Last Friday, the whole world celebrated the International Day of the Dentist - the person on whom the beauty of our smile and the health of our teeth depend. In this regard, Khabarovsk specialists answered the most frequently asked questions from patients, dispelled myths that dental treatment is painful and time-consuming, talked about how often you need to change toothbrushes, and why you should not underestimate the insidious eights, known to us as wisdom teeth.
Dentists' Answers to Frequently Asked Questions
Surgical dentistry
Dentist, orthopedic surgeon Sergei Cherkasov answers the questions.
- What to choose: implantation or prosthetics? What is the difference?
With bridge prosthetics, two adjacent teeth are involved and they have to be ground down. In this case, it is recommended to change crowns every 5-7 years.
During implantation, the load is placed on only one tooth and the implant can last 20 years or even more under conditions of quality care.
The cost of both prosthetics and implantation is approximately the same - 45-60 thousand rubles. But if we talk about which method is more promising, then this is, of course, implantation.
Many people worry that implants and dentures will look unnatural, and that installing a crown is a very painful process. Is it so?
- These are groundless fears. In most cases, if severe atrophy has not occurred, it is possible to make the implant as similar as possible to your own tooth. In addition, installation of the implant and prosthesis is absolutely painless. Pain may occur after an implant has been installed or teeth have been ground (during prosthetics). But these discomfort easily relieved with painkillers.
- How is the implant installed, and how long does this process take?
- The implant installation procedure itself takes about 30 minutes. This is provided that there is enough bone tissue. But here important point: The implant takes four months on average.
Before starting the procedure, the patient and I analyze all the pros and cons and look for contraindications for implantation. If there are none, a computed tomogram is prescribed to determine the amount of bone tissue and the need for its augmentation. Based on this, a decision is already made: an implant is needed or not. Because sometimes bone augmentation can be more expensive than installing an implant.
-Is it necessary to install an implant if a piece of a tooth breaks off?
- If the tooth root is intact and there are no inflammatory processes, then here there is a question not about implantation or prosthetics, but about installing a regular filling.
-Are there any contraindications when installing an implant?
- Yes. For example, diabetes. If sugar is higher required level, then the implant simply will not take root. Some doctors do not take this fact into account, and then questions arise: why did the implant fall out?
Therefore, in this case, consultation is necessary. If you reduce sugar to a certain level, then implantation is quite possible. But this is only if the patient is interested in this and follows all the recommendations.
- Regular professional hygiene. In general, any person is recommended to do this procedure once every six months. For those who have implants, it is better to do this 3-4 times a year. Plus, we prescribe physiotherapy and plasma lifting to patients - these procedures help maintain healthy gums and teeth, which has a beneficial effect on bone tissue.
- Can the bite change after wisdom teeth are removed?
- As a rule, no. Wisdom teeth are vestigial organs. In ancient times, when people ate hard foods, their teeth “walked” and gaps appeared between them. Wisdom teeth were designed to correct this and “collected” the teeth.
Now man has mastered fire, food has become soft and there is not enough space for wisdom teeth. They begin to grow and shift the teeth. Typically, if there is not enough space for them, they are removed to maintain a favorable bite.
- What could be the consequences if an inflamed wisdom tooth is not removed?
The maxillofacial region is abundantly innervated, there are many vessels and nerves. So if a tooth becomes inflamed, it is better to consult a doctor immediately so that it does not turn into a more serious pathology.
Dental treatment
Dentist-therapist Varvara Kulikova answers the questions. 
- Is it possible to take painkillers before going to the dentist?
In principle, it is possible, but it is worth remembering that then the picture will be blurred. It is possible that a person will come to the doctor and will not be able to accurately determine which tooth ached because he stopped pain syndrome tablets.
But if the pain is severe, you can take a painkiller, but don’t get carried away. But it’s better not to self-medicate. Some people go to extremes, even applying garlic to a sore tooth.
- What to do if complications arise after treatment?
