Keep Smiling

It is an effective and modern orthodontic system for tooth alignment and that is done in an almost invisible way. The aligners that are used are transparent and removable and they line your teeth gradually and in a very comfortable way.

The simplicity of the system is possible thanks to the sophisticated technology used in the design and development process. Keepsmiling combines diagnosis and treatment plan sent by your orthodontist KS who is certificated by the company, with advances in computer technology 3D.CAD/CAM.

The aligning plates are used 22 hours a day for three weeks. Then discarded and replaced with a new set. Each new set of plates brings the next move. Thus, the teeth are moving gradually and progressively until perfect alignment.

What are the advantages of KeepSmiling?

KeepSmiling is comfortable. Its use is pleasant and enjoyable thanks to the quality and flexibility of the materials they are made of. It is transparent and very aesthetic, virtually unseen. KeepSmiling is removable. You remove the aligners for meals and for brushing and flossing your teeth. KeepSmiling does not interfere with your lifestyle.

Does KeepSmiling Interfere with my speech?

Sometimes the plates may produce a temporary and very subtle lisp for a day or two in some patients. However, as your tongue gets used to the plates in the mouth, these alterations in pronunciation disappear.

How long does the KeepSmiling treatment last?

As other options, the duration of treatment vary depending on the complexity of the case. However, in cases completed to date, treatments with KeepSmiling have been completed in approximately the same amount of time as other alignment options in dental treatments. During your first visit, the dentist KS can estimate the duration of their treatment, as well as respond to any other questions you may have.

Dr. Daniel Zambanini
Orthodontist

dannyfrz@gmail.com 

155-979-0636

Gum Care

Some people have sensitive gums and tend to experience discomfort. For them, a simple toothbrush can cause pain and bleeding. A healthy mouth is not bothered by daily oral hygiene, and healthy gums should never bleed. Dental biofilm (bacterial plaque) is the main causative factor of gingival problems. By removing it we will prevent future problems.People with sensitive or swollen gums need to take special care to prevent biofilm build-up, particularly near the gumline.


If you notice changes in your gums, please visit your dentist as soon as possible. The earlier you solve potential problems, the greater the possibilities are of restoring gingival health and of preventing the development of more complicated diseases.

More information

Some people have a tendency for having gingival infections caused either by certain daily habits or by genetic predisposition. Poor oral hygiene habits alone can cause the development of certain periodontal diseases.

Main periodontal diseases

Gingivitis, or inflammation of gingival tissues, is caused by deficient toothbrushing which does not remove bacterial plaque build-up from teeth. To avoid this very common disease, you can:

• Use a toothbush with soft, end-rounded bristles, and use a special interdental brush to thoroughly clean interproximal spaces that a normal brush cannot reach. This should be done 2-3 times per day for 3-5 minutes. Brush gums gently at a 45º angle to efficiently clean teeth and gum line.
• Check your mouth, before, during and after brushing to make sure you have done a thorough job.
• Strengthen the bones of your mouth by eating calcium-rich foods, by exercising and by not smoking.
• Take vitamin A and C. This helps reduce gingival bleeding.
• Wipe your tongue with a tongue cleaner. This way you will sweep away pathogenic microorganisms.
• Try to eat raw vegetables every day. Hard, fibrous foods clean and stimulate teeth and gums.
• Visit your dentist regularly.

All cases of periodontitis start with gingivitis. It does not affect all teeth in the same way and it can be detected by alterations in the colour and texture of gums and an increase in gingival bleeding during daily oral hygiene routines. Periodontitis is a bacterial infection that affects not only gums but also the tooth supporting structure (bone and periodontal ligament).

The bacteria present in a dental Biofilm produce toxins that irritate and weaken gums, which, when not properly treated, can potentially cause periodontal pockets to form, the loss of support tissue, and eventually the loss of teeth. Bacteria that cause periodontitis can travel through the bloodstream and inhabit other parts of the body like the heart or lungs, etc. and contribute to or worsen diseases such as Heart attacks, Diabetes, etc. For this reason, early treatment is very important. Don't forget to visit your dentist.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Dental sensitivity is a painful condition that can become chronic. It can sometimes be very painful and unpleasant. This transitory pain is a consequence of the exposure of dentine to chemical, osmotic, thermal or tactile stimuli and cannot be associated with any other dental pathology. Some people tolerate this hypersensitivity whereas for other people it is a serious problem that has an impact on their life, oral hygiene habits and even their diet.

