Some oral hygienic advice

Brushing teeth the right way

In the morning after breakfast.

Before going to bed, after last meal.

1. Before toothbrushing, you should definitely wash your tooth brush.

2. Apply small amount of toothpaste.

3. A tooth brush’s head should form 45 angle degree to the gum’s line. Do short circular motions from the gum towards incisal edge. Brush each tooth carefully.

4. Brush each tooth’s internal surface with circular motions. Brush should be put athwart to incisal edges.

5. Brush teeth’s external surfaces with circular motions.

6. Brush upper and lower tricuspids’ chewing surfaces using back and forth motions.

7. Finish brushing with a gums’ massage – do circular motions, reaching teeth and gums, keep your mouth closed.

8. Brush tongue. Use tongue scraper. Start tongue brushing from back part and move towards front surface little by little.

9. Wash brush and put it in a glass with bristle up.

Do not also forget about changing your tooth brush regularly.

While exploitation, tooth brush wears: bristles lose shape, become soiled with microorganisms, shorten and, as a result, start gums traumatizing.

A tooth brush’s age depends on many factors: how often one brushes his teeth, how long, intensity of push, tooth paste’s abrasive power. You need to brush teeth with a tooth brush twice a day, during 3 minutes, push power is 50-70 g.

Change tooth brush three times a month.

The first signal for you to change your tooth brush is loss of its original appearance.

Nowadays they produce tooth brushes with wear indicator – bunches of bristle, painted in food colors. In this case discoloration of painted bristles indicates wear and necessity of replacement.If you suffered from flu, ARD or quinsy, it is advisably to change your tooth brush.

Don’t forget the regular check-ups and dental hygienic treatments twice a year!

We would like you to feel more secure during the treatment that is aided by the thorough knowledge of schedule, duration, side effects and complications of treatment.

 

cleaning teeth tips

 

Guide to home bleaching

During the consultation, your therapist informs you on the given intervention in details. This informative supply aims at refreshing what has been heard and summarising the answers of the most frequent questions. Please read carefully this handout prior to the initiation of your treatment and in case of any questions or doubt do not hesitate to consult with your therapist.

The purpose of this handout is to provide information for patients and their approval of treatment with full knowledge and informed consent in compliance with Lisbon Declaration of WHO of 1981 and with Act CLIV of 1997 effective in Hungary.

You will receive a splint for bleaching that is made by a dental technician based on the impression taken by dentist or dental hygienist. At the handing over of the splint, the adaptability to lower or higher dental arch is checked and corrected when necessary. Bleaching is carried out by bleaching gel in syringe that may 10%, 15% or 20% depending on the case Generally, 2 syringes are sufficient for one arch for the bleaching period of 6-8 days.Bleaching may be carried out during the day or nights. Bleaching gel placed in splint is efficient for approximately 5-6 hours.

Schedule of bleaching at home:

I. Adapting the splint:

Thoroughly wash your teeth before bleaching. Food remains and fur on teeth decrease or impede the efficacy of bleaching (You may consult with dental hygienist for tooth brush techniques)

Push out the gel on the inner side of splint that attaches to the external side of teeth. Do not place gel on edge, occlusal surface and splint part attaching inner tooth surface. For each tooth, push out a size of tear drop of gel. Place the gel for all teeth to be bleached. At one occasion, you normally use one third of the tube for one arch.

Place the splint containing gel on teeth then carefully push it up at the occlusal surface in case of edge and back-teeth. The splint is placed properly when it covers the entire external surface of teeth

Disperse the gel with glossing the external part of splint carefully to teeth. Since the splint is transparent, you can see the bubble-free gel cover on tooth surface.

In case placing exceeding amount of gel in splint, the gel might pour to gum. Clear it off tooth brush, cotton pad or earpick and the rinse your mouth.

In case you carry out bleaching on both arches simultaneously repeat the steps 1-5 on the other arch, too.

II. Removing splint:

1. Remove splint from arch after termination of bleaching (in the morning in case of evening bleaching, and 5-6 hours subsequent to initiation of bleaching in case of day-time bleaching).

2. Rinse your mouth and then brush your teeth. You shall use tooth paste containing fluoride for tooth brush.

3. Clear the inner and external surface of splint with running water using your toothbrush. No gel shall remain in the splint.

4. Check if there is any deformation on gum near the teeth. (Deformation may be caused by bleaching material poured to gum or by exceeding splint covering gum, too. Put back the splint and check it in the location in question. In case the splint does not cover gum the problem is probably due to overflowing material. In such cases place less gel and clear all gel flown on teeth completely. If you consider the side of splint covers gum consult your dentist or dental hygienist.)

