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Dental Health Maintenance General & Restorative Managing Dental Problems & Emergencies

Causes and Relief & Remedy of Severe Toothache Problems

Dental decay is usually painless as it goes thru the enamel, the outer layer of the tooth.
The tooth can become “sensitive” as decay moves into the “live” dentin (inner layer) of the tooth…. sensitivity to sweet and sour as well as hot and cold is common but the tooth should not be continuously “sore” or “throb”. As the decay process gets near the nerve of the tooth, the intensity and frequency of the symptoms usually increase.

Once the decay process has reached the nerve of the tooth, extreme pain can occur at any time…the intensity can range from moderate to a very severe…extreme throbbing pain can be continuous and can resist oral pain medication. This kind of pain could subside during the daylight hours but is typically much worse during the evening and night. Once a toothache wakes you from sleep it is often relentless.

 

Dental Abscess

 

By definition, a dental abscess is a localized collection of “pus” or infected material in the area surrounding the root end of the offending tooth…pressure built up in this area can cause severe pain that can be referred to other teeth as well as other areas of the mouth and face. It’s not unusual for the patient not to know for sure where the pain is coming from or which tooth is the problem. This abscess can enlarge and extend to surrounding teeth…if the infection goes through the bone, rapid swelling of the gum and cheek can occur.

 

 

Several dental conditions have typical symptoms with different types of pain

 

A detailed history and examination will identify the cause of dentally-related pain in most emergency situations. Sharp, shooting pain can be caused by inflammation in the pulp or exposure of the dentine. Dull throbbing pain has several causes including ulcerative gingivitis, dental caries and food impaction. Simple treatment will usually alleviate the symptoms until patients can be seen by a dentist.

 

 

What are the common types of dental pain?

Short, sharp, shooting pain

This type of pain can be generalised or confined to one region of the mouth. The pain may be due to fluid movement through open tubules in the dentine or there may be some initial inflammatory changes in the dental pulp. It can be caused by caries, dentine exposure on root surfaces, split cusp, lost or fractured restoration or a fractured tooth.

Patients complain commonly of a sharp pain associated with hot, cold or sweet stimuli. The pain is only present when a stimulus is applied. In the case of a cracked cusp, grainy bread or hard food may create a sharp pain, that may be spasmodic, on biting or chewing.

With gingival recession, recent scaling, or tooth wear due to a high acid diet or gastric reflux, there may be generalised dentine sensitivity. However, with caries, fractured fillings and cracked cusps, the pain tends to be localised to the affected tooth.

Intermittent sharp, shooting pains are also symptomatic of trigeminal neuralgia, so care must be taken not to mistakenly label toothache as neuralgia.

 

Painful tooth problems

 

 

The most common dental cause of dull, throbbing persistent pain is caries. In many cases, this is recurrent and associated with an existing restoration. Where the pulp is affected irreversibly, necrosis may follow with possible development of a periapical infection. A fractured cusp involving the pulp, or a large deep restoration may also be associated with this type of pain. Affected teeth may be tender to percussion in the later stages of periapical inflammation.

There is considerable variation in the pain reported by patients, but it commonly starts as a sharp stabbing pain that becomes progressively dull and throbbing. At first, the pain may be caused by a stimulus, but it then becomes spontaneous and remains for a considerable time after removal of the stimulus. The pain may radiate and be referred to other areas of the mouth. This type of pain tends to cause the patient to have difficulty sleeping and may be exacerbated by lying down. Heat may make the pain worse whereas cold may alleviate it. The pain may be intermittent with no regular pattern and may have occurred over months or years. If there is a periapical infection present, patients may no longer complain of pain in response to a thermal stimulus, but rather of sensitivity on biting.

 

 

Treatment

 

Treatment of affected teeth will involve either root canal therapy or tooth removal. In some patients, periapical inflammation can lead to cellulitis of the face characterised by a rapid spread of bacteria and their breakdown products into the surrounding tissues causing extensive oedema and pain. If systemic signs of infection are present, for example, fever and malaise, as well as swelling and possibly trismus (limitation of mouth opening), this is a surgical emergency. Antibiotic treatment alone is not suitable or recommended.

 

 

Should antibiotics be prescribed?

 

While antibiotics are appropriate in the management of certain dental infections, they are not indicated if the pain results from inflammatory (non-infective) or neuropathic mechanisms. The degree of pain is not a reliable indicator of acute infection.