If not given the attention needed, sensitive teeth might develop into other oral problems. This frequently happens when pain impedes normal toothbrushing, making the affected person more vulnerable to caries and gum diseases. If you fell uneasy when eating certain types of food, visit your dentist. Having Sensitive teeth is a very common problem that affects one in seven people. The teeth that are most greatly affected by hypersensitivity are canines and pre-molars, whereas molars are the least affected. People between ages 20 and 40 and women as opposed to men are more likely to be affected.

Under normal conditions, when teeth are in their natural position, enamel is the only element to be in contact with the oral environment, and the gum line is situated at the cemento-enamel junction (Tooth Anatomy).

When cement or dentine become exposed because of gingival recession or enamel loss, an external tactile, thermal or chemical stimulus can trigger a painful feeling that, under normal conditions would not be bothersome at all.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

The third molars, known simply as your wisdom teeth, are the last permanent teeth to erupt into your mouth some time between the ages of 17 and 21 years old. It is thought that the third molars were given the name "wisdom teeth" because they erupt at a time when a child becomes wiser -- as they enter adulthood.

The average person will develop four wisdom teeth, but that's not always the case for others. Many people develop supernumerary (extra) wisdom teeth or, if you're lucky, others fail to develop some or all of their wisdom teeth altogether. The average mouth will only comfortably hold 28 of the 32 teeth we are predisposed to have. 

Since the wisdom teeth are the last teeth to erupt, there is often little room left to accommodate their size and anatomy, which often causes the wisdom teeth to either:

• Become impacted under the gum tissue and bone
• Partially erupt into the mouth, resulting in only part of the tooth exposed above the gumline
• Fully erupt into the mouth in an undesirable position -- usually tilting forward, pushing on the tooth in front of it.

It is quite possible that each one of your wisdom teeth will erupt differently from one another, for example you could have only one impacted wisdom tooth, and the rest could fully erupt.

During your regular dental check-up, your dentist may take a orthopantomogram x-ray, also known as a panorex, to diagnose whether or not your wisdom teeth need to be removed.

This x-ray gives the dentist a clear view of the area around the wisdom teeth, to determine the type of extraction necessary for each wisdom tooth.

When the dentist discovers a reason for you to have your wisdom teeth removed he will access the position of the wisdom teeth and how each root is formed. Depending on his findings, your dentist will make the decision to preform the wisdom teeth extractions for you, or refer you to see an Oral and Maxillofacial Surgeon for your wisdom teeth extractions.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Teeth whitening can give you a new smile

Teeth whitening has become so popular that it seems like everyone is doing it. If you want to obtain a bright and white smile, teeth whitening may be just what you are looking for. Not only is teeth whitening effective, it can also drastically change your smile and improve your self-esteem at the same time

.

The peroxide ingredient in most teeth whitening products is what actually bleaches the enamel and makes your teeth whiter. The strength of the whitening treatment typically depends on the strength of the peroxide contained in the whitening product. 

The current percentages of peroxide in teeth whitening products are 10%, 16% and 22%.

If you are considering teeth whitening, be sure to review the facts about teeth whitening with your dentist first. Only your dentist can tell you if your teeth and gums are healthy enough to go through a whitening process. If your dentist has determined that you are a candidate to have your teeth whitened, you will need to decide which teeth whitening method to choose from.

Teeth Whitening Options

• In-Office Bleaching -- In-office teeth whitening offers excellent results. This procedure is performed in the dental office and can be done quickly, usually in a little over an hour. In-office bleaching is expensive, but the time that you save by having immediate results can make this option appealing.

Teeth Whitening Trays and Gels -- Teeth whitening trays and gels are effective, but the desired results take longer to achieve than with in-office bleaching. Depending on the strength of peroxide in the gel, these clear trays are usually worn a couple of hours a day or overnight and could take anywhere from 3 days to a couple of weeks before any results are noticed. There are basically two types of teeth whitening trays and gels: Those purchased from your dentist and those purchased over the counter. While they will both whiten your teeth, the two have noted differences. Teeth whitening kits from the dentist produce faster and more effective results because they contain a stronger peroxide-bleaching agent than whitening kits purchased over the counter. Another benefit of trays and gels from the dentist is that the trays are custom made and fit your teeth exactly. Over-the-counter trays are generic sized and could allow the bleaching agent to come into contact with your gums, causing irritation.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Whitening Home Remedies - Do They Work?

Wanting whiter teeth is an easy way to freshen up your appearance and even make you look younger. More people are looking for a natural approach to dental care and may try out some "natural home remedies," many of which have been passed down from generation to generation. With the invention of commercial toothpaste between 1800 and 1850, Americans concerned with dental health and whiter smiles had their first "go-to" product. In the 1960s, years of studying the element fluoride yielded another significant advance with cavity-fighting and teeth-whitening fluoride toothpastes. 

