Bad Breath / Halitosis

January 13th, 2012

What is it?

Bad breath is generally not a sign of ill health, it is usually caused by bacteria in the mouth.

Although PERIODONTAL DISEASE (gum disease) can cause bad breath it is possible to still have bad breath with good oral hygiene and healthy teeth and gums. The origin of the smell could be from the back of the tongue. A dry mouth will also affect mouth smells.

A dry mouth can also occur if you breathe through your mouth or due to any medication you might be taking.

What can my dentist do?

Before seeing your dentist do not do anything  to mask the normal smell of your mouth (e.g. do not smoke, chew gum or clean your teeth immediately before your appointment).

Good oral hygiene will normally be the answer to the problem of bad breath. Regular scale and polishes by the dentist /hygienist will make it easier for you to maintain a good standard of oral hygiene.

What can I do myself?

  • Good oral hygiene – brush thoroughly at least twice a day (morning and night).
  • Use floss or other oral hygiene aids e.g. Tepe brushes, interspace brush if recommended by your dentist.
  • Brush your tongue. Special tongue scrapers can be bought from the chemist or your dentist.

It is possible to check for bad breath by smelling the floss after using it. If there is a smell from a particular area, then clean it with special care and attention.

  • If a mouth is dry then it will smell, try chewing sugar-free gum as this will increase the flow of saliva.
  • If you smoke, try to give up. It will improve not only your general health but will also keep your mouth and gums healthy.

Apicectomy

January 3rd, 2012

What is it?

Sometimes after having a root canal treatment (also called endodontics), a tooth may still suffer from a persistent infection. To treat this, an APICECTOMY may be carried out.

This involves the surgical removal of the infected tip (apex) of the tooth root and surrounding bone and the placing of a small filling to seal off the root to prevent further infection.

If an apicectomy cannot be carried out for whatever reason, the tooth in question may need to be removed.

What will my dentist do?

Treatment is carried out under a local anaesthetic and is therefore painless.

  • A small cut is made in the gum and a flap lifted to make a “small window”.
  • A small amount of bone is removed revealing the infected area of root.
  • The infected area is cleaned and the tip (apex) of the tooth root is removed.
  • A filling is placed at the end of the root to seal it and prevent further infection.
  • The gum is then stitched back into place.

There should be no pain during the procedure although some pressure may be felt and some noise from instruments being used may be heard.

After treatment the area must be kept clean.

  • For the first few days, warm salt water mouthwashes should be used to bathe the area several times a day, particularly after meals.
  • The other teeth should be brushed normally but care should be taken around the site of the apicectomy.

There may be some swelling, bruising and discomfort for a few days after. This should not last too long – an icepack wrapped in a towel on the outside of the face may help. A soft diet may be advisable for a few days.

Normal healing time is approximately 1 week.

Your dentist will discuss if pain killers and antibiotics are needed.

White Fillings

June 10th, 2011

A filling is a structural replacement for a part of a tooth that has been lost through accidental damage, decay or wear.

There are several types of white filling these include “Composite”, “Glass Ionomer” and “Compomer”.

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PROCEDURE

  1. The tooth is “numbed” if necessary – if a filling is small then it may not need an anaesthetic.
  2. The tooth is prepared to accept the filling, this involves removing any decay / old filling material and ensuring that the remaining tooth structure is sound.
  3. The tooth is washed and dried using water and air.
  4. The tooth surface is then etched with a mild acid to allow the filling to adhere to the tooth.
  5. A bonding agent is then is then applied to the tooth which is “set” using a blue light (a shield is used to protect the eyes). This is called “Light-curing” or “Light-set”
  6. The filling material is then placed in the prepared cavity and shaped; this is then Light cured”.
  7. Finally the new filling is polished and trimmed as required.

Dental X-Rays

May 28th, 2011

Dentist use (low dose) X-rays that pass through the body to create a X-ray photo or Radiograph.

