Posts for: July, 2012
What does it mean when your dental hygienist recommends root planing? To put it simply, root planing is a method of cleaning the roots of your teeth in order to avoid periodontal (“peri” – around, “odont” – tooth) disease.
Periodontal disease happens when dental plaque, a biofilm of bacteria, is not regularly removed and begins to build up on teeth near the gum line. The bacteria cause inflammation, and this in turn causes the gum tissue to detach from the teeth. The widening spaces between the gum tissue and the teeth, called pockets, are environments in which bacteria can continue to collect and cause further inflammation and infection. Ultimately, this can lead to infection, bone loss, and loss of teeth.
Root planing is a technique designed to avoid such dire results. The bacteria, along with products they manufacture as part of their metabolism, can become ingrained in the surfaces of the tooth's root (the part of the tooth that is below the enamel). These bacterial products will form hard deposits called tartar or calculus.
Deep Cleaning Your Teeth
Of course, the best idea is to brush and floss away the plaque before the bacteria begin to build up on your teeth. If this is not done and pockets begin to form, the bacteria and toxic products are more difficult to remove in order to deep clean your teeth.
The first step is scaling. My hygienist or I will remove superficial collections of calculus. If material still remains within deep pockets, root planing is the next step. It involves actually planing the surface of the root, smoothing the surface free of calculus, bacteria, and toxins that have ingrained into the root surfaces.
Root planing is most often done under local anesthesia so that you remain comfortable while the cleaning procedures are done. The initial cleaning may be done by an ultrasonic instrument that vibrates particles off the root surfaces and flushes the pockets with water. Small hand instruments called curettes are used to finish the process. Antibacterial medication may then be used to help clear away infection from the pockets. Sometimes you may experience some tooth sensitivity to hot and cold after the root planing. If needed, this can be treated by applying fluoride to the root surfaces.
Depending on the extent of your gum disease, it may not be possible to remove all the deposits at one appointment, and it may be necessary to have multiple appointments over a few weeks to remove the remaining deposits. Often after three to four weeks the inflamed tissues have healed, leaving you with healthy gums once again.
When it comes to cosmetic dentistry, we have numerous techniques that we can use to produce a dazzling smile while restoring or helping you maintain optimal oral health. From tooth whitening and gum contouring to bonding and veneers, see how much you really know about cosmetic dentistry by playing our matching game.Words to match:
- Enamel shaping
- Crowns and bridgework
- Gum contouring
- ______ is a minor surgical procedure in which we alter the position of the gum tissue and sometimes even the underlying bone.
- ______ is a treatment option that is not permanent and may require several applications to achieve the desired color results.
- ______ is a restorative technique that involves applying an a tooth colored filling material (composite resin) to a tooth that is color-matched and shaped to restore a decayed or damaged tooth.
- ______ is a treatment option for restoring heavily damaged teeth or replacing missing teeth.
- ______ is a procedure in which small amounts of enamel, a tooth's outer layer, is removed to reshape it to improve the look of a tooth.
- ______ is a minor cosmetic procedure in which we apply a peroxide-based material to bleach out minor stains and discoloration from teeth.
- ______ is a procedure in which we permanently replace a missing tooth by attaching a crown (artificial tooth) to a titanium post that has been surgically placed within the jaw.
- ______ is a treatment option in which teeth are aligned into a proper position giving a more attractive appearance. It is often used in conjunction with other cosmetic procedures.
- ______ is a cosmetic technique where we place a custom-designed, thin shell of tooth-colored material (usually porcelain) to the front surface of a tooth.
- ______ is the most common technique for repairing chipped, broken or decayed teeth. It may also be used to alter the shape of a small or irregular tooth.
Answers: 1) H. 2) A. 3) B. 4) F. 5) C. 6) A. 7) G. 8) D. 9) E. 10) B
To learn more about cosmetic and restorative dentistry, continue reading the Dear Doctor magazine article “Beautiful Smiles by Design.” Or you can contact us today to schedule an appointment to discuss your specific questions.
We are often asked about restorative and cosmetic dentistry procedures and the role they play in a smile makeover. We are also faced with people wondering whether or not they can benefit from treatment. For this reason, we developed the following self-assessment to help you determine whether or not cosmetic dentistry is right for you.
- Do you avoid smiling in public or for photos?
- Are you self-conscious about spaces and gaps between your teeth?
- Do your teeth make you look older than you feel?
- Have you ever held back or restrained a smile?
- Do you feel that your teeth are stained or yellow?
- Do you hold your hand in front of your mouth when talking, laughing or smiling?
- Do your teeth look old and worn down, making you look and feel older?
- Do your teeth appear short because of a “gummy” smile?
- Are your teeth crooked, chipped or crowded?
- Do you wish you had someone else's smile?
If you answered, “yes” to one or more of the above questions, then you could benefit from a smile makeover. However, that is the easiest part of the process. The next step is the one that probably matters the most — scheduling a consultation with us. During this appointment you can discuss the specifics that bother you about your smile using your responses from our self-assessment test. You can also learn about the many treatment options available for providing you with the smile of your dreams.