Prevention of dental caries in children

 

What is prevention of dental caries in children?

 

Although dental caries is very common  in children,this is a preventable disease. That means  if adequate measures are taken on a regular basis it may never occur.

 

What is necessary to do in order to avoid this problem?

 

Dental preventative care can be achieved through:

 

1/ Plaque control

 

Brushing twice a day is essential to prevent creation of  plaque. Parents should  start brushing  their children’s primary teeth  with fluoride containing toothpaste as soon as they erupt. Technique is not  so important at this stage but just cleaning the teeth and massaging the gums. The children should be supervised until the age of 6-7 when they develop  good manual dexterity .

 

Cleaning between teeth,for instance  with floss, is just as important because a  toothbrush cannot  adequately reach these areas.

 

Plaque disclosing tablets can be useful as they help gain  control  over the plaque

 

2/ Diet control

 

Advice that dentists give with regards toi this should be simple,clear and most importantly realistic.

 

The bottom line  is that the amount and frequency of sugary intake should be as minimal as possible. This ideally should happen at meal times only. Sticky and chewy sweets should not be part of  the everyday child’s diet.

 

3/ Fluoride

 

There are two main types of fluoride applications- topical and systemic.

 

Topical fluorides athe ones  in toothpastes,gels,rinses and varnishes. 

 

Systemic application occurs through water fluoridation,fluoride tablets and drops,fluoridated milk and fluoridated salt.

 

4/ Fissure sealants

 

This is a flowable  dental material, similar to white  fillings, that provides barrier against bacteria. It is suitable for children that are more prone to develop tooth decay.

 

When should the prevention start?

 

There is a simple answer to this- as early as possible.

 

Parents should bring their children to the dental office by the age of 6 months so that they can take an advice before the problems develop. It is aslo of paramount impritance for the cildren to become familiar with  the  dental  clinic environment and not have fear to visit.

 

How long should prevention last?

 

This is continuous process . Every  dental treatment  planshould have  prevention at the heart of it . Dental professionals give preventative advice  during the first visit and reinforce it  as the treatment goes on.

 

Why is preventative care so important ?

 

It is always easier to work towards avoiding a problem than having to deal with it when it  happens. Sometimes complications from dental caries  can be very difficult to manage. They could result in loss of teeth and  cause long-lasting unpleasant experience.

 

Teeth sensitivity

What is teeth sensitivity?

 

The experience could vary from mild twinge and insignificant discomfort to sharp,brief shock and even  pain   lasting for hours. It could also indicate that there is more serious problem that requires further investigation.

 

What causes sensitivity to teeth?

 

The outer layer of the teeth is called enamel. It has a role of  a shield that covers and protects the   main tooth substance,tooth  dentine. When the enamel  wears down that exposes the underlying dentine and results in development of sensitivity. 

 

Possible causes for for teeth sensitivity  are:

 

1/ Over enthusiastic  tooth brushing  or employing incorrect brushing technique  thatcould lead to loss of enamel. This usually occurs  at the area where gums join the tooth

 

2/ Gum disease and gum recession could be another reason. Build-up of tartar  makes the gum tissue drift away from the tooth  which results in  exposure of the root surface.

 

3/ Dental erosion. This is when the enamel is lost because of frequent consumption of acidic foods and drinks

 

4/ Grinding teeth could cause the enamel to wear away over the course of the time

 

5/Tooth decay or tooth fracture could expose the dentine

 

6/ Teeth whitening may lead to increased sensitivity but this  is transient and  normally easy to manage

 

What should I do when I have sensitive teeth?

 

You should avoid foods and drinks that are very  hot,cold or sweet . Using toothpastes designed for sensitive teeth could be very beneficial. You can rub  this  in the teeth as an ointment in order to achieve quicker relief. Sensitivity should not prevent you from maintaining  good oral hygiene.

 

What treatment can be provided when having sensitive teeth?

 

Your dentist will apply fluoride products such as gels,rinses or varnishes. If the problem is more advanced you may need some type of restoration or even root canal therapy.

 

Can teeth sensitivity be prevented ?

 

You have to brush your teeth regularly using the correct brushing technique in order to avoid gum recession and enamel wear. Powered tooth brushes are very good as they have pressure sensors that indicate when you are using too much force.

 

You should consume sugary foods and fizzy drinks  in minimal amounts and at meal times only.

 

If you are aware of clenching teeth overnight or during the day do speak to your dentist as soon as possible. They will be able to advise what is the right course of action.

