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2022
Hard Deposits
Soft Deposits
How It Looks
This is called cyanotic
How It Happens
There are 4 stages in periodontitis development, starting with a problem in healthy gums, leading to gingivitis, and progressing further to the irreverisible disease.
But REMEMBER, gingivitis does not always lead to peridontitis. You still have time to turn things around!
Bacteria begin to colonize where the gums hug the tooth
This is called the sulcus
Your body's defenses are very strong here, and quickly rush to the area and try to fix the problem!
This is still healthy, and your body is able to repair any damages that may have occurs
Occurs in the first 2-4 days of bacterial colonization
Bacteria begin to move in deeper into the gums
Your body's defenses pick up, and start sending over some more help to the area
The gum margins might look red and have some slight puff to them.
This is now early gingivitis, and all damage up to this point is still reversible!
Occurs 4-7 days after the bacterial colonization
The bacteria now moves even further down, and disrupts the deepest layer of tissue in the gum sulcus
This layer of tissue is the junctional epithelium, and its extremely thin and delicate
More help is recruited to the area to try and fix the problem
This is now established gingivitis, and we see all clinical signs, including redness, swelling, gingival pockets, and bleeding gums.
But don't worry - Even here, it's still reversible!
Occurs 21 days after the bacteria has settled
The bacteria has spread far deeper now, and has run along the surface of the root.
Gingival pockets have progressed to periodontal pockets, and bone loss is present.
Unfortunately, this is periodontitis, and it is no longer reversible.
We see mobility of teeth, deep perio pockets, bone loss, and sometimes even tooth loss
How To Deal With It
Brushing 2-3x a day and flossing every day
A few conditions need to be present for a cavity to develop
If all 4 of these conditions are present, cavities will form
1) Apply a gentle force to insert about 1-2mm of the
bristles into the sulcus
2) Using vibratory strokes gently but firmly while keeping the bristles inside the sulcus
Good for people who:
4) Once completed, sweep the bristles in a downwards motion away from the tooth
3) Move from the back of the mouth towards the front
1) Place the bristles of the toothbrush at a 45 degree angle towards the gums
4) Move from the back of the mouth towards the front
2) Place the bristles partially on the tooth, and partially on the gums
Good for people who:
3) Use short back and forth vibratory strokes with light pressure
5) Once completed, sweep the bristles in a downwards motion away from the tooth
1) Place the bristles of the toothbrush towards the biting surface of the tooth at a 45 degree angle
2) Bristles must be partially on the tooth, and partially on the gums
Good for people who:
3) Use short back and forth vibratory strokes with light pressure. Can also use a circular motion
4) Move from the back of the mouth towards the front
2) Place the bristles of the toothbrush on the broad surface of the tooth
1) Close your mouth so all your teeth are touching
Good for people who:
3) Using a circular motion, move across all the teeth, cleaning both arches at the same time
There are a variety of different toothpastes available on the market for all kinds of conditions!
Contains a special ingredient called NovaMin that works by plugging up any exposed dentin areas on the tooth surface.
This dentin on your tooth is what responds to cold, hot, sweets, etc., causing sensitivity
Needs to be used twice a day everyday for it to continue working
Also contains fluoride to prevent cavities
Pyrophosphate is an agent found naturally in saliva, and added to anti-tartar toothpastes to prevent mineral calficiation
Pyrophosphate binds to the calcium found in our saliva and slows down the crystal growth that ultimately leads to calculus/tartar
Remember to floss BEFORE you brush your teeth
5) Rub up and down gently on the side of the tooth. Repeat on all teeth. Don't forget the backside of your last teeth!
1) Break off about 18 inches of floss (the length of your forearm) and wind it around each of your middle fingers.
3) Guide the floss between your teeth using a gentle rubbing motion. NEVER snap the floss into your gums.
2) Hold the floss between your thumbs and index fingers.
4) When the floss reaches the gums, curve it into a C-shape against the tooth and slide it into the space between the gum and the tooth. Repeat for both sides.
Interdental Aids: Additional tools used by the client to work with toothbrushing in removing plaque and keeping the gingiva healthy
Available in a variety of forms, like:
Proxy Brush
Wooden Toothpick
SulcaBrush
Floss Threader
Water pick
SuperFloss
Talk to your dentist or hygienist about which product could be right for you!
Whitening processes often use peroxide-based bleaching agents
In the Office
At Home
Don't worry! Fluoride is a NATURALLY occuring mineral that is proven safe and effective in preventing dental decay and hypersensitivity. It can be found in a variety of sources, including:
Ask your dentist about 5.0% NaF varnish applied in the dental office
Fissure: Deep grooves that form in the teeth as they grow
Pit: 2 or more fissures coming together
1) Remove and rinse dentures after eating to get rid of food debris and loose particles
2) Clean the mouth, remaining teeth, tongue, cheeks, etc. with a soft bristled brush
3) Ensure to remove all remaining denture glue
4) Brush dentures daily with a soft bristled brush and non-abrasive denture cleanser
5) Soak dentures overnight
6) Rinse dentures before putting them back in the mouth
Symptoms include:
Can occur in the lips, gums, tongue, cheeks, roof or floor of the mouth
Contact your doctor if any symptoms are present for 2 or more weeks
Mouth pain
Growth of a lump
Causes include:
Difficulty/painful swallowing
For more information on any of these topics, do not hesitate to speak to your dentist, dental hygienist, or visit the following websites: