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(FAQ) Frequently Asked Questions

For general Dentistry

Experienced Dentists and Orthodontist in Dhaka, Bangladesh

  • What will my first dental visit be like?
    Upon your arrival, you will be promptly greeted and asked to fill out paperwork (please download the forms here and bring them with you). We pride ourselves on timeliness and within a few minutes of arrival, you will be introduced to one of our caring staff members who will take you back to an exam room. In the exam room, we will discuss your dental care history and hygiene practices. If you have not had a set of x-rays taken in the past year, we will take a full set and may also take some photos of your teeth with our specialized digital camera. After reviews your x-rays, doctor will conduct an examination of your teeth and gums. Findings will be discussed and recommendations for a comprehensive treatment plan will be made. We will then schedule a second visit for a cleaning and any initial work that may need to be completed.
  • The dentist makes me nervous, how can you help?

    We know that coming to the dentist can sometimes be uncomfortable for people, so we do all we can to make you comfortable. We strive to get to know you as a person by doing our best to understand what makes you uncomfortable and alleviate those issues.

    If you suffer from severe anxiety about dental procedures, we offer mild sedation with a nitrous oxide/oxygen mix, which you breathe through a small mask. You'll remain conscious, but you'll feel extremely relaxed. Most patients with dental anxiety find that nitrous oxide helps them remain calm throughout even lengthy dental procedures.

    If you are interested, we are happy to explain procedures to you in detail and give you the opportunity to view a video demonstrating how certain procedures are conducted. You can also learn more about our dental anxiety procedures by visiting our sedation dentistry services webpage.

  • How often should I have my teeth cleaned?

    The short answer is: Everyone is different, so Smile Gallery recommends recall frequency on a patient-by-patient basis. Most of our patients come every six months, and it's clear that skipping a six-month checkup can cause a lot if issues down the road.

    The longer answer is: Twice a year is easy to remember, but there's no solid science behind that number-in fact With new information emerging every year about the link between inflammation of the gums and overall health, we think it is smart.

    The science has always showed that most people will have enough calculus (also known as tartar, or hardened dental plaque) on their teeth by three or four months to need a cleaning. Remember, plaque is a soft film of bacteria that forms on your teeth. It can be brushed or flossed away. If you don't practice good oral hygiene, which helps limit the amount of plaque that stays on your teeth, the plaque hardens into calculus (also called tartar).

    Here's a kind of scary statistic: the amount of calculus (or tartar) on your teeth basically doubles each month. That means that at four months after a professional cleaning, you will have twice the amount you had at three months. The longer you wait to have the tartar removed from your teeth, the worse it gets-if you wait until seven months to get your teeth cleaned, you'll have double the amount of calculus you had at six months, when most everyone has a fair amount of calculus! The more hard tartar you have on your teeth, the more difficult your visit with us.

  • Can I bring my own music?
    Music can be soothing and may help you feel calmer. You can bring your own personal MP3 player with headphones to listen to while we work. We will also be happy to loan you a player in our office.
  • What is our staff's behaviour with our patients?

    Payment is required as dental services are rendered, and we are happy to provide you with an estimate for your recommended treatment plan.

    Our office accepts cash, personal checks as forms of payment.

    Our office will file claims with your insurance company. You are responsible for your co-payment and deductible, as well as any expenses that are not covered by your insurance company.

  • Why are my teeth sensitive?

    Tooth sensitivity is very common: more than 40 million adults in the US experience sensitive teeth at some time or another.* Sensitive teeth are caused by nerve irritation deep in the tooth in a layer of tissue called dentin, which is found beneath the hard outer enamel. This problem most commonly occurs when you have worn tooth enamel or your gums have receded. Consuming large quantities of acid-containing foods or drinks (citrus juices, soft drinks, acidic fruits, wine, etc.); suffering from bulimia or severe acid reflux; certain medications; brushing too hard with hard-bristled brushes; and simple poor dental hygiene all can be reasons why enamel and/or gums get damaged, causing tooth sensitivity.

    In addition, with virtually any dental procedure-implants, extractions, whitening, and others-sensitivity to hot or cold foods and drinks is a potential side effect. After a procedure like this, you may notice temporary sensitivity to certain sweet foods, air, or extreme temperature.

    Warning: Sometimes tooth sensitivity is caused by an underlying problem such as a cavity or abscess. If you have sensitivity in any tooth or teeth for more than a week-and you haven't had any dental work done-please give us a call so we can diagnose the cause of your sensitivity. If you have had an extraction or other oral surgery, please let us know if your sensitivity lasts for more than two weeks.

    Sensitive Teeth Advice

    • Maintain good oral hygiene. Be sure to use a soft-bristled toothbrush, and follow proper brushing techniques. If you need instruction on effective brushing, please ask Dr. Welch or one of our hygienists for information.
    • Consider using sensitivity-reducing toothpaste for a few weeks after dental procedure if you are experiencing discomfort due to sensitivity.
    • Use a sensitivity-reducing toothpaste daily if you have a diagnosed ongoing dental problem that is causing sensitivity.
    • If you have unexplained sensitivity in any tooth or teeth for more than a week, please give us a call so we can diagnose the cause of your sensitivity.
    • If you've had a dental procedure and sensitivity lasts more than two weeks afterward, please call us.
    • If you are suffering from tooth sensitivity, and it is painful for more than a moment at a time, take an over-the-counter pain reliever and apply a warm compress to your cheek on the side where sensitivity is occurring.

    If your teeth are still sensitive after all of these standard recommendations, and Dr. Welch has ruled out any serious oral health concern, we may suggest treatment for tooth hypersensitivity. Protective coatings, prescription fluoride gel, and dietary changes all may be part of tooth sensitivity treatment that will relieve your symptoms.

  • Why does my tooth hurt and how can I relieve the pain of a toothache?

    There can be many causes for a toothache and the pain can vary from mild to extreme. Of course the best thing to do with any month pain is to have a dentist take a look and diagnosis what is going on. Tooth pain can be serious and an infected tooth could even be life threatening. Call our office and make an appointment so we can examine you and find out the cause of your pain, but we can cover the most common causes and possible treatments.

    Sometimes the cause of a toothache can be something simple as some food caught between your teeth. The most common thing is a popcorn shell. Gently flossing and brushing may remove the debris and stop the pain. A warm salt water rinse can help healing. Another common cause is sinus issues that can feel like a toothache especially on the top teeth. If you feel like you have been having sinus problems and then your teeth start hurting it could be pain from your sinus. Normally several teeth will fell sore. Sinus medications may help with the pain if that is the issue.

  • What does it mean if I have jaw pain?

