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Archive for December 2014

The Link between Diabetes and Oral Health

We keep hearing about how medical conditions like diabetes can affect our dental health, but why is there a connection? It seems like these are entirely separate issues, but there are good reasons why dentists and doctors all over the world keep stressing on the link between these seemingly unconnected terms – diabetes and oral health.

What is Diabetes?

Diabetes is a metabolic disease characterized by high blood sugar levels. This condition may be caused by the body’s inability to respond to or produce enough insulin, which is the hormone that regulates blood sugar in the body. In some cases, diabetes may result due to hereditary or lifestyle factors too.

A cure is yet to be discovered for this condition, so patients afflicted with diabetes can only manage the disease by keeping their blood glucose levels within a normal range. This can normally be achieved through diet and lifestyle changes, as well as medication prescribed by your doctor.

Types of Diabetes

There are generally two major types of diabetes. Type 1 diabetes is also called juvenile or insulin-dependent diabetes, and occurs when the body stops producing insulin. This condition accounts roughly to about 10% of all cases. Anyone suffering from Type 1 diabetes requires daily insulin injections to survive in addition to eating a special diet and performing regular blood checks to ensure glucose levels are within a normal range.

Type 2 diabetes is the most common, accounting for 90% of all cases. In this strain of the disease, the body either fails to produce enough insulin or becomes resistant to the hormone. People who are overweight and obese are more susceptible to developing Type 2 diabetes. If the disease is not yet advanced, type 2 diabetic patients may be able to control the symptoms by eating healthy, regular exercise and losing weight. However, this condition is often progressive, and at some point patients end up relying on insulin tablets.

If neglected, diabetes causes blood sugar levels to spike up to abnormal levels, which can in turn cause a wide range of health complications, including dental ones like gum disease, infections and more.

What is Periodontal Disease?

Periodontal disease is an infection caused by bacteria that attacks gums. As a result, this health problem is often referred to as gum disease. This condition damages the soft oral tissue that holds your teeth together. When it advances, it can spread and infect the bone that supports your teeth. At this stage, teeth start to become loose and may eventually fall out or need to be removed.

Connection between Diabetes and Gum Disease

While most dental health conditions are often caused by poor oral hygiene, periodontal disease can also be a complication of diabetes. Studies have shown that patients diagnosed with diabetes are more likely to develop gum disease. Due to this fact, it is important for diabetic patients to know how they can prevent oral health problems, the early warning signs of gum disease, as well as the treatment options that are available.

Warning Signs of Diabetes and Periodontal Disease

Gum disease can be harder to treat when it is at an advanced stage. It is therefore important for diabetics to detect the disease early on. The initial telltale signs of this dental disorder include:

  • Bleeding gums during and after brushing teeth
  • Inflamed gums that may also be red and tender
  • A lingering bad taste in the mouth
  • Development of deep pockets between teeth and gums
  • Receding gums
  • Loose teeth

Other Dental Complications Associated with Diabetes

It is important to note that periodontal disease is not the only oral health problem that diabetic patients may develop. When blood glucose levels are left to spiral out of control, other oral health conditions may occur such as dry mouth, burning mouth syndrome, and fungal infections.

Diabetic patients who seek treatment for severe periodontal disease through surgery are more likely to develop complications. It is therefore important to follow the guidelines suggested by the American Dental Association after going through oral surgery for gum disease treatment.

What Does the Treatment Involve?

The right treatment for periodontal disease in diabetics will largely depend on how advanced the condition is. Dental specialists can recommend a wide variety of treatment methods that range from maintaining regular oral hygiene and soft tissue grafts, to guided tissue regeneration and bone surgery. In most cases, the dentist and physician need to work together in order to come up with the best dental treatment for a diabetic patient.

The experienced dental team at Monarch Dental Clinic can help you beat diabetes-related tooth or gum problems. Contact us to learn more today!

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Dental Veneers and Laminates

Over time, your teeth can get damaged, stained, or even look unsightly as a result of improper care, lifestyle damage or even some other dental work you may have had in the past. Dental veneers and laminates are thin shells that are bonded to the front of your teeth, to cover up any imperfections in your natural teeth.