There is evidence that Australian dentists and doctors are using antibiotics empirically for dental pain, rather than making careful diagnoses of the causes of the pain. Most dental emergency situations involve patients with acute inflammation of the dental pulp or the periapical tissues. Prescribing antibiotics for these conditions will not remove the cause of the problem nor destroy the bacteria within the tooth.

Antibiotics should be limited to patients with malaise, fever, lymph node involvement, a suppressed or compromised immune system, cellulitis or spreading infection, or rapid onset of severe infection.

If pus is present, it needs to be drained, the cause eliminated, and host defences augmented with antibiotics. The microbial spectrum is mainly gram-positive including anaerobes. Appropriate antibiotics would include penicillin or a `first generation’ cephalosporin, combined with metronidazole in more severe cases.

Paracetamol or a non-steroidal anti-inflammatory drug is the recommended analgesic in the initial treatment of dental pain.

 

Cracked Tooth Syndrome

 

A very common problem with “root canal teeth” and teeth with large fillings.
Toothache due to a crack will start when you chew or put pressure on the tooth … it will get worse as the crack continues to enlarge. …the fractured piece may feel loose or actually fall off and an abscess can develop at any time. It’s easy to visualize the mechanics of the problem – picture an ice cube or piece of glass with a crack…….every time you apply pressure or tap on top of the ice or glass, the crack will get bigger until the crack goes completely through. Pain from a cracked tooth can start as an occasional” twinge” or “zinger” or it can be sudden and severe and continuous from the very start.

 

Pericoronitis

 

This very common and painful condition is usually seen with a partially erupted wisdom tooth. Because there is not enough room for the tooth to come in completely, it becomes “stuck” or “wedged”. A pocket or sack develops in the gum tissue around and behind this tooth. This pocket quickly fills with bacteria and food debris. Because the mouth is moist, warm and dark (it’s a perfect incubator) an abscess can form rapidly. This pain can be very severe and continuous and is commonly sent to (referred to) the area around the ear. Pain when opening or even severe limitation when trying to open the mouth in common. We often see patients coming from an ear doctor when their real problem was a wisdom tooth.

 

Wisdom Tooth

 

Wisdom teeth are the last molars to develop and usually start to erupt in the late teens. Because they are the very last teeth, they very commonly become impacted (stuck or wedged between jaw bone, gum and the adjacent tooth). Toothache or pain from the wisdom tooth area is one of the most common emergency problems that we see.

Over 90% of the population has “wisdom tooth” problems due to lack of room for proper eruption. Wisdom Tooth Problems encompass many issues including:

Pain Constant pressure in this sensitive area frequently causes neuralgia-like pain that can radiate to the ear, side of the face and upper teeth and spread to the other lower teeth as well. Headaches are commonly associated with impacted or partially erupted wisdom teeth.

Destruction of the Next Tooth -pressure from the wisdom teeth frequently erodes or dissolves away healthy tooth structure, resulting in pain and tooth loss

Cysts…fluid -filled sacks can form and enlarge around impacted wisdom teeth. These cysts can dissolve jawbone and teeth-they commonly become infected and cause serious pain

 

Gum Infection -perio abscess

 

Gum Abscess (Periodontal Abscess – Perio Abscess)
This infected tooth may be completely free from decay and have no filling…it may feel loose and the surrounding gum can feel swollen ….a bad taste is a common feature. A defect in the supporting bone along one or more sides of the tooth forms a “pocket” with the gum that becomes filled with food and bacterial debris….an abscess can develop “overnight”. Mild sensitivity in the area can escalate to severe pain and swelling involving several teeth.

 

Overloaded/overstressed Tooth

 

Moderate to sharp discomfort to touch or pressure most commonly seen after placement of a dental filling or crown that is too “high”…. can be easily corrected by adjusting the offending filling or crown and bite.

 

Food Impaction and pericoronitis

 

Soft tissue problems that may cause dull, throbbing, persistent pain include local inflammation (acute gingivitis associated with food impaction) or pericoronitis.

 

Chronic Periodontitis

Chronic periodontitis with gradual bone loss, rarely causes pain and patients may be unaware of the disorder until tooth mobility is evident. There is quite often bleeding from the gums and sometimes an unpleasant taste. This is usually a generalised condition, however, deep pocketing with extreme bone loss can occur around isolated teeth. Food impaction in these areas can cause localised gingival pain. Poor contact between adjacent teeth and the presence of an occluding cusp forcing food into this gap can also cause a build-up of food debris and result in gingival inflammation.