    Let's get the scary stuff out of the way first: If you are experiencing severe jaw pain that has come on suddenly, especially if it's accompanied by shortness of breath, dizziness, and/or nausea, you may be having a heart attack: call 9-1-1 immediately!

    Now, rest assured, in most cases, jaw pain is not cause for a visit to the emergency room. Certainly, there are serious causes of jaw pain that do indicate significant health concerns. However, most jaw pain is caused by something that is minor and relatively easily addressed.

    Let's start with the most common causes of jaw pain:

    • Known to dentists as "bruxism," tooth grinding and clenching is a frequent cause of jaw, face, and even ear pain. Bruxism is most often caused by stress or anger, or problems with alignment of teeth. People who have health conditions such as sleep apnea, Parkinson's disease, or Huntington's disease may suffer more from bruxism.
    • TMJ disorders (which include bruxism) are problems with the muscles in the jaw or with parts of the temporomandibular joint. They are a frequent cause of jaw pain.
    • Osteoarthritis and rheumatoid arthritis both can cause jaw pain because they cause degeneration of cartilage and bones at joints, and in the worst cases, fusion of the jaw joint.
    • Improper bite due to injury, missing teeth, or impacted wisdom teeth can cause significant jaw pain. Anything that's causing the teeth not to align properly when you close your jaws together, bite, or chew can result in jaw pain if not remedied.
    • There are a few other serious health concerns that may cause jaw pain-jaw cancer and tetanus (also known as "lockjaw")-so it is important to let us check out your teeth, gums, and jaw bones and joints if you're experiencing severe or ongoing pain or discomfort that seems to be coming from your jaw.

    Remember a toothache can be a serious issue. Call our office as soon as possible to have it checked out and to determine what the best treatment for you is. Prevention is always the best, so routine visits and x rays can prevent many problems before they become painful.

  • Do white fillings or silver fillings have mercury in them?

    Silver fillings do contain mercury, while white fillings do not. While some people have concern about mercury in silver fillings, properly placed silver fillings and white fillings are both excellent, safe solutions for filling cavities left by tooth decay. Dr. Welch will help you evaluate dental and aesthetic factors to choose the filling that is right for you.

    Silver (Amalgam) Fillings Do Contain Mercury, but Not at Toxic Levels

    Silver fillings do contain mercury. In fact, "silver" or amalgam fillings are mixtures of metals, including silver, mercury, tin, and copper. Sometimes, the combination also includes zinc, indium, or palladium. Mercury typically makes up about 50% of dental amalgam by weight; an amalgam filling is made by mixing liquid mercury with a powdered alloy of the other metals to make a putty-like substance, which is what's used as a "filling." Millions of people in the US have amalgam fillings, because the technology has been around for more than 150 years, it's the least expensive type of filling material, and amalgam fillings are strong and long-lasting.

    In recent years, there has been quite a bit of public discussion and scientific review of the safety of dental amalgam, as patients are exposed to a small amount of mercury vapor that is released during the filling process and as the filling wears over time. (Large doses of exposure to mercury vapor has strongly negative effects on the brain and kidneys.)

    The FDA reviewed the spectrum of scientific research to determine whether mercury-based fillings are of concern, and based on current evidence, the FDA deems amalgam fillings safe for adults and children 6 and above. Most research reviews conclude that your fillings expose you to less mercury than most people are exposed to by their environment and the foods they eat. In a very few cases, an individual has an allergy or sensitivity to mercury or another component of the dental amalgam; obviously, if you have a known sensitivity or allergy to any of these materials, amalgam fillings are a bad idea for you.

    White (Composite) Fillings Do NOT Contain Mercury

    Many people we see at Scott A. Welch, DDS, choose to have white fillings (also known as composite fillings) because they can be more aesthetically pleasing than silver fillings or because they have concern about the mercury in amalgam fillings. White or tooth-colored fillings do not contain mercury or any metal; they are made from a mix of tooth-colored plastic and glass. Dentists fill a decayed tooth with layers of the composite, using a special light to bond the filling to the tooth surface and harden each layer as it's placed.

    There are benefits to using composite fillings, including a more natural look and support for the remaining tooth structure (because the resin bonds to the tooth surface). However, composite fillings are a bit more expensive than amalgam fillings, because the technique is more complex and it takes longer to place them. In addition, in larger cavities, composites frequently wear out more quickly than silver fillings.

  • What's the deal with dental x-ray radiation? Are dental x-rays safe?
    Yes, dental x-rays are safe. Some of our patients don't want to have x-rays during routine checkups because they are concerned about radiation, while others want to avoid routine x-rays to save money. We'd like to set your mind at ease about both of these concerns and explain why periodic dental x-rays are a necessary part of your oral health plan and essential to avoiding unnecessary dental expenses in the future.
  • How often do I need dental x-rays?
    Most people need cavity-checking x-rays once a year. For these x-rays, we take two to four individual x-rays of the patient's teeth. These small x-rays are called bitewings, and they're the ones you bite down on a plastic frame that holds x-ray film. For adults, we also take a full series of x-rays or a Panorex (the machine that makes a half-circle around your head when it's taking the x-ray) every 5 years. These radiographs show us all of the teeth and allow Dr. Welch to screen for gum disease, abscesses, and any tumors that can hide below what we can see on the bitewings.
  • What safety procedures do you follow for doing x-rays?
    You can be assured that we do not perform unnecessary x-rays, and when we make x-ray images of your teeth, we ensure that all safety procedures are followed. We'll cover your body with a lead bib and a thyroid shield, which block x-rays from penetrating any other part of your body. And, following the ADA and FDA's recommended ALARA (As Low As Reasonably Achievable) principle, we only take the x-rays that are needed to ensure your optimal oral health.
  • How much radiation do x-rays expose me to?

    Dental x-rays deliver the least radiation of any medical x-rays -2-4 images of your back teeth deliver .005 millisieverts of radiation. In comparison, the average North American is exposed to 3.1 millisieverts annually from natural sources.

    Today's conventional x-ray machines use high-speed film, reducing your exposure to radiation. Some dentists-like Dr. Welch-use digital x-rays, which emit approximately 80% less radiation than conventional machines. Even our Panorex machine, which makes a panoramic picture of the bones in upper and lower jaws, is a digital machine.

    If you are undergoing radiation therapy for cancer or other conditions, or if you've had multiple x-rays recently for any other reason, please let your doctor and dentist know so we can help you limit your necessary exposure.

  • Are dental x-rays safe for pregnant or nursing women?

    Pregnant women should skip x-rays in most cases, although most experts say that standard diagnostic x-rays during pregnancy are safe. Repeated exposure to radiation during gestation can damage the developing child's cells, which in turn may increase the likelihood of cancer occurring during childhood. While the risk is virtually non-existant that a developing fetus could receive damaging exposure to radiation when you get a typical dental x-ray, we prefer not to take the risk. That said, if you do have a serious dental emergency that requires x-rays while you are pregnant, we will take all possible precautions to shield your developing child from exposure to radiation.