Veneers can fix the way your teeth look, to give you a gleaming smile that grabs the right kind of attention!

Problems that can be fixed with Dental Veneers

Dental veneers are used to target most problems that make the front part of the teeth look unattractive.

These can include:

  • Discoloration and stains from medication, excessive fluoride use, fillings that have discolored, tobacco, and the like.
  • Signs of wear, like chipped, cracked, worn-out and broken teeth.
  • Uneven, irregularly-shaped and misaligned teeth or teeth with gaps between them.

Dental laminates or veneers are one of the most popular ways to improve the appearance of the front part of the teeth. Veneers are basically very thin shells that are custom-made to match the shape, length and shade of the surrounding teeth. Depending on the material used, they can resist stains to quite an extent, as well as mimic the look of your natural teeth.

What Does the Procedure Involve?

Getting veneers isn’t very time-consuming, with the entire procedure usually being completed in just three visits to your dentist:

  1. Diagnosis and Planning

    Your first visit will typically be a consultation with the dentist, so he or she can inspect your teeth closely, diagnose their condition and chart out a plan of action. At this stage, you can discuss your expectations from the laminates. The doctor may need to take an impression of your teeth or an X-ray, to properly determine the extent of damage.

  2. Preparation and Temporary Veneer

    Usually, on the second visit, the dentist will prepare your teeth for the eventual veneers. This involves removing a small layer of the enamel, typically the same thickness as the veneer, about a ½ millimeter. The removal can be carried out under local anesthetic if you prefer, or if the dentist feels it would be necessary.

    Another model is made after the removal, so technicians can shape the final veneer to be unnoticeable. In case the tooth is extensively damaged or unsightly, a temporary veneer can be used until the final veneer is ready.

  3. Bonding and Placing

    This is the final visit is when the customized veneer is inspected and installed. The dentist will first place the veneers without any cementing material, to ensure they fit well and look natural. Once they are trimmed as needed, the surface of your teeth will be cleaned thoroughly, polished to remove any surface imperfections and then ‘etched’.

Etching roughens up the surface that will be in contact, so the veneer adheres better. After the tooth has been positioned correctly with the bonding cement, a special light is applied to help the cement cure quickly and thoroughly. Any excess cement or protruding surfaces are then ground down to size.

Pros and Cons of Dental Veneers

While veneers have better aesthetic qualities, they do not prevent or halt cavities, infections and other tooth problems.

Advantages

  • Laminates can be very closely matched to your natural teeth and are not very noticeable.
  • Porcelain veneers resist stains well and they don’t disturb the gums.
  • Unlike dental crowns, veneers don’t require extensive reshaping of the whole tooth, just the front surface.
  • Laminates are relatively non-invasive and don’t carry the risks related with major dental work.

Disadvantages

  • Veneers are more expensive compared to composite resin bonding.
  • They are permanent and usually can’t be repaired in case they chip or crack. Additionally, they cannot be recolored.
  • Though it’s very rare, veneers have been known to fall off if they’re strained too hard.

Aftercare and Expected Life

Veneers do not require any special attention other than normal oral hygiene, though it is generally a good idea to avoid stressing them too much. This includes avoiding biting fingernails or chewing very hard objects. Your tooth can still decay under the veneer and if it gets out of hand, you might need a root canal or crown.

Generally, veneers can last anywhere between five years to a decade and they can be replaced after that. Even though they resist staining quite well, it’s a good idea to avoid foods that can cause stains, like red wine and coffee – better safe than sorry! Call us at +917016730440 to schedule your consultation for a smile makeover or to fix your problem teeth.

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Everything You Need to Know about Cavities

The most common causes of tooth decay are cavities, which most of us ignore until they start to hurt. That’s the wrong way to go about it, and we’ll explain why.

Different Parts of the Tooth

Tooth Decay

Each tooth in your mouth consists of two major parts – the crown and the root. The crown is the visible part of a tooth while the root is the portion that you cannot see, since it is anchored within the bone.