And, in the 1980s, another important step forward was taken -- recently stabilized hydrogen peroxide formulas meant that true whitening toothpastes could be developed and then sold to a public eager for whiter, brighter smiles. In the 1990s and 2000s, extremely effective whitening systems based on carbamide and hydrogen peroxide formulas became available to the public. Now, whitening systems based on this formula continue to innovate at a very fast rate.

Even with a wide variety of teeth whitening toothpastes and wildly popular whitening kits, strips, lights, and other procedures, some people are still turning to those so-called home remedies, primarily for budgetary reasons. But do they really work? And more importantly, could they actually be dangerous?

1. Whitening Teeth With Lemon Juice

Some people advocate brushing or rinsing with lemon juice to whiten teeth, but lemon juice is actually citric acid and can harm teeth, causing them to lose calcium (which gives teeth some of their off-white color). Once calcium is lost, it’s irreplaceable. Lemons have a pH of 2.3, which is very low. The lower the pH, the more acidic it is. If you put lemon juice directly on your teeth, it starts causing damage immediately. It is quite common for dentists to deal with tooth destruction caused by people sucking on lemons. 

And combining lemon juice with baking soda -- sometimes also recommended -- is another bad idea. Not only will the acid of the lemon juice (which has been shown to dissolve actual bone) leech calcium from teeth, the baking soda will erode tooth enamel with the potential to cause permanent damage.

2. Whitening Teeth With Strawberries

This is another "home remedy" purported to help whiten teeth, but can be dangerous. Strawberries get their power to brighten teeth from ascorbic acid -- and acids are harmful to teeth. If someone chooses to brush with strawberries, they should be sure to brush their teeth immediately afterwards with fluoride toothpaste, and then floss.

3. Whitening Teeth With Apples

Whitening your teeth by crunching on an apple? While apples have plenty of wholesome and healthy attributes, whitening your teeth safely isn't among them. Apples are fine as a snack, but not as a substitute for oral hygiene like brushing and flossing. And any brightening that might occur is the result of an apple's slight amount of naturally-occurring malic acid -- only you’d have to eat so many apples to see any difference that you’re running the risk of acid-based damage again.

4. Whitening Teeth With Baking Soda

Baking soda won't bleach your teeth, but it can remove plaque, as it is an abrasive. Be warned, though -- because of this abrasive quality, if you use baking soda too frequently, it will damage tooth enamel. Most commercial toothpastes will remove stains as effectively as baking soda, and do so without the side effects or risks.

5. Whitening Teeth Using Wood Ash

Can you believe some folks claim that brushing your teeth with wood ash from your fireplace is a safe way to whiten teeth? The reason wood ash whitens teeth is because it contains potassium hydroxide, also known as lye. Only hard wood ash contains significant concentrations of potassium hydroxide; soft wood ash does not. Whitening with wood ash is dangerous. The harshness of the potassium hydroxide could significantly damage your teeth over time.

6. Brushing Teeth With Sea Salt

Some folks also advocate the use of a paste or a "rub" of sea salt, combined with water or even an acid, such as cider vinegar, to whiten teeth. The use of abrasive compounds along with the acid-based vinegar will probably brighten teeth a bit, but no more so than a commercial application. Plus, with repeated use of the salt/vinegar paste, you will experience tooth damage through decay or increased sensitivity.

7. Be Safe, Not Sorry
The primary reason you should avoid whitening home remedies is that they're subject to misapplication. There are no formulas or procedures created to assure safe usage, so there's a real risk of severe and permanent tooth or gum damage. No dentist reviews your oral health before you begin to use them, so there's no way of knowing how any specific home remedy would affect your particular teeth or gums.

On the other hand, companies spend thousands of hours testing their commercial teeth whitening products and methods to determine a standardized application protocol that's safe for most people. Additionally, when you choose a teeth whitening method that requires dental supervision, you can be sure your dentist will evaluate your dental health before proceeding, adding a second level of care and caution to prevent damage or discomfort.
Since people have been trying to whiten their smiles for thousands of years, there are undoubtedly hundreds of goofy and implausible concoctions designed to do the job. Happily, we live in the 21st century, where reliable and affordable answers can be found in every drug or grocery store. So, do yourself a favor -- head for the dental care aisle and stay away from the fruit section.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Halitosis is the general term used to describe bad breath, regardless of the origin of the abnormal smell (oral or other). Today's society is very demanding with image and it requires that your look is as pleasant as possible, not just in friendship relations but also in social and work relationships. Bad breath or halitosis might ruin social communication of any kind. We speak about oral halitosis if the abnormal smell substances come from oral sources, and this is the most frequent in healthy individuals (approximately 90% of the cases). Abnormal smell can also emanate from non-oral sources, such as   respiratory tract or digestive tract.

