What are Teeth/ Dental Implants?

Dental implants are attached with dentures, crowns or bridges to replace any missing teeth. A dental implant is a metal rod that has an internal screw which is used to hold the false tooth in place. The implant is usually made of titanium, as it has proven to be the safest as of yet. One implant can usually support 1-2 missing teeth, to replace your full mouth of teeth; approximately six implants are needed on the lower and upper part of the mouth.

Consult your dentist to find out if you are a candidate for the procedure.

Dental Implant Procedure –What happens during the surgery?

When going during the surgery you will be given an anaesthetic, when the anaesthetic has taken effect the surgeon will begin the procedure.

First, the dentist will make a cut in your gum and drill a hole into your jawbone. This hole is where your implant will be inserted. After healing, (which can be up to several weeks or even months depending on your body) the implant will be inserted, and then false teeth.

Depending on your choice, you can either get teeth attach permanently or attach in a way that allows you to remove them for cleaning. These teeth act as natural teeth that fit in your mouth comfortably and match the colour with rest of your teeth.

Improved appearance –Dental implants are made to look and feel like your own teeth, they are designed to fuse with bone, this way they slowly act as permanent. Improved speech –Dentures might cause slipping of words, murmurs or speech deficiencies, by adapting to teeth implants you can speak without worrying about your teeth slipping out  Improved comfort – Because they become part of you, implants eliminate the discomfort of removable dentures.

Easier eating –Sliding dentures can make chewing difficult. Dental implants function like your own teeth, which allow you to eat comfortably. Further you don't have to worry about removing any dentures after eating, this can reduce the amount of pain and discomfort when eating around other people Improved self-esteem –Dental implants can enhance your smile and help you feel better about yourself.

Improved oral health –Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health.

Individual implants also allow easier access between teeth, improving oral hygiene. Durability –If you maintain your teeth and follow the guidelines of your dentist, your teeth implants can last you a very long time, they can even last you a lifetime if taken care appropriately Convenience –You no longer have to worry about slipping away to a corner and removing your dentures, implants do not have to be removed as they act as natural teeth.

Braces and orthodontic treatment are used to correct “bad bites,” or malocclusion (teeth that are crowded or crooked). In some cases your teeth may be straight, but your upper and lower jaws may not meet properly. These jaw or tooth alignment problems may be inherited or could result from injury, early or late tooth loss, or thumb sucking.

If you have an abnormal bite your dentist may recommend braces or another orthodontic treatment to straighten out your smile. Correcting the problem can create a nice-looking smile, but more importantly, orthodontic treatment results in a healthier mouth. Not correcting an abnormal bite could result in further oral health problems, including:

• tooth decay
• gum disease
• tooth loss
• affected speech and/or chewing
• abnormal wear to tooth enamel
• jaw problems

If you want a smile that’s your crowning glory, you may need a crown to cover a tooth to help restore it to its normal shape and size.

A crown can make your tooth stronger and improve its appearance.

A crown can help strengthen a tooth with a large filling when there isn’t enough tooth remaining to hold the filling. Crowns can also be used to attach bridges, protect a weak tooth from breaking or restore one that’s already broken. A crown is a good way to cover teeth that are discolored or badly shaped. It’s also used to cover a dental implant.

If your dentist recommends a crown, it is probably to correct one of these conditions. Your dentist’s primary concern, like yours, is helping you keep your teeth healthy and your smile bright.

How to  avoid tooth ache  ?

Since most tooth  pain results from decay or  gum disease, you follow the instructions for oral and dental hygiene which will have a great  role in reducing the risk of tooth ache . These habits include:

• brushing teeth regularly , using  toothpaste containing fluoride.
• cleaning teeth using floss once a day at least.
• visit  the dentist at least twice a year to make the proper teeth care  and cleaning .

In addition to these healthy habits, you must  reduce sugary foods  ask your dentist  about the best types of treatment with fluoride.

You can also refer to the section on how to avoid tooth decay , assisted with  animated slide show that explains the proper way to brush your teeth and floss.

