I brush my teeth constantly but still have bad breath. What can I do?

Written by Dr Joe
Brushing and flossing are definitely the first steps to eliminating bad breath. Brushing and flossing remove bacteria responsible for creating odourous sulphur compounds and the food they feed on. However, bacteria hide not only on and around the teeth but also on the tongue under a layer of mucous. Here they are free to create odours.

It is best to brush your tongue daily or you may want to consider a tongue scraper. Both are extremely effective at removing this protective mucous layer from the back of the tongue.

The latest products on the market for bad breath are toothpastes and mouthwashes containing chlorine dioxide. The chlorine dioxide neutralises the odourous sulphur compounds, instead of simply covering up the odour.

I have a number of black fillings, What can I have done to improve this?

Written by Dr Joe Miskin
 The black filling material used in your teeth is amalgam. It has been used as a filling material for over a hundred years; it's still one of the strongest materials available.

However, it's about as unattractive a filling material as you can get. There are a number of other tooth-colour restorative materials currently available that can be used to replace old amalgams.

My tooth was knocked out , how soon should I see a dentist?

Written by Dr Joe
Immediately. Getting to a dentist within 30 minutes can make the difference between saving and losing a tooth. When a tooth is knocked out: 

• Immediately call us for an emergency appointment.  
  
• Handle the tooth by the crown, not the root. Touching the root (the part of the tooth below the gum) can damage cells necessary for bone reattachment.  
  
• Gently rinse the tooth in water to remove dirt. Do not scrub.  
  
• Place the clean tooth in your mouth between the cheek and the gum to keep it moist.  
  
• It is important not to let the tooth dry out.  
  
• If it is not possible to store the tooth in the mouth of the injured person, wrap the tooth in a clean cloth or gauze and immerse in milk.

What are wisdom teeth?

Written by Dr Joe Miskin

They're the last teeth to erupt in the back of your mouth. Usually, they erupt between the ages of 17 and 25. Occasionally, though, they find their way out much later than that; some never erupt at all.

Thanks to evolution, we're evolving into the proud ownership of smaller jaws; unfortunately our teeth aren't quite keeping pace. Most of our jaws only have room for 28 teeth; we have 32.

Basically, this means that the last teeth to erupt, which are the wisdom teeth, have nowhere to go if there's not enough room remaining. In this case if they are not removed they may have to be extracted. Please call our office and we will check this out.

Pain and swelling can occur and just simple antibiotics may cure this and you may then not have to have extractions.

What can gum disease mean for a diabetic?

Written by Dr Joe
Gingivitus is an infection within the gums caused by bacteria found in plaque. A diabetic's body doesn't respond as quickly to infection as a non-diabetic. If the infection persists, it can spread to the underlying bone that supports and anchors the teeth.

It has been shown that diabetics who keep their condition under control and maintain good oral hygiene have a far better chance of combating infections than those who are poorly controlled.

What does periodontal treatment involve?

Written by Dr Joe Miskin
In the earlier states of gum disease (mild to moderate periodontitis), most treatment involves scaling and root planning. The procedure aims at removing plaque and calculus from the surface of the tooth adjacent to gum tissue.

In the majority of early gum disease cases, treatment entails improved home care techniques and scaling and root planning.

Advanced cases may require surgical treatment.

What happens if I just ignore getting my teeth cleaned?

Written by Dr Joe Miskin
As the plaque and calculus accumulate, the periodontal disease continues. Supporting tissues around the teeth (gums, periodontal ligaments, bone) are lost.

Periodontal pockets form which trap additional plaque. Bad breath often accompanies this condition. Once the bone that supports the teeth is lost, it will not regrow without surgical intervention.

What is periodontal disease?

Written by Dr Joe Miskin

Periodontal disease is caused by the bacteria found in plaque. If plaque is not regularly removed, it calcifies into a rough, porous deposit called calculus, or tartar. By products of bacterial metabolism irritate the gums, making them red, tender, swollen and more prone to bleed. Eventually, the supporting periodontal structures begin to breakdown. The result of this slow process is tissue loss, bone loss and eventual tooth loss.

What's the best way to prevent gum disease?

Written by Dr Joe Miskin
Conscientious removal of plaque by flossing, brushing and regular professional cleanings will minimise your risk of gum disease. 

However, there are other factors that can affect the health of your gums, such as stress, diabetes, genetics and pregnancy.

When a tooth is pushed out of position:

Written by Dr Joe Miskin

Attempt to reposition the tooth to its normal alignment using very light finger pressure, but do not force the tooth.  

Bite down to keep the tooth from moving.  

We may splint the tooth in place to the two healthy teeth next to the loose tooth in order for it to tighten.

When should my child first see a dentist?

Written by Dr Joe
The ideal time for your child to meet the dentist is six months after their first (primary) teeth erupt.

This gives us a perfect opportunity to carefully examine the development of their mouth and catch problems such as baby bottle tooth decay, teething irritations and prolonged thumb-sucking early.

While biting hard food I broke one of my teeth. What should I do?

Written by Dr Joe Miskin
If you are not in any pain then call our office as soon as possible and make an appointment, but try and keep the tooth as clean as possible and avoid biting hard on that tooth. If you have pain, then you will need to come to our office ASAP as an emergency. Please bring the broken part with you if possible.

Why do I need X-Rays?

Written by Dr Joe
Radiographic or X-ray examinations provide us with an important diagnostic tool that shows the condition of your teeth, their roots, jaw placement and the overall composition of your facial bones.

X-Rays can help us determine the presence or degree of periodontal disease, abscesses and many abnormal growths, such as cysts and tumours. X-rays can also show the exact location of impacted teeth. They can pinpoint the location of cavities and other signs of disease that may not be possible to detect through visual examination (such as changes in the jaw bone structure as a result of systemic disease).

Why do teeth get cracks?

Written by Dr Joe

A common problem is that teeth will crack, either due to trauma, grinding, clenching, decay or heavily filled teeth. “Cracked Tooth Syndrome” relates to a variety of symptoms and signs caused by a crack or many cracks in a tooth. Early diagnosis is needed to improve the chances of saving a cracked tooth.

 

Symptoms include:

• Sharp and erratic pain upon chewing or after release of biting pressure: not all cracks cause pain.

 • Sensitivity to cold or hot foods/drinks, or sweets  

• Difficulty in pinpointing which tooth hurts, either upper or lower

 

If you suspect that you may have a cracked tooth, please call our office.