During bleaching you may encounter with:

Formication:Patients account on soft prickling on the surface of teeth when using bleaching gel. This is due to the mode of action of gel, the so-called fizzling.

Teeth may be sensitive to hot and cold alimentation, or to cold air during the duration of bleaching of 6-8 days. Sensitivity ceases within few days of termination of bleaching. It is suggested to use fluoride tooth paste or Elmex gel once a day to decrease sensitivity during the bleaching. In case the complaints do not cease bleaching may be suspended and, subsequent to ceasing of sensitivity, may be carried further. Shall you have any concerns consult your dentist or dental hygienist. To decrease sensitivity, you may request fluoride ontophoresis performed by dental hygienist subsequent to termination of bleaching.

Strong sensitivity: Sensitivity may be strong in certain cases, for instance with more sensitive patients or in states of decreased threshold of pain (exhaustion, illness etc.). In such cases, please suspend bleaching and consult your dentist or dental hygienist.

Toothache:In rare cases ache that is stronger than sensitivity may occur. Please, stop the bleaching and consult your dentist or dental hygienist.

Redden gum section:see Step 4 of Part II.

Increased salivation:Flavours (menthol, banana flavour) contained by bleaching gel may increase salivation. The splint placed on dental arches as new and alien substance for the body may produce salivation in the first few days, however, it ceases subsequent to customisation.

To be observed during bleaching:

Please, stop smoking during bleaching.

Information on eating:

  1. Please avoid consuming foods containing colouring substance (e.g. chocolate, beetroot, carrot, blackberries etc.)
  2. It is not suggested to consume beverages containing colouring substance (e.g. coffee, tea, cola, red wines etc.)

Information on tooth care:

  1. One shall carry out thorough tooth brush twice a day during bleaching. (food remains and fur may decrease the efficacy of bleaching.
  2. Sensitivity may occur during bleaching, however, it ceases a few days subsequent to the termination of bleaching.
  3. It is suggested to perform the adequate tooth brush after each meal, in particular when one consumes contraindicant food or beverages.
  4. Do not use mouth rinse causing tarnish during bleaching.

Expected results:

  1. Whitening of teeth is manifest from day 3.
  2. It is worthwhile to perform bleaching of lower and upper rows in distinct time. Thus the result is more apparent on each row.
  3. It may occur that no significant whitening is visible after a certain amount of time. It is psychic illusion. The eye accustoms the sight and detects no distinction among the shades of white teeth. The result may be verified with the aid of tooth colour scale at the office.
  4. During a bleaching of 6-8 days, the tooth becomes 5-8 tooth shade whiter.
  5. Shall bleaching not bringing the desired results the bleaching may be carried on. Request tooth whitening gel and, upon the advice of your dentist or dental hygienist, possibly use a stronger concentration of tooth whitening substance.

Guide on Home Care after Parodonthological Surgeries

Parodonthological surgeries are suggested for patients having bone socket deeper that 3-4 mms or having osteolysis. In case the reason of disease cannot be eliminated in conservative way, the so-called open and closed curette surgeries shall be performed. Surgeries may be combined further with osteo-substitution or placement of membrane barrier.

Preparations for surgery

  1. Intervention may be performed in sterile and plaque-free environment that is reached by one or more professional dental hygienic treatment.
  2. Oedematous inflammation of pocket wall shall be eliminated by conservative sub gingival curette (surgery exploration of inflamed region may cause complications).
  3. Antibiotics may be used during surgery and healing term depending on the general state of health and risk diseases of patient.

Steps of surgery

1. Intervention is performed in dental office under total anaesthesia and sterile conditions that normally lasts for 1-1,5 hours.

2. Final treatment of surgery region is carried out by using seals, however, in certain occasions, parodonthal pack may placed on mucosa of soft tissue (this may be removed by patient easily 6-12 hours subsequent to treatment).

3. Antibiotics or painkiller may be prescribed.

4. No pain is felt during surgery, since it is carried out under anaesthesia, however, ultra sound and hand curette may be perceived as raspy irritation due to cleaning of surfaces of bones.

5. The treated teeth may be provided with relieving fixing or temporary bridge with adequate relieve in case of dental prosthesis.