- Be sure to run to the doctor. If you are in an area where there is no dentist nearby, you can use non-steroidal anti-inflammatory drugs. And if you are in a city where dentistry is on every corner, it is better to immediately go to acute pain to the doctor.
- How often do fillings need to be changed?
You need to remember that you need to visit the dentist once every six months. The body is alive, some changes are constantly happening in the mouth. We remember that teeth are not renewed, they are alone for life. Something is constantly happening in the mouth.
There may come a time when it is necessary to change the filling, but the person will not even guess about it, because he will not see it himself. That's why better time Every six months, go to the doctor and check the condition of the fillings in good lighting. In general, everything is individual and depends on hygiene: how many times a person brushes his teeth and with what. The worse the hygiene, the shorter the shelf life of the fillings.
Nowadays, dental centers offer services for individual selection of hygiene products. What it is?
- The patient is asked to undergo a simple “language” test, which shows how well he brushes his teeth. Plus, doctors select hygiene products based on the size of the teeth and interdental spaces. Nowadays there are a lot of products for cleaning teeth, starting with special foams and ending with interdental brushes. Choosing, you can break your head. The service of individual selection of hygiene products can help with this.
- Why is caries dangerous? Why is it better not to delay going to the doctor even at the slightest sign?
- Firstly, if delayed, the treatment will be deeper and therefore more expensive. And superficial caries can be cured using a special technology, which is now widespread in Khabarovsk. This is absolutely painless treatment within the enamel. The tooth is covered with special solutions, with the help of which carious tissues and infections are removed, and then the tooth is hermetically sealed.
Previously, when we saw such caries, we told patients that we would not treat it because we would have to drill out the field in order for the filling to hold. Now there is a remedy that helps treat a tooth without preparation.
There is no need to be afraid to go to the doctor, because dentistry is now practically painless. Pain is possible only in extreme cases, when a person has endured caries. Materials for treatment are now of higher quality.
- How often should you change toothbrushes and toothpastes?
I recommend doing this every two to three months, depending on how the person brushes their teeth and how hard they press on the brush. If the pressure is strong, the brush becomes unusable faster. As soon as you see the bristles worn out, you need to change them.
It's the same with toothpastes. I recommend alternating them, for example, using fluoride paste in the evening, and using enzymes in the morning, which keep the mouth clean for a long time. Rinse aids can be used. With good hygiene, they allow you to prolong the feeling of cleanliness and prevent the spread of germs.
You can learn more about oral hygiene directly from your dentist by visiting him. Experts advise having your teeth examined every six months, regardless of whether your teeth hurt or not. Diagnostics on early stages helps preserve beautiful smile and avoid additional expenses in the future.
1. How to find a suitable specialist without risking your health?
When choosing a doctor, at the first stage, find out from the registrar his work experience in this clinic, the availability of diplomas, certificates and academic degrees.
Usually, good specialists do not change jobs every six months. Diplomas and certificates will confirm that the doctor is constantly improving his qualifications. And the doctor who dealt with scientific activities, understands the problem deeper: perhaps the causes of dental problems lie in diseases of other organs.
The second stage is a consultation with a doctor. It would be good if he referred you for a CT scan. When drawing up a treatment plan, an integrated approach is important, which consists of the interaction of several specialists: these can be an orthodontist, an orthopedist, a surgeon, and a periodontist. The doctor’s task is to offer all possible treatment options.
2. Why are dental services expensive? Is it possible to save money?
Good dentistry includes professional doctors, high-quality materials and modern equipment. All this affects the cost of services. Doctors need to constantly undergo additional training, travel to congresses and seminars, including foreign ones. As for high-quality materials and equipment, they are also most often imported and, of course, expensive. Modern technologies a priori cannot be cheap.
3. What is more reliable: an implant or« bridge» ? Is there a chance that the implant will not take root?
There are indications for both implantation and the “bridge,” and for them to last longer, good personal hygiene and regular preventive examinations are important. There is a possibility of implant failure. In this case, either re-implantation is performed, or the doctor chooses another treatment option.