What is the reason of oral Halitosis?

Most of the halitosis have their origin in local oral factors, because of the emission of Volatile Sulphur Compounds (VSC), responsible of bad breath. Other factors include the saliva flow, the impact of food debris between teeth and the diet. Saliva, in healthy condition, has a pleasant smell; however, alkaline changes in its pH and reduction in oxygen concentration produce its decaying and the emission of volatile sulphur compounds responsible for the bad breath. 

The same happens during sleeping time, when the salivary flow is minimal. This favours the stagnation and the start up of the putrefaction mechanisms.

It is important to follow a proper daily oral hygiene:

• Brush your teeth with manual or electric tooth brush in the morning, right after every meal and before going to bed.
• Use the most appropriate tooth paste and the mouth wash to complete your hygiene.
• . Don't forget to clean the interproximal spaces with dental floss or ribbon (closed spaces) or interproximal brushes (open spaces) .

Bad breath is a common problema, but the lack of information and the psychological barrier around this disorder make it difficult for the patient to look for solutions actively. Do not stay inactive. Not looking for a solution might be even more embarrassing as you can bother others and this can negatively affect your interpersonal relations. Taking good care of your body includes caring about your mouth too.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Taking care of all the elements that make up the oral cavity is very important. Neglecting any part of this set (deficient oral hygiene) may result in diseases like caries and periodontitis and, over time, might even cause the loss of teeth. This is why strict oral hygiene is essential even before your first tooth erupts and throughout your entire lifetime.

In order for brushing your teeth to be a truly effective habit, it must be a daily routine performed when you wake up in the morning, after every meal and then again right before going to bed. Regularity is a determining factor in maintaining oral health, since dental biofilm continuously builds up, and the only way to avoid its harmful effects is by removing it from the oral cavity. Proper technique is also crucial. If brushing is not performed adequately, it does not accomplish its purpose and, even worse, it can be harmful to your teeth and irritate your gums. You can always ask your dentist for help.

Take care of your teeth throughout your lifetime
Proper oral hygiene must start during the first month of life. The first tooth appears around the sixth month. At this age the use of a brush or dental floss is not necessary, but it is advisable to clean your baby´s teeth and gums with wet gauze after giving the baby his/her bottle or any type of food. For optimum development of baby's teeth and in order for your baby to become familiar with healthy oral hygiene habits, it is a good idea to visit the paediatric dentist on a regular basis.

At age 6, children have the ability to rinse out their mouths, and their teeth start to fall out. Therefore, using a children's tooth gel together with a soft-bristled toothbrush is advisable. Parents must show their children how to brush properly and make them aware of the importance of the daily oral hygiene.

In their teens your children have already adopted regular oral hygiene habits – brushing at least three times per day. They have graduated to an adult toothbrush and toothpaste. Now interproximal cleaning is important for complete oral hygiene.

Adults need to maintain optimum oral hygiene habits and visit the dentist regularly throughout their lives. This should even increase with age. As one grows older, the production and secretion of saliva decreases, meaning that saliva's function of stabilizing the pH of the mouth (acidity level) might be affected. This can be solved by using specific toothpaste for Dry Mouth and a whole range of products that can help slow down the oral aging process.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Dry mouth

Dry Mouth is the most graphical definition of Xerostomy. Although Dry Mouth is not considered a disease, its symptoms can cause an important shortfall in the quality of life of those who suffer it. The decrease in production of salivary flow makes it difficult simple actions like speaking, eating and/or swallowing.

 Non treated Xerostomy can affect the sense of taste, difficult the chewing and even reduce the pleasure of eating and chatting.

What is Xerostomy? 

Xerostomy is the subjective feeling of dry mouth produced by the decrease of saliva flow (also known as hyposalivation or asialorrhea) due to the malfunction of the salivary glands. Our body has three glands responsible for the salivary flow (parotid gland, sublingual and submandibular).The decrease of saliva flow makes it difficult simple actions such as talking, eating and/or swallowing. 

These symptoms can be reversible or irreversible. In the first case, they are due to external causes (than can also be reversible) that can be treated or regulated, thus improving the saliva flow.