Home care

  1. Surgery region shall be held plaque-free. In the first 4-5 days, you should use chloral-hexidine and corsodilic rinse and perform tooth brush in regions not involved.
  2. The frequent freezing of surgery region with ice wrapped in towel performed from face skin direction provides relieving effect.
  3. Patient shall appear on follow-up checks in every other day and participate in laser and Betadines treatment to facilitate healing and prevent wound sepsis.
  4. The removal of seals is required on 7th-10th day. The exact time is determined by type of surgery and inserted materials.
  5. Subsequent to this, one shall carefully clean the region with tooth brush or interdental brush after each meal but at least three times a day.

You shall avoid of smoking during the term of parodontal surgery and treatments!

Information on eating

  1. You shall avoid the consumption of acidy meals and meals of irritating effect.
  2. You shall avoid the consumption of dairy products in the first few days.

Information on dental care

Same as the guide on home care

Expected results

  1. During parododontal treatment, which may consist of conservative or surgery and maintain phases, the movability of teeth is decreased and occlusianal force increases.
  2. Sensitivity and pain during chewing decreases or ceases.
  3. Life-span of teeth increases.

Information after tooth extraction

1. After tooth extraction you have to keep the gauze in your mouth. After 15 minutes please throw it away.

2. After tooth extraction you must not rinse because the clump helps the healing procedure. Without the clump the healing time can be painfull and longer.

3. Please keep clean the area of the wound. One day after tooth extraction use a soft toothbrush around the wound.

4. After tooth extraction you can take painkillers.

5. Very rarely the place of the extraction can be painfull and inflammed a few days later, in this case please inform your doctor and he/she will make the aftercare necessary.

6. If you got stitches a week later you have to have them removed.

7. If you accidently lose a stitch do not worry it doesn’t affect the healing process.

Guidance for using fixed braces

Fixed braces are glued on the inner or outer surface of the teeth with a special material that doesn’t damage the enamel (it even contains anti-cavity substance) and enables removal of the braces after the treatment has finished without damaging the teeth. The glue sets with he aid of a polymerization lamp within a few seconds. Patients are allowed to eat immediately after the cementation.

Eating:

The design of the appliance is such that the person who is wearing the braces won’t experience considerable difficulty in talking and eating if a few restrictions are being observed. Almost everything can be consumed in small bites, pulping is not necessary. It is recommended to avoid eating gluey food (e.g.persimmon) and hard food such as chewing gum, popcorn and nuts. Patints also need to pay attention to all kinds of hard and chewy pieces in your food such as bone, cartilage and fruit seeds. If any of the brackets pops off, the planned treating time may become longer as there will be no pressure that would control the tooth.

Tooth cleaning:

The fixed braces require a new technique of tooth cleaning which may take longer than simple tooth cleaning. The braces themselves don’t damage the teeth but the lack of regular and methodical tooth cleaning, food can easily get stuck in the teeth and around the appliance, which will start to form plaque and this will eventually lead to discolouration and later even cavities. You can use a small, medium hard toothbrush that helps you reach all surfaces. The result of the tooth brushing must be checked in the mirror each time. The areas where the gum meets the tooth are especially critical; massaging this area can provide a better blood supply. Bleeding indicates that the gum is inflammed. This can be treated and stopped if you use appropriate technique for tooth brushing that removes the bacteria. A special single bristle group toothbrush can aid perfect tooth cleaning. You can complement the cleaning procedure by using an irrigator and/or an antiseptic mouthwash. Don’t use toothpicks as they can easily damage your appliace. Small pieces of the appliance such as spirals may irritate the mucosa. In case of any discomfort or problems please see your orthodontist because the appliance can be only handled with medical instruments. Nail chewing and the picking of the appliance (for example with pencil) is forbidden because it can also damage your appliance and can make the treatment more difficult.

Controls:

The components of the appliance lose some of their their activity level in a few weeks, which slows down and can even stop the movement of the teeth. Therefore it is very important to attend each control appointment as this is a basic requirement of a successful orthodontic treatment. Please bring with you all the components of you appliance and your toothbrush for these control appointments.

Dental Hygienic Intervention

We would like you to feel more secure during the treatment that is aided by the thorough knowledge of schedule, duration, side effects and complications of treatment.

During the consultation, your therapist informs you on the given intervention in details. This informative supply aims at refreshing what has been heard and summarising the answers of the most frequent questions. Please read carefully this handout prior to the initiation of your treatment and in case of any questions or doubt do not hesitate to consult with your therapist.

The purpose of this handout is to provide information for patients and their approval of treatment with full knowledge and informed consent in compliance with Lisbon Declaration of WHO of 1981 and with Act CLIV of 1997 effective in Hungary.