Teeth whitening as the name implies is the treatment leads to whiter teeth and bright natural smile. The aim of teeth whitening treatment is have a natural white teeth  a little brighter in color than the sclera of the eyes. Teeth whitening do not fit everyone. And it is not recommended to use in the following cases:

1. Age less than 16 years:  it is not recommended for ages under 16 years  because the nerve is usually large and close in the  young and therefore bleach solutions can affect the health of the nerve or lead to its  sensitivity.

2. During pregnancy or breastfeeding: teeth whitening is not recommended during pregnancy or lactation.

3. Sensitive Tooth: bleach usually increases the sensitivity of the teeth, and its use may aggravate  the problem.

4. Infections or gum disease.

5. The presence of fillings, crowns or bridges: whitening cannot bleach fillings, crowns or bridges. So the whitening  will bleach natural teeth and creates a type of heterogeneity. And in case you are interested in whitening . bleach must be done first, and then wait at least two weeks to take the teeth color, and then the doctor put the filling or crown.

6. High discoloration of  teeth: whitening works well on  bleaching yellow teeth, the teeth that tends to be  brown in color be bleached harder while the  dark gray or violet color teeth cannot be bleached well  or could not be whitened at all.  In such cases fillings or crowns are used as an option . Your dentist is the only one who can give you the best choices.

7. Unrealistic Expectations:  teeth whitening teeth lead to beautiful looking in the vast majority of patients. But there is a percentage of people do not respond to this process such as  smokers who should know that the results will be not encouraging  unless they stop smoking, especially during the bleaching process. Teeth Whitening Systems? With all types of bleach results will vary from one person to another, and degree of success of bleach rely on the condition of  dental health, the type and degree of yellowing teeth, the type and concentration of the solution used in bleach, time used, and follow the patient instructions, and whitening system used .

Tooth sensitivity is a state of discomfort or pain that afflicts one tooth or set of teeth when eating food or drinks hot or cold, sugary or sour or even when breathing cold air through the mouth. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth.

What Causes Sensitive Teeth?

Sensitive teeth occur when the underlying layer of your teeth -- the dentin -- becomes exposed as a result of receding gum tissue (the protective blanket that covers the tooth roots). The roots, which are not covered by hard enamel, contain thousands of tiny tubules leading to the tooth's nerve center (the pulp). These dentinal tubules (or channels) allow the stimuli -- for example, the hot, cold, or sweet food -- to reach the nerve in your tooth, which results in the pain you feel.

There are many factors that may lead to sensitive teeth, including:

• Brushing too hard. Over time, brushing too hard or using a hard-bristled toothbrush can wear down enamel and cause the dentin to be exposed. It can also cause recession of the gums (the gum tissue pulls away from the teeth).
• Use of whitening products

To Reduce Tooth Sensitivity?

Some steps you can take to prevent tooth sensitivity include:

• Maintain good oral hygiene. Continue to follow proper brushing and flossing techniques to thoroughly clean all parts of your teeth and mouth.
• Use a soft bristled toothbrush. This will result in less toothbrush abrasion to the tooth surface and less irritation to your gums. Brush gently and carefully around the gum line so you do not remove more gum tissue.
• Use desensitizing toothpaste. There are several brands of toothpaste available for sensitive teeth. With regular use you should notice a decrease in sensitivity. You may need to try several different brands to find the product that works best for you. Another tip. spread a thin layer of the toothpaste on the exposed tooth roots with your finger or a Q-tip before you go to bed. Do not use a tartar control toothpaste; rather, use a fluoridated toothpaste.

Symptoms of gums inflammation include:

- Redness of the gums
- Swelling of the gums
- Bleeding when brushing teeth

In the case of suffering  any of these symptoms, you have to immediately  visit the dentist to avoid aggravating the problem and treated in its early stages before Gingivitis  becomes a  gum disease. After gingivitis begins  bacteria starts to damage the bone connecting  the teeth and this so-called "gum disease." one of the most important symptoms of gum disease is receding gums (periodontal bone erosion), causing long teeth.
  
Guidance of oral hygiene and visit the dentist to remove plaque. In the case of negligence of treating gingivitis in its  initial stages, the problem will grow worse causing destructive periodontal bone and causing what is called periodontal disease.
foods residues accumulate in small spaces between the teeth and gums, leading to inflammation. The immune system in your body fight bacteria that cause gum infections. But soon the cavity depth increases , which you neglect to  clean . gradually the immune system will fail to  control over the deep cavities  and thereby increasing their  depth to reach  the bottom of the roots of the teeth, leading to movement and then to the need to remove them .