For instance, stress, depression, mouth breathing, or the intake of some medicines, among others. Whereas an irreversible Xerostomy is due to changes that can be relieved but not solved. This can be aging degeneration, Sjogren Syndrome or tumours.

Why is saliva so important to our body?
Saliva performs a variety of functions in our body:

• Protective Function: Saliva is a highly efficient defensive oral system. When the saliva flow decreases or its composition is altered, the physiological antibacterial mechanism is disturbed and there is a higher tendency to suffer from: dental biofilm build up, gum inflammation and bleeding, caries and bad breath. In addition, saliva neutralized the pH produced after meals, thus protecting the teeth enamel. Over night, when we sleep, the saliva flow diminishes and the teeth become unprotected in front of the caries. Therefore, brushing your teeth before going to bed is fundamental.
• Digestive Function: Saliva lubricates the alimentary bolus, thus facilitating chewing and swallowing of food. A poor lubrication can result in discomfort when swallowing, such as irritation or heartburn, reducing the pleasure to eat.
• Sensorial Function: Helps maintain a good sense of taste. One of the main aspects of the quality of life of a person.

COMPOSITION:
Saliva is a transparent liquid, of variable viscosity, mainly made up of water, mineral salts and some proteins:

• Water 95%: food dissolving.
• Rest 5%:
  • Mineral salts
  • Mucus: facilitates swallowing
  • Enzymes: dissolve food
  • Lisozyme: Destroys bacteria in food
  • Other substances
  •  

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

 

5 Worst Enemies Of Your Teeth

When it comes to dental care, every lay man knows that chocolates and sweets are harmful for teeth. It not only damages the tooth enamel but also discolors the teeth and invites serious dental diseases. Mentioned here are the top five edibles that are actually the worst enemies of your shiny smile and can render dangerous issues for your denture.
 

1. Carbonated Drinks

Carbonated drinks or soft drinks are generally loaded with sugar. This sugar content is dangerous for the tooth enamel as it promotes plaque formation. Apart from that, carbonated drinks have acidic content too, which is again extremely harmful as they can damage teeth.

2. Citrus Fruit

Citrus fruits do not pose any damage to teeth if consumed in moderation but a regular consumption of citrus fruits can damage the tooth enamel. It is so because citrus fruits are rich in natural acids which can lead to erosion and softening of tooth enamel thus, rendering the teeth weak and unhealthy. People who are fond of oranges and tangerines are advised to use mouthwash after eating such fruits. Drinking orange juice with straw can also be a good option.

3. Tea and Coffee

In case you are fond of black tea or black coffee, its imperative for you to pay extra attention towards the color of your teeth. Excessive consumption of coffee and black tea stand next to tobacco smoking as major causes of tooth discoloration, straining and tooth darkening. It is wise to give up on black tea and coffee but if you can't, then it is advised to add some amount of milk in your daily cup of tea or coffee. Milk is said to neutralize the negative effects of tannins on the outer teeth.

4. Wine

In the dental world, wine is quite an interesting topic that renders both- positive as well as negative effects on our dental health. Red wine is a natural antiseptic which can help decrease the risk of plaque formation and prevents tooth decay too. But, at the same time, wine is also found to be rich in acids and sugars which end up in damaging the tooth enamel. Moreover, regular intake of wine can also lead to tooth staining. Thus, it is advised to drink plenty of water to get rid of harmful components from the teeth.

5. Diet Pills

Diet pills at times lead to reduced production of saliva by the glands resulting in dry mouth. Dry mouth promotes the growth of bacteria and plaque hence, resulting in tooth decay. It is better to aim for weight loss through healthy and balanced diet rather than artificial things like diet pills.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Brushing the teeth

Brushing is indeed the most important aspect of oral hygiene. One should religiously follow the golden rule of brushing the teeth twice a day. Though, the surprising fact is that not much people are aware of the proper brushing technique. 

So what exactly is the right way of brushing, learn it here:

Proper brushing takes just two minutes to finish the task but most of the people do not provide even that much of time to their brushing. So if you want to develop a habit of brushing at least two minutes a day, it is best to start off using a stopwatch to keep track of time. Just use short, gentle strokes with special attention to the gum line. Make sure you thoroughly clean each of the section in the denture to have a shiny white smile.

Take a look at the right brushing technique here:

 

As per most of the dental experts, soft-bristled brushes are the 'best' at removing the debris and plaque from the teeth. In fact, small headed brushes are also a good option as they can easily reach the deep inside areas of denture and mouth. Now-a-days, powered toothbrushes are also available in the market that perform a great job of cleaning the teeth specially for those who are unable to brush properly due to some physical issues.