4. How often can teeth whitening be done? How safe is it?
Many people try, but even therapeutic, prophylactic and whitening pastes must be prescribed by a doctor! Professional whitening is safe if the technique is followed, but it is often not recommended, especially for patients with hypersensitive teeth.
5. If an adult’s wisdom teeth have not erupted, is this normal? Why are they usually not treated, but removed?
The number of wisdom teeth is individual, so if there are few or none at all, this is not a pathology. If the wisdom tooth has erupted correctly, is involved in chewing and does not injure soft fabrics, then you can save it.
Often these teeth have to be removed due to incorrect position, trauma to the cheek tissue, impossibility of high-quality treatment and restoration in case of very severe destruction of the tooth crown. The removal of “complex” wisdom teeth should be trusted to an experienced doctor, computed tomography should be used for diagnosis, and recommendations should be strictly followed in the postoperative period.
6. Are they effective? ? Don't they damage the enamel? Is it necessary to follow a diet while wearing braces?
There are no age restrictions for orthodontic treatment. Average term treatment - one and a half years. First, the orthodontist conducts a full diagnosis of the patient’s bite and discusses the features of the upcoming treatment. The goal is not only to get a beautiful smile, but also to create proper contact between the teeth. As a result, even the face becomes more harmonious. Many patients forget about this and rush the doctor to remove the braces.
It is not braces that spoil the enamel, but poor oral hygiene or lack thereof. If a patient does not know how to brush his teeth, braces are not fixed until he learns. Teeth become mobile during treatment. As a rule, sticky, hard and hard foods are excluded.
We thank Pavel Ivanov, PhD, dentist, for his help in organizing the material.
Photos used from the sites www.123dentist.com, www.insurancejournal.com, witkowskidental.co, www.wildewooddental.com, hamlindentalgroup.com, www.dfiles.me
“A smile will make everyone warmer,” I remember the words from a children’s song. But this smile can be ruined by a malocclusion of the teeth. There is an opinion among psychologists that crooked teeth are unconsciously perceived by the other interlocutor as a fact of aggression. Why else do you need to deal with malocclusion? Many will primarily name the aesthetic reason. nike air max pas cher Yes, they are right, how do you get a job?
It is difficult to underestimate order; it is important in any business. People tend to strive for it, to assign serial numbers to everything and everyone, to put them on shelves. Doctors and other medical workers are especially drawn to this, since this profession cannot do without a certain amount of pedantry.
A person’s mouth contains a huge number of microorganisms, some of which are pathogenic, that is, under certain conditions they provoke disease. Inflammation of the gums around the tooth is a common problem. It can be generalized (covers the entire gum) or localized (in the area of one or two teeth).
CT scan(CT) has firmly entered our lives; its undoubted advantage is that, thanks to a special program, a three-dimensional model of soft tissues and bones is created, which facilitates the diagnosis of diseases and control of treatment. Why is this technology used by dentists?
Wisdom teeth erupt before age thirty-five. Often their growth causes many problems:
We all want to have beautiful and healthy teeth, so we clean them twice a day, as dentists advise. Why then do you need teeth cleaning in dentistry? And how does it differ from daily hygiene? There are a huge number of hard-to-reach places in the oral cavity that are very difficult to keep clean. Gradually, bacteria form soft plaque there,
Which type of whitening should I choose, who should not get veneers, and can I get caries? BeautyHack learned the answers to these and other questions from three leading dentists.
Alexander Gazarov (@gazarovalexandr) Dentist, orthopedist, surgeon, founder of the Studio modern dentistry Alexandra Gazarova"
How often should you have your teeth cleaned by the dentist?
Dentists recommend doing professional hygiene oral cavity once every 4-6 months. But this recommendation is not for everyone. The frequency of visits to the hygienist may depend on many factors: availability bad habits, such as smoking, on the mineral composition of saliva (because of this, stones - periodontal deposits are formed differently), on how well developed self-hygiene skills are - some brush their teeth well, so they need professional cleaning less often. There are rare patients for whom we recommend cleaning once a year. In any case, this is decided individually at an appointment with a hygienist.