What are the causes of acute toothache ?

1. Pain when eating food or drinks cold or hot or sugary :

- This pain  results  of a cavity  in the tooth  because of cares . Food or drinks enter into the tooth and the stimulates the  nerve supply , causing pain. In the early days pain lasts a few seconds to a minute.
- treatment of this case is to put a dental filling to close the cavity.

2. Severe pain without any cause or acute  pain during sleep:

- This pain is due to the attack of cares to the nerve.
- you may get rid of this pain by  following one of two the following options : treatment of the nerve or extraction of the tooth . Treatment depends on the extent of dental cares . If it  is widespread and has damaged  a large portion of the tooth structure , then the  solution is to extract  the tooth. If  the tooth is  restorable  then the best way is root canal  treatment  .

3. Acute  pain when chewing (  on occlusion of  teeth ) :
- pain may be caused of :
1. A fracture of a tooth or tooth root.
2. Acute inflammation at the root of the tooth.
-  pain may be relieved by : either root canal treatment  or extraction of tooth.

4. Severe pain when brushing teeth:
- With the deteriorating of the health condition of the gums due to negligence or because of age, the gum recedes  revealing the  sensitive teeth roots. Touching brush to these roots or touching the inflamed gums will cause tooth ache .
- If the pain is a result of gum disease  , then treatment begins  by cleaning it at the dentist and follow his instructions.  But If the pain is due to a contact of the rush  to the sensitive tooth roots , then  the use of special toothpaste for sensitive teeth for a week at least is enough to solve the problem. See your dentist to find out the best toothpaste for your condition.

