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

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

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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

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

Want a healthy smile? Try vitamin D!

Vitamins and minerals have been shown to have a countless number of various benefits for the human body, and some may have benefits specifically for your smile. New research has shown that vitamin D may help lower your risk of tooth decay. And because the modern lifestyle often keeps us out of the sun (the main source of vitamin D) and few of us drink vitamin D-enriched whole milk these days, vitamin D supplements may be a vital part of your oral health regimen.

According to a review of research published in Nutrition Reviews, vitamin D was linked to a possible 50% reduction in tooth decay. Vitamin D has long been known to help strengthen bone, but dentists were long uncertain about the role this nutrient played in tooth health. However, after reviewing 24 different clinical trials from the 1920s to 1980s, it is now believed that Vitamin D helps keep cavities at bay, which is great news for your smile.

How can you up your vitamin D? When you’re exposed to sunshine, your body will naturally produce vitamin D. Just 10 minutes in the sun every day is about what’s needed to maintain healthy levels, but some of us don’t even get that much. You can also drink vitamin D enriched milk, and fish and eggs are a good natural source of vitamin D. Because vitamin D isn’t found naturally in very many foods, various foods are fortified with added vitamin D, like soymilk and orange juice. Check labels to find foods fortified with vitamin D.

Besides protecting your teeth from decay, vitamin D has been linked to the prevention of cancer, osteoporosis, diabetes, heart disease, and hypertension. It can help you maintain beautiful and healthy hair, and it can reduce the inflammatory response. If you’ve been experiencing chronic fatigue, you may find that supplementing your diet with added vitamin D can help. Lots of people overlook the importance of vitamin D, but now that we know that it can help you keep your smile in shape, we may be recommending more of it at your next dental checkup.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

 

Office workers most at risk of poor oral health

http://www.dental-tribune.com/articles/news/europe/12410_office_workers_most_at_risk_of_poor_oral_health.html#.UVyWr2QRdrg.blogger

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

5 Mistakes You Might Make While Flossing

Flossing is a crucial part of dental hygiene, and one that shouldn’t be taken lightly; after all, it’s a tried-and-true method for getting rid of stubborn food particles that settle in hard-to-reach places between teeth, as well as an effective way to disrupt cavity-causing bacteria and keep them getting too comfortable. Of course, you might be thinking: how hard is it to drag some string between your teeth? Harder than you might think. Countless people make casual errors every day when flossing, and while it might not seem like a big deal at the time, you could find yourself in need of fillings or other restorative dental work before you know it. Here are five common mistakes that are made during flossing that you should watch out for:

When You Use the Same Section of Floss the Entire Time

As we said above, flossing removes harmful bacteria from between your teeth. Why would you want to move that bacteria around your mouth into new areas instead of getting rid of it altogether? It might seem wasteful, but when you use the exact same area of floss on multiple teeth, you can replace plaque that’s already been removed into a brand-new home.

When You Skip the Teeth in the Very Back

While some of your teeth may have an open space next to them, it’s still important to work the floss behind them and do some cleaning. By doing this, you can make sure to remove bacteria that sometimes finds its way between your tooth and gums.

When You Snap the Floss between Your Teeth

Some of your teeth have very tight adjoining spaces. When you notice an area like this, try not to force the floss so that it jumps down against your gums. Instead, work the floss back and forth until it slides through. Snapping the floss not only hurts your gums, but it can also cause them to recede. Gum disease might not be far behind, too.

When You Quit Because Your Gums Start Bleeding

We understand that the sight and taste of blood can be scary sometimes, but don’t worry! You’re not hurting your gums. You’re just suffering from gingivitis, a condition that happens when your body sends more blood to the gums so that they can fight off growing plaque. You can alleviate this condition by removing that plaque with flossing. After a few days of dedicated flossing, your gums should return to normal!