Acute pericoronitis involves bacterial infection around an unerupted or partially erupted tooth and usually affects the lower third molar (wisdom tooth). The condition is often aggravated by the upper molar impacting on the swollen flap of soft tissue covering the unerupted tooth. There may be trismus.

 

Treatment

Food debris should be removed and drainage established if pus is present. Irrigation with chlorhexidine and rinsing the mouth with hot salty water is recommended. Early referral to a dentist is indicated. Cellulitis can develop, requiring urgent referral to a surgeon.

 

Acute Necrotising Ulcerative Gingivitis

 

Acute necrotising ulcerative gingivitis is a rapidly progressive infection of the gingival tissues that causes ulceration of the interdental gingival papillae. It can lead to extensive destruction. Usually young to middle-aged people with reduced resistance to infection are affected. Males are more likely to be affected than females, with stress, smoking and poor oral hygiene being predisposing factors. Halitosis, spontaneous gingival bleeding, and a `punched-out’ appearance of the interdental papillae are all important signs.

The patients quite often complain of severe gingival tenderness with pain on eating and tooth brushing. The pain is dull, deep-seated and constant. The gums can bleed spontaneously and there is also an unpleasant taste in the mouth.

 

Treatment

As there is an acute infection with mainly anaerobic bacteria, treatment follows surgical principles and includes superficial debridement, use of chlorhexidine mouthwashes and a course of metronidazole tablets. Treating the contributing factors should prevent a recurrence.

 

Dry Socket

 

A dull throbbing pain develops two to four days after mandibular tooth extraction. It rarely occurs in the maxilla. Smoking is a major predisposing factor as it reduces the blood supply. The tissue around the socket is very tender and white necrotic bone is exposed in the socket. Halitosis is very common.

 

Treatment

The area should be irrigated thoroughly with warm saline solution. If loose bone is present, local anaesthesia may be necessary to allow thorough cleaning of the socket. Patients should be shown how to irrigate the area and told to do this regularly. Analgesics are indicated, but pain may persist for several days. Although opinion is divided as to whether or not dry socket is an infective condition, we do not recommend the use of antibiotics in its management.

 

Sinusitis

 

This is caused by infection of the maxillary sinus, usually following an upper respiratory tract infection. However, there can be a history of recent tooth extraction leading to an oro-antral fistula. Patients usually complain of unilateral dull pain in all posterior upper teeth. All these teeth may be tender to percussion, but they will respond to a pulp sensitivity test. There are usually no other dental signs.

The pain tends to be increased on lying down or bending over. There is often a feeling of `fullness’ on the affected side. The pain is usually unilateral, dull, throbbing and continuous. Quite often the patient feels unwell generally and feverish.

 

Treatment

Pain originating from the sinus arises mainly from pressure. Decongestants can help sinus drainage. Antibiotics probably have only a minor role in mild cases. Referral to an otorhinolaryngologist for endoscopic sinus surgery may be indicated in chronic cases.

DISCLAIMER: The following observations are intended as general information. This is not intended to serve as a guide for self-diagnosis or as a substitute for an examination by a dentist.

For Emergency Toothache Treatment, Call Vogue Smiles Melbourne now on 9629-7664

 

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Full Mouth Reconstructions General & Restorative Managing Dental Problems & Emergencies

How do you know when a crown needs to be replaced

A dental crown is a tooth cap that your dentist places over a tooth that has been broken or has significant damage due to severely removed dental decay. A dental crown covers the entire tooth to the gumline and resembles the surrounding teeth in appearance if the crown is porcelain. Crowns also come in metal designs.
The average crown should last up to 15 years , depending on where the dentist placed the crown and how you care for the dental implant. Metal crowns, though less popular than flesh-colored porcelain, may last longer naturally. Tooth grinding and lack of dental care can make a crown have a shorter lifespan.
Eventually, your dentist will need to replace your crown. Your dentist will check your dental crown as part of your regular checkup. This guide will tell you what signs to look for in dental crown failure so you can make an appointment with your dentist for repair or replacement quickly.

 

 

Signs Your Dental Crowns Needs to be Replaced or Repaired 

 

Why do dental crowns need to be replaced?

There can be a variety of reasons why a dental crown might need to be replaced. Some of them are:

A) Tooth decay has formed at the edge of the crown.

While a dental crown cannot decay the tooth on which the crown is cemented certainly can. If dental plaque is allowed to accumulate on a tooth in the region where the crown and tooth meet, a cavity can start.

While there can be a lot of variables with this type of situation, the worst-case scenario for your dental crown is that in order for your dentist to be able to get at and remove the decay the crown will need to be taken off and replaced with a new one.