    Women who are trying to become pregnant or breastfeeding need not delay x-rays. If you know there's a good chance that you are pregnant, please let us know so we can take proper precautions.

  • Why should I get dental x-rays? Wouldn't the dentist be able to tell if I had any serious problems just by looking at my teeth and gums?

    Sure, we can spot a great many dental problems by observation and exploration of the mouth, teeth, and gums. However, x-rays are essential when we design and prepare implants, dentures, and braces, as well as perform some dental procedures. In addition, dental x-rays are a powerful diagnostic tool that show dentists many problems that aren't visible to the naked eye.

    • bone loss like that which occurs with gum disease
    • bsmall areas of tooth decay between teeth
    • bdecay underneath an existing filling
    • babscesses-infections at the root of teeth or between gums and teeth
    • bdental cysts and tumors

    Diagnosing these conditions and beginning treatment early in their development will save you pain, money, and future tooth and gum problems.

  • Why is Preventive Dental Care So Important?

    Did you know that there's a link between dental diseases and some other serious medical conditions like heart disease? It's time to start seeing dental health as an essential part of your overall wellbeing. At Scott A. Welch, D.D.S., we work hard to do our part: When you come in to our Greensboro dental office for Preventive care, we make it our priority to make your tooth checkup as comfortable, relaxed, and informative as possible.

    In addition to a dental examination by Dr. Welch, our qualified dental hygienists use Preventive dentistry techniques to help stop cavities and prevent other oral health problems by thoroughly cleaning your teeth and gums, removing plaque, and checking for periodontal (gum) disease, cavities and bite problems. If you need advice about the most effective ways to clean your teeth and gums, or you have questions about dental procedures, cosmetic concerns, or other dental topics, call our Greensboro dental office. We are here to help.

  • How do you sterilize equipment like the suction tool?

    Your health and safety are our top priorities at Scott A. Welch, DDS, and we follow sterilization and cross-contamination avoidance processes recommended by the Occupational Safety & Health Administration (OSHA), the Environmental Protection Agency (EPA), and the Centers for Disease Control (CDC). To ensure that saliva- and blood-borne pathogens-viruses and bacteria-don't spread from patient to patient, we follow strict sterilization procedures and use disposable tools and supplies whenever possible.

    Tools like mouth mirrors, dental scalers, and forceps are sterilized according to ADA recommendations using an autoclave, which disinfects with high-pressure, saturated steam. We place equipment needing sterilization into a special sterilization pouch, which looks like paper on one side and has a clear window on the other. The pouch is then put into an autoclave for a set period of time for sterilization. These special bags have color indicators that change color when items within are sterilized, ensuring we never use unsterilized equipment on a patient. (Our autoclave also is monitored externally by UNC-we send test strips weekly for assessment to be sure the machine is working correctly.)

    Some kinds of tools have single-use components to ensure their sterility. For example, the suction device that pulls saliva out of your mouth and the air/water syringe both have replaceable tips, which are disposed of after use for a single patient. Gloves, syringe needles, cotton rolls, and other items likewise are used for one patient, then disposed of in the safest possible manner, again according to ADA guidelines

For Gum Diseases

Experienced Dentists and Orthodontist in Dhaka, Bangladesh

  • Is it common for gums to bleed when the dentist cleans them?

    Whether your gums bleed at home when you floss or at the dental office when being cleaned or examined by the dentist and/or hygienist, it's usually not a good sign: bleeding gums are an indicator of inflammation at the gum line. Inflamed gums are definitely more likely to bleed when worked on or around-like when our hygienists are flossing and scaling your teeth.

  • Should I panic if my gums bleed during a dental visit?

    The short answer is, "no." The most common cause of bleeding gums is inadequate brushing and flossing, which leads to accumulation of bacterial plaque (which hardens to tartar) where the teeth meet the gums. In this case, inflamed gums are referred to as gingivitis, which is treatable and controllable. A regular routine of at least twice-daily brushing and flossing daily will most likely keep plaque at bay, and your gums won't get irritated. If you keep up that good routine, you're not likely to notice bleeding at your next checkup

  • When do I need to worry about bleeding gums?

    If left untreated, though, gingivitis can progress to periodontitis, a condition in which tissue is so seriously inflamed that it results in loosening and potential loss of teeth.

    There are other causes of bleeding gums, some more serious than others:

    • Medical conditions such as diabetes and leukemia
    • Pregnancy and puberty
    • Malnutrition or iron overload
    • Medications such as aspirin, heparin, or other blood thinners
    • Regular cigarette smoking or tobacco chewing
    • Regular cigarette smoking or tobacco chewing
    • Extremely high stress levels

    If we notice your gums bleeding during an office visit, we'll discuss it with you and try to determine the cause. If your gums are bleeding when you brush and/or floss at home, please give us a call to set up an appointment. It's always better to catch dental problems early, when you have a better chance of fixing them.

  • What are the signs of gum disease?

    Can gum disease be reversed?

    Gum disease, also known as periodontal disease, is a bacterial tooth infection, and it's a common concern for adults. It can be caused by plaque buildup, smoking, changes in metabolism or hormone levels, or certain medical conditions like diabetes. While teenagers may develop gingivitis, a mild form of gum disease, most people don't show any signs of serious gum disease-periodontitis-until they are in their 30s or 40s. Men are more likely to develop it than women. Luckily, treatment is easy if it's identified in its early stages, so gum disease is curable.

    Signs and Symptoms of Gum(Periodontal) Disease

    Persistent bad breath, loose teeth, inflamed gums, sensitive gums, or gums that bleed easily are all signs that you may have gum disease. If you have gum disease, it may be painful to chew, your teeth may feel loose, and you may have receding gums (often meaning your teeth look longer!).

    Stages of Periodontal Disease

    When plaque is allowed to develop and remain on teeth, it hardens into tartar, which only a professional cleaning can remove. If plaque and tartar are not removed, they begin spreading below the gum line, which pulls away from the teeth. Bacteria thrive in the space that's created between the gums and teeth, causing gum disease. In general, there are two stages of gum disease:

    • GingivitisThe main symptom of gingivitis is red, swollen gums that are easily prone to bleeding. This mild form of gum disease can be reversed through daily brushing and flossing, along with regular professional dental care.
    • Periodontitis,which is a more serious concern, because the gums actually pull away from the teeth, leaving spaces between teeth and gums where bacteria can thrive. The bacteria themselves, along with the body's immune response, begin to break down the bone and connective tissue of teeth and gums.
  • What causes gum disease?

