 |
 |
 |
|
Wisdom teeth - Why do they usually have to be removed? When do you know that it's time to have your wisdom teeth out? Should I have my amalgam fillings replaced? Why do my gums bleed sometimes? Does brushing my tongue help prevent/lessen bad breath? My gums bleed when I floss. Why does this happen? How often should you throw your toothbrush away? Are you ever too old to get braces? Should I use floss, brush and mouthwash, or is one or two of these sufficient?
Wisdom teeth - Why do they usually have to be removed?
Your 4 wisdom teeth usually appear after your jaw is fully developed (17 - 21 years), overcrowding occurs causing damage to the next tooth. They become impacted and painful. Early symptoms may include frequent headaches, sore throats, earache or swollen glands. We recommend a panoramic X-ray at about 18 - 20 yrs so your dentist can pre-evaluate your situation. For most of us - up to 90% - they must come out. When do you know that it's time to have your wisdom teeth out? In most cases wisdom teeth are extracted when they have an acute infection around them or they have over-erupted and are causing trauma to the soft tissues of the mouth. If your wisdom teeth are impacted (will not erupt properly inside your mouth) then an elective decision will need to be made with your dentist on whether to extract or not. It should be noted that generally the younger you are the easier the procedure with fewer post-operative complications. In nearly all cases the dreaded 'halitosis' is the result of minute food particles trapped between teeth or just under the gum line. These decompose, form bacteria and then that sulphurous odour. Regular visits to your hygienist, more frequent, meticulous brushing and flossing will usually eliminate the problem unless there is an infection in the gums or a tooth. Hygienists are fully trained dental health professionals. They are essentially ancillaries to your dentist in a mainly preventative-care role. Their three main functions are: evaluation of gum health, scaling and polishing, teaching one-on-one cleaning techniques for maximum oral hygiene. Other treatments can include fissure or groove scaling, whitening systems and custom-made sports mouthguards. Should I have my amalgam fillings replaced? Yes, if you want to look good. The new composites can be colour matched to provide an almost invisible filling. Unlike amalgam they actually bond onto the surrounding tooth enamel giving a much better seal and achieve a load-bearing strength on hard working back teeth comparable to your original healthy tooth. No, not any more! With ultra high-speed drills, latest fine injection technology and pre-surface anaesthetics no treatment, however major, should result in anything but a few seconds of mild discomfort. If you are one of the many who hold a deep-seated fear of 'the dentist' make it clear when you arrive and the dentist will fully explain all your options. Why do my gums bleed sometimes? Most likely this is a sign of developing gum disease or gingivitis. Initially caused by plaque build up the gums become inflamed and recede slightly from the tooth surface allowing bacteria to flourish in the tiny gaps. If not treated the condition becomes irreversible and can result in multiple extraction. Sometimes bleeding gums are simply caused by abrasion - a worn toothbrush applied too vigorously is the usual culprit. Remember to replace your brush or electric head every 10 - 12 weeks. Yes, but in a specific, safe way. Brushing at the gum line improperly can cause the gums to recede. When this happens, the teeth become sensitive, especially to cold drinks. Does brushing my tongue help prevent/lessen bad breath? Yes but in nearly all cases the dreaded 'halitosis' is the result of minute food particles trapped between teeth or just under the gum line. These decompose, form bacteria and then that unpleasant odour. Regular visits to your hygienist, more frequent, meticulous brushing and My gums bleed when I floss. Why does this happen? If you don’t floss regularly your gums may bleed and be sore for the first few days. Your gums should heal and the bleeding should stop once all the bacteria are removed. If they continue to bleed after more than a week of daily flossing, book an appointment to see your dentist for a thorough check-up. How often should you throw your toothbrush away? For the best results from brushing, you should replace your toothbrush at least every three months, when bristles begins to show wear, or after an illness such as a cold or flu. Over time, toothbrush bristles can breakdown and lose their effectiveness and can be a breeding ground for germs, fungus and bacteria. Are you ever too old to get braces? No. Because healthy teeth can be moved at any age, an orthodontist can improve the smile of practically anyone-in fact, orthodontists regularly treat patients in their 50s, 60s and older! However, teeth do tend to move a little more slowly the older people which means any treatment will very likely take longer. When should I first take my child to a dentist? Is the school dentist as efficient as our family dentist? The accepted age for children to have their first visit to the school dental therapist or their family dentist is 2 ½ years old. Depending on the part of the country you live in you may find either a school dental therapist or a dentist providing state funded dentistry for your child. In general your family dentist is more easily accessible and able to see you more often than the school-based services. However many family based dentists do not provide state funded dentistry and fees for treatment are paid for by the parents. Should I use floss, brush and mouthwash, or is one or two of these sufficient? Thorough brushing and flossing combined is the most effective way to control plaque. The enamel has come off my front teeth and the dentin is showing (plus my teeth are feeling sensitive) – is that bad? Yes, dentine is very soft, readily stains, and wears easily from the abrasive compounds in toothpaste. Sensitivity shows that fresh dentine is being exposed due to more abrasion, acid from bacteria in plaque, or highly acidic food and drink. It is advisable that you seek dental advice as soon as possible as change of diet or oral care habits may be needed. In most cases restorative treatment will be required to replace the lost tissue and prevent further wear. If you have any futher questions please don't hesitate to contact us |
