Your Child's First Visit

The Canadian Dental Association recommends the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age. The goal is to have your child visit the dentist before there is a problem with his or her teeth. In most cases, a dental exam every six months will let your child's dentist catch small problems early.
Here are 3 reasons to take your child for dental exams:

• You can find out if the cleaning you do at home is working.
• Your dentist can find problems right away and fix them.
• Your child can learn that going to the dentist helps prevent problems.

Your dentist may want to take X-rays. X-rays show decay between the teeth. They will also show if teeth are coming in the way they should. Your child's dentist may also talk to you about fluoride.
Once your child has permanent molars, your dentist may suggest sealing them to protect them from cavities. A sealant is a kind of plastic that is put on the chewing surface of the molars. The plastic seals the tooth and makes it less likely to trap food and germs.
When your child goes for a dental exam, your dentist can tell you if crooked or crowded teeth may cause problems. In many cases, crooked teeth straighten out as the child's jaw grows and the rest of the teeth come in.
If they do not straighten out, your child may have a bite problem (also known as malocclusion). This can cause problems with eating and with teeth cleaning. It can also affect your child's looks and make him or her feel out of place.
Your dentist can suggest ways to treat this, or refer your child to an orthodontist. An orthodontist is a dental specialist with 2 to 3 years of extra university training in this area.
The dentist says my child needs a filling in a baby tooth. Since the tooth is going to fall out, why bother?
Some primary (or baby) teeth will be in your child's mouth until age 12. The tooth that needs to be fixed may be one of those.
Broken teeth or teeth that are infected can hurt your child's health and the way your child feels about him or herself.
To do a filling, the dentist removes the decay and "fills" the hole with metal, plastic or other material. A filling can be a cheap and easy way to fix a problem that could be painful and cost more later because it stops decay from spreading deeper into the tooth.
If a filling is not done and decay spreads, the tooth may need to be pulled out. If this happens, your child may need a space maintainer to hold space for the permanent tooth.
When a baby (or primary) tooth is missing, the teeth on each side may move into the space. They can block the permanent tooth from coming in. To hold the space, your dentist may put a plastic or metal space maintainer on the teeth on each side of the space, to keep the teeth from moving in.

WHAT IS GINGIVITIS

Gingivitis means inflammation of the gums (gingiva). It commonly occurs because of films of bacteria that accumulate on the teeth - plaque; this type is called plaque-induced gingivitis. Gingivitis is a non-destructive type of periodontal disease. If left untreated, gingivitis can progress to periodontitis, which is more serious and can eventually lead to loss of teeth.

A patient with gingivitis will have red and puffy gums, and they will most likely bleed when they brush their teeth. Generally, gingivitis resolves with good oral hygiene - longer and more frequent brushing, as well as flossing. Some people find that using an antiseptic mouthwash, alongside proper tooth brushing and flossing also helps.

In mild cases of gingivitis, patients may not even know they have it, because symptoms are mild. However, the condition should be taken seriously and addressed immediately.

According to Medilexicon's medical dictionary:

Gingivitis is "Inflammation of the gingiva as a response to bacterial plaque on adjacent teeth; characterized by erythema, edema, and fibrous enlargement of the gingiva without resorption of the underlying alveolar bone."

(Top) Severe gingivitis before treatment.
(Bottom) After mechanical debridement of teeth and surrounding gum tissues

There are two main categories of gingival diseases (1999 World Workshop in Clinical Periodontics):

• Dental plaque-induced gingival disease
  Gingivitis caused only by plaque
  Gingivitis caused by systemic factors
  Gingivitis caused by medications
  Gingivitis caused by malnutrition
• Non-plaque induced gingival lesions
  Gingival diseases - caused by a specific bacterium
  Gingival diseases - caused by a specific virus
  Gingival diseases - caused by a specific fungus
  Gingival diseases - caused by genetic factors
  Gum inflammations caused by systemic conditions
  Gum inflammations caused by traumatic lesions
  Gum inflammations caused by reactions to foreign bodies
  Gum inflammations without known causes

What are the signs and symptoms of gingivitis?

A symptom is something the patient feels and describes, such as painful gums, while a sign is something everybody, including the doctor or nurse can see, such as swelling.

In mild cases of gingivitis there may be no discomfort or noticeable symptoms.

Signs and symptoms of gingivitis may include:

• Gums are bright red or purple
• Gums are tender, and sometimes painful to the touch
• Gums bleed easily when brushing teeth or flossing
• Halitosis (bad breath)
• Inflammation (swollen gums)
• Receding gums
• Soft gums

What are the causes of gingivitis?

The accumulation of plaque and tartar

The most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth, which triggers an immune response, which in turn can eventually lead to the destruction of gingival tissue, and eventually further complications, including the loss of teeth.