    What are some risk factors for periodontal disease?

    Some people do have a genetic tendency to be susceptible to gum disease, hormonal changes such as those during pregnancy, and diabetes and other illnesses can make the mouth more susceptible to infection. While we don't know exactly what causes periodontal disease, we do know that there are some serious risk factors, including inadequate dental hygiene and smoking tobacco products.

    Smoking and Gum Disease

    Smokers and smokeless tobacco users are six times more likely than non-smokers to have serious gum disease. Why? Tobacco users have more tartar on their teeth and deeper pockets between teeth and gums, decreased blood flow in the gums that affects how gums heal, and mouths that are more susceptible to infection by aggressive bacteria. Bottom line: Smoking increases your risk of gum disease, and if you have gum disease already, smoking makes it worse.

    Diabetes and Gum Disease

    Diabetics are more likely to have gum disease than non-diabetics, primarily because diabetics are more susceptible to infections in general. High blood sugar results in high levels of sugar in body tissue, making the tissue a natural host for bacteria that cause infection. Interestingly, research has shown that gum disease can make it harder for diabetics to control their blood sugar-severe gum disease actually may increase blood sugar-so the relationship between diabetes and periodontal disease appears to go both ways.

    If you are a diabetic, dental checkups should be an essential part of your ongoing healthcare plan. Keeping your teeth and gums in their best possible health will reduce your possibility of experiencing complications from the infections that cause gum disease.

  • Is there a link between Periodontal Disease and Heart Disease?

    People with gum disease are nearly twice as likely to have coronary artery disease (heart disease) than those who have healthy gums.* Studies have suggested that common oral health problems like periodontal disease can be as clearly correlated with heart disease as cholesterol levels. Keep in mind that no one has proven that gum disease causes heart disease; the two conditions have simply been shown to co-exist frequently.

    The "why" of the gum disease/heart disease relationship is still under intense scientific research. We do know that oral bacteria can find their way to the bloodstream through the gums. Some researchers believe that these oral bacteria cause blood cells they come in contact with to swell, narrowing an artery in the heart. Research is still ongoing about the connection between oral health and heart health, but most medical professionals believe that a patient who suffers from severe periodontal disease may also be likely to have cardiovascular problems.

    If you are worried about heart disease, treating your teeth and gums well shouldn't be the only step you take toward cardiovascular health. Whether or not periodontal disease is a potential risk factor in heart disease, good oral hygiene is simply a good idea!

  • Is there a link between Periodontal Disease and Kidney Disease?

    Periodontal (gum) disease is a bacterial tooth infection that can be treated easily if detected early. However, many people aren't aware they have gum disease or fail to treat it properly, and it progresses to seriously damaged gums, lost teeth, and problems with the mouth bones that hold the teeth. In recent years, quite a few studies have shown that periodontal disease can make people more prone to kidney disease, among other conditions.

    Also known as chronic renal disease, chronic kidney disease is a serious condition in which kidney function decreases over time, eventually causing kidney failure if not treated in time. In the general population of people-all ages, all races, etc. people who have periodontal disease or are missing teeth are just about twice as likely to have chronic kidney disease.* However, African Americans, Pacific Islanders, and American Indians are at increased risk of kidney disease. In fact, African Americans with normal kidney function but suffering from periodontal disease developed chronic kidney disease at four times the rate of those who had no gum disease.**

    If you are experiencing persistent bad breath, loose teeth, inflamed and sensitive gums, or gums that bleed easily, you may have gum disease. Please make an appointment with us as soon as possible for a diagnosis. We will clean your teeth well, help fix any damage the disease has already caused your teeth or gums, and recommend an ongoing oral hygiene plan to reduce your likelihood of the gum disease progressing further.

    Each new piece of research that emerges about the links between periodontal disease and other life-threatening diseases reinforces the importance of excellent dental hygiene and regular checkups with your dentist. Your health is in your hands and it may begin with a good toothbrush and some floss!

  • Is Gingivitis Contagious? or Is Gum Disease Contagious?

    Gingivitis and gum disease are not technically contagious. Scientists don't fully understand what causes some people to have more harmful bacteria in the plaque that develops on their teeth between dental visits. Research has shown that most people who are susceptible to gingivitis have an underlying medical condition like diabetes, HIV, or other immune system disease; they're experiencing hormonal changes; or they are taking a medication that suppresses their immune system, making it more susceptible to bacteria. It's worth noting that if one of your close blood relations has periodontal disease, it may mean you're genetically more susceptible to the gum disease, even if you are currently experiencing no symptoms of gum inflammation. Blood relatives are your cousins, brothers, sisters, grandparents, your parents and their brothers and sisters.

    Remember, gum disease is your mouth's reaction to infection by bacteria thriving under your gums. The bacteria that could cause your gums and teeth to get damaged are spread through saliva. If you or a family member have gum disease, it's better to be safe than sorry: limit contact with their saliva, and don't share utensils or dental equipment.

    What is gingivitis? What is gum disease?

    Is this why I have bleeding gums when brushing?

    Gingivitis, gum disease, and periodontal disease are all terms used to describe forms of bacterial growth in your mouth. Typically, dentists refer to gingivitis as the first stage of bacterial infection in your gums, while gum disease or periodontitis is the more advanced stage of the condition. Bacteria are normally in our bodies, and most cause no harm. However, in some individuals, the bad bacteria in the plaque that forms on our teeth thrive in the warm, moist mouth environment, causing significant irritation of the gums. Gingivitis is an inflammation of the gums, while in periodontitis, the bacteria actually begin to break down the bone and connective tissues of your teeth and gums.

    What are the signs and symptoms of gingivitis?

    Gingivitis is inflammation of gums. The main symptoms of gingivitis are red, swollen gums, and bleeding when tooth brushing. This mild form of gum disease can be reversed through daily brushing and flossing, along with regular professional dental care.

    What are the signs and symptoms of periodontal disease?

    The symptoms of periodontitis/gum disease include: red, swollen gums; bleeding during and after brushing; frequent bad breath; receding gums; and loose, shifting teeth. Periodontitis is disease of the gums, a more serious concern because the gums actually pull away from the teeth, leaving spaces ("pockets") between teeth and gums where bacteria can thrive.

  • What can I do to prevent gingivitis and gum disease? or What gingivitis treatment do dentists usually recommend?

    Most cases of gingivitis can be treated by regular dental visits to remove plaque buildup, along with routine dental care at home: no less than twice-daily brushing, flossing daily, and using an anti-plaque or anti-microbial mouthwash once a day. In severe cases, gingivitis may require an antibiotic to help your body fight bacteria that are causing the inflammation.