The treatment is carried out by qualified dental hygienist. The applied hand and machine tools do not cause harm to the dental tissue. Their utilisation is safe at applying adequate expertise.

Indication:

To clear off the tarnish located on surface of teeth and dental tartar above and beneath gum.

Frequency of intervention:

  1. Dental treatment may not be launched without previous dental hygienic intervention.
  2. Scaling and polishing of dental surface shall be performed once every half a year with good oral hygiene, and every three months in case of significant dental tartar formulation.
  3. In the first therapeutic section of disease of peridontium, the treatment is indicated on a monthly basis parallel with parodontological treatment.
  4. During the orthodontological treatments, dental hygienic interventions shall be performed approximately in every three months.

Course of treatment:

A so-called sandblasting appliance is used for clearing off tarnish. During the operation, the appliance delivers fine-grained polishing particles mixed with water to the dental surface, which clear off the undesired tarnish due to friction. Polishing may be carried out by utilising polish paste or small-headed polishing brush. The appositional and petrified fur is cleared off by ultrasound mechanic appliance in case of dental tartar. The mechanic clearing off of tartar underneath gum is complemented by hand operated appliances. Subsequent to complete clearing off of tartar, treatment is finished by polishing of dental surface with menthol or neutral flavoured polishing paste.

Duration of treatment:

Treatment (polishing or scaling) requires approximately one hour. It is rather frequent to have complementary treatment in case of significant amount of dental tartar or tartar beneath gum. The inflamed and swollen gum often impedes clearing off of tartar.

Upon healing of gum, hardly reachable locations become accessible, therefore the treatment may be finished.

Complaints during treatment:

Complaints, sensitivity and pain significantly depend on the individual threshold of pain, tolerance, tuning to treatment and actual psychic state of patient. Scaling is a little uncommon, sometimes uneasy treatment that causes no pain.

Due to the vibrancy of the appliance, one may encounter, depending on the location of appliance, prickly and vibrant feeling in jaw or in facial cranium that is a natural accompanist of treatment and ceases at turning off the appliance.

  1. The appliance may touch gum during operation that sometimes may cause uneasy feeling or slight pain.
  2. Slight sensitivity of lower frontal teeth may occur that is of temporary nature.
  3. In case of gum recess, teeth are more sensitive to touching, cold air or water due to exposed tooth neck. Dental tartar removal in the region may cause slight or strong striking pain.
  4. In case freshly made filling, inlay or bridge, inflamed, however, symptom-free teeth are more sensitive, therefore temporary pain may occur during dental hygienic intervention that ceases immediately after treatment or a few hours later. In case of significant pain, local anaesthesia in spray form may be claimed to relieve gingival pains and tooth sensitivity.
  5. During treatment, bleeding from gum may occur that is produced upon touching of inflamed tissues. The more the gum was inflamed or the more dental tartar was removed the more it is likely that gum slightly or significantly bleeds.
  6. Vaporised water from appliance may be sprayed on face that causes inconvenient cold feeling. It is removed during the course of treatment.

Complications:

  1. Inorganic material from dental enamel under fur or dental tartar may dissolve that cause weakening of dental enamel. Vulnerable dental surface may rupture in particular cases due to vibrating effect of appliance that requires reconstruction of damaged surface.
  2. Weakened fillings with cavities and old shaking crowns may fall off due to vibrating moving of scaler. Temporary filling is placed until final treatment of tooth, and the fallen off crown may be replaced to tooth temporarily.

Incorporation:

  1. Teeth may be felt thinner for the tongue subsequent to scaling. Teeth received their natural anatomical shape and tongue shall get used to it within 2-3 days.
  2. Gap in the region of lower front teeth may remain subsequent to scaling. This gap may be due to significant amount of dental tartar that suppressed gum or gum loss resulting from gum recess of periodontical disease. Gap formulated in this way may be filled with dental tartar due to improper dental care. One may feel the gap when performing scaling and saliva may flow though it. In the beginning, it might be uncommon, however, one gets used to it after a few days or weeks.
  3. Subsequent to treatment, gum may be sensitive and teeth may be cold-warm sensitive for a few days.

Home care

Thorough and careful tooth care and cleaning shall be carried out daily pursuant to advice of dental hygienist (tooth brush, dental floss, interdentally brush, mouth shower, mouth rinse, application of sensitivity decreasing gels etc.)