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head. This pain is resulted of  Grinding or clenching the teeth, which puts a lot of pressure on the TMJ: *Dislocation of the soft cushion or disc between the ball and socket * Presence of osteoarthritis or rheumatoid arthritis in the TMJ * Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth People with TMD can experience severe pain and discomfort that can be temporary or last for many years. More women than men experience TMD, and TMD is seen most commonly in people between the ages of 20 and 40 Common symptoms of TMD include: *Pain or tenderness in the face, jaw joint area, neck and shoulders, and in or around the ear when you chew, speak, or open your mouth wide *Limited ability to open the mouth very wide *Jaws that get "stuck" or "lock" in the open- or closed-mouth position *Clicking, popping, or grating sounds in the jaw joint when opening or closing the mouth (which may or may not be accompanied by pain) or chewing *A tired feeling in the face *Difficulty chewing or a sudden uncomfortable bite – as if the upper and lower teeth are not fitting together properly *Swelling on the side of the face May occur on one or both sides of the face *Other common symptoms of TMD include toothaches, headaches, neck aches, dizziness, earaches, hearing problems, upper shoulder pain, and ringing in the ears (tinnitus) How Is TMD Diagnosed? Because many other conditions can cause similar symptoms to TMD – including a toothache, sinus problems, arthritis, or gum disease – your dentist will conduct a careful patient history and physical examination to determine the cause of your symptoms. *Your dentist will examine your temporomandibular joints for pain or tenderness; * listen for clicking, popping, *or grating sounds during jaw movement; *look for limited motion or locking of the jaw while opening or closing the mouth; *and examine bite and facial muscle function. *Sometimes panoramic X-rays will be taken. These full face X-rays allow your dentist to view the entire jaws, temporomandibular joint, and teeth to make sure other problems aren't causing the TMD symptoms. Sometimes, other imaging tests, such as magnetic resonance imaging (MRI) or a computer tomography (CT), are needed. -The MRI views the soft tissue such as the TMJ disc to see if it is in the proper position as the jaw moves. -A CT scan helps view the bony detail of the joint Your dentist may decide to send you to an oral surgeon (also called an oral and maxillofacial surgeon) for further care and treatment. This oral health care professional specializes in surgical procedures in and about the entire face, mouth, and jaw area. What Treatments Are Available for TMD? Treatments for TMD range from simple self-care practices and conservative treatments to injections and surgery. Most experts agree that treatment should begin with conservative, nonsurgical therapies first, with surgery left as the last resort. Many of the treatments listed below often work best when used in combination Basic Treatments for TMD Some basic, conservative treatments for TMD include: *Apply moist heat or cold packs. Apply an ice pack to the side of your face and temple area for about 10 minutes. Do a few simple stretching exercises for your jaw (as instructed by your dentist or physical therapist). After exercising, apply a warm towel or washcloth to the side of your face for about 5 minutes. Perform this routine a few times each day. Eat soft foods. Eat soft foods such as yogurt, mashed potatoes, cottage cheese, soup, scrambled eggs, fish, cooked fruits and vegetables, beans, and grains. In addition, cut foods into small pieces to decrease the amount of chewing required. Avoid hard and crunchy foods (like hard rolls, pretzels, raw carrots), chewy foods (like caramels and taffy) and thick and large foods that require your mouth to open wide to fit Take medications. To relieve muscle pain and swelling, try nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen or ibuprofen (Advil, Motrin, Aleve). Your dentist can prescribe higher doses of these or other drugs for pain relief. Muscle relaxants, especially for people who grind or clench their teeth, can help relax tight jaw muscles. Anti-anxiety medications can help relieve stress that is sometimes thought to aggravate TMD. Antidepressants, when used in low doses, can also help reduce or control pain. Muscle relaxants, anti-anxiety drugs, and antidepressants are available by prescription only. Low-level laser therapy. This is used to reduce the pain and inflammation, as well as increase range of motion to the neck and in opening the mouth. Wear a splint or night guard. Splints and night guards are plastic mouthpieces that fit over the upper and lower teeth. They prevent the upper and lower teeth from coming together, lessening the effects of clenching or grinding the teeth. They also correct the bite by positioning the teeth in their most correct and least traumatic position. The main difference between splints and night guards is that night guards are only worn at night and splints are worn all the time. Your dentist will discuss with you what type of mouth guard appliance you may need. Undergo corrective dental treatments. Corrective treatments including replacing missing teeth and using crowns, bridges, or braces to balance the biting surfaces of your teeth or to correct a bite problem. Avoid extreme jaw movements. Keep yawning and chewing (especially gum or ice) to a minimum and avoid extreme jaw movements such as yelling or singing. Don't rest your chin on your hand or hold the telephone between your shoulder and ear. Practice good posture to reduce neck and facial pain. Keep your teeth slightly apart as often as you can to relieve pressure on the jaw. To control clenching or grinding during the day, place your tongue between your teeth. Learning relaxation techniques to help control muscle tension in the jaw. Ask your dentist about the need for physical therapy or massage. Consider stress reduction therapy, including biofeedback.