    If gum disease has progressed to more severe periodontitis, the dentist will have to perform advanced dental procedures to regain your dental health. In most cases, the first step is dental scaling and planing. Scaling involves removing plaque and tartar below the gumline, while planing requires smoothing the tooth's roots, which will allow gums to re-attach to the roots. You'll probably require antibiotics and a special mouthwash after this procedure, and you'll need to ensure that you maintain excellent dental hygiene habits to prevent recurrence of the disease. If your periodontitis is especially advanced, and you still have pockets in the gums around your teeth after scaling and planing, you may need to have oral surgery to remove tartar deposits deep in the pockets or reduce the size of the pockets, which will make it easier for you and the dentist to keep your teeth and gums clean in the future. In the worst cases, bone and tissue grafts may be necessary to help regenerate any bone or tissue you've lost due to the severe bacterial infection.


Experienced Dentists and Orthodontist in Dhaka, Bangladesh

  • What is orthodontics?
    Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities. Braces and other appliances are used to make these corrections.
  • What is an orthodontic specialist?
    Orthodontists are dental specialists with training and clinical experience to diagnose and orthodontic issues in children and adults. Orthodontists must complete college, graduate from a four year accredited dental school and successfully complete a two or three-year full time orthodontic residency program.
  • Signs that orthodontic work may be for you:
    • Early or late loss of baby teeth
    • Difficulty chewing or biting
    • Crowded or malpositioned teeth
    • Jaw joints that make sounds
    • Teeth that bite into the cheek or the roof of the mouth
    • Finger sucking or pacifier habits continued beyond the age of seven
    • Overbite or underbite
    • Baby teeth that do not grow to full height like their neighbors
    • Neighboring teeth shifting into the space left behind when a tooth has been removed
    • Centers of the top and bottom front teeth don't align
    • Teeth that show wear patterns
    • Excessive spaces between teeth
  • What causes crooked teeth?
    Just as we inherit eye color and hair color, mouth and jaw features are also inherited. Local factors such as finger sucking, pacifier sucking, high cavity rate, gum disease, trauma and premature loss of baby teeth can also contribute to crooked teeth and a poor bite.
  • When is the best time to schedule an initial consultation?
    The American Association of Orthodontists recommends an initial consultation for children no later than age 7. By that age, enough permanent teeth have come in and enough jaw growth has occurred that problems can be identified. Early consultation allows the orthodontist to determine the optimum time for treatment to begin. Often, early treatment can eliminate the need for more drastic measures.
  • What about adult orthodontics?
    Adults account for nearly 20% of our patients. Advanced technology, including more gentle wires, and clear, less visible braces, have allowed many more adults to enjoy the health and appearance of a comfortable bite and a beautiful smile. Orthodontic treatment can be successful at nearly any age.
  • How do braces work?
    Orthodontic appliances are made of stainless steal or clear, ceramic materials. Individual brackets are attached with adhesive to each tooth. Orthodontic wires connect all the brackets together which provide force that moves your teeth. All corrective appliances have one aim: to use gentle pressure over time to move teeth into proper alignment. Thanks to new materials and procedures, all this happens much quicker - and with less discomfort than ever before.
  • Who is an orthodontist?
    An orthodontist is a dental specialist who has received 2 to 3 years of additional training and experience. Your orthodontist is able to straighten teeth, correct misaligned jaw structure, and improve the function of your smile.
  • What's the best age to visit the orthodontist?
    If you want to improve the look and feel of your smile, then any age can be a great age to see the orthodontist. The American Association of Orthodontists recommends that children first visit an orthodontist around the age of 7; however, orthodontic treatment is not exclusive to children and teens, with about one in every five orthodontic patients being over the age of 21. Whether you're considering treatment for yourself, or for a child, any time is a good time to visit the orthodontist.
  • How can I take care of my teeth if I'm wearing braces or a retainer?
    • ALWAYS remember to brush your teeth after every meal and floss at least once a day.
    • Make sure to use toothpaste that contains fluoride, and ask your orthodontist or family dentist if you need a fluoride rinse. This will help prevent cavities!
    • If you take out your retainer to eat, brush your teeth, and floss, then remember to keep it safe in its container so that it does not get lost or broken.
    • Keep your retainer clean, too, by brushing it gently with a toothbrush and water. You may also use denture cleaner twice a week. Do not use hot, boiling water or the dishwasher.
    • During your treatment, try to avoid foods with a lot of sugar (sugar increases the amount of bacteria that grows in your mouth causing more plaque and possibly cavities).
    • Avoid sticky and chewy foods (caramel, chewing gum, gummy bears), hard foods (hard candy, nuts, ice cubes) or any foods that could possibly get stuck in your braces (corn on the cob, soft bagels, ribs, taffy, etc). See our complete lists of foods to avoid and foods you can eat.
    • Be sure to schedule your routine checkups with your family dentist. It is recommended that you continue to visit the dentist every six months.
  • What are braces?

    Braces are used by your orthodontist to help you improve the look and feel of your smile!

    There are several different types of braces to choose from, including:

    • Clear braces
    • Ceramic braces
    • Self-ligating braces
    • Invisible braces
    • Traditional metal braces
  • If I get braces, how long do I have to wear them?
    The amount of time spent in braces can vary depending on the individual patient. Every smile responds differently to treatment. Treatment times can take anywhere between 6 to 30 months; however, most standard treatments take about 22 months.
  • Do braces hurt?
    Braces do not hurt often; however, you may feel a small amount of discomfort for a couple days as your teeth, gums, cheeks, and mouth get used to your new braces.
  • Do I need to brush my teeth more often if I have braces?
    With braces, you should brush your teeth at least three times a day to keep your teeth, gums, and mouth healthy and clean. Brushing regularly will help remove any food that may be caught between the braces. You should also floss daily to get in between your braces where your brush isn't able to reach. Your orthodontist can show you how to properly brush and floss once your braces are placed.
  • Will my braces interfere with my school activities; like sports, playing an instrument, or singing?
    Playing an instrument or a contact sport may require some adjustment when you first get your braces, but wearing braces will not stop you from participating in any of your school activities. If you play a contact sport, it is recommended that you wear a mouthguard to protect your braces or appliance.
  • How do I schedule my next appointment?
    Simply call our practice! Our front desk staff will be happy to help schedule your next appointment at your convenience. If you are a new patient or have been referred to our practice, please let us know, and we will provide you with all of the information you need.
  • Am I too old for orthodontic treatment?

    There is no age limit to consider orthodontics.

    Even if the majority of orthodontic patients are children or adolescents, more than 25% of Canadians under orthodontic care are adults. In our practice, this proportion is even greater.