Within these sections, a tooth is composed of four different kinds of tissues, which are:

  • Enamel – Tooth enamel is the hardest substance in the body and is charged with the task of protecting your teeth against the wear and tear of chewing. It is the durable covering that makes up the protective outer surface of the crown of a tooth.
  • Dentin – Dentin consists of a yellow bone-like material that makes up most of the inner surface of a tooth. It supports the enamel and carries some nerve fibers of the teeth too.
  • Pulp – The term ‘pulp’ is used to define a soft tissue at the center of the tooth that contains blood, nerves and lymph vessels.
  • Cementum – This tissue covers most of the root of a tooth and helps it attach to the bones in the jaw.

What Does Your Oral Cavity Contain?

The oral cavity is the structure within your mouth that allows you to taste, chew, and swallow food, as well as form words. It consists of two alveolar arches, which hold teeth, and is bordered at the back by the isthmus and the fauces. Other parts of the oral cavity include the floor of the mouth, lips, check mucosa, hard palate and mobile tongue.

How Does Your Tooth Decay?

DecayingBacteria which are normally found in the mouth change carbohydrates (starch and sugar) into acid. This acid combines with food particles and saliva to form plaque, a sticky substance that adheres to the teeth. Plaque forms after every meal and snack and begins to build up on the teeth 20 minutes after eating.

If not removed, the acid in the plaque begins to damage the enamel covering the teeth and creates holes in the tooth, which are referred to as cavities or caries. These are basically permanent structural damages to the outer surface of the teeth that develop into tiny openings or holes.

A cavity can affect part of a tooth or the entire tooth, depending on how early it is detected and treated. It begins as a white spot, then spreads to the enamel, dentin and cementum, and can even cause an abscess if left untreated, so make sure you include regular dental check-ups in your schedule!

Prevention of Cavities

Aside from good brushing and flossing habits, the best way to prevent cavities is to treat the onset of tooth decay before it develops into a cavity. Therefore, regular dental checkups are necessary whether or not your mouth is feeling fine. Through a dental checkup, the earliest sign of tooth decay (which is indicated by a soft tooth surface) can be detected and appropriately addressed.

Other preventative measures that can help prevent cavities include:

Use of Fluorides – Oral fluorides taken in the form of fluoride tablets or fluoridated water are recommended by dentists to protect against cavities. Fluoride helps prevent tooth decay by filling the pores of immature enamel or small early cavities.
Following a Proper Diet – Since cavities are caused by sugary, starchy, chewy, and sticky foods, practicing good eating habits can help prevent cavities too. This includes consuming fewer foods that cause cavities, as well as avoiding snacks between meals.
Using Sealants – Sealants are thin plastic-like coatings applied on the surfaces of molars and premolars to prevent the buildup of plaque in the deep grooves of these teeth. Sealants are normally applied on the teeth of young children shortly after their molars come in, however, they can also be used by adults when prescribed by a dentist.

Treatment of Cavities

The ideal treatment for a cavity depends on how extensively it has spread. Generally, the less advanced the cavity, the less pain and expense you will have to bear for the treatment. Various cavity treatment options that your dentists may suggest include:

  • Fillings – In the case of not-so-serious cavities, your dentist can remove the decayed tooth material with a drill and replace it with fillings made of gold, silver, alloy, porcelain or composite resin. All of these materials are completely safe, but porcelain and composite fillings are preferred since they closely match the appearance of natural teeth.
  • Root Canals – This procedure is necessary when the nerves in a tooth have died because of a cavity. The dentist will remove portions of the damaged tooth along with the nerve and blood vessel tissues at the center of the tooth. The roots will be filled with a sealing material and a crown placed over the filled tooth.
  • Crowns – When a cavity is so bad that there is minimal tooth structure remaining, a treatment which includes fitting a crown (made of porcelain, gold or porcelain fused to metal) will be required. This procedure includes the removal and repair of the entire damaged area followed by the fitting of a crown over the remaining part of the tooth.

Cavities that are left untreated can lead to severe toothaches, pain while eating, infections and eventual tooth loss. The bottom line is – cavities are really no fun at all, so make sure you get immediate dental attention. Call Monarch Dental Clinic at +917016730440 to book your treatment today!