When You Floss Aimlessly Without Keeping Track Of Your Teeth

You have a fair amount of teeth, and when you’re flossing, it can be easy to become distracted and accidentally skip one or two. Creating a plan that you follow whenever you floss will guarantee that you leave no area untouched. As long as you stick to it, you shouldn’t have any problems! Just be sure to watch out for these common mistakes, and keep flossing! Your teeth will thank you.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Too young to go to the dentist? Probably not.

Do you know when is a good time to take a child to their first dental checkup?. Well, I have done some research and asked a few of our amazing doctors and I have an answer for you.

The American Academy of Pediatric Dentistry said it pretty well when they said, “first visit by first birthday”. I know, taking a one year old to the dentist might seem a little silly, but let me explain.

Why so early?

There are several reasons to take a baby/toddler to the dentist. The first and most important of those is beginning a thorough preventative program. Early Childhood Caries (aka Baby Bottle Tooth Decay) is a major concern for kids, especially when the child’s diet expands from breast-milk/formula to foods and juices. There are steps that can be taken to help prevent this and other serious dental issues in the future. Also, starting very young will help your child become more comfortable with the dentist and all the wonderful things they do for us. With the help of parents/adults, the dentist office can become a place of familiarity and fun.

Should thumb and finger sucking be a concern?

Thumb sucking is a perfectly normal habit for infants, but most stop by age 2. If the habit continues to age 3, the child could experience crooked teeth or even bite problems. If you are concerned about your child sucking their thumb too much your friendly Dental Depot dentist will be happy to suggest ways to address the issue with you.

What can you expect at your first visit?

During the exam, your dentist will most likely check all of your child’s existing teeth for decay. Also, they should check the child’s bite, gums, jaw, and oral tissue. If needed, the dentist or hygienist will clean any teeth and assess the need for fluoride.

The doctor will also talk with you about basic oral health for children, including but not limited to:

• Cavity Prevention
• Fluoride Needs
• Oral Habits (thumb sucking, tongue thrusting, lip sucking)
• Developmental Milestones
• Teething
• Proper Nutrition
• Appointment Scheduling (Generally every 6 months)

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Diabetes and dental care: Guide to a healthy mouth

What do brushing and flossing have to do with diabetes? Plenty. If you have diabetes, here´s why dental care matters. When you have diabetes, high blood sugar can take a toll on your entire body — including your teeth and gums.

The good news? Prevention is in your hands. Learn what you're up against, and then take charge of your dental health.

Cavities and gum disease

Whether you have type 1 diabetes or type 2 diabetes, managing your blood sugar level is key. The higher your blood sugar level, the higher your risk of:

• Tooth decay (cavities). Your mouth naturally contains many types of bacteria. When starches and sugars in food and beverages interact with these bacteria, a sticky film known as plaque forms on your teeth. The acids in plaque attack the hard, outer surface of your teeth (enamel). This can lead to cavities. The higher your blood sugar level, the greater the supply of sugars and starches — and the more acid wearing away at your teeth.
• Early gum disease (gingivitis). Diabetes reduces your ability to fight bacteria. If you don't remove plaque with regular brushing and flossing, it'll harden under your gumline into a substance called tartar (calculus). The longer plaque and tartar remain on your teeth, the more they irritate the gingiva — the part of your gum around the base of your teeth. In time, your gums become swollen and bleed easily. This is gingivitis.
• Advanced gum disease (periodontitis). Left untreated, gingivitis can lead to a more serious infection called periodontitis, which destroys the soft tissue and bone that support your teeth. Eventually, periodontitis causes your gums to pull away from your teeth and your teeth to loosen and even fall out. Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing. An infection such as periodontitis may also cause your blood sugar level to rise, which makes your diabetes more difficult to control. Preventing and treating periodontitis can help improve blood sugar control.