    We regularly and successfully treat patients between 40 and 70+ years of age.

    The basic biological process allowing the teeth to move is the same for all healthy individuals, regardless of their age.

    In adults, the absence of growth may make it necessary to use different treatment modalities or to have different treatment objectives than with a growing population.

    The recent technologies that we introduced in our practice in the past few years are particularly suited for adults by making treatment more efficient, accessible and comfortable than ever before for the adult population.

    It is never too late to improve your dental condition with orthodontics.

  • What are the causes of malocclusions (etiology)?
    • Most malocclusions are inherited. These include crowding of teeth, too much space between teeth, extra or missing teeth, cleft palate and a variety of irregularities of the jaws and face. Some malocclusions are acquired.
    • They can be caused by thumb-sucking, tongue thrusting, dental disease, premature loss of primary or permanent teeth, accidents or some medical problems.
    • Left untreated, these orthodontic problems can become worse. Crooked and crowded teeth are hard to clean and maintain. This may contribute to conditions that may cause tooth decay, eventual gum disease and tooth loss.
    • A bad bite can also cause abnormal wear of tooth surfaces, difficulty in chewing and excess stress of the supporting bone and gum tissue.
  • What is orthodontic retention?
    The retention phase is the period immediately following the removal of the corrective appliances (braces or other appliances) during which special measures are taken to stabilize the results obtained during the orthodontic treatment. This period may vary between one to many years. Fixed or removable appliances, called retainers, may be utilized to maintain the teeth in their new corrected position.
  • Can I have all my appointments after school?
    • Most of our clients are students going to school and, unfortunately we cannot wee all of them after school hours.
    • However, since we only need to see patients every 6 to 10+ weeks, students should not need to miss too much school because of their orthodontic treatment.
    • We will try to accommodate you as much as possible by offering you appointment periods suiting your needs.
  • Can I have braces if I have missing teeth or crowns and bridges?
    • YES. A tooth with a crown or any type of restoration can be moved just like any other tooth, as long as its root(s) and surrounding tissues are healthy.
    • When there are missing teeth, orthodontics can improve the alignment of the remaining teeth and may make possible better tooth replacement options for your dentist.
    • In certain cases where one or many teeth are missing, orthodontics can partially or completely close the spaces left by these teeth. This can reduce or eliminate tooth replacement costs for the patient after orthodontics.
  • Do you replace missing teeth if there are remaining spaces after treatment?

    No. If indicated, the replacement of any missing teeth will have to be done by your general dentist who is better equipped and qualified to do this kind of work.

    However, if the missing teeth are located in the anterior area, where esthetics can be problematic, a prosthetic tooth will be included in our retention appliance(s) as a temporary solution until you can plan a more "permanent" alternative with your dentist.

  • Will I need to have permanent teeth removed?

    The need to extract permanent teeth for orthodontic treatment depends on many factors. The most common reason to extract sound teeth is a severe space deficiency in the dental arches that can be corrected by using the space created by these extractions. The techniques and protocols we now use in our practice make the need to extract for that reason less frequent than ever before.

    There are additional indications to extract one or many permanent teeth such as if:

    • the teeth are too damaged to be restored
    • the teeth are damaged but their extraction will avoid costly restaurations to the patient
    • other permanent teeth are missing and some symmetry needs to be restored in a dental arch
    • the supporting tissues (gingiva and bone) are too weakened to support the tooth/teeth
    • their crown or root(s) are malformed, too small or excessive in size
    • the treatment plan includes a surgical approach to the jaws, etc.
  • Will I need jaw surgery?
    Surgical interventions to the jaws are indicated in cases presenting a severe jaw size discrepancy. In some cases, a surgical approach may be the ideal option to obtain an acceptable relationship between jaws that are too disproportionate to one another. In other cases, it may be possible to compensate for a moderate discrepancy between the jaws by moving the teeth orthodontically and thus avoiding a surgery. Only an orthodontic consultation and a thorough evaluation of your case can determine which treatment options are available and what are the benefits of each alternative.
  • Do you give shots (injections)?
    • NO. We do not extract teeth, do surgeries or procedures requiring anesthesia with needles or shots.
    • If such interventions are necessary, we will refer you to your dentist or the proper dental specialist familiar with these procedures.
    • The only exception could be the insertion of mini-screws (link) used for temporary anchorage.
  • Does getting braces hurt?

    In general, having braces doesn't "hurt". It is possible however that after certain visits, such as when braces are first put on the teeth or when major adjustments are made, that some teeth become sensitive for a few days. In that case, a light analgesic such as Tylenol, Advil or what you usually take for headaches may help.

    The DAMON technology and protocols we use require forces to move the teeth that are lighter than conventional orthodontic techniques. Consequently, patients should feel minimal discomfort following adjustment visits.

  • Can I go back to school or work after getting my braces?
    Absolutely. The initial discomfort after having the braces put on is minimal and should not prevent you from doing your regular activities.
  • Will having braces affect my every day activities?
    After an initial adaptation period during which the teeth may be more sensitive, you should be able to do all your regular activities.
  • Can I have dental cleanings if I have braces?
    • Yes, it is very important that you continue seeing your general dentist regularly according to his/her recommendations throughout your orthodontic treatment.
    • Wearing braces or other orthodontic appliances will not prevent your dentist from doing regular check-ups and cleanings.
    • If necessary, we can remove part of your appliances to allow your dentist to do dental work on specific teeth during orthodontic treatment.
  • How long will my orthodontic treatment last?

    Treatment duration depends on may factors such as:

    • Patient's age
    • Remaining growth
    • Case complexity
    • Patient cooperation during treatment.
    • In general, treatments can last between 12 and 30 months with an average of 20 to 22 months.
    • The newer technologies that we use allow us to treat a majority of the cases 4 to 6 months faster than with conventional approaches and we frequently complete corrections in 15 to 18 months or even less.
    • A clinical evaluation by the orthodontist will give you an approximation of the duration of your proposed treatment.
  • In case of emergency, what do I do?
    • "Emergencies" or problems requiring immediate attention are not frequent in orthodontics. Upon insertion of any orthodontic appliance, we will review with you what to do if problems arise so that you will be able to temporarily solve most of these inconveniences You will also receive written information summarizing these instructions
    • If your appliances (braces or other) are causing severe pain or discomfort or are broken, communicate with us
    • We can frequently temporarily solve problems by phone but if necessary, we will schedule an "emergency" appointment. You will find other ideas on how to solve common problems in the section "Emergencies".
  • What is a "compromised" or "limited" treatment?