A befitting toothpaste as per your dental requirements is an essential. Today there is a wide variety of toothpastes available in the market to serve varied dental requirements. For example, one can easily find specialized toothpastes for cavities, gingivitis, tartar, stained teeth and sensitivity. Though, we would suggest to consult your dentist first, before opting for any of such toothpastes.

A toothbrush needs to be replaced when it starts showing to wear. Though, in case you are not able to judge when to replace the brush, simply change it every three month. Be sure you change the brush after you have had cold as the bristles tend to attract germs that can lead to further reinfection.

-First brush the outer surfaces of the upper teeth, then move down to the lower teeth.
-Next, brush the inner surfaces of the upper teeth, then move down to lower teeth.
-Brush clean the chewing surfaces.
-Make sure you brush your tongue nicely to have a fresher breath

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Common dental questions

When do I know if it is time to replace my toothbrush?

1.  If you cannot find it.
2.  If the bristles begin to flare to the sides.
3.  After your spouse polishes shoes with it.
4.  After your dog has chewed on it.
5.  When the color indicator strip begins to lose ½ its color.
6.  Every 4 to 6 months depending upon your usage.

(There are only 3 right answers)

What is the right way for my child to brush?

In the beginning, you will need to brush your child’s teeth for him/her. For the very young, just chewing on the brush proves beneficial. As the primary teeth erupt [usually around 6 months +/-) they require as much care as the adults. Since children usually mimic what they see, they will copy the care you show them and the importance you establish for this care.

Most children will obtain the best results with back and forth brushing. This is not the most reliable, but in the beginning it gets them started. They can graduate to more advance methods as their coordination improves.

What is fluoride and does it really protect my teeth?

Fluoride is a naturally occurring element, which was discovered as an advantageous element to prevent tooth decay when some children were found without tooth decay. Fluoride was found in relatively higher concentrations in the local drinking water of these areas. Texas is one state where naturally occurring fluoride exists. Africans use chewing sticks, which are high in fluoride, to decrease their incidence of decay. When used properly in small amounts, fluoride is a very safe material. The amounts found in local drinking water are safe and are less than are found in many naturally occurring water sources.

Fluoride becomes incorporated into the structure of the teeth. It provides additional strength and is slightly antibacterial in nature. It helps the most as the teeth are forming. 

Is it a bad idea to leave a baby with a bottle overnight?

It would depend upon what was in the bottle. If it is just water, that probably would not injure the baby’s teeth. If it is a sugar containing liquid, that is not a good idea. Allowing the baby to coat his/her teeth every night will dramatically increase the amount and extent of decay.

Is it OK for my child to suck his thumb?

There should be no problem, as long as your child does not suck his/her thumb too long. Signs that this may be a problem include front teeth that no longer meet. Usually a child should stop sucking a thumb by the time they go to school.

What is gingivitis and is it different from gum disease?

The term’s gingivitis, pyorrhea, periodontal disease and gum disease are synonymous. They are like saying car or automobile as they refer to the same thing. Gingivitis is the oral response to a bacterial infection. There are some systemic dysfunction’s, which allow an increased incidence of periodontal disease such as diabetes, trisomy 21, autoimmune diseases and others, but generally bacteria are the etiologic agents of the infection.

Healthy gingival tissues exhibit a balance between the type and number of bacteria present. Disease occurs when the balance is disrupted and more pathologic agent become predominant. Tissue swelling, redness, exudate and pain generally accompany the disease process. Left unaltered, the disease affects the bone support for the teeth. The exact sequence is not totally understood, but there is more bone loss than regeneration. This process of more loss than replacement directly correlates to the amount and duration of the infection, although there may be some individual differences. Unless the disease process is addressed, the bone loss continues. Interventions may vary from practitioner to practitioner. Many new non-surgical methods are being used in place of conventional surgery or following surgery. The ultimate goal is to enable the patient to control the disease and maintain his/her teeth.

My dentist keeps telling me I need to replace my missing teeth. If I am not in pain, why should I spend the money to replace teeth I don’t need?

Suppose you were going to buy a new car and there were two models exactly alike, except one was $2,000.00 less. The only difference between the two cars is the dealer took one tooth out of one of the cars gears. There are multiple teeth in the gears and they only took one small tooth from the gears. Which car would you buy?

Suppose further that you bought the $2,000 cheaper model. Would you expect the cars to last the same period of time? Most probably not! You would probably find that just one missing tooth could cause multiple other problems with your car. The same can be true of your mouth.