Proper dental care
To help prevent damage to your teeth and gums, take diabetes and dental care seriously:

• Make a commitment to managing your diabetes. Monitor your blood sugar level, and follow your doctor's instructions for keeping your blood sugar level within your target range. The better you control your blood sugar level, the less likely you are to develop gingivitis and other dental problems.
• Brush your teeth at least twice a day. Brush in the morning, at night and, ideally, after meals and snacks. Use a soft-bristled toothbrush and toothpaste that contains fluoride. Avoid vigorous or harsh scrubbing, which can irritate your gums. Consider using an electric toothbrush, especially if you have arthritis or other problems that make it difficult to brush well.
• Floss your teeth at least once a day. Flossing helps remove plaque between your teeth and under your gumline. If you have trouble getting floss through your teeth, use the waxed variety. If it's hard to manipulate the floss, use a floss holder.
• Schedule regular dental cleanings. Visit your dentist at least twice a year for professional cleanings.
• Make sure your dentist knows you have diabetes. Every time you visit your dentist, remind him or her that you have diabetes. Make sure your dentist has contact information for your doctor who helps you manage your diabetes.
• Look for early signs of gum disease. Report any signs of gum disease — including redness, swelling and bleeding gums — to your dentist. Also mention any other signs and symptoms, such as dry mouth, loose teeth or mouth pain.
• Don't smoke. Smoking increases the risk of serious diabetes complications, including gum disease. If you smoke, ask your doctor about options to help you quit.

Managing diabetes is a lifelong commitment, and that includes proper dental care. Your efforts will be rewarded with a lifetime of healthy teeth and gums. 

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar

Root Canals, nothing to be afraid of…

Of all the terms you hear in a dentist’s office, to most people root canal is probably the scariest. So, what is a root canal? Simply put, a root canal is a treatment to repair and save a badly decayed or infected tooth. A root canal procedure involves removing the nerve and pulp, cleaning the inside of the tooth, and finally sealing the inside of the tooth. Think of it simply as a filling inside the tooth instead of on top of the tooth. Without treatment, the tissue around the tooth will become infected and abscesses may form.

The term “root canal” actually refers to the natural cavity within the center of the tooth. The soft area within the root canal is called the pulp or pulp chamber. The tooth’s nerve is also within the root canal.

Why does pulp and nerve need to be removed?
When a tooth’s pulp or nerve is damaged, it breaks down and bacteria begins to grow within the tooth. The bacteria, along with other decayed debris, can cause an infection, or even an abscessed tooth. An abscess is a puss filled pocket that forms at the ends of the tooth’s roots. In addition to an abscess, an infection in a root canal can also cause:

1. Swelling in the gums, and even spreading to the face, neck, or head.
2. Bone loss around the tip of the root.
3. A hole can be created in the side of the tooth with drainage leaking into the gums and even through the cheek into the skin.

What causes pulp or nerve damage in the first place?

The nerve and/or pulp can become inflamed, irritated, and infected due to several things. The most common causes are deep decay, repeated dental procedures on a single tooth, large fillings, a crack/chip in the tooth, or trauma to the face.

How do you know you need a root canal?

Some of the common signs that a root canal procedure may be needed are:

- Severe toothache when chewing or applying pressure.
- Extended sensitivity or pain to hot or cold temperatures.
- A darkening of the tooth, discoloration.
- Swelling and/or tenderness in the nearby gums.
- A reoccurring pimple on the gums.

How much pain is involved?

Root canals have a long standing reputation of being very painful, but actually most patients compare it to a filling, which is minimal pain.

For a few days after the procedure there may be sensitivity due to natural tissue inflammation, especially if there was pain and infection before the procedure. Most patients control this with simple over-the-counter medications and prescribed antibiotics. Most return to normal activities the next day.

Are there any alternatives?

Saving the natural teeth is always the best option, if possible. The only alternative is to extract the tooth and replace it with either a bridge, implant, or a removable denture to restore chewing function and prevent other teeth from shifting. These alternatives are not only more expensive, but also require more treatment time and additional procedures to adjacent teeth and supporting tissues.

Prevention

Prevention is very simple in theory; brush twice a day, floss at least once a day, and see your dentist regularly. Also, when playing sports, remember to where a mouth guard to avoid trauma.

  Dr. Claudio A. Sorrentino

  www.dentalpalermo.com.ar