What is better: dental floss or irrigator?
Dental floss and a waterpik serve slightly different functions: if I had to choose one, I would prefer dental floss because it's convenient to take with you. And if we talk about independent modern approach to home hygiene, then dental floss does not exclude an irrigator, and vice versa. Dental floss better cleans the interdental spaces from food debris, and the irrigator does a better job of cleaning the periodontal sulcus and pathological pockets.
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Do I need to change my toothpaste periodically?
Undoubtedly. Toothpaste It should not be the same all year round - it needs to be changed periodically. I recommend having several toothpastes at home: for gums, whitening and for sensitive teeth, for example. It’s better to alternate them and don’t get hung up on just one. Consult your dentist about the toothpastes that are indicated for you.
Should you brush your teeth before or after breakfast?
Eternal question! In theory, if after brushing your teeth in the evening you didn’t get up to snack on a couple of cookies at night, then your teeth are clean in the morning and there are no soft dental deposits on them. The only thing that exists after sleep is the desquamated epithelium from the inner surface of the lips, cheeks and tongue, which was not washed off with a sufficient amount of saliva and water. This is the reason unpleasant odor from the mouth in the morning. Therefore, I would recommend just rinsing your mouth before breakfast and brushing your teeth after breakfast.
Caries is contagious - fact or fiction?
Perhaps caries can be called a contagious disease, because it is caused by pathogenic microflora, which can be transmitted by contact. Therefore, I assume that it is possible to become infected with caries.
But you need to understand that the presence of pathogenic microflora does not mean caries. It is present in the oral cavity of every person, but caries is a consequence of poor hygiene and it develops differently in everyone. Are they transmitted? pathogenic bacteria that cause caries? Yes. Is tooth decay itself contagious? I doubt.
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Why does a tooth change color after nerve removal?
After nerve removal, a tooth changes color only if low-quality filling materials were used or the treatment was carried out incorrectly. Modern classical endodontics (this is the science of root canal treatment) provides protocols in which the tooth does not change color after removal.
At what months of pregnancy can teeth be treated?
The most optimal period for dental treatment during pregnancy is the second trimester, 4th, 5th and 6th months. You need to understand that the only relative contraindication is X-ray studies, taking antibiotics and other medicines, contraindicated during pregnancy. Everything else in dental practice, including pain management, has no restrictions during pregnancy and lactation.
In what cases are teeth treated under general anesthesia?
There are a number of indications for treatment under general anesthesia, but basically it's baby shower- When difficult case or the child is uncooperative. This anesthesia is used if there are various psycho-emotional disorders in adults, allergies to local painkillers, complex surgical operations And so on.
How do you know when a tooth needs to be removed and when it can still be treated?
There can be a lot of indications for tooth extraction - there are more than 20 of them in total. Therefore, it is up to the competent attending physician to decide whether to remove the tooth or leave it.
Is it necessary to treat caries at the initial stage if the tooth does not hurt?
It depends on the person’s approach to their own health. Someone brushes their teeth, and someone treats them. It's the same with caries. I can definitely say that caries almost never hurts. Very rarely in my practice does a person complain about a tooth affected by caries. Therefore, it is better to treat it initial stage, when it is superficial and has not reached the nerve - so as not to start and not undergo additional treatment, because then it will be more difficult, and longer, and more expensive. To diagnose hidden caries, it is important to visit the dentist for a preventive examination every six months.
Which whitening method is the safest?
Professional whitening allows the procedure to be carried out completely safely for both the enamel and internal tissues of the teeth. Naturally, with a qualified approach and correctly selected exposure time, otherwise, tissue burns, including the internal dental nerve, are possible.
Among the most effective, professional and safe methods Changes in tooth color include the following:
1) LumiBrite whitening: one of the safest methods - it allows you not only to change the shade of your teeth, but also to create a protective layer of enamel. Application is possible with hypersensitivity teeth.
