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“The greatest smile in the world comes from a child.” True enough. Nothing can compare to the innocent smile of a child. It reflects purity, happiness, and calmness… something important in the frantic world we live today. Coming home to a sweet smile can erase all anxiety, stress, and pressure of a hard day’s work. But of course, good care is needed to retain those charming smiles. After all, how can a charming smile be charming if the teeth and mouth are not properly cared for? The teeth are the reason why these smiles are created, so a good dentist such as a dentist is important to preserve and prevent them from decay.

It’s no secret that children are fond of eating sweet candies and chocolate, but most of the time they forget to brush their teeth. Teaching a kid to brush is a task dreaded by many parents. It’s not always easy asking a child to brush. Their teeth are their least of worries compared to toys, games, and television. One thing parents should know is that teeth care is important. And finding a good dentist can help a lot in keeping that healthy, bright smile. Here are simple steps for you to follow in finding the dentist right for your child’s need:

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Step 1: Recommendation:

It is best if you can ask your relatives or friends to recommend a dentist. It’s likely that they have established a rapport with a dentist they trust. If you are moving, and your family dentist would be far from your new home, ask if he/she can recommend another dentist to you. That way, it would not be difficult for you to go back and forth to your previous dentist.

Step 2: Research:

Do your own research when considering a new dentist. Know his dental history, his education, and experience. For instance, when visiting a prospective dentist see the seminars he has attended, his postgraduate education, and better yet interview his current patients. Take note: be wary of those dentists that do not have license because you will regret it at the end if something happens to your child’s teeth.

Step 3: Schedule an appointment:

After all the research you’ve made, try to have an appointment with the dentist. You must talk about taking care of your child’s dental health. Find out if he/she has rules and regulations to follow and what are the assurance that your child’s teeth will be taken good care. Sometimes a child has dental phobias because of what they have previously experienced with a dentist. Find out what kind of relaxation techniques he offers; for example, nitrous oxide or dental sedation to help calm a child.

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Step 5: The Appointment:

When you come to the office, be observant at all times. Check if the procedures are comfortable for your child. If you are already talking to a dentist, show some respect and build connection with him. Don’t be boastful to the dentist; always remember that he/she will be handling your child’s oral health. Tell the dentist what you expect from him. Try saying “I trust my child’s dental health to you.” This will let him know how much you expect from him to keep your child’s teeth healthy.” Also, don’t forget to say thank you to all his help.

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Tooth extraction is a process of removing a tooth from its bone socket.

When is it done?

In case of a breaking tooth or a damaged or decayed tooth, a dentist will first try to mend it with certain options such as, crowning, filling or other such treatments. Sometimes, these treatments might not be of great help due to the intensity of the damage caused to the tooth. In such cases, extraction is the last method of treatment.

The reasons are noted herein:

Some people often have an extra tooth that blocks other teeth from getting in.

For people wearing braces, it is often essential to give space to those teeth that needs to be moved into the right position.

People who receive radiation on their neck and head might have to extract the teeth that come in the radiation field.

People under cancer drugs might also develop teeth infection. These drugs are very powerful and they weaken the overall immune system thus, elevating the risk of any infection. Any infected teeth might need an extraction.

People who have undergone an organ transplant might also need teeth extraction because the teeth can be a cause of infection post transplantation. People who have had organ transplants are vulnerable to infections because these patients have to take drugs to suppress their immune system.

Wisdom teeth or third molars are also extracted very often.

Preparation
You will be asked about your past medical health and about your dental history as well. An X-ray will be taken by the dentist of the affected area in order to plan the best method of tooth removal.

Some of the healthcare professionals might prescribe antibiotics that are to be taken pre and post surgery. This practice usually varies as per the dentist or the oral surgeon you are consulting.

If you are prepared for a conscious sedation or a deeper anesthesia, wear short sleeved clothes or sleeveless ones that can easily be rolled up. This allows an easy access to the intravenous (IV) line that needs to be placed in your vein.

You will also be told that you must not eat or even drink anything for at least 6 to 8 hours before the surgery. You should also make sure to have someone by your side, who will drive you back home after the surgical procedure.

How it is done?

Extractions are of two types:

A simple method of extraction can be performed on a tooth and can be seen in your mouth. General dentists prefer to do simple extractions. Most of these cases are done with the help of a local anesthetic injection, with or without any anti-anxiety drug. In case of a simple extraction, a dentist will clutch the damaged tooth with a pair of forceps and will loosen it by moving the pair of forceps backward and forward. After this, the tooth will be pulled out. In some cases, the dentist might also use a dental 'elevator' to slacken the tooth. An elevator is a dental instrument that actually fits between the tooth and gum.

Surgical extraction is needed in case if the teeth cannot be easily seen. These teeth might either not have come up yet or might have broken off in such a way that half of the teeth still remains in the gum line. In order to see and to remove such a tooth, the dentist or the oral surgeon will have to cut and then pull the gums back. The gun "flap", when pulled back, allows access to extract the bone and /or the piece of tooth that remained inside.

Surgical extraction procedures are usually done by the oral surgeons. These procedures are conducted under local anesthesia (given as injections) and you may also opt for conscious sedation. Patients with medical complications and children are given general anesthesia. In case of a surgical extraction, the dentist must make an incision in the gum in order to locate the tooth. In critical cases, the tooth will be cut into pieces and then removed.

If you are getting a tooth extraction and you are to receive a conscious sedation, you might also be given steroids in the IV line to help in lessening the swelling caused after the surgery.

If you need to remove all of the four wisdom teeth, you have to get it done at the same time. The topmost teeth can be easily removed, but the lower ones might prove to be difficult.

Follow-up
Simple extractions are usually not followed by any other discomfort. You can take over-the-counter non-steroidal anti-inflammatory drugs (NSAID) like Ibuprofen (Advil, Morton and some more brands) for a couple of days. You might not need to take any pain relief medicines at all.

As surgical extractions are very complicated, they cause severe pain post surgery. The after effect of such a procedure results in discomfort and the duration of teat stage depends on the intensity of the extraction procedure. Your dentist will definitely prescribe pain relief medicines for a couple of days, followed by NSAID. After a couple of days, the pain will be gone.

Incise within the mouth usually bleeds more than any incise on the surface of the skin because the one in the mouth doesn't get the chance to dry out and results in the formation of a scab. After your extraction, you will have to bite a piece of gauze for as along as 30 minutes in order to put pressure on the wound and allow the clotting of blood. It might still bleed for another 24 hours and then taper off. Do not remove the cloth that covers the wound.

You can use ice packs on the face to lessen swelling post surgery. The bleeding and swelling stops after one or two days of surgery. Initial healing will take about 2 weeks time.

After surgery, you should not spit, use straw or smoke. Such actions can stimulate the blood clot and it might pull out of the socket where the tooth lay. That would cause more bleeding and could even lead to dryness of the socket, which happens to about 3 to 4 percent of the extraction cases. Dry socket happens almost 20 to 30 percent of the times when an impacted tooth is removed. It happens mostly with smokers and with women taking contraceptive pills. It is mostly expected in case of difficult extractions.

Risks
Infections can highly set in after the process of extraction but, if you have a healthy immune system, you might not get infected.

A very common complication is observed after an extraction called dry socket. It occurs when a there's no blot clot formation in the hole or the clot breaks down too early.

Incase of a dry socket, the bone that lies under the wound is exposed to food and air. This is very painful and can also cause bad breath and taste. Such cases need immediate treatment and medicated dressing in order to prevent the pain and encourage quick healing.

Other possible problems include:

Accidental cause in which the teeth close to the site of surgery is effected, a fracture etc.

Incomplete extraction, where a part of the tooth still remains inside the jaw. A dentist removes the root so as to prevent it from any infection, but sometime it is not that risky to leave small tip of the root inside.

Fractured jaw, which is caused due to pressure exerted on your jaw during the process of extraction. Elderly people suffering from osteoporosis are most likely to be effected by this.

A hole occurring in your sinus while removing the molar (upper back tooth). A tiny hole that closes up on its own after a couple of weeks. If it doesn't, another surgery might be needed.

Sore in the jaw joints or muscles. You might not be able to open your mouth wide.This happens due to the injections.

Ongoing numbness caused in the chin and lower lips. Any trauma or injury of the inferior alveolar nerve can be the cause of numbness. This happens during the removal of lower wisdom teeth. It takes about 3 to 6 months for this wound to heal completely. In some rare cases, the numbness might be permanent.

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People often confuse plaque and tartar, and although neither is something that you want to have in your mouth, plaque is the substance that first forms on your teeth which turns into tartar if it is left untreated. Preventative oral care and regular preventative care visits are the best way to keep these conditions at bay.

Plaque is a clear, sticky substance to which no one is immune. It begins to form on teeth as soon as three hours after brushing, which is why twice daily brushing is so important in keeping plaque at bay. It can be removed and kept under control with dentist recommended twice daily brushing and once daily flossing. Some toothpastes, mouthwashes and other products are specially designed to attack the substance, making regular brushing more conducive to its removal.

Plaque, when left untreated, turns into tartar, which can only be removed by a professional dental cleaning. The presence of tartar also makes it more difficult to remove plaque with at home brushing, and it can even be difficult for a hygienist to properly remove; therefore, creating a vicious cycle for tartar formation and a breeding ground for bacteria.

Left untreated, the tartar will turn into gingivitis or periodontal disease. The former is the inflammation of the gums, and though it can be painless, it is a serious problem that can be avoided with proper mouth care. Inflamed gums, bleeding when brushing, swelling in the gums, and bad breath are all risk signs of the gum disease, and you should make an appointment immediately if you have any of these signs or symptoms.

It is important to catch, treat and cure gingivitis before it emerges as periodontal disease. This is the infection and eventual break down of the bone structures that support your teeth. Tooth loss is the ultimate effect of the condition, and once periodontal disease has set in, further damage is preventable but existing damage is irreversible.

Plaque, tartar, gingivitis, and periodontal disease can all be prevented with a simple oral hygiene regime. Brush at least twice daily and preferably after each meal, and floss daily to remove plague below the gum line and in between teeth. Regular visits to the dentist are also an important part of keeping your mouth as healthy as possible; see your dentist every six months for a thorough cleaning and inspection of your mouth.

Even the most diligent brushers and flossers can miss plaque, as it is a rather silent but aggressive substance. It is clear that the only way to know you are attacking plaque successfully is to stick to optimal mouth care regardless of the suspicion of plaque or tartar. Remember that preventative dental care is much more pleasant than dental intervention.


 

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