Do you "wedge" your teeth before a composite restoration in the lateral region?
Composite materials for direct restoration of the lateral tooth group are the most common in clinical practice. However, clinicians often need to make a lot of efforts in order to…

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Five values of adhesive rehabilitation (part 1)
Recently, we have heard a lot about minimally invasive rehabilitation, and when it comes to front teeth, we sometimes recommend the manufacture of ceramic veneers of minimal thickness. As before,…

Continue reading →

Five values of adhesive rehabilitation (part 1)
Recently, we have heard a lot about minimally invasive rehabilitation, and when it comes to front teeth, we sometimes recommend the manufacture of ceramic veneers of minimal thickness. As before,…

Continue reading →

Brushing teeth

Let’s first understand what plaque is.

What happens, what consequences it leads to and how to deal with it.

Plaque is an accumulation of bacteria in the form of a film on the teeth. It is soft and hard, white, and pigmented. It is acquired, and not genetically determined, that is, a non-hereditary factor affects the formation of plaque (it is not transmitted from generation to generation), it is acquired with poor-quality brushing at home.

Soft plaque (plaque) consists of the remains of food, bacteria and mucus, which keeps plaque directly on the teeth. Soft plaque is a self-reproducing structure. As a self-reproducing structure, when removed at home in the morning, in the evening it will accumulate again and again. Since bacteria are always present in the oral cavity, a person eats food, which in turn is a breeding ground for microbes.

Hard plaque or tartar is an uncleaned soft plaque that hardens over time. Hard plaque also consists of food debris, bacteria, dead cells, calcium, phosphorus and iron salts.

Soft plaque and hard tartar are formed mainly on the neck of the teeth, can cover part of the crown and root of the tooth, as well as localized on dentures.

Causes of Plaque and Tartar
The predominance of soft foods in humans is a consequence of social development. We don’t need to hunt, we are not nomads, we live settled, we grow crops. The population is growing, humanity is looking for new ways to feed. Due to this, new affordable, long-stored food products are created. Many products are ready to eat. For example, bakery products, dairy products. They “stick” well on the surface of the teeth, and in turn nourish the bacteria, which stimulates their growth and quantity.

Improper chewing load on teeth or chewing on one side. This happens due to previously extracted teeth on the one hand, which it is painful to bite because of caries and its complications in the form of pulpitis and periodontitis, malocclusion, problems in the temporomandibular joint, inflammatory gum disease.

Incorrectly selected toothbrush. When we decide, without the recommendation of a doctor, that a brush with soft bristles is suitable for us, which in turn cleans teeth worse, having less flexion elasticity when in contact with the surface of the teeth. Or vice versa, when we choose a brush with stiff bristles that can injure the gums, causing an inflammatory process and exposure of the neck, and subsequently the tooth root.

Brushes of medium hardness is the golden mean. They have good cleansing ability, and do not injure the gums.

Abusing whitening pastes, which in their composition may have abrasive (scratching) particles, we damage the tooth enamel. Or, when we use pastes that are intended for people with gum disease, believing that this way we can prevent gum disease. Medical pastes are more “soft” and do not cope with the cleansing function, it is necessary to use them only as directed by a doctor.

Poor quality fillings – when the dentist does not recreate the correct anatomical / natural shape of the tooth, when overhanging edges are present after poor-quality polishing of fillings, which are places of retention (delay) of food.

The absence or insufficient polishing of the teeth after professional oral hygiene at the dentist leads to the rapid re-deposition of plaque and stone.

In fact, everything is thought out by nature. In the presence of all the teeth, correctly located in the dentition, when eating solid food, and not predominantly soft, self-cleaning of the teeth occurs due to the anatomical features of the oral cavity. Accordingly, soft plaque and hard tartar are not deposited on the teeth. Unfortunately, there are only a few such patients. For this reason, and there is a need for professional oral hygiene.

Professional toothbrushing consists of three stages
Stage 1. Tartar removal with a special ultrasonic tip. This method is based on the interaction of ultrasonic waves and water. Ultrasound, reflected in the water, creates the effect of “cavitation”, which in turn contributes to the gentle removal of tartar. With proper use of the ultrasonic tip, tartar is quickly and efficiently removed without damaging the surface of the teeth.

2 stage. Removing the pigmented coating of a coffee lover, tea lover, smoker, with special tips Air-flow and Prophyflex. This is a non-contact raid removal technique. A special powder consisting of calcium carbonate is supplied under pressure with water. It removes pigmented plaque while gently polishing the surface of the teeth. This is an absolutely painless and safe procedure that helps restore the acid-base balance of the oral cavity.

Ankylosis. Part IV: Using Deconorization
As a rule, when choosing a method for treating permanent ankylosed teeth in children, it is recommended that they be removed before the final growth of the jaws. Then, subsequent…

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Is it possible to restore a tooth if a piece breaks away from it?
A common situation - an unsuccessfully caught nut or other hard object in food leads to tooth damage right up to a chip. The same thing happens with the bones…

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Cone-beam Computed Tomography as a Noninvasive Assistance Tool for Oral Cutaneous Sinus Tract Diagnosis: A Case Series
Abstract An oral cutaneous sinus tract is a relatively uncommon condition that is generally associated with long-standing periapical inflammation. The traditional process of oral cutaneous sinus tract diagnosis is an…

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Ankylosis. Part III: Treatment of Children with Permanent Ankylosis
As mentioned in parts I and II of the series of articles about ankylosis, several factors must be taken into account when choosing the appropriate treatment option for ankylosed tooth.…

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