FAQ - Parodontal ficka
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Dental help about tartar?


My wife is 29 now. She is from Asia, and have never during her life in Asia visit any dentist. After moving to Europe 2 years ago, she was called in for dentist check. The dentist said her teeth look very good, but she have a lot of tartar, and he recommend to remove the tartar. We said ok to that, but now 6 month after my wife have so much problem with Parodontal disease that I think that it was a wrong decision. Pain and blood is the result every day. She take care her teeth very well, so its not because of that she have problems. I think that if she have keept the tartar, then there have been no problems at all.
Do you know similar friends with the same problem or is there any dentist who can explaine what happen and how to solve the problem.
sorry my english is not so good.
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Tartar is the build up of plaque on your teeth. That does not cause periodontal disease. As a matter of fact, if it is not removed it does cause periodontal disease. When your gums shrink due to bad oral hygiene, excess tartar or lack of nutrients in your diet it exposes portions of the root. This is periodontal disease and it will cause bleeding and redness of the gums and it can hurt. In extreme cases the dentist will perform a type of oral surgery on the gums. They do a section at a time and basically you're trying to have the gum cover the exposed root and/or nerve.
I can't imagine that your wife has periodontal disease that has progressed to that point since she saw a dentist 6 months ago.
She should go back to a Dentist, if another choice would make you feel better try someone new. She might need a simple mouth rinse to clean the infected area or she might need her teeth scaled again to remove the tartar completely. People, also, don't realize that when they are in the womb they receive all their nutrients from their mother. If her mother was not well, or if her diet did not contain enough vitamins and minerals- it could impact the health of the child and their teeth. Perhaps, this might have had some influence too. Whatever the cause, don't be afraid of the Dentist. She should go because if she does have disease. her teeth could become loose and eventually fall out. She doesn't want that to happen.  (+ info)

Question for dentists,10 photos attached. Please help to decide: is it possible to save 4 teeth? Thank you.?


Hello. This is a question about a son - a person who is 30 years old now. Probably the good idea is to visit the doctor, but it costs money and we are more than sure different doctors will give different answers.

Is it possible to guess using attached photos, are there any way this guy to save teeth?
The teeth have regular and proper cleaning at least two times a day for about 3 minutes, Listerine 1 or two times a day, flossess are provided. But, something like parodontosis or periodontitis and wrong front teeth alignment and strength of his front teeth are, probably, 3 serious problems.

In 1979 this person was born, in 1990 his front upper tooth was broken because of falling on the metal box. So, he lost about 15% of one tooth on the front.
1994 - he had braces for his low jaw. He was recommended to have braces on upper jaw as well, but he didn't do that. Also the doctor told the broken tooth should get the same size when boy reaches 18 years old or something like that, without any help. Unfortunately, that didn't happen.

One or two times dentists lengthened his broken tooth so that tooth had the same length as normal. The last time it was about 5 to 10 years ago, before moving to the US. Now it's shorter again because tooth filling is not as strong as tooth - we don't know. Probably the good idea is to lengthen the front tooth again.

Now the problem is:
-the difference betweeen low front teeth reaches about 1 millimetre. At least 2 years ago we didn't see any difference.
-tissues that surround and support the teeth (the gums) are disappearing. He's not sure about changes for the last two years although it definitely is not getting better.
-When he tries to check using his fingers, how strong are his 4 front teeth, he think they are NOT very very strong.
- He read a lot of literature that he supposed to eat healthy food and he does that, eat several times a day, a lot of fruits and vegetables, rice, oatmeal, no fast food, no chips, no soda. Sometimes he eats chocolate. Also he knows he supposed to eat hard food - apples, carrots etc. - it's good for his gums and makes teeth stronger - all that reduces chances of increasing of periodontists process.

Facts:
- in 2005 he asked about possibility to get dentures to align his teeth. He was answered by doctor that his tongue structure doesn't allow to put dentures. Something like he moves his teeth by his tongue.
- in 2006 he was told by another dentist that everything is OK and the only problem is that he clean his teeth too hard - that's the reason of parodontitis (I don't know that word). So, don't brush too hard and you'll be all right. There is nothing else you have to do.

- Now he thinks the good idea is to increase the lenght of that broken tooth, because the difference between teeth level should be reduced, and probably, it will reduce the chance to loose 4 front teeth.
- Another problem is that in a year this guy should move to another country. That means it's not a good idea to get dentures right away even if it's recommended.

Please help to decide what to do - to visit doctor is OK, but doctor will tell how to spend money, not how to save teeth.

Another fact is that withing the last 12 months there were no significant changes found in teeth structure (that guy measured the length of periodontal pockets of front teeth). So, we hope the velocity of that process was significantly reduced. But how to make it better, not just recude that process?
Also he used some special parodontal creme for gums, but he doesn't see any changes after using.
Here are 10 different photos of teeth:
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_007.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_008.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_009.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_010.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_012.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_013.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_014.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_015.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_017.jpg
http://i873.photobucket.com/albums/ab293/content4987/IMAGE_018.jpg

Who can tell what to do?
PLEASE ONLY SERIOUS ANSWERS OF EXPERIENCED DENTISTS OR ORTHODONTISTS. Please do not answer just to get several points for your answer.
Depending on your answer there is a chance to save teeth.
Thank you for your time.
If more photos are needed or any additional information, please let me know.

P.S. About 8 months ago the guy visited the dentist to fix only one teeth. So, last 3 years - only 1 tooth filling was needed. Not bad as far as I know.

Thank you.
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the photos are really bad cant see what you are trying to ask.
if periodontitis is the problem then regular visits to a dental hygienist is best to receive proper toothbrush instruction and a professional debridement of tooth and root surfaces.
untill then :-
small headed, medium texture brush
fluoride toothpaste
alcohol free mouthwash (any but check label)
brush for 2 mins 2xday pay attention to the gum margin where it meets the tooth dont eat after brushing at night and only drink water.
floss 1xday
ignore any bleeding it should stop in about a week.
but a hygienist can explain all this to you face to face so you can ask questions.

as for dentures you must be mad!! dont even consider them until you are unable to eat cos you have no teeth.
most teeth can be saved.
periodontitis means destruction of periodontal attachment thats what holds your teeth in place, eg the gum, ligaments and bone. if mild (gingivitis) then it is reversible with a good oral hygiene routien.
periodontitis can be stopped but not reversed as the damage is done, but it can be prevented from getting worse.
hope this helps.
http://www.dentalhealth.org.uk/faqs/leafletdetail.php?LeafletID=19
http://www.bbc.co.uk/health/conditions/gingivitis1.shtml
http://images.google.co.uk/images?hl=en&q=gingivitis&oq=ging&um=1&ie=UTF-8&ei=BZCJS_SeNp280gTxxdXNCw&sa=X&oi=image_result_group&ct=title&resnum=4&ved=0CC0QsAQwAw  (+ info)


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