2) Amazing White whitening: despite the fact that the system contains peroxide, the professional gel for dentist work is enriched useful substances, which neutralize harmful effects, allowing you to achieve excellent results.
3) Photo whitening (in particular - ZOOM): is carried out by applying a special gel to the surface of the teeth, the elements of which are activated by an ultraviolet lamp.
4) Laser whitening: to a greater extent, this is getting rid of plaque and tartar, due to which the teeth are cleaned and become whiter, but they will not become whiter than the natural color of the tooth enamel.
How to prolong the whitening effect?
There are two complementary methods. First, you need to reduce the amount of consumption of highly coloring foods such as coffee, tea, wine. Secondly, dentists have dental maintenance cosmetics for teeth. It will also help you maintain your whiteness. Well, if you also quit smoking, your teeth will be the first to say “thank you.” However, there are factors that we cannot influence, such as enamel porosity and individual characteristics.
What type of whitening carries a risk of damaging the enamel?
There will be no risk of damaging the enamel if the doctor chooses the correct bleaching method and exposure time. That is why professional whitening should be carried out under the supervision of a qualified dentist.
Can everyone have their teeth whitened?
There are a number of contraindications, including claustrophobia, impaired jaw mobility due to diseases of the temporomandibular joint, a reduced sensitivity threshold, oral diseases and the most common fear of dental procedures.
Do toothpastes work to whiten teeth?
There are many varieties of toothpastes on the market - they all differ in their composition, whitening effectiveness and durability. final result. Any whitening toothpastes work on the principle of affecting tooth enamel using special components. The result of this is its lightening by one or more tones. At the same time, the active substances dissolve age spots, removing dark plaque from the teeth. Some pastes use abrasive components (silicon oxide, dicalcium phosphate) as whitening agents, while others use chemical substances(hydrogen peroxide, for example).
The size of the abrasive particles will affect the quality of the bleaching and its delicacy. The smaller particles in this paste gently polish the teeth, while the larger ones have a more active effect on the enamel, which can cause its thinning. We also note that you should not use whitening paste for people with dental caries, artificial crowns or braces. This will make the tone uneven.
What drinks are bad for your teeth?
All sweet carbonated drinks contain huge amounts of sugar. It, in turn, has not only an immediate harmful effect (since it is “food” for harmful microorganisms, causing caries, various inflammatory processes and other troubles), but also long-term harmful effects (changing the composition of saliva).
Sweet carbonated drinks, including diet ones (with sweeteners), contain large quantities acids that destroy tooth enamel. However, it is very simple to neutralize the effect of acids - you need to rinse your mouth clean water. The problem is that many people drink carbonated drinks instead of water. Moreover, they drink gradually, in small portions. That is, they increase the exposure time to acids.
Harmful food additives in carbonated drinks disrupt metabolism by changing the composition of saliva and interfering with the absorption of vitamins and minerals (this is especially true for drinks containing caffeine).
What can a coating on the tongue indicate?
Language is muscular organ, covered with mucous membrane. The number of bacteria accumulating on it depends on its structure. They are the cause of plaque on the tongue and bad breath. There is less plaque on the front part of the tongue - it is cleared while moving in oral cavity. The rear part is in contact only with soft palate. This is where bacteria accumulate the most, which is why the coating on the root of the tongue is thicker. Alcohol abuse, smoking, poor diet, infections, chronic diseases create ideal conditions for the growth of bacteria.
What can cause tooth mobility and how to avoid it?
Similar problems arise in many people, especially in old age. Teeth have a kind of shock absorber or balance, the violation of which leads to loosening and tooth loss. The cause may be periodontitis, periodontitis or a damaged jaw. With these diseases, the connection between the gum tissue and bone is disrupted, which leads to loosening of the tooth. Also, teeth become mobile due to: deep bite, smoking, stress, heavy load on the tooth surface, diseases thyroid gland, mechanical injuries. Symptoms include dental plaque, increased viscosity of saliva and pain when eating.
Which brush to choose - electric, ultrasonic or regular?
