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Periodontology is a branch of dentistry which examines the structure of soft (periodontal ligaments, gingiva) and hard tissues (bone, cement) surrounding the teeth, diseases occurring in these tissues and treatment of these diseases.

The gingiva constitutes the infrastructure of our mouth and teeth. Healthy gingiva has a roses pink color and surrounds the teeth are tightly.ıf your teeth are not healthy, even if you have no tooth decay, you may lose your teeth.

Healthy Gingiva

– How does gingiva health deteriorate ?

The main reason is poor oral hygiene and its resultant calculus which are called also tartar. In addition, some systemic diseases also show symptoms in gingiva as it is the case for leukemia.

 

Sağlıklı Dişeti

–  How does tartar (Calculus) come to be formed?

Food residues combined with saliva minerals, form lime layers around the teeth and gingiva. These lime layers are initially soft. But they quickly become hard layers. You can’t eliminate them by brushing them. However, your dentist can remove the tartar without damaging your teeth with the appropriate ultrasonic equipment designed for the scaling.

–  Does Tartar cleaning (scaling) cause harm to teeth ?

This question is a frequently asked question to dentists. In fact, as continuation of this question, other question such as ” are the teeth enamel scratched during the scaling” or ” If I do the scaling once, do I have to do it over and over” may follow. The answer is No, the scaling ( tartar cleaning) doesn’t cause any harm to teeth.
Even, the procedure is the most useful, fastest, most comfortable and cheapest one you can have for your mouth. Besides, you can avoid many mouth and dental problems by regular cleaning.

– What are the symptoms of  gingivitis ?

Healthy gingiva does not bleed. You should consult your dentist immediately if your gingiva bleeds spontaneously or while eating solid food or brushing your teeth. you may have gingival inflammation. Also bad breath is a symptom of the inflammation.

GINGIVITIS (GINGIVAL INFLAMMATION) TREATMENT

the treatment options vary depending on the enfection level.  Gingiva diseases are analysed in 3 stages

Gingivitis

can be treated by scaling performed by the dentist.

 

 

Medium Periodontitis

It is treated by the curettage-root surface straightening procedure performed by periodontologist.

 

Advanced Periodontitis

Treated by FLAP operation and placement of artificial bone grafts placed where necessary by the periodontologist. In cases the the bone level cannot be compensated, it is inevitable to recourse to tooth extraction.

HOW SHOULD THE TEETH BE BRUSHED?

There are many methods to brush your teeth. Ask your dentist for the most appropriate brushing. However, one of the methods that are often recommended to you is as below (with use of a manual toothbrush).

First Step:

To clean the outer surfaces of your teeth, brush your toothbrush at a 45-degree angle to the gum line. Move your brush back and forth to brush your teeth and gums with short, soft brush touches.

Second Step:

Use the same method to clean the chewing and inner surfaces of your teeth.

Third Step:

To clean the inner surfaces of your front teeth, hold the brush upright and brush it up and down with soft movements at the tip of the brush.

Fourth Step:

Don’t forget to brush your gum line and make sure you reach the back teeth. Also brush your tongue, brushing your tongue will help keep your breath fresh!

What and how should be used in  oral health care?

1. Tooth Brush

A good toothbrush head should be made of short, straight shank and medium hard nylon bristles. It’s not true to say that electric toothbrushes brush better than teeth.

2.Toothpaste

Tooth brushing  increases the effect of mechanical brushing of the toothbrush.
We need to answer a frequently asked question here. We don’t have a “best” or “ideal” toothpaste. The best toothpaste in conditions where no special paste is required; It is a toothpaste that makes you teeth brushing enjoyable, with a good taste and smell. pastes containing
teeth whitening acids and anti-bacterial agents with a high concentration of fluor are available as well.

3. Dental Flosses

It is used to clean the tooth interfaces that the toothbrush cannot completely clean.

4.Mouth Wash

Given their content, they prevent the activation of microorganisms in the mouth (especially in places that the brush cannot reach), reduce the number of bacteria present in the mouth, and therefore eliminate bad breath. However, do not shake the mouth won’t remove the bacteria plaque. Mouthwashes are not a substitute for tooth brushing or flossing, but only as a means of protection and care
.

5. Interdental Brushed

Designates brushes with a special design used for cleaning under the bridges and between teeth.

How should I choose the oral care products ?

It may surprise you that there are multiple products in the market that are made very attractive. When making a selection, you must make sure that you have approved and purchased the products recommended by your dentist.

 For how long can I use a toothbrush  ?

Usually, a toothbrush shall be used for 6 months. You can understand that the toothbrush is deteriorated, when there bristle bundles are separated from each other, dispersed and bended. Hard-bristled brushes can damage your teeth and gingiva. Medium hard brushes should be preferred unless otherwise is advised .

 To what purpose are interdental cleansers used?

It is used to remove residues between the teeth and under the gingiva in areas that the toothbrush cannot reach. If you do not have this habit, you are not late to begin with. When using floss, you should pay attention to the following points:

– For first-time use, waxed and minted flosses are preferred. Fluorinated flossing can also be preferred

– The floss is used by the thumb of both hands and with the help of our thumb.Spin gently between your teeth and in a controlled manner. You should avoid hard and sudden movements to not injure your gingiva.

– You can clean the interface by moving the  floss upwards and downwards to draw a “c” letter with the floss.