Base treatments

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General procedures

Under this designation are a number of procedures aimed at restoring oral health and teaching the
patient how he should maintain it at home.

These procedures are essencial to everyone and further are the basis for all more advanced
procedures either of Oral Rehabilitation or Esthetics:

Dentistry

Cavity treatments, tooth reconstruction. Done preferably with aesthetic materials making fillings
virtually invisible.

Oral Surgery

Tooth extraction, impacted Teeth Extraction, Cyst Surgery, etc
As a Maxillofacial Surgeon I’m particularly at ease in this area and have vast experience

Endodontics (root canal)

Done by an expert an Endodontist, with clinical microscope and the techniques and materials
more advanced in this area leading to a high rate of successes and also the possibility of one
appointment treatments (instead of multiple appointments per tooth).

Oral hygiene (dental cleaning)

We pay special attention to this area and it is a pillar of our philosophy: if we are not able to have
a mouth free from tartar and dental plaque, also teach the patient how to maintain it daily, we
cannot reach a state of Oral Health.

Tartar removal, sub-gingival curettage, teaching oral hygiene techniques techniques (brushing
flossing), sealants in children, topical fluorine.

Perguntas sobre Base treatments

What is periodontal disease?

Periodontal disease is an illness that affects gums and all the tissues that support the tooth
(hence the name periodontal, around the tooth) causing slow degradation.
It has a wide prevalence within the population and it’s a major cause of tooth loss particularly over
the age of 50. It has a genetic base that can and should be fought.
The bacteria present in the plaque will silently cause loss of tooth support over the years and its effects are more visible after the age of 50:

Teeth seem bigger because of retraction of gums
Dark triangles near the gums (Loss of gingival papillae)
Spaces appear between teeth (Teeth start to move)
Tooth mobility
Recurrent abscesses (due to pockets on the root of your teeth).

The basis for controlling this disease is early detection, more frequent dental cleanings and sub-
gingival curettage.

At home meticulous oral hygiene (the periodontal disease feeds itself on bacteria, if you remove
the bacteria then you slow the disease).
Periodontal surgery for management of deeper and less accessible areas and focus of infection
When you see the manifestation of the disease it is unfortunately sometimes too late to save to
save some teeth.

I’m pregnant, should I go to the dentist?

If you’re pregnant you should go to an appointment with your Dentist.

Many times we see a gingivitis of hormonal cause during pregnancy so extra care to all hygiene
and cleaning are necessary, on the other hand pregnancy is not impeditive of doing dental
treatment (for example treating cavities).
As for the Dentist he will use the type of Anesthesia without adrenaline and obviously will not do
radiographs.

Why should I see a dentist regularly?

Unfortunately many people only go to the Dentists when something happens, or they have some
complain because they have the wrong perception, that if they don’t feel anything, everything is
ok.
This posture can and will be will cost you in terms of your Oral Health and in terms of costs,
because many problems don’t give any signs but can be detected on an early fase by the dentist
and be dealt with less complicated and less expensive procedures.

When should I do the regular checkups?

It is important to see your Dental Hygienist every six months and your Dentist at least once a year
to keep your mouth in good health and to detect any problems when they arise.

What is the cause of morning bad breath?

At night the production of saliva diminishes (our natural oral elixir as it flushes away bacteria and
food debris). Because of this, the bacteria and food debris remain longer around the tooth and on
the surface of the tongue and are responsible for the bad breath.
We can now see the importance of doing a good meticulous Oral Hygiene before going to bed.

Why should I wear dental floss? Is brushing not enough?

The dental plaque builds up every day and is only effectively removed by a mechanical action so
just rinsing with water even with any oral elixir doesn’t do the work.
There has to be a mechanical action provided by a good brushing technique, with special
attention to the sulcus between the gum and the tooth, and the use of a means of interdental
cleaning either by flossing or by dental brush.

How can I prevent cavities?

Cavities are caused by bacteria so they have to be faced as a disease and not as isolated facts.

The first thing to do is treat every cavity in your mouth because each cavity is going to ruin not
only the tooth but also will contaminate the saliva with cariogenic bacteria that can and will affect
other teeth.

A proper brushing and flossing technique to daily eliminate plaque is very important as well as
eating a diet poor in sugars.

I have sensitive Teeth what can I do?

At home you can use a toothpaste specific for dental sensitivity and avoid acid food like oranges, lemons, sodas, etc.

In the office, application of sealants and desensitizers as well as fillings with aesthetic materials on the base of your tooth.

My gums bleed, is that normal? What should I do?

Gingival bleeding is not normal nor desirable, it is a sign of inflammation of the gum or even a
periodontal disease (a process that involves not only the gum but also the tissues beneath the
gum that support the tooth periodontal ligament and alveolar bone).
When gums bleed people often do exactly the wrong thing, they stop brushing the gums and
don’t touch them in order for them not to bleed. What happens is that more and more plaque
accumulates so the bleeding gets worse.
You should schedule a Dental Hygienist appointment to do a Dental Cleaning and learn the
correct flossing and brushing techniques to efficiently remove the plaque every day.

What should I do when a tooth falls off after trauma?

If you lose a tooth from trauma you should:

Rinse it very carefully with water to remove dirt.
Try not to touch the root and hold the tooth by the crown (part of the tooth that is visible and is outside the gum in your mouth)
Store the tooth in your mouth between the gum and your cheek or under your tongue. When this is not possible store it in milk.
Contact your dentist and go immediately to the office so that the tooth can be Re-Implanted as soon as possible raising the chances of success of this procedure.