General Questions and Answers

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Question

Question
Is it necessary to extract an aching tooth?
Answer

It is not a solution to have aching tooth extracted. Tooth should be treated (such as canal root treatment) and conserved in the mouth as long as possible. Every possible treatment solution should be tried for decayed and aching tooth in order to conserve it.

Question
Is tooth loss an expected condition in pregnancy?
Answer

Gingival bleeding during pregnancy is not secondary to calcium recession in tooth. The reason of bleeding is gingival inflammations or worsening of current gingival inflammation secondary to hormonal changes during pregnancy in case of insufficient oral care. Tooth loss in pregnancy can be prevented with good oral hygiene and dental visits.

Second trimester, or Month 4, 5 and 6 of pregnancy, is the best period for dental interventions during pregnancy. If an aching tooth should be extracted or urgent treatments, such as canal root treatment, are required, they should not be postponed until post-partum period.

Question
Is gingival bleeding normal while brushing teeth?
Answer

Gingival bleeding while brushing teeth is one of the symptoms of gingival inflammation. Patient should immediately present to a dentist without wasting time. Current gingival inflammation will get worsen if teeth are not brushed due to the bleeding. Patients should brush the bleeding region better and present to a dentist for treatment.

Question
Is bad breath normal?
Answer

Bad breath can be secondary to decayed tooth, gingival disease, conditions of digestive system or upper respiratory tract infections. Bad breath can be eliminated when etiologic condition is managed.

Question
Can hypertensive patients have implant?
Answer

Hypertensive patients or patients with cardiac disease should necessarily consult to his/her primary physician before an implant treatment. If their physician approves, implant treatment can be started while patients are closely followed up. Treatment period can be facilitated by performing treatments in morning and in short sessions in order to avoid tiredness.

Question
What is the reason of dental caries?
Answer

Dental plaque is formed by bacteria located in mouth cavity and it may produce acid from the residues of sugary and floury foods. Acidic environment deteriorates enamel and ultimately dental caries and cavities develop, since mineral tissue is harmed.

Question
What are the personal precautions to be taken for preventing formation of caries?
Answer

If caries have not occurred yet, fissure sealant applied on chewing surfaces of molar teeth prevents caries and fluoride mouth washes helps reducing frequency of caries. However, they cannot stop caries that had already developed. Correct and effective brushing comes to the first place for preventing dental caries.

Question
How can we recognize that a tooth has decayed?
Answer

One may consider dental caries, if teeth sensitivity is provoked by cold and hot foods, hot, sweet or sour foods or pressure, if foods are entrapped between teeth and if bad breath exists.

Question
Is dental roentgenogram harmful?
Answer

It is not recommended for pregnant women. It is not harmful if necessary measures (lead apron, shielded rooms, dose management etc.) are taken. It is an important aiding method for dentists.

Question
What is teeth grinding (bruxism)?
Answer

Bruxism is involuntary friction of lower and upper teeth to each other. It is commonly dubbed as "tooth grinding” in daily life or colloquially. It is more common for individuals with orthodontic tooth arrangement disorders and with malocclusion and children with allergy and asthma.

Question
What is the treatment of bruxism-tooth grinding?
Answer

First, the etiology should be revealed. If it is secondary to stress or habit and etiological factors cannot be eliminated, wearing of teeth can be prevented with bite plate that is used at night and efforts are made to eliminate this habit. 

Question
What is fissure sealant?
Answer

Fissure sealants are liquid filling materials that are used for sealing small indentations and protrusions located on chewing surfaces of molar teeth. Since 90% of dental caries originate from these indentations or pockets, sealing such surface is one of the most effective methods to prevent caries.

Question
How can broken teeth be treated?
Answer

Dental curing light or porcelain lamina is used for treatment of broken teeth. One to four teeth can be treated in one session with dental curing light. 

Question
For which procedures can laser therapies be applied in dentistry?
Answer

Laser therapy is used for gingival recontouring and obtaining hemostasis in soft tissues, while it is used for hard tissues, pain-free extraction and management of sensitive teeth. Moreover, laser therapy provides successful outcomes in management of dark discolored gingival spots of smokers and dark-skinned patients.

Question
What is the importance of initial examination (oral diagnosis) in dentistry?
Answer

Dental treatments are extremely diverse and many patients require more than one treatment. Treatment will be more comfortable and will last shorter, if treatment is correctly planned. In addition, it may not be always possible to plan all aspects of a dental treatment. Therefore, initial examination (oral diagnosis) determines which approaches should be given priority.

Question
How often should I change my toothbrush?
Answer

Toothbrushes should be renewed at quarterly intervals, if one brushes teeth regularly.

Question
Which is the most correct tooth brushing technique?
Answer

First, toothbrush should be approximated to tooth by 45 degrees and teeth should be brushed with reciprocating motions on width of teeth. Finally, teeth should be swept downward, starting from gingiva. Since interior surfaces of teeth are difficult to access, brush should be vertically inserted to mouth cavity. One should always keep in mind that interior tooth surface, posterior teeth and tongue should be brushed to remove bacterial plaque and food residues. Since only anterior surfaces of anterior teeth are brushed, dental caries mostly occur in posterior teeth, while dental tartars develop mostly at lower anterior regions that are poorly brushed.

Question
Why is it also necessary to brush gums?
Answer

The correct term should be junction of teeth and gums rather than gums. This line is the most vulnerable component for oral health. The groove between teeth and gums is comparatively the most easy-to-pass barrier for bacteria. While teeth are brushed, the ultimate target is to avoid accumulation of microbial dental plaque there.

Question
Is there any tooth cleaning material other than toothbrush?
Answer

Dental floss: It is a useful device that is utilized for inter-dental cleaning. Wrong use may harm gingiva. It should be used, after correct use is instructed by dentist.

Question
What do interproximal (interdental) cleaners do?
Answer

It is used in order to remove residues in the interproximal space and beneath the gum at spaces that cannot be reached by toothbrush. If you don’t have this habit yet, it is not too late to start.

Question
What are the causes of bad breath?
Answer

Bad breathe results from sulfur compounds that are residues of bacteria in the oral cavity. Dead or almost dead bacteria release sulfur compounds.
•    Bacterial plaques and food residues are accumulated at posterior part of the tongue. Tongue surface is highly rugged, which favors survival of bacteria. Large amounts of sulfur compounds accumulate at this region.
•    If tooth surface is not cleaned, it becomes a suitable area for survival of bacteria within a short time.
•    People with severe gingival diseases have pockets that cannot be cleaned or reached easily by the people themselves. Such areas, like deep gingival pockets, also result in bad breath.
•    Fortunately, treatment of bad breath originating from mouth cavity does not take long time and this problem can be eliminated.

 

Question
What does sensitive tooth mean?
Answer

Cold, hot, sugared or sour foods and beverages can cause sudden-onset reaction, pain and ache in teeth. Toothache is severe, sudden and deep (this condition is colloquially called as setting teeth on edge).