 

Root canal treatment in Wirral

 

 

What is root canal treatment in Wirral?

 

This is a type of dental treatment that becomes required if a problem that was initially simple to resolve has become more complicated. 

 

The procedure takes place  inside the tooth and usually requires a couple of appointments to complete.

 

Why would  I need a root canal treatment?

 

If you had a crack or  decay that you failed to pay attention to this would advance and get closer to the nerve. This on its turn will result in  inflammation  or infection of the nerve(pulp tissue) . This is when you will experience significant pain which is difficult, or impossible, to manage with painkillers. The symptoms would also include pain on biting,swollen gum or face,lingering sensitivity to hot or cold.

 

What happens during this treatment ? 

 

Your dentist will cut an opening on the crown of the tooth through which the they will gain access the canals . They will be then cleaned and shaped using  very small instruments called files. The last stage includes  sealing  and filling of the root canal space with specific type of  materials.

 

Will I feel any pain while having root canal treatment ?

 

No. We do all of the above under local anesthetic and you will not experience any pain or  discomfort.

 

What is the recovery time after root canal treatment?

 

There could be minor pain and some tenderness on completion of the therapy which could last for about a week. You should be able to easily manage this with analgesics.

 

Why should I have root canal treatment instead of getting my tooth removed? 

 

Because it could save your tooth and there is nothing better than natural smile. 

 

How much does a root canal treatment cost?

 

Even though this is relatively expensive procedure it is still cheaper than having replacement of missing tooth. Generally speaking treatment on molars is  more expensive than  one carried out on a front tooth. This is because of the greater number of canals and more complex anatomy in the back teeth. This means more time that your dentist needs to dedicate on dealing with such cases.

Teeth whitening

 

What is teeth whitening ?

 

It involves a variety of procedures that aim to make your teeth look  lighter and brighter.

Demand for whiter teeth has massively  increased over the past decades due to increased media attention to dental health and cosmetic procedures. 

 

How does  teeth whitening actually  work?

 

The whitening products available nowadays are based on a chemical called  hydrogen peroxide which has the potential to degrade to free oxygen species. They then pass  through tiny pores in the  enamel and dentine and  reach the stains causing the dark color of the tooth. The stains represent  large units(molecules)that  these oxygen species break down  to smaller elements which leads to  lighter appearance of the tooth.

 

When is teeth whitening required ?

 

It is used to lighten teeth which have darkened and  therefore look unsightly . This could have happened naturally (insufficient calcium in the tooth structure)or due to smoking, drinking too much tea or coffee,antibiotic use(tetracycline staining),exposure to high level of fluoride(fluorosis).

 

Is it safe to have a teeth whitening procedure?

 

Bleaching products that you get  from  your dentist are safe to use but some side effects could occur. Some of the are:

 

1/ Increased sensivity to hot or cold

2/ Irritation to gums and other soft tissues in the mouth

3/Change in taste

4/Irritation to stomach

5/Changes to  structure and translucency of the teeth

 

Can everyone have teeth whitening ?

 

No,there are certain limitations and considerations. This procedure is not suitable for:

 

1/Pregnant women and nursing mothers

2/Young individuals  under the age of 18

3/People who are allergic to the components of the bleaching agents

4/Problematic teeth- caries,failing restorations or root infections

5/Existing restorations – they will not change their shade

6/Heavy smokers

 

Are there different ways for  bleaching teeth ?

 

Yes and one way is to  use over the-the counter products such as  bleaching strips,paint-on gels or whitening toothpastes. The outcome of using this method is hard to predict and is outside your control.

 

The  way that we,at Irby Dental Practice, recommend   is for the  whitening to be supervised by a dental professional. This is much safer as the treatment  will be guided and monitored all along. The most popular techniques using this method   are home bleaching and power (in-office)bleaching. 

 

With the home bleaching based on  impressions  bleaching trays are manufactured and handed to patients to use at home alongside the bleaching gel. It usually takes longer to achieve a satisfactory outcome but control is better.

 

During the power bleaching high intensity light is in use. This comes  from curing light or  laser  and  speeds up the whitening process.It leads to  faster results but patients have no control over the process.

 

Is it expensive to have teeth whitening?

 

It varies but home bleaching is generally cheaper . Here at Irby Dental Practice we charge £300  for this procedure but you can take advantage of  our regular promotions.

 

 

Gum recession

 

 

What is gum recession?