 

B) The dental crown has become worn excessively.

Dental crowns are not necessarily significantly more resistant to wear than your own natural teeth, nor is it in your best interest that they should be. The ideal dental crown would be one made out of a material that has the same wear characteristics as tooth enamel. This way neither the dental crown nor your teeth would wear the other excessively.

Dental crowns can wear out, especially in those cases where a person has a habit of clenching and grinding their teeth. A dentist will sometimes detect a small hole on the chewing surface of a dental crown in that area where it makes contact with an opposing tooth (meaning a tooth that touches on the crown when you bite). Since the seal of the crown has now been lost your dentist will probably recommend that a new crown should be made, before that point in time when dental plaque has seeped in underneath the crown and has been able to start a cavity.

 

C) The dental crown has broken.

Dental crowns can break, or more precisely the porcelain component of a dental crown can fracture. Some dental crowns are made in a fashion where their full thickness is porcelain (all-ceramic dental crowns). If this is the case then if the crown breaks it will most likely have broken all of the ways through, thus compromising the seal of the crown and necessitating its replacement. Even with a less catastrophic fracture, it seems likely that the esthetics or function of the crown could be compromised, thus providing a reason why the crown should be replaced.

 

D) The esthetics of the crown has become objectionable.

Some dental crowns are replaced because, from a cosmetic standpoint, their appearance is no longer pleasing. Two situations where the cosmetic aspects of a dental crown can change with time are:

 

E) The dental crown’s edge has become visible and it has a grey appearance.

As time passes the gum line of a tooth on which a dental crown has been placed will sometimes recede. This is especially likely in those cases where diligent brushing and flossing have not been practised. If enough recession takes place the edge of the dental crown, which was originally tucked out of sight just under the gum line, will become visible. Many times this edge of the crown will have a grey appearance.

 

Inherent to porcelain-fused-to-metal dental crowns (related to their construction) is the fact that the very edge of these crowns will typically show some darkness (a hint of the grey metal that lies underneath the porcelain). If enough gum recession occurs this dark edge will become visible, thus spoiling the cosmetic appearance of the crown.

How do you know when a crown needs to be replaced

An all-porcelain dental crown does not have the same inherent edge darkness that a porcelain-fused-to-metal crown does. Gum recession can, however, reveal that portion of the tooth that lies beyond the edge of an all-porcelain crown (the tooth’s root surface). Usually, the colouration of this part of the tooth is darker (possibly even significantly) than the colour of the dental crown, thus spoiling the overall cosmetic appearance of the tooth.

 

F) The colour of the dental crown no longer matches its neighbouring teeth.

 

Also related to the cosmetic appearance of a dental crown, there can be times when, as years have elapsed, the colour of the crown no longer closely matches the shade of its neighbouring teeth. In these cases, it is not the colour of the porcelain crown that has changed but instead, the neighbouring teeth have stained and darkened.

 

There can be two solutions to this situation. The dental crown can be replaced with a new one that more closely matches the current colour of its neighbouring teeth. Another solution could be to use a teeth whitening process so to attempt to return the neighbouring teeth to the colour they were when the dental crown was originally placed.

 

COSMETIC DENTIST NEAR ME - MELBOURNE -full mouth reconstruction cost -Before and After Dental photos -Cosmetic Dentist - Australian Dentists Clinic
Before and After Best Cosmetic Dentist Melbourne-Smile Gallery

For Dental Crown Treatment, Call Vogue Smiles Melbourne 9629-7664, for all your General & Cosmetic Dentistry treatment in Melbourne

 

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Dental Health Maintenance General & Restorative Managing Dental Problems & Emergencies

Cavities or Tooth Decay Treatment

Cavities occur as a result of tooth decay. Tooth decay is the destruction of tooth structure. Tooth decay can affect both the enamel (the outer coating of the tooth) and the dentin layer of the tooth.

Tooth decay occurs when foods containing carbohydrates (sugars and starches) such as bread, cereals, milk, soda, fruits, cakes, or candy are left on the teeth. Bacteria that live in the mouth digest these foods, turning them into acids. The bacteria, acid, food debris and saliva combine to form plaque, which clings to the teeth.

 

The acids in plaque dissolve the enamel surface of the teeth, creating holes in the teeth called cavities, or caries

 

 

Who Gets Cavities?

 

Many people think cavities only affect children, but changes that occur with ageing make cavities an adult problem too.