There are three components, which comprise and determine how your mouth functions. These are the teeth, jaw joints and muscles of mastication. Potential and actual damage may occur if removal of one tooth allows the remainder of the teeth to alter their position. This affects not only the teeth, but it may also affect the muscles, causing head or facial pain, and jaw joint dysfunction. Uncontrollable shifting of the bite can be a very serious consequence. Many people suffer with temporomandibular joint dysfunction because of the loss of just one tooth and the bite shifting. This can result in some headaches, neck pain, facial or ear pain, or referred pain to associated areas.

What is a root canal and why would I need one?

Inside the tooth is a small chamber, which contains some minor blood vessels and small nerves. If this tissue dies or becomes infected, it is usually very tender to the touch. The infected tissue must be removed and replaced with a substance, which will not become re-infected. After the root canal is completed, the tooth is crowned for long term stability and function.

This is a relatively painless procedure and a very reliable one as well. This enables the professional to assist the patient in maintaining his/her dentition because the tooth would otherwise have to be removed.

Our son fell and chipped his tooth. My husband says to forget it, as it is just a baby tooth. When should I take my child to the dentist?

If a baby tooth is injured it needs to be examined. The baby tooth is subject to decay just like adult teeth and they hold the space for the permanent teeth that will follow. Premature loss can cause problems that are expensive to correct. Usually, take your child to the dentist around 2 to 3 years of age.

Sometimes I get a "clicking or popping noise" or just general soreness in my jaw. Is this a problem, and what can I do about it?

 Clicking usually occurs when the cartilage is dislocated from its proper position. Without intervention, this process usually becomes worse and deteriorates.

Treatments often consist of wearing a diagnostic appliance called an orthotic that keeps the jaw from becoming dislocated. If the repositioning with the orthotic maintains a stable relationship, permanent corrections can be provided. Orthodontic corrections to a stable relationship are provided in the Feature section of Inside Dentistry, Case Review: Class II, Division 2 and Class III cases.

I don’t like my smile. Is there anything I can do?

Your smile is like the picture window through which people see you. If you are uncomfortable with your smile, there are certainly things that can be done. Replacement of stained, broken, repaired or missing teeth is possible with porcelain crowns. Removable appliances such as partials or dentures also improve esthetics. Orthodontic corrections are an excellent way to align the teeth so they look and function better.

How does orthodontic treatment work?

Conventional orthodontics applies forces to the teeth and the bone that supports the teeth adapts and reforms, allowing the teeth to be moved. Conventional orthodontic dental movements may or may not support the best jaw position, however. Newer methods first establish the best jaw joint and muscular relationship and then move the teeth to support the association.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Denture adhesion and cleaning

Removable dentures are meant to replace absent teeth and to support bone structures that degenerate over time once natural teeth are lost or damaged. This implies that through the use of oral appliances that can and should be removable (making them easier to clean), people can chew better, look better and talk more normally, greatly improving their quality of life.

Every person has different needs and different oral characteristics, meaning that every denture is unique. Being that these appliances are worn for long periods of time, patients must be taught how to clean and take care of them daily, to avoid major consequences.

Denture placement is a decision that is made exclusively by the specialist and the patient. If the decision is for the patient to wear a complete denture, it should adapt perfectly to the tissues for perfect occlusion; otherwise, chewing could make the denture move and detach from the gums, which is a primary problem that arises with this type of prostheses.

Adaptation and getting used to

 
Removable dentures are not mere mechanical instruments, but rather, they transmit force to the teeth, gums and bone, which is why they require a special adaptation period, which may be longer or shorter depending on the person and the denture. In the end, the patient is likely to forget s/he is wearing dentures at all, but patience is needed, and during this adaptation period, frequent visits to the dentist are required in order for the proper adjustments or corrections to be made.

Recommendations:

Cleaning and taking care of your denture

• Brush your denture after every meal. When using Fittydent you do not need to remove dentures from your mouth to brush them.
• Dentures must be taken out to be cleaned, at least once per day to avoid calculus build-up and to prevent stains from forming. Then, thoroughly rinse with water. It is very important to clean the metal parts, particularly those that are in direct contact with the denture. In order to do so, soak dentures in the cleansing solution to obtain a deeper cleaning effect (internal or concave side of the clasps).
• It is advisable to take out dentures while sleeping, so that tissues can take a break for some hours every day from the pressure that they might receive.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Myths About Root Canal Treatment

Root canal is usually painful
Most people fear that a root canal treatment is usually associated with pain during treatment. Your dentist or endodontist will give a local anesthesia to numb the area around the tooth. If you are very apprehensive and tense you may need sedation, such as nitrous oxide. This eliminates the pain that is caused due to the procedure. If you have pain while the procedure is being done, tell your dentist about it. Your dentist will adjust the technique to avoid causing pain again or give more anesthesia if required.

