Tooth cleaning aids

Toothbrushes

There are a great many toothbrush types available. You can either choose an electric or manual toothbrush based on your requirements. The vibrating or rotary motion helps to easily dislodge plaque and remove food particles from around the gums and teeth. Although same results can be obtained using a manual brush, but much more effort is needed to do so. Toothbrushes should be replaced every three months because worn bristles become ineffective over time. Soft bristle toothbrushes are far less damaging to gum tissue than the medium and hard bristle varieties. In addition, an appropriate sized ADA /IDA approved toothbrush should be chosen to allow proper cleaning of all the teeth. Teeth should ideally be brushed after each meal, or minimally twice each day for at least two minutes.

Dental Flosses

Dental floss is the most common interdental and subgingival (below the gum) cleaner and comes in a variety of types and flavours. The floss itself is made from either thin nylon filaments or polyethylene ribbons, and can help remove food particles and plaque from between the teeth. Vigorous flossing with a floss holder can cause gum damage and bleeding, so great care should be taken while flossing. Floss should normally be used twice daily before brushing.

Interdental Cleaners

Interdental brushes are sometimes recommended in addition to dental floss. These tiny brushes are gentle on the gums and very effective in cleaning the contours of teeth in between the gums. Interdental brushes are available in various shapes and sizes.

Mouth Rinses

Mouth rinse or mouthwash is a liquid solution that you swish around your entire mouth – teeth, gums and tongue – to help promote oral hygiene, reduce oral discomfort, provide moisture to oral tissues or help with bad breath. Mouth rinses are recommended, if you are at high risk of tooth decay, gum inflammation, dry mouth or gum disease. Mouth rinse also may be prescribed following oral surgery or scaling and root planing in order to promote healing, reduce microbial load and help with discomfort. Additionally, many therapeutic mouth rinses are strongly recommended for people who cannot brush due to physical impairments or medical conditions.

Oral Irrigators

Oral irrigators, like Waterpik have been created to clean debris from below the gum line. Water is continuously sprayed from tiny jets into the gum pockets which can help remove harmful bacteria and food particles. Overall, oral irrigators have proven effective in lowering the risk of gum disease and should not be used instead of brushing and flossing. Professional cleanings are recommended at least twice annually to remove deeper debris.

Rubber Tip Stimulators

The rubber tip stimulator is an excellent tool for removing plaque from around the gum line and also for stimulating blood flow to the gums. The rubber tip stimulator should be traced gently along the outer and inner gum line at least once each day. Any plaque on the tip can be rinsed off with tap water. It is important to replace the tip as soon as it starts to appear worn, and to store the stimulator in a cool, dry place.

Tongue Cleaners

Tongue cleaners are special devices which have been designed to remove the buildup of bacteria, fungi and food debris from the tongue surface. The fungi and bacteria that colonize on the tongue have been related to halitosis (bad breath) and a great many systemic diseases like diabetes, heart disease, respiratory disease and stroke. Tongue cleaning should be done prior to brushing to prevent the ingestion of fungi and bacteria.

Special care dentistry – dental care for medically compromised and patients with special needs

Patients with special needs are those who due to physical, medical, developmental or cognitive conditions require special consideration when receiving dental treatment. This can include patients with heart, liver or kidney disease, uncontrolled diabetes, Alzheimer’s disease, Down syndrome, Autism, Spinal cord injury, Mental retardation and countless other conditions that can make regular dental procedures a challenge. Caring for patients with special needs requires an understanding of their problem and compassion towards them.

We at Smileoracles, focus on meeting the needs and working with the limitations of these patients. Our mission is to provide dental care for patients with complex medical, mental and physical challenges. With our advanced infrastructure and trained staff, we successfully manage any patient, regardless of how complex their condition may be. At Smileoracles, we provide conscious sedation, general anaesthesia, use of hospital resources and expedited care for patients requiring clearance for heart and transplant surgeries.