    A "compromised" treatment is a treatment in which the objectives or goals or the orthodontic corrections are different than the ones that could be reached in a "global" or comprehensive treatment. In fact, it is a "compromise" in which the patient and the orthodontist have agreed that certain corrections will not be made even if they are possible. The main reasons motivating a patient to consider a limited treatment are:

    • Reducing the duration and complexity of treatment;
    • Reducing treatment cost;
    • avoiding certain treatment procedures such as a surgery, extractions, replacement of missing teeth, etc.;
    • lack of cooperation or refusal to wear certain types of appliances.
    • Certain corrections may be an acceptable "compromise" for the patient and the orthodontist but others are not worth undertaking.
    • To be acceptable, a "limited" treatment must bring significant benefits to the patient.
    • Frequently, the main benefit is the improvement of the esthetics (which is often the patient's motivation) but the functional inadequacies will remain unchanged. Such treatments may seem attractive for patients but they also have many shortcomings.

Root Canal Treatment

Experienced Dentists and Orthodontist in Dhaka, Bangladesh

  • What is endodontics?
    Endodontics is a branch of dentistry recognized by the American Dental Association involving diagnosis and treatment of the pulp (root canal) and surrounding tissues of the tooth. When you look at your tooth in the mirror, what you see is the crown. The rest of the tooth, the portion hidden beneath the gum line, is called the root. Though the outer portion of the root is a hard tissue called dentin, the inside channel or "root canal" contains a pulp of soft tissue, blood vessels and nerves. Bacteria that are introduced into the pulp as a result of tooth decay, trauma, periodontal disease, tooth fracture or other problems, can severely damage the pulp. When that happens, an endodontic specialist removes the diseased pulp to save the tooth and prevent further inflammation and infection. After successful endodontic treatment, the tooth continues to perform normally.
  • Why would I need a root canal treatment?
    Endodontic treatment is necessary when the pulp of a tooth becomes inflamed or infected. The causes of the inflammation or infection include deep decay, repeated dental procedure on a tooth or a crack or chip in the tooth. In addition, a blow to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.
  • What are the symptoms of a root canal problem?
    Inflammation and infection spread down the root canal, often causing sensitivity to hot or cold foods, throbbing, aching, or pain when chewing. Pain may be prolonged, constant, or be intermittent and transient. Often nerve damage causes tooth pain, swelling, and sensitivity to hot or cold and a spontaneous wave of discomfort day and night. Also, the tooth may begin to darken in color. However, sometimes a root canal problem can only be diagnosed with an X-ray or other tests. Microscopes and digital X-rays are rapidly becoming invaluable and becoming the standard of care for correct diagnosis.
  • What happens during a root canal therapy?
    During root canal treatment, the endodontist cleans out the infected pulp tissue within the roots. After all the nerve has been removed, the canals are sterilized and filled.
  • How does endodontic treatment save the tooth?
    The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the tooth, then fills and seals the space. Afterwards the general dentist will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth.
  • If implants are so good, why not just place an implant and forego a root canal endodontic treatment?
    The biggest criticism of the implant world today is that far too many teeth are being removed that could have been saved with a good long-term prognosis with correct endodontic treatment or re-treatment. Our observation over the years is that every single implant course shows cases where implant placement was unnecessary, and this is simply wrong. That is why it is important to consult with an endodontist who also does implants so you will receive the best possible advice before removing a tooth.
  • If a tooth is already missing or cannot be saved with endodontic treatment, why is an implant the best choice for replacement?
    Implant technology, advancing both surgical and restorative aspects, has made dental implants the optimal tooth replacement in almost all clinical cases. The dental implant simply and predictably prevents bone loss and restores function and esthetics without impacting or involving adjacent teeth. Bridge replacement opens a Pandora's box for future dental problems on adjacent abutment teeth and simply does not have as good a long-term prognosis as a dental implant replacement.
  • What happens when a tooth is lost?
    The bone socket resorbs away, adjacent teeth shift opposite teeth extrude out of the socket. A healthy bite will collapse with remaining teeth in the area, causing them to become crooked. All this deterioration is associated with lip and cheek wrinkling with time. Today, a dental implant is the ideal way to prevent these problems associated with early tooth loss when successful endodontic treatment is not possible.
  • Will a root canal treatment be painful?
    Many endodontic procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics most patients report that they are comfortable during the procedure. We pride ourselves in making all our office treatments a good experience. For the first few days after treatment, a tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications. A tooth may continue to feel slightly different from other teeth after endodontic treatment is completed. However, with severe discomfort or pressure that lasts more than a few days, please call the office. We need to monitor post-treatment healing with post-operative telephone calls and/or office visits if necessary.
  • Will the tooth need any special care or additional treatment?
    One should not chew or bite hard on a treated tooth until it has been restored by the general dentist. The unrestored tooth is susceptible to fracture, so it is important to have a full restoration at the general dentist as soon as possible. Later, one needs only to practice good oral hygiene, including brushing, flossing, and regular checkups and cleanings.
  • Can all teeth be treated endodontically?
    Most teeth can be treated. Occasionally, a tooth can't be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn't have adequate bone support, or the tooth cannot be restored. However, advances in endodontics are making it possible to save teeth that even a few years ago would have been lost. And, when root canal treatment is not effective, endodontic surgery may be able to save the tooth. After the root is fixed surgically, osseous grafting and guided bone regenerative procedures and tissue engineering have allowed us to save many more teeth than ever before because of our doctor's ability to grow back a new socket around previously damaged roots.
  • What are the alternatives to endodontic treatment?
    When the pulp of a tooth is damaged, the only alternative to endodontic treatment is extraction of the tooth. To restore chewing function and to prevent adjacent teeth from shifting, the extracted tooth must be replaced with an implant or bridge. This requires surgery or dental procedures on adjacent healthy teeth and can be far more costly and time-consuming than endodontic treatment and restoration of the natural tooth.
  • I'm worried about x-rays. Should I be?
    No. While x-rays will be necessary during your endodontics treatment, we use an advanced non-film computerized system, called digital radiography, which produces radiation levels up to 90 percent lower than those of already low dose conventional dental x-ray machinery. These digital images can be optimized, archived, printed and sent to co therapists via e-mail or diskette. For more information contact Schick Technologies, Inc.
  • What about infection control?
    Again, there's no need for concern. We adhere to the most rigorous standards of infection control advocated by OSHA, the Centers for Disease Control and the American Dental Association. We utilize autoclave sterilization and barrier techniques to eliminate any risk of infection.
  • What happens after treatment?
    When your root canal therapy has been completed, original radiographs and a record of your treatment will be sent to your restorative dentist. You may need to contact the office for a follow-up restoration within a few weeks of completion at our office. Your restorative dentist will decide on what type of restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment or microsurgery. If a problem does occur, however, we are available at all times to respond.
  • What new technologies are being used?