Recession of the gums (a pulling away of gum tissue from the teeth), often associated with an increased incidence of gingivitis (gum disease), can expose tooth roots to plaque. Also, sugary food cravings in pregnant women can make them more vulnerable to developing cavities.

Decay around the edges of fillings is also common in older adults. Because many older adults lacked the benefits of fluoride and modern preventive dental care when they were growing up, they often have a number of dental fillings. Over the years, these fillings may weaken and can fracture, allowing bacteria to accumulate in the tiny crevices causing tooth decay.

 

 

How Do I Know if I Have a Cavity?

 

Your dentist can discover cavities during your regular dental check-up. The tooth surface feels soft when probed by your dentist with a dental instrument.

X-rays can also show cavities before they become visible to the eye.

In advanced stages of tooth decay, you might experience a toothache, especially after consuming sweet, hot, or cold foods or drinks.

Other signs of tooth decay are visible pits or holes in the teeth.

 

How are cavities or tooth decay being treated?

 

 

Cavities are treated in a number of different ways depending on the extent of tooth decay. If decay is not extensive, the decayed portion of the tooth is removed by drilling and replaced with a filling made of silver alloy, gold, porcelain, or a composite resin. Restorative materials used in fillings are considered safe. Concerns have been raised over the safety of mercury-based, silver amalgams in particular, but the ADA, FDA, and other public health agencies continue to support the safety of this restorative material. Allergies to silver amalgam are rare as are allergies to other restorative materials.

If the decay is extensive and there is limited tooth structure remaining, crowns will be used. If a crown is needed, the decayed or weakened area of the tooth is removed and repaired and a crown is fitted over the remainder of the tooth. Crowns are made from gold, porcelain, or porcelain fused to metal.

 

Cavities or Tooth Decay Treatment

Preventing Tooth Decay  

 

Not only does saliva help digest food and make it possible for you to chew and swallow, it is the natural mouth cleanser. Without saliva, tooth decay and gum disease are more likely to occur. If you have a dry mouth, to combat tooth decay and gum disease, you need to be extra careful about following good oral hygiene habits, which consist of:

  1. Brushing your teeth at least twice a day, but even more preferably, after every meal and before bedtime
  2. Flossing your teeth every day
  3. Using a toothpaste that contains fluoride
  4. Visiting your dentist for a check-up and cleaning at least twice a year. At your visit, your dentist may recommend daily use of a fluoride rinse or fluoride gel to keep your teeth healthy

An ounce of Preventative dentistry is worth a pound of a cure. See your dentist regularly

 

Don’t Skimp on Oral Health

 

Right now is a difficult economic time. Many people are trying to cut corners where they think they can. Cutting costs is good for some things, but for your health it is not. Some individuals are deciding to cut their dental health care from their costs. This is a poor decision because much of the preventative care has many benefits.

Although the individual may save money by not having regular visits, two serious issues emerge. First, many health benefits are a part of having good oral health. Cutting the dentist can affect your overall physical health in many areas. The second reason this is bad is it could cost you more. If you delay a dentist visit, you may miss the early signs of a serious problem. It is possible that you may save some money now on routine checkups, but you could be setting yourself up for a situation where you have to pay for costly procedures to fix or repair a serious issue that went untreated.

For Dental Pain and Toothache problems, Call Vogue Smiles Melbourne 9629-7664, for all your General & Cosmetic Dentistry treatment in Melbourne

 

Categories
Dental Health Maintenance Managing Dental Problems & Emergencies

Causes of Bad Breath

It may be reassuring to know that bad breath, or halitosis, affects up to 50% of us at some point during our lives. We can help you.

The most common cause of bad breath (90% of cases) is poor dental hygiene. In most cases, it is caused by a build-up of bacteria in the mouth, as a result of bits of trapped food, plaque or gum disease. It is the bacteria which releases the smelly gases.

Correct and regular brushing is very important to keep your breath smelling sweet. Bad breath often occurs after eating strongly flavoured foods, such as onions and garlic. Smoking, drinking a lot of alcohol and eating spicy food can also cause breath to smell unpleasant.

 

How do I know if I have Halitosis?

 

How do I know if I have halitosis?

It can be difficult to know whether you have bad breath or not. Bad breath tends to be noticed by other people first, and it may be difficult for them to tell you that you have it without embarrassing you. Or themselves. You could ask a friend or family member to be candid with you.

There is a simple test that you can do. It’s a little unscientific but it does seem to work. Lick the inside of your wrist. Smell it. If it doesn’t smell fresh, it’s likely that your breath doesn’t smell fresh.

