Many of us have heard the term ‘periodontal disease’ but few have really considered this problem as a disease, that is to say, as an actual ailment.
Periodontal disease or periodontitis is the second stage of a first one, gingivitis. If you have it and do not take care of it, it can escalate to periodontitis, thus being more destructive and even more difficult to control. It can be with or without pain, reason why is considered very aggressive. If detected by your traditional dentist, they will probably offer deep pocket cleanings and antibiotic remedies as a treatment.
The approach that I like to take is, first of all, educating the patient of what this disease consist of. I believe that this is the first and most crucial step of all, having the patient actually understanding what his disease is, how it started and how to treat it at home by changing some routine oral hygiene habits. Think about it. This is an illness that the patient is living with 24/7 and is important that he acknowledges and address this malady with its importance. I consider that treating it is 80% patient compliance along with home care treatments and remedies and 20% dental chairside attention. It is very easy for the traditional dentist to just say “You need several appointment of deep pocket cleanings; after that, I will need to see you 4 times a year to continue with them”. Two things happen when saying this statement: 1) First, the dentist is taking away all sense of wellbeing responsibility from the patient; he is practically saying “I will do all the treatments; there is nothing you can do on your own”. And, 2) the dentist is almost giving a lifelong sentence of ‘deep pocket cleanings’ to him.
I prefer to empower my patients into being proactive in their gum care.
The dentist will clean his patient’s teeth, let’s say in about 60 min at the dental chair. But what will happen once the patient steps out of the dental office and has a taco and is not properly instructed on how to keep his deep pockets clean? Exactly, he will turn into a lifetime patient for deep pocket cleanings. A pretty awesome scenario for the dentist, not for the patient.
After educating the patient and providing him with sufficient knowledge to comprehend the whole scenario, he understands how his disease is directly linked with heart conditions and blood circulatory problems, such as diabetes and high blood pressure. You cannot completely take care of one without addressing the other; they go hand in hand.
Part of the education is to offer alternatives to traditional gum disease treatments. Many patients previously diagnosed with this ailment have had treatments and have continued struggling with his problem even after many years have passed since first detected. Gum disease can be controlled and, often, reversed but not if you continue doing your routing oral care habits at home and on the road. My approach is with support from holistic and alternative dentistry, remedies that can help you recover bone loss and receding gum line, often being able to improve deep pockets depths, teeth mobility and reduce tartar formation. Adding Schussler’s cell salts and xylitol into your diet can have a great impact on your oral and systemic health. Working with ozone gas and ozonated water greatly improves the outcome of your treatment. Reviewing the basics also helps a lot, that is to say re-learning how to brush, floss and the type of mouthwash to use.
Feel free to schedule an appointment to have a dental consultation in Tijuana along with gum probing and full dental x ray series to determine if you have gingivitis or periodontitis an to know and learn how to address it with a natural approach and you’ll be on your way to a better, healthier lifestyle.
The wisdom teeth are the last ones to form, they erupt outside the gum approximately around the age of 17 and 22, but if there isn’t enough space in the mouth to fit them or if these molars come in a bad position (inclined) it could cause a lot of discomfort and pain. The most common problems caused by wisdom teeth in a bad position are cavities, either on them or on the tooth next to it, infection, bad breath, gum and crowded teeth problems. Also for being in the back of the mouth brushing becomes more complicating which favours bacteria to accumulate.
In my experience I recommend to extract these molars between the age of 16 and 24, because at this age the roots are less developed and the complications are minimal when removing them. Besides being young the tissue heals up better than when you are an adult.
The way we evaluate how your wisdom teeth are doing is with a routine consultation, where we take an X ray which we’ll be able to determine if it’s better to keep the tooth or extract it.
If your molars comes in a good position we can do a routine extraction, if the molars comes inclined or blocked by bone, an oral surgery needs to be done.
Wisdom teeth are unpredictable and can cause discomfort at any moment, taking a pain killer will only make it better momentarily, it is better to take away the pain by its root.
Teeth whitening is one of the most requested procedures done these days in the dental office because it is a simple and painless process and that gives an aesthetic benefit in only one hour.
We have to keep in mind the reasons why teeth start to turn darker. The first reason is age, because you start to lose the enamel layer and the dentin makes the tooth look more yellow; the second reason is the metal and/or composite restorations. With time, metal starts to pigment the rest of the tooth a greyish color and the composite when turning porous starts to pigment because of the drinks and food we eat. The third reason would be that the tooth has a root canal which devitalizes it and turns it grayish; and lastly the external agents like tobacco, coffee, wine and other tinted foods.
There are two types of teeth whitening, the interior and the exterior; the interior whitening is only done when a tooth has lost its pulp (root canal) turning grayish. The exterior whitening is a procedure that is done the most because of its aesthetic purpose, here we use a 40% hydrogen peroxide based gel which is applied to the surface of the teeth in 2 intervals of 20 minutes each.
It is important to know that the only side effect produced by a teeth whitening is dental sensitivity, which can be controlled by desensitizers.
The cares after doing the whitening will help the result last for more time, therefore the patient must be aware that his diet and habits will be what contributes to this result.
I prefer porcelain crowns over the metal porcelain crowns because they don’t stain the tooth and the metal doesn’t start to show; the translucent ones looks more natural than the metal ones because these always look grayer.
I’ve been offering porcelain crowns since I finished university. The last metal porcelain crown that I did was while I was still a student.
These types of crowns are nothing new, the truth is they have been around for more than 20 years. The reason that they haven’t offered them to you might be that the dentist may not be up to date on the modern materials that exist. In the past it wasn’t possible to offer porcelain crowns without the aid of metal because they would fracture, but because of technology and the advances of dentistry in computers, now they can make porcelain crowns this way. Besides, there are patients that prefer to avoid contact with metals because of health reasons, therefore these types of crowns are a better option for them.
You may come to think that changing your metal porcelain crowns for zirconia (which is a type of porcelain), have to be done in a few appointments, but really it only needs 2 visits to have your metal free crown.
The Zirconia, Bruxzir, E-Max among others (all of these are porcelain brands), are lightly more expensive that metal porcelain crowns, but is an investment that is worth it considering that you will never start to see a gray margin on the edge of the crown, they are more aesthetic, there is no risk of toxicity due to its metal or smell, they last approximately around 10 years if you take good care if them and they have a more conservative preparation therefore maintaining your dental structure for longer time.