 

Gum recession is a drift of the gum tissue away from the tooth that leaves the  underlying root exposed.That in turn makes the tooth more sensitive and  prone to damage from tooth decay.

 

When gums recede, what causes it?

 

This problem can occur because of  variety of factors, including:

 

1/ Trauma resulting from overenthusiastic teeth brushing,nail picking,deep bite or poorly designed denture. Chemical agents such as topical cocaine could also lead to gum recession

 

2/Gum disease or treatment of gum disease

 

3/Smoking

 

4/ Local plaque retention factors such as high muscle attachments,pull by the small piece of skin connecting upper lip to upper gum or tartar build-up

 

5/ Orthodontic movements- excessive  forward tooth drift or teeth arch expansion

 

6/ Complete absence of the thin bony plate covering the  facial  side of root surface(dehiscense)

 

What could  the consequences of gum recession be?

1/ Sensitivity and pain  to heat,cold and sweets because of the exposed main tooth substance(dentine)

 

2/ Aesthetic concerns because of the unsightly appearance of the teeth and smile

 

3/ Retention of plaque and subsequent gum inflammation

 

4/Increased vulnerability to caries of the root surface

 

5/Loss of tooth structure because the root cement is not as strong as the enamel of the tooth

 

What can I do about  gum recession ?

 

Firstly you should pay attention to  the causes of this problem:

 

1/ Oral hygiene needs improfing  by regularly  and gently  using electric  or manual toothbrush as well as interdental brushes or floss

 

2/ Smoking cessation should become a priority

 

3/ Gum disease  must be diagnosed timely and treated effectively

 

4/ You need to break habits causing trauma to the gums such as nail picking . Lip and tongue piercing could also make the gums pull away from the teeth

 

5/ Orthodontic treatment needs careful planning  and then  regular reviews 

 

6/ Design of the dentures must ensure good support and maintenance is essential

 

Secondly you  need to deal with the symptoms of the recession:

 

1/ Sensitivity and pain

 

Desensitizing products  could help reduce the discomfort arising from exposed roots(eg. Colgate Pro Relief  or Sensodyne toothpaste)

 

Dentist could also apply  topical agents containing  fluoride such as Duraphate

In some occasions restorations may have to cover the exposed sensitive surface

 

2/ Caries and abrasion

 

Adequate dietary advice (such as low-sugar diet)should be given as well as oral hygiene instructions,fluoride applications and fillings

 

3/ Aesthetic concerns

 

Veneers using pink porcelain or composites can be a good solution

 

When spaces between teeth have been created(black triangles) Bioclear method proves to be very effective to deal with this consequence.

Sometimes surgical techniques are  the only way to restore aesthetics and manage  cases of permanent and significant sensitivity. Such procedure is the graft surgery.It consists of  bringing a piece of tissue from another site in the mouth that is then placed over the  root and stitched up. 

 

If you have concerns regarding gum recession please contact Irby Dental Surgery and we’ll take care of your problem. 

Bad breath

 

 

Why is bad breath happening?

 

Bad breath(or halitosis) could originate from inside and  outside the mouth.

 

The main causes located within the mouth are:

 

1.Poor oral hygiene

 

-If you don’t take good care of your teeth and miss regular check-ups with your dentist , you could be leaving some small food particles behind. These are going to rot  over the course of the time and will attract  bacteria causing infections

 

  1. Dry mouth

 

– Saliva naturally protects  your teeth by washing away acidic residue and not allowing them to break your teeth down . It also repairs the enamel of the teeth if it does become damaged.When your body doesn’t produce sufficient saliva small food bits are left behind and this results in bad breath

 

3.Periodontal  disease

 

– Unpleasant breath from your mouth could be one of the first symptoms of having a gum disease. Bacteria  thriving  below the level of the gums and the products of their activity cause halitosis.

 

         4.Tongue coating

 

            -Bacteria,food debris and dead cells can get trapped  on the even  tongue surface. They would interact leading to production of sulfur containing compounds and  subsequently  bad breath

 

  1. Tooth decay

 

      – When the  tooth structure  has broken down and cavity develops it will become             easier for  food  to get trapped and more bacteria to accumulate. That  will result in bad breath and further damage to the tooth

 

The factors outside the mouth include:

 

  1. Smoking

      

       -Using tobacco products could cause a large number of problems like gum disease, oral cancer, change in taste and halitosis . Tobacco contain  chemicals that mix with your saliva and cause  bad breath.