Cleft lip ( cheiloschisis): a split  in the upper lip appears as openings  or gaps on the external surface of the lip . This split  often extends up to the upper gum or beyond the  nose involving the bones of the upper jaw Cleft palate (palatoschisis ): It is a fissure  in the roof of the mouth. This split may affect the hard palate (which is the anterior part of the roof of the mouth), or the soft palate (the posterior part of the roof of the mouth The reasons for the emergence of cleft lip: Genetic factors: Most scientists believe that the causes of cleft lip and/or cleft palate refers to  a group of genetic and environmental factors. Therefore, the risk of occurrence of these malformations happens in a newborn if a sibling, parent, or relative has had the problem. Medications: Another potential cause of the lip and palate malformations may be related to a medication a mother may have taken during her pregnancy and have side effects on the fetus . Among them: anti-seizure/anticonvulsant drugs, cardiovascular drugs , acne drugs containing Accutane, and methotrexate, a drug commonly used for treating cancer, arthritis, and psoriasis viral diseases: Cleft lip and cleft palate may also occur as a result of exposure of the mother during embryonic development to viruses or harmful chemicals .Orthodontics or other types of treatments offered by dentists. Orthodontics or other types of treatments offered by dental ? cosmetic surgeon: doing the necessary surgery to reshape the lip or lip and palate Beauty mutilated. specialist ear, nose and throat: to detect any problems facing the hearing and reach a treat Specialist Oral and Maxillofacial: for the restructuring of the upper jaw or building when needed , and to improve the function and appearance, and repair deformities gums Orthodontist: The process of settlement and Orthodontics that needs so. dentist: The provision of necessary medical care. pronunciation Specialist: To the test over a child 's ability to speak and eat. And for the follow - up to enhance a child 's exits characters. Audio Specialist: The treatment of communication disorders in child injured as a result of hearing impairment. And the follow - up to the evolution of hearing when the infected child. a social worker: The provision of the necessary support for the child 's family and provide any solutions to or assistance benefit them all. Do the children suffering from cleft lip and/or cleft palate need the care of a dentist ? "Generally, the preventive and restorative dental care needs of children with clefts are the same as for other children. However, children with cleft lip and cleft palate may have special problems require close monitoring and high dental care as: - Missing teeth. - Malformed, or incomplete. - Malposition of teeth. " "Early dental care ( in the initial stages of disease )  Like other children, children born with cleft lip and cleft palate require: proper cleaning, - Good nutrition" "Fluoride treatment in order to have healthy teeth. Appropriate cleaning with a small, soft-bristled toothbrush should begin as soon as teeth erupt. If a soft children's toothbrush will not adequately clean the teeth because of the modified shape of the mouth and teeth, a toothette may be recommended by your dentist. A toothette is a soft, mouthwash-containing sponge on a handle that's used to swab teeth. Many dentists recommend that the first dental visit be scheduled at about 1 year of age or even earlier if there are special dental problems. Routine dental care can begin around 3 years of age. " Orthodontic care. A first orthodontic appointment may be scheduled before the child has any teeth. The purpose of this appointment is to assess facial growth, especially jaw development. After teeth erupt, an orthodontist can further assess a child's short and long-term dental needs. After the permanent teeth erupt, orthodontic treatment can be applied to align the teeth. Prosthodontic care. A prosthodontist is a member of the cleft palate team. He may make a dental bridge to replace missing teeth or make special appliances called "speech bulbs" or "palatal lifts" to help close the nose from the mouth so that speech sounds more normal. The prosthodontist coordinates treatment with the oral or plastic surgeon and with the speech pathologist to provide the required care

Dry mouth is an  uncomfortable condition or a cause of the continuing upset and malaise, it is also unhealthy conditions that are exposed lots of people may suffer . Fortunately, there are many effective ways to treat this problem: Saliva plays an important role in maintaining the health of the teeth and mouth, and one of the most important functions:

• Cleansing  and moisturizing mouth. 
• Neutralizing acids resulting from the use of moisture devices to add some moisture to the  room air.

There are many reasons that lead to malocclusion, , twisting, or overlapping teeth. Some people have large teeth relative to the size of their mouths, causing crowding teeth due to the lack of sufficient space to accommodate the teeth.

In other cases we find in some people that the size of the upper jaw is different from the size of the lower jaw , creating the emergence of a deformed jaws.

What causes the teeth crowding ?

Most cases of crowded teeth and the emergence of one or both jaws together are hereditary cases, as is the case when you inherit the color of your eyes from one of your family members or when you inherit the size of your hand. the loss of some teeth at an early stage of the child's age or an adult may be among the reasons leading to the exposure to the teeth to crowding and inconsistent bite.

• Error in conducting a dental restoration (for example: filling or crown)

• The jaw is not wide enough to accommodate all the erupting teeth .

• Gingivitis.

• Overpressure on the teeth and gums.

• Severe facial injuries may be a factor in unconscious bite case .

• Tumors of the mouth and jaw.

• The practice of some habits that are harmful to the health of the mouth and teeth and suffered by children PHC thumb, push the tongue, continuation of the child to use the pacifier or a bottle of milk even after the age of three What are the health problems that result from teeth crowding and inconsistent bite? The resulting damages

• Impede the process of proper chewing.

• The difficulty of maintaining a clean teeth which increases the risk of tooth decay, infections or gum disease.

• Stress teeth and jaw and mouth muscles which increases the risk of fracture or broken teeth.

• Dissatisfaction smile and negative effects of this feeling on a person's self-confidence.

How do I know of my crowded teeth and inconsistency jaws?

Your dentist can detect the case of crowded teeth and malocclusion by conducting some medical examination to mouth, jaw, and external appearance of your face. Another indicator that your doctor look for:

• inconsistency teeth.

• abnormal facial appearance (especially at mouth area).

• Difficulty in chewing or biting.

• Difficulty speaking and Lisp.

The dentist usually refer you to an orthodontist (a competent diagnosis and treatment of teeth and inconsistent jaws.

What tests will be conducted by the Orthodontist?

X-ray: help to provide information on the location of the teeth and their roots under the gum, as well as the emergence of any teeth above the gum. it also shows the overall relationship between the teeth and jaws and between the jaws and head. Face photos: needs Orthodontist for these photographs for further tests related to the relationship of the teeth and jaw and head.

Tooth impression: when your dentist ask you to bite down on the material used to make the impression .

What are the methods of treating teeth crowding and inconsistent jaws?

After the diagnosis, the orthodontist will be able to determine the best method of treatment for you. your orthodontist may recommend various treatments, which can include:

braces to correct the position of the teeth removal of teeth to correct overcrowding reshaping, bonding, or capping teeth

There are many reasons that lead to malocclusion, , twisting, or overlapping teeth. Some people have large teeth relative to the size of their mouths, causing crowding teeth due to the lack of sufficient space to accommodate the teeth.

in other cases we find in some people that the size of the upper jaw  is different from the size of the lower jaw , creating the emergence of a deformed jaws

What causes the teeth crowding?

 •Most cases of crowded  teeth  and the emergence of one or both jaws together are hereditary cases, as is the case when you inherit the color of your eyes from one of your family members or when you  inherit the size of your hand.

 •The loss of some teeth at an early stage of the child's age or an adult may be among the reasons leading to the exposure to the teeth to crowding and inconsistent  bite.

 •Error in conducting a dental restoration (for example: filling or crown(

• The jaw is not  wide enough to accommodate all the erupting teeth .

 •Gingivitis.

 •Overpressure on the teeth and gums.

 •Severe facial injuries may be a factor in unconscious bite case .

 •Tumors of the mouth and jaw.

 •The practice of some habits that are harmful to the health of the mouth and teeth and suffered by children PHC thumb, push the tongue, continuation of the child to use the pacifier or a bottle of milk even after the age of three.

What are the health problems that result from teeth crowding  and inconsistent  bite?

The resulting damages:

I  • mpede the process of proper chewing.

  • The difficulty of maintaining a clean teeth which increases the risk of tooth decay, infections or gum disease.

  • Stress teeth and jaw and mouth muscles which increases the risk of fracture or broken teeth.

  • Dissatisfaction smile and negative effects of this feeling on a person's self-confidence

How do I know of my crowded teeth and inconsistency jaws?

Your dentist can detect  the case of crowded teeth and malocclusion by conducting some medical examination  to mouth, jaw, and external appearance of your face. Another indicator that your doctor look for:

 • Inconsistency teeth.

 • Abnormal facial appearance (especially at  mouth area(.

 • Difficulty in chewing or biting.

 • Difficulty speaking and Lisp.

The dentist usually refer you to an  orthodontist (a competent diagnosis and treatment of teeth and inconsistent  jaws.

What tests will be conducted by the Orthodontist?

X-ray: help to provide information on the location of the teeth and their roots under the gum, as well as the emergence of any teeth above the gum. X-ray shows the overall relationship between the teeth and jaws and between the jaws and head.

Face photos: needs Orthodontist for these photographs for further tests related to the relationship of the teeth and jaw and head.

Tooth impression  : when your dentist ask you to bite down on the material used to make the impression.

What are the methods  of treating teeth crowding  and inconsistent  jaws?

After the  diagnosis, the orthodontist will be able to determine the best method of treatment for you.

your orthodontist may recommend various treatments, which can include:

• braces to correct the position of the teeth
• removal of teeth to correct overcrowding  reshaping, bonding, or capping teeth

The major reason that causes early tooth decay is the misuse of feeding in early life.

Many parents leave the milk-filled baby bottle in the baby's mouth specially bedtime.

In Bedtime less saliva from the salivary glands, this contains enzymes that resist decay bacteria, giving ample opportunity for bacteria to launch their assault on the teeth.