Symptoms of gum shrinkage

Seventy percent of all people are affected by gum disease that has sooner or later serious consequences causing degenerative disease. Untreated gum disease may lead to loosening of teeth. Gum recession is not associated with any pain and developes gradually, so if one knows about the symptoms, the problem can be detected at early stages and one can in time turn to a dentist to get it treated. In addition to the physical examinations, the extent of gingival shrinkage is illustrated on panoramic x-rays, as in this case, the bone surrounding the tooth root retracts and only the shorter part of the root remains in the bone.

How to prevent gum disease?

In the prevention of gum disease, the strong and resilient immune system plays an important role as in the case of a healthy organism gum recession arises much harder. Various clinical tests have also shown that many diseases are associated with gum disease therefore when you can preserve the effectiveness of the immune system you can do a lot for healthy gums. An untreated infection in the organism might provide possibility for gum disease. It is also conversely true that if you notice the first signs of gum disease, you should definitely consult a doctor so that you can prevent future problems. In the prevention besides those factors mentioned above a proper diet also plays an important role because the quality of food determines the energy level and the resilience of our organism. A good and healthy lifestyle and appropriate nutrition secure a good basis for the immune system, which thereby is capable of self-healing and regeneration. In the interest of long-term results smoking and excessive alcohol consumption should be eliminated and for having a strong immune system doing appropriate excersises, vitamin and mineral intake is needed plus you should avoid stress. Gum shrinkage is unfortunately a common disease and many patients contact a dentist too late, so by seeing a dentist earlier you could fix the problem with less effort. Many do not deal with prevention, although gum disease is preventable through proper oral care, appropriate nutrition and the general maintenance of the organism. The first and one of the most important tasks is to maintain the appropriate oral hygiene. It is worth learning the correct dental care practice and the principal devices should not be omitted. In addition to the toothbrush there are numerous staff which can be extremely helpful in cleaning the teeth and gums. There are brushes for cleaning in between teeth, and the dental floss that everyone knows, but is used by only a few. The surfaces of a tooth that can not be reached by a toothbrush mean an extra risk: the plaque there can not only cause tooth decay, but also endangers the gum and the tooth bed, for this reason must be removed.

If you are a nervous patient who is afraid of dentists, your treatment can be carried out in general anesthesia at our dental clinic in Hungary. You can read a few interesting facts about it.

  1. Did you know that dental treatment under general anesthesia is very safe? After a couple of hours of treatment you can go home.
  2. Did you know that if your dental treatment is carried out in anesthesia you must not drink and eat six hours before treatment.
  3. Did you know that an ambulatory anesthesia including dental treatment can not take longer than 1,5 – 2 hours? If it still took longer, please ask your dentist to perform treatment in more bits.
  4. Did you know that on the day of your anesthesia you must not drive a car?

If you are in front of a dental hygienic treatment that is worth knowing about dental plaque.

  1. Did you know that bad breath and discoloration are the most common causes of dental plaque?
  2. Did you know that dental plaque is actually contamination that is deposited and crystallized on the tooth.
  3. Did you know that the formation of plaque is affected by smoking, irregular teeth, poor dental fillings or poorly fitting crowns.
  4. Did you know that the tartar and bacteria irritate the gums, often causing gingivitis.
  5. Did you know that the loss can be prevented by removing the plaque!
  6. Did you know that the plaque may trigger an inflammation causing nodules, which may be responsible for a variety of diseases, such as hair loss, joint problems, skin problems.
  7. Did you know that inflammation caused by dental plaque impacts on the entire organizm and can weaken the immune system.

Safe dental treatment in Hungary for pregnant ladies and kids

  1. Did you know that the “Diagnodent laser test” examination is the best to examine the teeth of children and pregnant women, as it is not scary for children, and it is not a threat for pregnant women and the fetus because there is no radiation at all.
  2. Did you know that the testing of laser Diagnodent can not only discover the tiny cracks, but it also easily identifies the plaque.
  3. Did you know that Diagnodent laser treatment can help a dentist discover the decay even in the inside of teeth.
  4. Did you know that at our surgeries dentists use such modern painkillers that are gentle and still effective, so they do not harm pregnant ladies and their babies.
  5. Did you know that the two components of painkillers are lidocaine and adrenail. The first one does not get into the blood circulation and can be used locally, the adrenaline is filtered by the umbilical cord, so it does not get to the baby

What you should know about dental braces (orthodontics)

  1. Did you know that orthodontics is not only possible for children but for adults as well.
  2. Did you know that orthodontics is not only important for aesthetic reasons but also contributes to the helath of yourt teeth and stops them from decaying.