What to expect at your first visit:

  • We start with a comprehensive medical and dental history.
  • This is followed by careful clinical examination and necessary diagnostic tests.
  • All the diagnostic information is gathered and carefully analyzed, which includes clinical intraoral and extraoral findings, x-rays, blood test reports, and diagnostic study models.
  • Sometimes your examination appointment might need two visits due to medical challenges.
  • Once all the clinical and diagnostic data is evaluated, we will advise you about your dental condition and treatment options. We will tell you the pros and cons of each recommended treatment option so that you can make the best decision.
  • We will also discuss choices you have in how the dental care is delivered to ensure it is safe and comfortable.
  • Where required, we discuss our proposed treatment plan with your referring doctor.
  • Once a treatment plan is finalized, a treatment plan with fee estimates will be given to you.

We provide dental care services for Children and Adults:

  • With medically compromised conditions
  • With physical disabilities and wheelchair-users
  • Who have severe mental health problems
  • With severe learning disabilities
  • With severe autistic spectrum disorders
  • With dental phobia
  • Children with high treatment needs who are difficult to manage
  • Who are engaging in substance misuse

If you, your child or someone you know has special needs, you can contact us to discuss your treatment options.

“Mouth is the mirror of the body”

Your mouth and the face reflect signs and symptoms of health and disease that can serve as an adjunct for diagnosis for some conditions. Diagnostic tests using oral cells and fluids are available to detect drug abuse, hormonal changes, and specific diseases. The mouth is also a portal of entry for pathogens and toxins, which can affect the mouth and, if not cleared by the many defense mechanisms that have evolved to protect the oral cavity, may spread to the rest of the body. Recent epidemiologic and experimental animal research provides evidence of possible associations between oral infections and diabetes, cardiovascular disease, and adverse pregnancy outcomes.

Are you really giving the best care to your patients?

Prior to any surgery or complicated medical procedure, it is important to have a qualified dentist give clearance to protect your patients from additional risk factors, which might arise due to oral-systemic connection.

What should the physicians and surgeons know about the oral health of their patients?

The status of your patient’s oral health

  • Decayed teeth (cavities and breaking down of teeth)
  • Abscessed teeth (infection in the root with pain and swelling)
  • Localized or systemic infection

To sign a dental clearance for a medical procedure, a comprehensive dental checkup must be performed. This includes a tooth, gum and bone evaluation and testing for quality and quantity of bacteria causing the oral infection. This is done to determine if there is a risk of bacteremia (an invasion of the bloodstream by bacteria).  We know many patients are found to be at high risk for bacteremia with no clinical symptoms of active infection.

What does a Dental Clearance really tell you?

Oral Infection can lead to Strokes, Diabetes, Heart Attacks, Lung Infection, Preterm Pregnancies, Alzheimer's, Cancer, and More.  If your patients have gum disease, tell them to get it treated and safeguard their health.

Protect Your Patients' Health By Referring To Smileoracles Multispeciality Dental Clinics for  Dental Clearance.

Dental emergencies

Dental emergencies
dental emergencies

Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth. Here are some common dental emergencies and how to deal with them. For all dental emergencies, it’s important to visit your dentist as soon as possible. Most dentists reserve time in their daily schedules for emergency patients so be sure to call your dentist and provide as much detail as you can about your condition. If the accident occurs when your dental office is not open, visit your local emergency room.

Q: What do I do if I knock out my tooth? 
A: For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk. Then, get to your dentist’s office right away.

Q: What if I crack my tooth? 
A: For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down. See your dentist as soon as possible.

Q: If I bite my tongue or lip, how do I treat it? 
A: If you bite your tongue or lip, clean the area gently with water and apply a cold compress. See your dentist or go to the emergency room as soon as possible.

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Q: How do I treat a toothache? 
A: For toothaches, rinse your mouth with warm water to clean it out. Gently use dental floss to remove any food caught between your teeth. Do not put aspirin on your aching tooth or gums; it may burn the gum tissue. If the pain persists, contact your dentist.