But don’t despair, in 90% of cases it’s related to oral health and this is something that we can resolve together.

 

I am embarrassed to visit you.

This is undoubtedly a touchy subject. We are sensitive as to how our patients might be feeling and are well practised in putting them at ease. We know that bad breath can be socially crippling and we’d hate to feel that embarrassment was preventing our patients from treating the issue and feeling confident. We are professionals and will have successfully treated patients with far worse conditions.

In feedback from some patients, they say that their relief at getting a solution completely outweighs any embarrassment they were feeling.

We don’t judge and we just want you to get it treated and move on.

 

 

Medical Causes of Bad breath? 

 

Are there medical causes of bad breath?

 

Only 10% of cases of bad breath are medical. Some medical causes include:

– The catarrh that is produced from a throat or chest infection.
– Infections of the throat, nose and lungs such as bronchitis or sinusitis.
– Low carbohydrate diets, such as the Atkins diet.
– Dry mouth (xerostomia): a condition that affects the flow of saliva and leads to a build-up of bacteria in the mouth.
– Diabetes.
– Liver or kidney problems.
– Gastritis and food reflux.

We can treat you for 90% of cases that are related to dental hygiene. If we rule out dental causes, we’ll refer you to your family GP or to a specialist to find out the cause.

 

I have morning breath but it disappears soon as I’ve brushed my teeth. I assume this is type of bad breath is normal?

Yes, this is normal. Most people find that their breath smells a little stale in the morning. There are 2 reasons. Firstly, your mouth dries up overnight. And secondly, the flow of saliva, that washes away food particles, slows down when you sleep.

Overnight, food residue, that is trapped in your mouth, is broken down by bacteria. They release an unpleasant, stale smell. Once you wake up and brush your teeth and start eating again, the flow of saliva increases again.

 

I have a thick coating at the back of my tongue?

This is usually a bacterial coating and can be a cause of bad breath. We can recommend a tongue cleaner which is designed to help remove the bacteria coating from it. Once the bacteria are removed, there should no longer be any smell.

 

How do I prevent bad breath?

As well as maintaining a high level of oral and dental hygiene, follow these steps for sweeter breath:

– Brush your teeth at least twice a day using fluoride toothpaste. We are strong advocates of electric toothbrushes.
– Spend a minimum of two minutes brushing your teeth. Try to cover all areas, especially where the teeth meet the gum.
– Floss between your teeth to remove any trapped food
– Use an anti-sceptic mouthwash (just before bedtime)
– Use a tongue cleaner to lightly brush the back of your tongue
– Regular check-ups and cleaning appointments.

Lifestyle changes for sweet breath

– Eat breakfast.
– Eat a healthy, balanced diet and try to cut down on strongly flavoured or spicy food
– Reduce your alcohol intake
– Drink plenty of fluids and cut down on coffee.
– Chew sugar-free gum. A dry mouth can lead to bad breath and chewing gum can help stimulate saliva.
– Avoid sugary snacks between meals. This will help reduce the number of bacteria in your mouth.
– Clean your mouth after eating milk products, fish and meat
– Stop smoking if you can: http://gosmokefree.nhs.uk/

 

We will identify the causes of the bad breath. Treat them accordingly. And set in place a program to maintain good oral health in the future.

Sweet Breath Dental Audit
We will do an audit of your mouth and evaluate:
– The sources of bacteria in your mouth, gums, teeth and tongue.
– Your general dental fitness to see what could be causing the problem.
– Identify whether there are any medical causes to the problem e.g. tonsillitis, sinusitis, bronchitis, diabetes etc.

If bad breath is not caused by a problem in the mouth, we will refer you to your GP for further investigation.

Sweet Breath Dietary analysis

We will analyse your diet, including medications that you are taking. This is to understand whether the source of the bad breath could be dietary. E.g. Low carbohydrate diet, alcohol.

Sweet Breath Lifestyle analysis
We will discuss any lifestyle factors which could contribute. E.g. smoking, drinking, poor general health.

Sweet Breath Cleaning
If we establish that the bad breath is from bacteria and plaque, we will do a thorough clean of your mouth, including all those areas that are difficult to reach. This will leave it feeling, tasting and looking fabulously clean.

Sweet Breath Prevention Schedule
We will help you start a routine for keeping your mouth clean and fresh:

– The best way to clean your teeth and gums and show you any areas you may be missing.
– Advise you on how to keep your teeth and gums healthy.
– Recommend a regular dental cleaning and check-up schedule to help us spot signs of tooth and gum decay early on and to supplement all the good work you’re doing at home.