    Operating Microscopes:

    In addition to digital radiography, we utilize special operating microscopes. Magnification and fiber optic illumination are helpful in aiding the doctor to see tiny details inside your tooth.

    Electric Apex Locators: In certain cases electric apex locators can minimize the number of x-rays needed to complete root canal treatment.

    Ultrasonics: Ultrasonic instruments can be valuable to remove or loosen obstructions that would otherwise prevent reliable endodontic therapy.


Experienced Dentists and Orthodontist in Dhaka, Bangladesh

  • Can't my dentist remove my damaged or decaying teeth? Do I need an oral surgeon?
    General dentists are all trained to remove teeth, but not all dentists regularly do so for their own patients, for a variety of reasons. For example, if a tooth extraction is complex or requires general anesthesia, your dentist may refer you to an oral surgeon or suggest you consult one. In some cases, patients simply prefer to work with an oral surgeon for tooth extractions.
  • How do I know if I really need a tooth removed?
    Your dentist should be able to tell you if you need a tooth or teeth removed for your overall oral health and comfort. If you are unsure of your dentist's recommendation regarding your teeth, don't hesitate to get a second opinion from another dental professional. In many instances, whether or not you need a tooth extracted is not a black and white issue: there may be both benefits and drawbacks to your choices. Your dentist should be able to discuss these pros and cons with you at length.
  • Will I need someone to drive me home from the doctor?
    Whether you need someone to drive you home from our surgical center after your procedure depends upon the type of sedation that you choose. If you only use local anesthesia, you may drive yourself home. If you undergo general anesthesia or sedation, you will need a friend, family member, or loved one to help you get home and get you comfortable.
  • What procedures will I need after my tooth removal?
    Follow-up procedures depend upon why you were having a tooth removed as well as whether the extraction was successful. If you are having a wisdom tooth removed, or if you are having a tooth removed due to overcrowding, you may not need any other procedures. However, if you are having teeth removed due to trauma, decay, or infection, you may consider having a dental implant, partial dentures, or a bridge. Speak to your surgeon about these options.
  • Is my tooth extraction covered by my insurance? How expensive is tooth extraction?
    The best way to know if your dental procedure is covered by health insurance is to closely read your policy or call your insurance company. However, generally speaking, most tooth extraction procedures are covered by dental insurance. Certain types of tooth extractions may even be covered by your medical health insurance. The cost of your tooth extraction depends upon the details of your medical history and the procedure itself. Multiple tooth extractions and impacted tooth extractions are more expensive. General anesthesia is also more costly than other forms of sedation. Our skilled staff can help you answer a wide range of questions concerning your insurance coverage and payment plan.
  • Will I be awake during my tooth extraction? Will it hurt?
    The type of anesthesia used during your tooth extraction will be discussed at your consultation. You may receive local anesthesia, sedation, or general anesthesia, depending upon your procedure and your own comfort levels. No matter which type of anesthesia you decide upon, your operation will be painless. While patients often report soreness, swelling, and tenderness after the extraction, our medical team will make sure that you feel minimum discomfort with either over-the-counter or prescription pain medication.
  • Do wisdom teeth have to be removed?
    No, wisdom teeth do not always have to be removed; healthy wisdom teeth that fit in the mouth are usually not extracted. Wisdom teeth that have not erupted and are in a good position can also be left in the mouth. However, wisdom teeth will be removed if they cause repeated symptoms or show signs of disease on examination, or if removal is required by some other dental or general condition.
  • Do wisdom teeth cause crowding of other teeth?

    No. Changes in dental occlusion and tooth position take place during the entire lifespan; these changes are most often seen as crowding, especially of the lower front teeth. Wisdom tooth eruption takes place around the same time as the crowding of lower front teeth begins.

    The area of my lower wisdom tooth was giving me trouble.

  • How long does local anaesthesia last?
    Two to six hours. The duration depends on the amount of local anaesthetic used and the area that was anaesthetised (upper/lower jaw).
  • How are wisdom teeth removed? Does it involve surgery or can they be just 'pulled' out?
    The need for a specific removal technique is evaluated separately each time; the choice is affected by tooth position, root shape and how much room there is in the mouth.
  • How long does the place of removal bleed?
    While the bleeding usually stops on the day of the removal, you may experience slight bleeding and a taste of blood in the mouth for several days. If the wound bleeds, cover the wound with a tightly wrapped gauze bandage or some other clean compress and bite down on it for about 30 minutes. A cold pack over the cheek may also be helpful. Repeat the procedure if the bleeding continues. Please note that spit will be stained red even by a small amount of blood in the mouth.
  • When can I eat again?
    You must not eat or drink for two hours after the removal. If your mouth feels very numb you should not eat or drink until the local anaesthesia has worn off somewhat; otherwise you may accidentally bite your cheek or tongue while your mouth is still numb. It is also possible that the corner of your mouth may not hold food or drink very well, and hot food may cause burns in the mouth.
  • Can I smoke after I've had my wisdom teeth removed?
    You must not smoke for two hours after the removal, so that the healing process can begin properly.
  • How long does recovery take after removal or surgery?

    Symptoms may appear seven to ten days after a surgical removal. The ache and the swelling are at their worst three to five days after the procedure. The recovery is normal if painkillers alleviate the ache. However, if there are any general symptoms, such as fever or increasing swelling, you have an inflammation that requires treatment. In that case contact your dentist.

    Recovery after a normal upper wisdom tooth removal is usually quick, as long as you remember to avoid any strenuous activities, at least on the day of removal.

  • When can I exercise again?
    After a normal removal you should avoid exercise or other physical strain for at least a day; after more complex removals you should wait two to three days.
  • Do I have to do anything special before the removal?
    Follow your treating dentist's instructions. It is usually a good idea to eat properly before the procedure. Follow the instructions regarding medication given to you by your treating dentist.
  • Is it common for gums to bleed when the dentist cleans them?
    Whether your gums bleed at home when you floss or at the dental office when being cleaned or examined by the dentist and/or hygienist, it's usually not a good sign: bleeding gums are an indicator of inflammation at the gum line. Inflamed gums are definitely more likely to bleed when worked on or around-like when our hygienists are flossing and scaling your teeth.
  • Should I panic if my gums bleed during a dental visit?
    The short answer is, "no." The most common cause of bleeding gums is inadequate brushing and flossing, which leads to accumulation of bacterial plaque (which hardens to tartar) where the teeth meet the gums. In this case, inflamed gums are referred to as gingivitis, which is treatable and controllable. A regular routine of at least twice-daily brushing and flossing daily will most likely keep plaque at bay, and your gums won't get irritated. If you keep up that good routine, you're not likely to notice bleeding at your next checkup

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