Dental plaque is a biofilm that accumulates naturally on the teeth. It is usually formed by colonizing bacteria that are trying to stick to the smooth surface of a tooth. Some experts say that they might help protect the mouth from the colonization of harmful microorganisms. However, dental plaque can also cause tooth decay, and periodontal problems such as gingivitis and chronic periodontitis.

When plaque is not removed adequately, it causes an accumulation of calculus (tartar - it has a yellow color) at the base of the teeth, near the gums. Calculus is harder to remove, and can only be removed professionally.

Plaque and tartar eventually irritate the gums.

Gingivitis may also have other causes, including:

• Changes in hormones - which may occur during puberty, menopause, the menstrual cycle and pregnancy. The gingiva may become more sensitive, raising the risk of inflammation.
• Some diseases - such as cancer, diabetes, and HIV are linked to a higher risk of developing gingivitis.
• Drugs - oral health may be affected by some medications, especially if saliva flow is reduced. Dilantin (anticonvulsant), and some anti-angina medications may also cause abnormal growth of gum tissue.
• Smoking - regular smokers more commonly develop gingivitis compared to non-smokers.
• Family history - experts say that people whose parent(s) has/had gingivitis, have a higher risk of developing it themselves.

Diagnosing gingivitis

A dentist or oral hygienist checks for gingivitis symptoms, such as plaque and tartar in the oral cavity.

Checking for signs of periodontitis may also be recommended; this may be done by X-ray or periodontal probing.

What are the treatment options for gingivitis?

If the patient is diagnosed early on, and treatment is prompt and proper, gingivitis can be successfully reversed.

Treatment involves care by a dental professional, and follow-up procedures carried out by the patient at home.

Gingivitis care with a dental professional:

• Plaque and tartar are removed. This is known as scaling. Some patients may find scaling uncomfortable, especially if tartar build-up is extensive, or the gums are very sensitive.
• The dental professional explains to the patient the importance of oral hygiene, and how to effectively brush his/her teeth, as well as flossing
• Periodically following-up on the patient, with further cleaning if necessary
• Fixing teeth so that oral hygiene can be done effectively. Some dental problems, such as crooked teeth, badly fitted crowns or bridges, may make it harder to properly remove plaque and tartar (they may also irritate the gums).

What the patient can do at home:

• Brush your teeth at least twice a day
• Bear in mind that in most cases, electric toothbrushes do a better job than we can do on our own
• Floss your teeth at least once a day
• Regularly rinse your mouth with an antiseptic mouthwash. Ask your dentist to recommend one.

What are the possible complications from gingivitis?

In the vast majority of cases, if gingivitis is treated and the patient follows the dental health professional's instructions, there are no complications. However, if the condition is left untreated, gum disease can spread and affect tissue, teeth and bones, leading to periodontitis.

Possible complications from gingivitis may include:

• Abscess in the gingiva
• Abscess in the jaw bones
• Infection in the jaw bone or gingiva
• Periodontitis - this is a more serious condition that can lead to loss of teeth
• Recurrent gingivitis
• Trench mouth - ulceration of the gums caused by bacterial infection

Several studies have linked gum diseases, such as periodontitis, to cardiovascular diseases, including heart attack or stroke. Other reports have found an association with lung disease risk.

info found at this site http://www.medicalnewstoday.com/articles/241721.php

DID YOU KNOW?

 

 

 

Acid erosion, also known as dental erosion, is the irreversible loss of tooth structure due to chemical dissolution by acids not of bacterial origin. Dental erosion is the most common chronic disease of children ages 5–17,^[1] although it is only relatively recently that it has been recognised as a dental health problem.^[2] There is generally widespread ignorance of the damaging effects of acid erosion; this is particularly the case with erosion due to fruit juices, because they tend to be seen as healthy.^[3][4] Erosion is found initially in the enamel and, if unchecked, may proceed to the underlying dentin.

Frequently consumed foods and drinks below pH 5.0–5.7 may initiate dental erosion.

The most common cause of erosion is by acidic foods and drinks. In general, foods and drinks with a pH below 5.0–5.7 have been known to trigger dental erosion effects.^[5] Numerous clinical and laboratory reports link erosion to excessive consumption of drinks. Those thought to pose a risk are soft drinks and fruit drinks, fruit juices such as orange juice (which contain citric acid) and carbonated drinks such as colas (in which the carbonic acid is not the cause of erosion, but citric and phosphoric acid). Additionally, wine has been shown to erode teeth, with the pH of wine as low as 3.0–3.8.^[5] Other possible sources of erosive acids are from exposure to chlorinated swimming pool water, and regurgitation of gastric acids.