We have had much success in treating bad breath and we’d love to help you if you think that you have a problem.

 

My floss smells. Is this bad breath?

Bad breath bacteria live all through the mouth, gums, throat and nasal areas. If you floss infrequently, bacteria will build up at your gum line. This can certainly contribute to breathing issues.

 

I am scared of dentists

Many people are. It can take a great deal of courage to make a visit if you’re a dental phobic. We hope that we can reassure you. Please click here for our approach to this very delicate subject.

What should I do before visiting you?

 

If you think you may have bad breath, try to keep a diary of all the foods you eat and list any medicines you are taking. This will help us to treat the problem.

If possible, try not to mask the problem with mouthwash before you visit us. It may make it harder for us to help you.

 

For Bad Breath Treatment, Call Vogue Smiles Melbourne 9629-7664, for all your General & Cosmetic Dentistry treatment in Melbourne

 

Categories
Dental Health Maintenance Managing Dental Problems & Emergencies

Good Solutions for Bad Breath

Millions of people have bad breath and don’t even realize it. Because it’s hard to smell your own breath and often, even your best friend isn’t going to tell you that you and Fido have something in common. Approximately 65% of the population has chronic bad breath. One way to tell if you have bad breath is to floss and smell it to determine odour. The bacteria which create VSC thrive in places where there is kale or no air, like under the gums, in the crevices of the tongue, and between the teeth They are especially active in gingivitis and gum disease and on the surface of the tongue.

Interestingly, there’s a huge group of people that think they have bad breath and they don’t, But there’s also a large group that does have a problem. In these instances. over 90% of the cause is bad oral hygiene. Inadequate dental work, periodontal disease, failure to floss, and lack of dental care can all contribute to bad breath.

Halitosis can be treated. Unfortunately, many people ignore the problem, because they aren’t aware there even is one. The majority of cases can be treated with good oral health. Regular dental checkups are a must, and if gums bleed or swell, it’s time to visit a dentist. By not seeking treatment, permanent damage can be done to the gums and teeth can be lost, to say nothing about a decline in your social life because of foul breath.

 

Causes of Bad breath

 

 

So what are the causes of the oral odour? Sometimes it’s an illness or even the medicine you take. But overwhelmingly the problem lies in your mouth.

“Ninety-five percent of bad breath is solely due to having bacteria in your mouth and not getting them out of your mouth.

So bacteria break down your food. With some kinds of foods — especially proteins and dairy — this process results in sulphur compounds.

The most common is called cysteine. This mixes with air as you exhale to give you bad breath. Egg has cysteine in it, while milk makes cysteine, so if you have a lot of dairies, when it’s broken down you’ll make this cysteine. But if you have a lot of eggs, you’re actually putting cysteine straight into your system. Eggs are a great source of protein but eat too many and you can egg-spect some side-effects.

It’s cure time and the first thing the men are instructed to do is give their tongues a lashing, first with their toothbrushes and then with a special scraper.

Mints, chewing gum and breath fresheners may do well to temporarily mask the problem, and pro-biotics may be the answer for some in the long term if you have a more serious problem.

 

Here are some more tips for battling bacteria in the mouth

  • Don’t use an alcohol mouthwash.
  • Chew gum that contains xylitol — a sugar substitute.
  • Avoid alcohol and coffee in the day.
  • The more you brush, the more you’ll benefit.
  • Don’t forget to floss!

So if you’re someone prone to bad breath, dental hygiene is a must. Also, avoid a high protein and acid diet and stay away from strong-smelling foods like onion and garlic.

 

Still, worried? It’s best to see your dentist and a doctor, they’ll get to the bottom of your problem and rule out any serious health issues.

  • Did you know that during our waking hours, we generate a litre of saliva a day and without saliva, we wouldn’t be able to taste the food.
  • That horrible morning breath you get when you wake up is caused by a dry mouth, which occurs naturally in sleep. Your saliva production slows right down when you slumber and a dry mouth enables dead cells to build up on your tongue. Solution? Before you go to bed, clean your tongue, as well as your teeth.

 

Feeling insecure with your bad breath?  Call Vogue Smiles Melbourne 9629-7664, for all your Cosmetic Dentistry treatment in Melbourne

 

Categories
Managing Dental Problems & Emergencies

DENTAL EMERGENCIES Treatment in Melbourne

Any dental emergency like an injury to the teeth or gums can be potentially serious and should not be ignored. Ignoring a dental problem can increase the risk of permanent damage as well as the need for more extensive and expensive treatment down the road.