These images allow the dentist to see deep into the tooth and its roots. They help do identify decay, poor fillings and to check for bone loss around teeth which is a sign of gum disease. X-rays may also help to check on the development of a child’s jaw. They also may check the state of previous dental work and also identify new problems.

At Stoke Road Dental Practice we use special holders (RINN HOLDERS) that you have to bite on to guarantee the X-ray is taken in the correct position. You will be asked to stay very still for a few seconds to ensure a high quality image. The x-ray will take a few minutes to be developed.

Common (small) radiographs taken at Stoke Road Dental Practice include:

  1. Bite Wings – these show detail of the back teeth and (in between) but not the roots.
  2. Periapical – shows the whole tooth and the root.

Larger radiographs or panoramic images are another type of image that show the whole jaw and teeth. For these images we may refer you a local hospital.

Regular training ensures the dentists make use of the X-ray equipment  safely and improves the quality of the images taken.

“The radiation dose” – is very low, especially for the small x-rays that we take at Stoke Road Dental Practice.

X-rays are NOT taken as routine and are only taken if they are clinically needed.

Our machines are checked yearly to ensure they are working as required.

During pregnancy you may have dental radiographs safely.  You may however, feel to delay the procedure till after the pregnancy – this is fine.

A thorough examination of the mouth and teeth does not always give all the information required. Routine (and even some advanced dental procedures) often rely on X-rays.

New Qualifications

April 24th, 2011

Reena Raichura has recently been awarded the prestigious Diploma of Membership of the Joint Dental Faculties at The Royal College of Surgeons of England (MJDF RCS Eng). This assessment was developed by the Faculty of General Dental Practice (UK) and the Faculty of Dental Surgery of the Royal College of Surgeons of England where she recently attended for an awards ceremony.

Congratulations too to Nancy Stephens who has also recently passed her Level 3 NVQ in Dental Nursing at Highbury College. Nancy has worked at Stoke Road Dental Practice for over 2 years while working towards this qualification and has a become a respected and valuable member of our team.

How to brush your teeth

September 18th, 2010

It is astonishing that the majority of adults do not know the correct method to clean their own teeth!

The effects of not brushing, may in the long term lead to plaque build-up, tartar or calculus, bleeding gums (gingivitis), bad breath (halitosis), gum diseases, tooth decay, tooth discolouration and ultimately tooth loss!

To keep your dental problems to a minimum, READ ON –

  1. Use a medium-bristled tooth brush. Avoid a hard brush to prevent your gums receding.
  2. Use a Fluoride toothpaste.
  3. Hold the brush on the teeth at approximately 45 degrees to the gums, using circular motions to clean ALL surfaces of the teeth.
  4. The gum line is where the tooth enters into the gum. Concentrate on brushing this area, as this is frequently missed.
  5. If you have neglected your teeth and gums lately, your gums may be inflamed. If you now start to brush properly, the gums may bleed, however persevere and this should improve over a few days. It is important to tell your dentist that your gums are bleeding.
  6. Remember to clean your tongue. You may use a tongue scrubber or you simply use your tooth brush. This will help to reduce bad breath.
  7. Brush twice daily for 2-3 minutes.
  8. Inter-dental cleaning aids are available such as floss and Tepe brushes.

Come to Stoke Road Dental Practice to find out more.

Virtual Tour

June 12th, 2009

We recently had WebMotionUK in to get a quick virtual tour of the newly decorated surgery, quicktime is required to view the panorama, and can be found here: Quicktime

Click and drag your mouse over the image to view the 360 degree view of the surgery.

New Additions to the Dental Team

September 27th, 2008

The Stoke Road Dental Practice would like to congratulate and welcome to their team of dedicated professionals doctors Reena and Vijay Raichura.

Both bring a wealth of experience and new ideas to enhance the wonderful reputation of the practice.

Their postgraduate training includes areas of cosmetic dentistry, dental implants and clear braces, adding further technical expertise to the practice.

They will also add further to the aim of the practice in providing long term commitment to dental care in the area.

Source: The News