As my tooth's nerves are removed, I won't feel any pain
Some people think that after the root canal treatment they won’t feel any pain in the treated tooth. However this is not true. Even though the pulp of the tooth is removed the nerves that surround your tooth can feel pressure and touch. These sensations are transmitted by the nerves in the surrounding tissue. In addition after the procedure you can have soreness in the concerned tooth for two to three days. You may be prescribed pain relievers such as acetaminophen or ibuprofen to ease the discomfort.

Why should I get a root canal treatment if the tooth may have to be taken out eventually?
A tooth after root canal treatment can last for the rest of your life with proper care. To increase the longevity of your teeth maintain good oral hygiene. To maintain healthy teeth and gums brush with fluoride toothpaste (twice a day) and floss everyday. Go for regular dental checkups and professional cleanings. Root canal treatment has helped to save several teeth that would or else need extraction.

If I don’t have any pain, I don't really need a root canal
It is very much possible that your tooth that needs root canal therapy may not have pain. But remember that absence of pain does not mean that your tooth is healthy. Like an infection of the pulp of the tooth may not cause pain initially. But without treatment it can cause pain and swelling. In some cases untreated infection can cause pus accumulation at the root tip in the jawbone, forming an abscess. Untreated abscess can extend and destroy the bone around the tooth and cause pain. After examination if your dentist recommends root canal treatment get it done even if there are no symptoms.

In root canal therapy the roots of my tooth are removed, or my whole tooth is removed
A tooth has outer enamel, the dentin (main body of the tooth) and soft tooth pulp (in the center of the tooth and in canals also called root canals). Nerves and blood vessels enter the tooth through the end of the root (called the apex) and then pass through a canal inside the root to the pulp chamber. In root canal treatment, the tooth pulp which may be inflamed or infected is removed. After removing the diseased pulp tissue, the space is cleaned, shaped and filled. In root canal therapy the roots of the tooth or the whole tooth is not removed.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

How Does Fluoride Prevent Tooth Decay?

Cavity or tooth decay is one of the most frequently occurring tooth problems these days. This is caused by bacteria which are present everywhere - in our mouths, toothbrushes and even teeth. In teeth, they start accumulating in the form of plaque, saliva and remains of food. After settling on the teeth, these organisms feed themselves on the food particles remaining there and acid is produced as a consequence of their feasting. This acid corrodes the tooth enamel and is responsible for causing tooth decay.

Although human tooth enamel can be repaired to a moderate extent by re-mineralizing, it is not that effective in tooth decay as the rate of corrosion caused by the acid surpasses the rate of restoration.

Fluoride, a natural mineral present in the crust of the earth, helps in reducing the cavity. It is also found in certain water supplies and foodstuffs. It is believed that people who drink fluoridated water can prevent tooth decay up to approximately 67% in comparison to those who do not consume naturally fluoridated water. But the question that arises here is how does fluoride prevent tooth decay?

When we eat something, the acid produced as a result of bacterial activity in saliva causes demineralisation which dissolves the phosphorous and calcium present on the tooth enamel. Fluoride slows down this process that takes place in the mouth naturally.
When the saliva is not much acidic, fluoride adopts the opposite approach of replenishing the phosphorous and calcium levels of the teeth in order to strengthen and harden them. This procedure causes re-mineralsation in teeth. The mineral deposits make the enamel harder and stronger to prevent dissolution in the subsequent demineraliSation stage.
Fluoride also helps in developing and strengthening children’s teeth, leading to hardening up of the enamel of the teeth that have already appeared and also the baby or milk teeth that are yet to grow.

Another important question that arises is how will one make sure that he or she is consuming adequate amount of fluoride content to prevent cavity?

If people do not consume fluoridated water, use of fluoride toothpaste will ensure that sufficient fluoride is provided to children as well as adults.

Another alternative available is fluoride drops or tablets prescribed by the dentists or pediatricians to children as well as to adults.
If the source of water is from public water supply, one can evaluate its fluoride content by calling an officer from the local water supply office.
If the source is a private well or private boring, one can get it tested by an independent research laboratory or by any water testing company that offers these kinds of water testing services.

Some kind of action to prevent cavity is very important. If left untreated, the bacterial acid can even make the enamel hollow from inside thus causing a hole into the pulp and dentin layers of the teeth. Healthy and disease free teeth are not only vital for oral health, they are also important to prevent certain other health problems including those of the heart.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar