1.Immediately following surgery: Since surgery causes soreness in the muscles and bones of your jaw, movement may be difficult initially. We do not recommend any specific exercises during the first week to ten days after surgery. However, simply attempting to open your mouth and move your jaw side to side several times a day may help increase movement.

2.Ten days to four weeks after surgery: Stand in front of a mirror and attempt to open and close your jaw as much as possible. At ten days after surgery you should be able to get one finger in between your teeth, and this should increase to two fingers by four weeks. Simply move your jaw forward and backward, side to side, and open and close, attempting to increase your mouth opening with your jaw muscles only. Moist heat placed on the side of your face before and during these exercises may make them more comfortable and more effective. Do not use finger pressure on your teeth to help stretch your jaw opening at this time.

3.Four to eight weeks after surgery: During the fourth to eighth week after surgery you should be able to get two fingers in between your front teeth very comfortably and can begin using very gentle finger pressure between the back teeth on each side of your mouth to help gently stretch your jaw muscles. Again, doing these stretching exercises as well as moving your jaw side to side and forward and backward will help. Moist heat can also be used at this time. Use of a millimeter ruler to help measure jaw opening will help you monitor your progress and improvement. By the eighth week you should be able to place three fingers between your front teeth. It is also very important to move the muscles used for facial expressions.

Myth – RCT is a painful procedure.

Fact -RCT is done to relieve pain caused by pulped inflammation or a dental infection. Slight pain postoperative can be managed with painkillers.

Myth – Getting RCT done is a very costly affair.

Fact–  No, Not really. Your natural teeth are like diamonds in your mouth. With RCT, you are saving your tooth. Consider the cost of replacing your natural teeth with bridge or implant. Then, you will find out that saving your own tooth at any expense is better than losing your natural tooth forever.

Myth – There should be no pain after RCT

Fact– The patient will feel better in a significant way after the procedure. Sometimes, there is sensitivity and slight pain after the treatment. Painkillers are there for your help. Antibiotics can be given if there is infection.

Myth – RCT is done in several appointments.

Fact– These days RCT can be done in single appointment provided there is no severe infection. It all depends on the tooth condition and its anatomy.

Myth – A tooth should be extracted if there is pain.

Fact-The RCT success is very high. A Root canal can be re-treated if there is pain/infection. Extraction should be considered as the last option as saving the natural tooth with root canal treatment has many advantages like efficient chewing, normal biting force and sensation and helps you to maintain your natural smile. Most importantly,You can continue eating the foods you love to!

Myth: It’s none of the dentist’s concern whether a woman is pregnant.

Fact: It’s important for your dentist and hygienist to know that you are pregnant or trying to become pregnant. You may be at risk for certain dental conditions, and your pregnancy may limit the treatment options available.

Myth: Being pregnant doesn’t affect your mouth.

Fact: Pregnant women are at greater risk for certain oral health conditions. These conditions include gum disease, also known as “pregnancy gingivitis,” and growths within the mouth, called “pregnancy tum ours.

Myth: Your oral health doesn’t affect your baby.

Fact: If you have moderate to severe gum disease, you may be at higher risk for delivering a per-term , low-birth weight baby.

Myth: Pregnant women should avoid dental work.

Fact: Everyone — and especially pregnant women — should visit the dentist. If you’re pregnant, you face a higher risk for gum disease, so make sure to visit your dentist for regular cleanings, exams and any other treatment needed.

What about anesthesia?

You should avoid procedure in which anesthesia is needed. If you need treatment requiring anesthesia, your dentist may recommend postponing the procedure until the second trimester.

Myth: Never get a dental x-ray while pregnant.

Fact: Dental x-rays are now considered safe during pregnancy. X-rays can be essential in detecting serious problems, such as hidden decay, bone loss and inflamed tooth pulp.. If you have any concerns, talk to your dentist, who can help evaluate your case and decide whether x-rays can be postponed.

Myth: Morning sickness is unpleasant but harmless for teeth.

Fact: Repeated vomiting can cause serious damage to your teeth. Exposure to stomach acid dissolves tooth enamel, weakening your teeth . If you suffer from morning sickness, talk to your dentist about ways to reduce the harm, such as using a mouth guard or rinsing with baking soda.

• What is sterilisation?

Sterilisation is the process of removing all traces of bacteria and other germs. It is an extremely important process, which helps to reduce the risk of infection or cross contamination and prevents the spread of infections and illnesses not only from one patient to another, but also from the patient to the doctor or  staff or vice versa.

• Why is sterilisation important?

Sterilizing medical equipment is the most importance in the medical field. Thousands of patients die every year or are infected with disease because medical equipment was not properly sterilized. Complications surface in many surgeries due to improper sterilization.

• How sterilization of instruments aids in treatment?

Prevents the Growth of Diseases:

Used instrument gets contaminated with bacteria. If left unchecked or not disinfected properly, then it is highly likely that bacteria will grow.