 

2.Foods 

  

 -Foods containing high levels of sulfur(like onion or garlic)and  spicy foods could cause bad breath.This is  because of their chemicals entering the blood stream, then traveling to lungs  and  reaching your mouth and nose

 

    3.Drugs

    

      -Any medication that causes the mouth to dry out could be a reason for bad breath. Some of these are antidepressants,antihistamines, chemotherapy medications, antifungals,  steroids, and even dietary supplements.

 

   4.Medical conditions

 

– Digestive system  issues such as stomach reflux,obstructions,hepatic cirrhosis and cancer

 

– Respiratory problems such as  infection of lungs, bronchitis, windpipe and chronic sinusitis

 

– Other conditions:  diabetes, kidney disease and  schizophrenia

 

How to prevent and  get rid of  the bad breath?

 

That will depend on the cause of the problem but here are some examples. 

 

Improving the oral hygiene and regular visits to the dental office are of paramount importance. Brushing twice a day,using floss or interdental brushes and  scraping tongue  is essential. The aim is to reduce the  food impaction, debris  and   bacteria build-up.

 

If you  have tooth, decay,abscess ,dry mouth or gum disease  you should not ignore it and have to go to see  your dentist.They  will deal with those problems and  refer you to another health care provider if necessary.

 

All medical conditions resulting in bad breath should be diagnosed and treated timely. Seeing your doctors ,at least yearly, will help you stay on the top  of any potential health issues and give you peace of mind.

 

Breaking bad habits such as tobacco,  alcohol  and sugary drinks consumption would be very beneficial . Not only will this reduce the chance for bad breath but you will also get better looking and healthier teeth.

 

Stay hydrated and don’t let your mouth dry. You should drink 6-8 glasses or cups of fluid a day so don’t forget this.

 

Foods that make you chew, like carrots and apples, should be part of your diet. A good way to relieve dry mouth is to eat chicken, fish, canned fruits, oatmeal, and mashed potatoes.

 

White fillings


 

What are cosmetic white fillings?

 

They are  basically a mixture of plastic resin and glass filler first introduced  in 1960. Due to their inability to withstand pressure on the back teeth, dentists initially used them only on the front teeth.Since the technologies have  developed significantly they are now used  in the whole mouth.

 

Are cosmetic  fillings better than silver ?

 

Unlike the metal(amalgam) fillings white ones do not contain mercury. They require less tooth structure removal during cavity preparation. This is because white fillings connect to the teeth through chemical bond. White fillings are a lot more aesthetic because they blend in really well with the color of your own teeth and are sometimes impossible to distinguish.

 

What is the process of doing them?

 

Your dentst places  the material in small portions in tooth cavity and then  the dentist hardens them with dental curing light . Once the application is complete the filling is finished and eventually  polished give it truly natural appearance

 

How long does it take to get a white filling?

 

It would depend on the size and location  of the tooth that requires repair. You should expect to be in the dental chair for no  longer than 1 hour.

 

Is it painful to have tooth coloured filling?

In order to make the treatment more pleasant, the dentist may give you a local anesthetic

 

How long do white fillings normally last ?

 

You should expect a white filling to last between 5 and 7 years. Silver fillings used to last a lot longer than their cosmetic counterparts .Following the science advances  though the lifetime of cosmetic fillings is now almost same as the silver ones.

 

How much does it cost ?

 

The price depends on  amount of material needed, difficulty and time that  your dentist  spends on providing this treatment. Please check our fees.

 

Denplan in Wirral


What is Denplan in Wirral?

Denplan in Wirral is an easy and convenient way to spreading the cost of your private dental treatment across and avoiding paying unexpected large bills.

There are two main plans:

1/Denplan Essentials- it entitles you to examinations,hygiene visits and x-rays. Here,at Irby Dental Practice, you would also enjoy 20% off the cost of your routine dental treatments
2/Denplan Care- it covers a great variety of treatments procedures such as white fillings, root canal therapy, dentures, crowns ,tooth removal etc.

At Irby Dental Practice we also offer Denplan for children which ensures your child is seen regularly and our knowledgeable staff provide best care for them.

What is the cost of Denplan in Wirral?

Your dentist determines the amount you pay and this depends on what the state of your teeth is. It is also important how much work you are likely to need so you can get the right cover.

For Denplan Essentials you would have to pay only £9.96 for 1 examination/1 hygiene appointment per year or £16.35 for two examinations/two hygiene visits a year.

The monthly fees for Denplan Care significantly vary and currently start from £17.87

You can get Denplan child from only £11.

