

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DENTAL HYGIENE INR   0 INR  0
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DENTAL HYGIENE

Dental Hygiene Hygiene Appointments To ensure that your teeth are clean and your dental hygiene is adequate, we suggest that you attend a professional hygiene appointment at Dental O So Gentle every 6 months. By doing so we can ensure that you retain optimal oral health. Oral diseases, including decay, periodontitis and gingivitis, are all asymptomatic in their early stages. That’s why we recommend that you maintain biannual hygiene appointments; prevention is always better than cure. Your hygiene appointment will usually involve: A comprehensive assessment of your teeth, gum and soft tissue. A thorough teeth cleaning and polish. A full evaluation of possible cosmetic smile enhancements. An application of fluoride as a decay preventing agent. Any recommendations required for dental treatments, such as fillings/restorations, implants, crowns and root canal treatments. This will constitute your treatment plan, if necessary. Why do I need a professional hygiene and exam appointment? You might think that as long as you brush your teeth, your oral health will be fine. While brushing you teeth is very important, a dental hygiene appointment ensures that your mouth is healthy in its entirety. A healthy mouth is vital for a healthy body. By ensuring your mouth is healthy you can decrease the risk of tooth decay and gum disease. In fact, gum disease has been identified as a risk factor in heart disease. How can I care for my teeth and gums? There are a few ways in which you can care for your oral health. Brush your teeth and floss every day – this will prevent decay, periodontal disease and plaque build-up. It is also advisable to brush after eating sweet foods. Fluoride – always use a toothpaste that contains fluoride. If you’re not sure which toothpaste is best, have a chat with your Dental O So Gentle dentist. Avoid smoking – smoking not only causes staining on your teeth, but it can also cause oral diseases. Visit the dentist – we recommend that you make a professional hygiene and exam appointment at either our Perth City or Beldon dental clinic twice a year. Protect your teeth – always wear a mouth-guard when playing sport and refrain from using your teeth as a tool, e.g. to open packets, rip tape etc.

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Pediatric Dentists

Pediatric Dentists Pediatric dentists are dedicated to the oral health of children from infancy through the teen years. They have the experience and qualifications to care for a child’s teeth, gums, and mouth throughout the various stages of childhood. Children begin to get their baby teeth during the first 6 months of life. By age 6 or 7 years, they start to lose their first set of teeth, which eventually are replaced by secondary, permanent teeth. Without proper dental care, children face possible oral decay and disease that can cause a lifetime of pain and complications. Today, early childhood dental caries—an infectious disease—is 5 times more common in children than asthma and 7 times more common than hay fever. What Kind of Training Do Pediatric Dentists Have? Pediatric dentists have completed at least: Four years of dental school Two additional years of residency training in dentistry for infants, children, teens, and children with special needs What Types of Treatments Do Pediatric Dentists Provide? Pediatric dentists provide comprehensive oral health care that includes the following: Infant oral health exams, which include risk assessment for caries in mother and child Preventive dental care including cleaning and fluoride treatments, as well as nutrition and diet recommendations Habit counseling (for example, pacifier use and thumb sucking) Early assessment and treatment for straightening teeth and correcting an improper bite (orthodontics) Repair of tooth cavities or defects Diagnosis of oral conditions associated with diseases such as diabetes, congenital heart defect, asthma, hay fever, and attention deficit/ hyperactivity disorder Management of gum diseases and conditions including ulcers, short frenulae, mucoceles, and pediatric periodontal disease Care for dental injuries (for example, fractured, displaced, or knocked-out teeth) Where Can I Find A Pediatric Dentist? Pediatric dentists practice in a variety of locations including private practices, dental schools, and medical centers. Your pediatrician can help you find a pediatric dentist near your home. Pediatric Dentists — The Best Care For Children Children are not just small adults. They are not always able to be patient and cooperative during a dental exam. Pediatric dentists know how to examine and treat children in ways that make them comfortable. In addition, pediatric dentists use specially designed equipment in offices that are arranged and decorated with children in mind. A pediatric dentist offers a wide range of treatment options, as well as expertise and training to care for your child’s teeth, gums, and mouth. When your pediatrician suggests that your child receive a dental exam, you can be assured that a pediatric dentist will provide the best possible care.

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