Oral Spa

Oral Spa

Oral Exam

Oral Exam

Oral Exam | The Emergency Dentist Phoenix

Oral Exam

Patients of all ages should get a dental exam every year. Often, people think they are healthy because they don’t feel any pain in their gums or teeth. Many common conditions like gum disease (the biggest cause of tooth loss) do not have symptoms you will be able to detect. The earlier problems are caught, you are more likely to have more treatment options.

The American Dental Association (ADA) recommends that children go to the dentist before their first birthday. This can help with problems like using pacifiers, teething, and baby bottle tooth decay. The team at Smile Nuvo can teach you how to care and clean your baby's mouth so they start healthy habits early — this will also help them throughout their life. Dental exams are also crucial for children as they get older as their mouth develops. While baby teeth will fall out eventually, development issues in the gums and jaw can still occur.

Periodontal Disease

Periodontal Disease

Periodontal Disease | The Emergency Dentist Phoenix

How can you notice periodontal (gum) disease?

Periodontal disease can go on for years without painand without detection unless specific examination procedures are performed. The patient can sometimes see that the gums are red, possibly swollen and bleed easily. Often, however, the patient may only notice minor discomfort and the condition may remain"silent" for many years. Toooften, patients may notice the problem only when the bone loss around the teeth is so extensive that teeth become loose or when the gums start to recede. The disease is diagnosed by assessing the gum in several sites around each tooth together with detailed x-ray images.

Can it be treated successfully?

Although you cannot cure periodontitis, if diagnosed early enough or there is sufficient supporting bone left, disease can be prevented from progressing. However, to control the disease you would also have to carry out good daily oral hygiene in order to keep away harmful bacteria. In addition, particular risk factors (such as smoking) need to be controlled and you will need to see the dental hygienist in regular time intervals as recommended. Failure to do so will not guarantee maintaining a good result.

What does the treatment consist of?

Scaling and root planing is a deep cleaning below the gumline used to treat gum disease.

This deep cleaning has two parts. Scaling is when your dentist removes all the plaque and tartar (hardened plaque) above and below the gumline, making sure to clean all the way down to the bottom of the pocket. Your hygienist at Smile Nuvo will then begin root planing, smoothing out your teeth roots to help your gums reattach to your teeth. Scaling and root planing may take more than one visit to complete and may require a local anesthetic. about the most effective way to brush around the teeth to control the amount of plaque bacteria around your gums.

What does the treatment consist of? | The Emergency Dentist Phoenix

For many patients deep cleaning will be sufficient to control the disease.

However, in advanced cases of periodontal disease the "deep"cleaning alone may not be enough to control the disease. A second phase of therapy may include gum surgery to gain access to deep areas for cleaning. In some cases it is also possible to achieve new bone formation around the tooth (periodontalregeneration).

Periodical tooth cleanings (every 2-4 months) should be carried out throughout the course of treatment as recommended. A final assessment will evaluate the result after the second phase of treatment. As soon as the condition is considered stable the patient will go back to the regular care by the dental hygienist (every 3-6 months) with periodic check-ups by the periodontist/general dental practitioner.

Are there adverse effects of the treatment?

Your gums may be sore for 2-3 days. The reduction of the depth of the pockets is likely to show in the form of some gum shrinkage (recession/root exposure) which can vary greatly in its extent. This is inevitable in cases where the gum was very swollen in the first place. In some patients this may cause increased tooth sensitivity. However, this is usually temporary and rarely lasts more than a few weeks/months. Dr.Elannan will advise you on how to reduce tooth sensitivity.

Will I be able to retain my teeth for life?

If you have undergone a complete course of periodontal treatment and keep up with good oral hygiene and hygiene appointments you are likely to have a stable condition. If you fail to do so you are likely to have ongoing gum disease. All patients who have suffered from periodontal disease at some stage in their lives are at higher risk of experiencing an episode of gum disease again at a later stage. However, periodontal treatment followed by good home tooth cleaning and regular hygiene appointments will reduce this risk significantly.

After care tips | The Emergency Dentist Phoenix

After Care Tips

After a deep cleaning, you may have pain for a day or two and teeth sensitivity for up to a week. Your gums also may be swollen, feel tender and bleed.

To prevent infection, control pain or help you heal, your dentist may prescribe a pill or mouth rinse. Your dentist may also insert medication (subantimicrobial-dose doxycycline) directly into the pocket that was cleaned.

Your dentist will schedule another visit to see how your gums have healed and measure the depth of your pockets. If they have gotten deeper, more treatment may be needed.

Good dental care at home is essential to help keep gum disease from becoming more serious or recurring. Brush your teeth twice a day with a soft bristle toothbrush, clean in between your teeth daily, eat a balanced diet, avoid using tobacco and visit your dentist regularly.

What is periodontal disease?

Long-standing gingivitis can turn into periodontal disease. There are a number of types of periodontal disease and they all affect the tissues supporting the teeth. As the disease gets worse the bone anchoring the teeth in the jaw is lost, making the teeth loose. If this is not treated, the teeth may eventually fall out.