What does the Denplan in Wirral not cover ?

Any cosmetic treatment such as teeth whitening,Invisalign or composite bondings are not part of your Denplan package.

How do I go about joining Denplan in Wirral?

All you need to do is to approach Irby Dental Practice by using our contact details.

No initial assessment is required for joining Denplan Essentials.

The dentist will have to evaluate your oral health before you can sign up to Denplan Care.

Can I cancel my membership ?

You can do that anytime by giving only 21 days notice.

Why should I choose Denplan in Wirral ?

Because you can budget for your dental care and get first class service at the same time.

Invisalign treatment in Wirral

Invisalign treatment in Wirral can help you bring your confidence back

What is Invisalign ?

Invisalign is a modern  system  for teeth straightening using smooth,clear,plastic and removable braces called aligners  that are seated on your teeth and make their position adjusted over the course of the time

How does Invisalign work?

It is achieved through gentle,controlled pressure applied at certain spots on your teeth. Making your teeth move through the  jaw bone could make them wobbly to some extent. This is temporary and will correct itself within a few months after the end of the treatment

Clear braces vs metal ones?

You have probably seen a lot of people wearing metal braces .You may be  unsure if they are not a better option when it comes to  teeth straightening. You can achieve good results with this type of appliance. Invisalign aligners though  are lighter,more comfortable and almost invisable

How long does it take for your teeth to get straight with Invisalign?

In general, the treatment takes around  six months , but depending on the complexity of your case, it can take longer or shorter. You need to  attend for regular review appointments during  which the progress of your Invisalign treatment will be monitored . You also have  to strictly follow the advice given by your dental professional. 

How much does it cost?

It depends on whether one or two arches will be treated .Here,in Irby Dental Practice,the Invisalign cost starts from £2700 and will not exceed £4000 . The first set of retainers also included. 0% finance is available on request if  you want to speard the cost over up to 10 months

How do I go about getting started?

Simply call 01516481974 and we will  book your free initial case assessment  appointment in Irby Dental Practice

Invisalign treatment in Wirral is closer than you think.

 

How to choose your toothbrush?

The first toothbrush was probably seen around 3000 BCE. It was actually a frayed twig created by the Babylonians and Egyptians. Accorrding to other sources around 1600 BCE Chinese created sticks from aromatic trees twigs to help freshen their breath.

William Addis made the first toothbrush to be produced on a large scale in 1770- he used bone and hair bristles.

The toothbrush as we know it today was invented in 1938 by the DuPont company. This had nylon fibers making it more robust and eficient than animal hair.

We cannot stress enough the importance of maintaining good oral hygiene. Not only is this critical for the health of your teeth and gums but also for the overall welbeing . It has been proved there is a strong link between poor oral health and heart disease,cancer,diabetes,infertility,dimentia etc.

The best way to achieve dental health is to properly select and use your toothbrush.

Nowadays there is a great variety of oral health products on the shelves and chossing the right toothbrush for you could sometimes be a hard task.

So, what shall we look at when bying a toothbrush?

1/Size of toothbrush head

You should be able to access all the surfaces of even the furthermost teeth. That’s why we,at Irby Dental Practice, recommend small-headed toothbrush to make this job easier

2/Type of bristles

Soft bristles are generally more appropriate to use especially if you are prone to or already have gum disease. Hard or medium options could cause enamel to wear or gums to bleed . To put it simple healthier gums can allow use of a little bit harder bristles and withstand more enthusiastic brushing

3/Manual or powered?

It doesn’t actualy mattter as long as you brush your teeth twice a day for two minutes employing the right technique. This will be enough to remove the buld-up from your teeth which will significantly reduce the chances for tooth decay or gum disesase.

There are certain situations though where the electric toothbrush should be the one of choice:

  • if you have limited mobility

  • if you tend to brush too hard: most of the electic toothbrushes have pressure sensors to help you balance the force you apply when cleaning your teeth

4/ What handle?

Generally speaking – it should be comfortable , easy to hold, ideally non-slip grip to allow better control of the head movement along the dental arch

5/ How would you know when your toothbrush needs replacing?

This is usually every 3 months or when you notice that the bristles are bent, stiff or they just start to fall out.

Worn toothbrush would certainly clean less and could also give you bad breath so make sure you know when to dispose of your old hygiene tool.

If you need any further information on how to look after your teeth , feel free to contact us and we would be more than  happy to help.

Book your dental appointment with Irby Dental Practice today to boost your confidence and smile.

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