 

Quick Summary of What to do for some Common Dental problems or Emergencies

 

Toothaches

 

First, thoroughly rinse your mouth with warm water. Use dental floss to remove any lodged food. If your mouth is swollen, apply a cold compress to the outside of your mouth or cheek. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. See your dentist as soon as possible.

 

 

Chipped or Broken Tooth

 

Save any pieces. Rinse the mouth using warm water; rinse any broken pieces. If there’s bleeding, apply a piece of gauze to the area for about 10 minutes or until the bleeding stops. Apply a cold compress to the outside of the mouth, cheek, or lip near the broken/chipped tooth to keep any swelling down and relieve pain. See your dentist as soon as possible.

 

 

Knocked-out Tooth

 

Retrieve the tooth, hold it by the crown (the part that is usually exposed in the mouth), and rinse off the tooth root with water if it’s dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it’s facing the right way. Never force it into the socket. If it’s not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available) or a product containing cell growth medium, such as Save-a-Tooth. In all cases, see your dentist as quickly as possible. Knocked out teeth with the highest chances of being saved are those seen by the dentist and returned to their socket within 1 hour of being knocked out.

 

 

Extruded or Partially dislodged tooth

 

See your dentist right away. Until you reach your dentist’s office, to relieve pain, apply a cold compress to the outside of the mouth or cheek in the affected area. Take an over-the-counter pain reliever (such as Tylenol or Advil) if needed.

 

 

Objects caught between teeth

 

First, try using dental floss to very gently and carefully remove the object. If you can’t get the object out, see your dentist. Never use a pin or other sharp object to poke at the stuck object. These instruments can cut your gums or scratch your tooth surface.

 

Lost filling

 

As a temporary measure, stick a piece of sugarless gum into the cavity (sugar-filled gum will cause pain) or use an over-the-counter dental cement. See your dentist as soon as possible.

 

Lost Crown

 

If the crown falls off, make an appointment to see your dentist as soon as possible and bring the crown with you. If you can’t get to the dentist right away and the tooth is causing pain, use a cotton swab to apply a little clove oil to the sensitive area (clove oil can be purchased at your local drug store or in the spice aisle of your grocery store). If possible, slip the crown back over the tooth. Before doing so, coat the inner surface with an over-the-counter dental cement, toothpaste, or denture adhesive, to help hold the crown in place. Do not use super glue!

 

 

Broken Braces Wire

 

If a wire breaks or sticks out of a bracket or band and is poking your cheek, tongue, or gum, try using the eraser end of a pencil to push the wire into a more comfortable position. If you can’t reposition the wire, cover the end with orthodontic wax, a small cotton ball, or piece of gauze until you can get to your orthodontist’s office. Never cut the wire, as you could end up swallowing it or breathing it into your lungs.

 

DENTAL EMERGENCIES Treatment in Melbourne

 

 

Lost Orthodontic Brackets and Band

 

Temporarily reattach loose braces with a small piece of orthodontic wax. Alternatively, place the wax over the braces to provide a cushion. See your orthodontist as soon as possible. If the problem is a loose band, save it and call your orthodontist for an appointment to have it recemented or replaced (and to have missing spacers replaced).

 

 

Tooth Abscess or Infection

 

Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated.

Because of the serious oral health and general health problems that can result from an abscess, see your dentist as soon as possible if you discover a pimple-like swelling on your gum that usually is painful. In the meantime, to ease the pain and draw the pus toward the surface, try rinsing your mouth with a mild salt water solution (1/2 teaspoon of table salt in 8 ounces of water) several times a day.

 

Soft Tissue Injuries

 

Injuries to the soft tissues, which include the tongue, cheeks, gums, and lips, can result in bleeding. To control the bleeding, here’s what to do:

Rinse your mouth with a mild salt-water solution.
Use a moistened piece of gauze or tea bag to apply pressure to the bleeding site. Hold in place for 15 to 20 minutes.
To both control bleeding and relieve pain, hold a cold compress to the outside of the mouth or cheek in the affected area for 5 to 10 minutes.
If the bleeding doesn’t stop, see your dentist right away or go to a hospital emergency room. Continue to apply pressure on the bleeding site with the gauze until you can be seen and treated.

 

 

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For all Dental Emergency Care in Melbourne CBD, call Vogue Smiles Melbourne 9629-7664