What is gingivitis?

Gingivitis means ‘inflammation of the gums’. This is when the gums around the teeth become very red and swollen. Often the swollen gums bleed when they are brushed during cleaning.

what is periodontal disease? | The Emergency Dentist Phoenix

Am I likely to suffer from gum disease?

Most people suffer from some form of gum disease, and it is a major cause of tooth loss in adults. However, the disease develops very slowly in most people, and it can be slowed down to a rate that should allow you to keep most of your teeth for life.

What is the cause of gum disease?

All gum disease is caused by plaque. Plaque is a film of bacteria which forms on the surface of the teeth every day. Many of the bacteria in plaque are completely harmless, but there are some that have been shown to be the main cause of gum disease. To prevent and treat gum disease, you need to make sure you remove all the plaque from your teeth every day. This is done by brushing and cleaning in between the teeth with ‘interdental’ brushes or floss.

What happens if gum disease is not treated?

Unfortunately, gum disease does not usually cause pain as it gets worse so you do not notice the damage it is doing. However, the bacteria are sometimes more active and this makes your gums sore. This can lead to gum abscesses, and pus may ooze from around the teeth. Over a number of years, the bone supporting the teeth can be lost. If the disease is left untreated for a long time, treatment can be more difficult.

How do I know if I have gum disease?

The first sign is blood on your toothbrush or in the rinsing water when you clean your teeth. Your gums may also bleed when you are eating, leaving a bad taste in your mouth. Your breath may also become unpleasant.

Common Warning Signs May Include:

  • Red, swollen gums
  • Persistent bad breath
  • Bleeding after brushing or flossing
  • Pain when chewing
  • Sores or pus-filled bumps in the mouth

Tartar and bacteria that are not removed properly may result in periodontitis (an advanced stage requiring periodontal disease treatment), if left untreated. As bacteria spreads, it causes the gums to pull away from the teeth, allowing the infection to invade the surrounding bone and tissues that hold the teeth in place.

What do I do if I think I have gum disease?

The first thing to do is visit your dental team for a thorough check-up of your teeth and gums. They will measure the ‘cuff’ of gum around each tooth to see if there is any sign that periodontal disease has started. X-rays may also be needed to see the amount of bone that has been lost. This assessment is very important, so the correct treatment can be prescribed for you.

What treatments are needs? | The Emergency Dentist Phoenix

What treatments are needed?

Your dental team will remove all plaque and tartar from your teeth & they may take a 6 point measurement of each tooth to determine which teeth are most affected.. You will also be shown how to remove plaque successfully yourself, cleaning all the surfaces of your teeth thoroughly and effectively. This may take a number of sessions with the dental team. A good oral care routine at home with brushing and interdental cleaning is the most important thing you can do to help prevent gum disease getting worse.

Non-Surgical Treatment Options Include

  • Professional teeth cleaning
  • Scaling and root planing (deep cleaning)
  • Antimicrobial treatment

Mild-to-moderate cases of periodontal disease can be controlled non-surgically. Our professional dental hygienists may be able to remove hard tartar by using professional teeth cleaning equipment.

Moderate cases of infection are often treated by using a deep cleaning technique called scaling and root planing. During this periodontal treatment procedure, we use special equipment to scale away the accumulated plaque and tartar. The rough spots on the tooth surface are smoothed to remove all infectious bacteria.

Follow-up care at home is absolutely essential in order to maintain a healthy oral state. We may also send you home with an antimicrobial mouthwash or other antibacterial medications and prescription toothpaste.

What else may be needed?

Once your teeth are clean, your dental team may need to treat the roots of the teeth to make sure that the last pockets of bacteria are removed. This is called ‘root planing’. You’ll probably need the treatment area to be numbed before anything is done. Afterwards, you may feel some discomfort for up to 48 hours.

Once I have had periodontal disease, can I get it again?

There is no cure for periodontal disease, but it can be controlled as long as you keep up the home care you have been taught. Any further loss of bone will be very slow and it may stop altogether. However, you must make sure you remove plaque every day, and go for regular check-ups by the dental team.

I have heard gum disease is linked with other health conditions – is this true?

In recent years gum disease has been linked with general health conditions such as diabetes, strokes, cardiovascular disease, poor pregnancy outcomes and even dementia. More research is needed to understand how these links work but there is more and more evidence that having a healthy mouth and gums can help improve your general health and reduce the costs of medical treatment.

Oral Cancer Screening

Oral Cancer Screening

Oral cancer includes any abnormal group of cells in the mouth, including the gums, jawbone, lips, tongue, throat, and salivary glands.

Every dental examination at Smile Nuvo includes an oral cancer screening to look for early signs including sores, inflammation, lumps, and lesions. Dr.Elannan will also palpate the neck and jaw for abnormalities. If any areas of concern are found, a biopsy may be performed or you will be referred to a specialist for further care.

Oral Cancer Screening | The Emergency Dentist Phoenix