Q: What if I think my jaw is broken? 
A: If you think your jaw is broken apply cold compresses to control the swelling. Go to your dentist or a hospital emergency department immediately.

Q: How do I remove an object that’s stuck in my mouth or teeth? 
A: For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with a sharp or pointed instrument. See your dentist or go to the emergency room as soon as possible.

Q: How can I avoid a dental emergency? 
A: There are a number of simple precautions you can take to avoid accident and injury to the teeth:
Wear a mouthguard when participating in sports or recreational activities.
Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth.
Use scissors, NEVER your teeth, to cut things.

Reference material: American Dental Association

Dental abscess: Pus in the mouth!

Dental Abscess:
A tooth abscess is a collection of infected material (pus) due to a bacterial infection in the center of a tooth.

Overview

  • Alternate Names
  • Causes
  • Symptoms
  • Exams and Tests
  • Treatment
  • Outlook(Prognosis)
  • Possible Complications
  • When to Contact a Medical Professional
  • Prevention
Alternative Names
Periapical abscess; Dental abscess; Tooth infection; Abscessed tooth, tooth abscess, pus in the gums/mouth.
Causes
A tooth abscess is a complication of tooth decay. It may also result from trauma to the tooth, such as when a tooth is broken or chipped. Openings in the tooth enamel allow bacteria to infect the centre of the tooth (the pulp). Infection may spread out from the root of the tooth and to the bones supporting the tooth.
Infection results in a collection of pus (dead tissue, live and dead bacteria, white blood cells) and swelling of the tissues within the tooth. This causes a painful toothache. If the pulp of the tooth dies, the toothache may stop, unless an abscess develops. This is especially true if the infection remains active and continues to spread and destroy tissue.

Symptoms

The main symptom is a severe toothache. The pain is continuous and may be described as gnawing, sharp, shooting, or throbbing.

Other symptoms may include:

  1. Bitter taste in the mouth
  2. Breath odour
  3. General discomfort,
  4. uneasiness or ill feeling
  5. Fever
  6. Pain when chewing
  7. Sensitivity of the teeth to hot or cold
  8. Swelling of the gum over the infected tooth, that may look like a pimple
  9. Swollen Glands of the neck
  10. Swollen area of the upper or lower jaw -- a very serious symptom

Exams and Tests

The dentist will closely look at your teeth, mouth, and gums. You may have pain when the dentist taps the tooth. Biting or closing the mouth tightly also increases the pain. The gums may be swollen and red and may drain thick material.

Dental x-rays and other tests can help your dentist determine which tooth or teeth is causing the problem.

Treatment

1.The goals of treatment are to cure the infection, save the tooth, and prevent complications.

2.Antibiotics may be given to fight the infection. Warm salt-water rinses may be soothing. Over-the-counter pain relievers may relieve the toothache and fever.

3.Do NOT place aspirin directly over the tooth or gums, because this increases irritation of the tissues and can result in Mouth ulcers.

4.A root canal may be recommended in an attempt to save the tooth.

5.If there is a severe infection, the tooth may be removed or surgery may be needed to drain the abscess. Some people may need to be admitted to the hospital.

Outlook (Prognosis)

1.Untreated abscesses may get worse and can lead to life-threatening complications.
2.Prompt treatment usually cures the infection. The tooth can usually be saved in many cases.
Possible Complications
  • Loss of the tooth
  • Blood infection (sepsis)
  • Spread of infection to soft tissue (facial cellulitis, Ludwig's angina)
  • Spread of infection to the jaw bone (osteomyelitis of the jaw)
  • Spread of infection to other areas of the body resulting in brain abscess,
  • endocarditis,
  • pneumonia, or other complications
When to Contact a Medical Professional?

Call your dentist if you have a persistent, throbbing toothache.

Prevention

Prompt treatment of dental caries reduces the risk of tooth abscess. Traumatized teeth should be examined promptly by the dentist.