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What is a Dental Abscess?

A dental abscess or dentoalveolar abscess is a condition caused by the spread of plaque buildup within the soft tissue in the teeth or gums. It’s more dangerous than most of us think it is, especially when people ignore the symptoms in the beginning stages or are not careful about proper oral hygiene.

A dental abscess is a painful and potentially life-threatening condition

To get a better understanding of abscess and how it can be dealt with, let’s take a closer look at this dental condition.

Dental Abscess

What Causes a Dental Abscess?

To put it as simply as possible, a dental abscess is the accumulation of pus inside the teeth or gums. It usually originates from a bacterial infection that has manifested itself in the soft pulp of a tooth. The main cause of this dental condition is severe tooth decay, but it can also be caused by prior dental work or trauma which results in the chipping or breaking of a tooth.

Dental Abscess Types

The various types of dental abscess include:

  • Gingival abscess, which occurs in the gums and does not affect the tooth or its connective tissue fibers.
  • Periodontal abscess, which starts in the supporting bone tissue structures of the teeth.
  • Periaphical abscess, which begins in the soft pulp of the tooth.

What are the Symptoms of the Condition?

The main symptom of dental abscess is gnawing, sharp, throbbing, or shooting pain, which occurs in a variety of degrees. In most cases, the discomfort starts suddenly and becomes more intense and unbearable with time. In case of a severe abscess, the pain may spread from the affected area to the ears, neck, and jawbone.

Some other symptoms of a dental abscess include:

  • Fever
  • Swallowing difficulties
  • Discomfort causing lack of sleep
  • Difficulty in opening the mouth
  • Pain in the affected area when biting and chewing
  • Foul-smelling breath
  • Sensitivity to hot and cold drinks/food
  • Bitter taste in the mouth
  • Swelling in neck glands, upper or lower jaw
  • General feeling of being unwell
  • Red and swollen gums

How is it Diagnosed?

Gingival Abscess

A dental abscess can be diagnosed by a dentist using a dental instrument or performing an X-ray of the mouth. The X-ray looks for erosion of the bone around the abscess while the dental instrument probes the affected area for pain and sensitivity. The diagnosis needs to be performed by a qualified dental expert.

Treatment for a Dental Abscess

The treatment of an abscessed tooth aims at treating the infection, preserving the tooth, and preventing further dental complications. Various treatment options can be suggested by your dentist, depending on the severity of the condition. These include:

  • Incision – This option includes cutting the abscess and draining the pus, which contains bacteria, allowing healthy tissue to replace the previously infected parts of the gum.
  • Surgery – In the event of a recurring infection, surgery may be done to remove the diseased tissue or reshape damaged gum tissue. The surgery procedure depends on the extent and area of the bacterial infection.
  • Painkillers – These are used to reduce pain while a patient is awaiting treatment or to help manage any pain during the healing process. Painkillers should only be taken when prescribed by a dentist.
  • Antibiotics – To keep the infection from spreading, dentists may prescribe antibiotics, which can be taken together with painkillers. These will normally be prescribed both before and after the main procedure (incision/surgery).

Prognosis

The prognosis of dental abscess depends on how deep a dental infection has spread. If the infection is localized to the tooth, and is caught and treated in good time, the prognosis is usually very good and the patient does not suffer irrevocable damage.

However, if the infection is left untreated, it can penetrate into the jaw bone, parts of the head or neck and even throughout the body, resulting in a situation that is difficult to control. In worst-case scenarios, dental abscess can escalate to a life-threatening condition when swelling in the jaws and neck affects the airway.

Prevention is Better than Cure!

The best way to prevent a dental abscess is to ensure good dental hygiene through daily and proper brushing and flossing of the teeth. Both of these oral hygiene practices are extremely important as they help to remove plaque, thus ensuring it does not build up on the teeth or gums.

Regular dental check-ups can also help prevent abscess by ensuring that tooth decay is discovered early and treated immediately. Timely diagnosis can keep a small cavity from developing into a dental abscess someday, so schedule your checkup at Monarch Dental Clinic at the earliest!

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