I am for an electric or ultrasonic brush. Electric is an economical option, ultrasonic is many times more expensive, but its efficiency is higher. Thanks to the generator, the bristles make up to one hundred thousand revolutions per minute, which an electric device cannot yet do - its performance ranges from 5 to 30 revolutions. But electrical equipment is harmless - it has fewer contraindications for use.
Ultrasound has a powerful effect on the surface of teeth, which sometimes leads to unwanted side effects, such as: destruction of crowns and fillings (due to vibration differences foreign bodies and the teeth themselves, which arise during the cleaning process); destruction of enamel in weakened areas; inflammation of the gums and areas near the roots of the teeth.
As for a regular brush, with proper selection and use you can achieve the desired result.
What can cause increased tooth sensitivity?
There are many reasons for developing tooth sensitivity, which include:
1) Abrasion of tooth enamel as a result of using a toothbrush with hard bristles or brushing too vigorously;
2) Erosion of tooth enamel caused by exposure to foods and drinks with high content acidic substances;
3) Erosion of tooth enamel caused by bulimia or gastroesophageal reflux disease (GERD);
4) Recession of the gums, which causes exposure of the tooth root.
What types of veneers are there and how to choose them?
Veneers are ceramic coverings on the front teeth. They are also called lumineers or ultraneers - the only difference here is in the thickness of the lining and the amount of tooth enamel ground. And composite veneers, veneering, componeers are the restoration of the anterior group of teeth with filling material. Ceramic veneers are certainly more practical and aesthetically beautiful, but the choice also depends on clinical picture and the wishes of the patient.
How to care for veneers?
Just like taking care of your teeth. We must not forget about professional hygiene once every six months. It’s better to give up bad habits - this includes the habit of biting nuts or opening bottles with your teeth. You have to choose quality products for oral hygiene, brush your teeth properly and use an irrigator.
Are there any contraindications for installing veneers?
Yes, these include the presence of caries and its complications, gum disease (periodontal disease and periodontitis), bruxism, that is, teeth grinding, and some types of malocclusion (for example, straight bite).
What types of braces are there and what are they made of?
There are two ways to straighten teeth. The first is installing braces. They come in metal, sapphire, porcelain and plastic. They can be located on both the external and internal surfaces of the teeth.
The second option is to wear plastic Invisalign aligners. They are transparent and very convenient to use, but, unfortunately, they are not suitable in every clinical case.
How to properly brush teeth with braces?
It is necessary to have professional hygienic cleaning done by a dentist, regularly use an irrigator and maintain oral hygiene using an orthodontic toothbrush, a monotuft brush and interdental brushes.
How often should you use mouthwash?
Rinse aids are an additional hygiene product, and the frequency of their use depends on the composition and recommendations of the manufacturer. It is important to pay attention to antibacterial components in the composition - for example, chlorhexidine. Long-term use of such rinses causes yellowing of the enamel and dysbacteriosis of the oral cavity.
Is it necessary to remove wisdom teeth?
If wisdom teeth erupt smoothly, do not bother you, are involved in the act of chewing and are in contact with antagonist teeth, then they should not be removed. In the opposite situation, this is a reason for removal.
Why do wisdom teeth grow horizontally?
Ancient people had larger jaws - since the food was tougher, wisdom teeth helped chew it thoroughly. Today, the need for this has disappeared; we began to consume refined and processed foods that are easy to chew with 28 teeth. At the same time, the jaw itself atrophied somewhat, that is, it decreased, but the size of the teeth remained the same. This is why wisdom teeth often grow horizontally.
What can cause bleeding gums?
There are several reasons, and they can be divided into groups:
1) gum disease (periodontitis, gingivitis);
2) hormonal disorders;
3) lack of vitamins C, P, B12, folic acid;
4) use of medications (medicines that can reduce blood clotting);
5) poor oral hygiene;
6) general diseases body.
What are the consequences of an incorrect bite?
An incorrect bite can lead to damage and wear of teeth and gum disease. It is also directly related to changes in the mandibular joint.
Text: Anastasia Speranskaya
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