Prevents the Spread of Diseases:

If surgical equipment is not properly sterilized, there are chances that the next patient being treated with the same tools can be exposed to a disease the previous patient had.

• What protocol must be followed by a dental clinic to ensure proper sterilisation?

All instruments that need to be sterilised, should first be scrubbed and washed with detergent and water. This should then be followed by placing the instruments in an ultrasonic cleaner which effectively removes debris or dried blood stains etc that may adhere to the dental instruments in spite of washing. Once the instruments are clean and dry, they are then placed and sealed in specially pouches. To maintain the sterilization, ideally sterilised instruments should be stored in a UV chamber for future use.

• Does the dentist need to change his/her gloves for every patient?

Every dental care provider should use new gloves for each and every patient. For procedures that are likely to involve splash or spatter, including the dental team.

• Why it is necessary for dental care provider to wear mask?

To avoid cross contamination from doctor to patient or patient to doctor including auxiliary staff, the doctor as well as assisting staff should preferably wear masks while working on patient.

• Disposable instruments like syringe, needles etc can be used reused in other patients?

Unless the instruments can be sterilised it should not be reused. Especially disposable instruments are supposed to be disposed off as soon as its use on one patient is over.

• Where are the instruments sterilised in dental operatory? Ideally there should be a separate room or zone in the dental office that is completely dedicated to the disinfection of instruments.
• I’m not sure if the dental clinic I go to follows the protocol regarding safety and sterilisation. How can I find out?

Just ask!! If you have any doubts or questions regarding your treatment or the protocols followed by the clinic, you have every right to ask your dentist about it and even see the equipment that is used. If you know that the proper equipment is being used and the procedure is being followed, you can put your mind at ease and rest assured that all the instruments being used on you are sterilised.

• Does sterilisation is a costly affair?

Yes, if proper protocol for sterilisation is followed then it does cost, but not more than the protection we get from the risk of exposure to secondary infection. So pay attention that the health care provider you are visiting is following optimum sterilisation protocol and don’t mind paying for the same.

• Do sterilisation by boiling is sufficient?

The ideal temperature for killing the micro organisms is 121^o-132°C under pressure. A general cycle is 20 minutes at 121 °C at 15 psi. Boiling is not the ideal process for sterilization as it gives a limited sterilization against Micro-organisms & Spores.

• So what is the ideal method for sterilization?

There are many methods of sterilization that are used in dentistry but the optimum sterilization is achieved by Class B autoclaves which can sterilize any kind of object / instrument.

Your body is a complex machine. The foods you choose and how often you eat them can affect your general health and the health of your teeth and gums, too. If you consume too many sugar-filled sodas, sweetened fruit drinks or non-nutritious snacks, you could be at risk for tooth decay. Tooth decay is the single most common chronic childhood disease, but the good news is that it is entirely preventable.

Tooth decay happens when plaque come into contact with sugar in the mouth, causing acid to attack the teeth.

Foods that contain sugars of any kind can contribute to tooth decay. To control the amount of sugar you eat, read the nutrition facts and ingredient labels on foods and beverages and choose options that are lowest in sugar. Common sources of sugar in the diet include soft drinks, candy, cookies and pastries.. If your diet lacks certain nutrients, it may be more difficult for tissues in your mouth to resist infection. This may contribute to gum disease. Severe gum disease is a major cause of tooth loss in adults. Many researchers believe that the disease progresses faster and is potentially more severe in people with poor nutrition.

Wise choices

For healthy living and for healthy teeth and gums, think before you eat and drink. It’s not only what you eat but when you eat that can affect your dental health. Eat a balanced diet and limit between-meal snacks. If you are on a special diet, keep your physician’s advice in mind when choosing foods.

For good dental health, keep these tips in mind when choosing your meals and snacks:

• Drink plenty of water.
• Eat a variety of foods from each of the five major food groups, including:
  • whole grains
  • fruits
  • vegetables
  • lean souces of protein such as lean beef, skinless poultry and fish; dry beans, peas and other legumes
  • low-fat and fat-free dairy foods

Limit the number of snacks you eat. If you do snack, choose something that is healthy like fruit or vegetables or a piece of cheese. Foods that are eaten as part of a meal cause less harm to teeth than eating lots of snacks throughout the day, because more saliva is released during a meal. Saliva helps wash foods from the mouth and lessens the effects of acids, which can harm teeth and cause cavities.

For good dental health, always remember to brush twice a day with fluoride toothpaste , floss daily and visit your dentist regularly. With regular dental care, your dentist can help prevent oral problems from occurring in the first place and catch those that do occur in the early stages, while they are easy to treat.

1. Myth : Scaling is not good for teeth

Fact: Scaling removes tartar and keeps teeth and gums healthy. Scaling and deep cleaning of gums prevent the problem of bad breath and bleeding gums. Thus, scaling is beneficial for teeth and gums. One should get professional cleaning done by a dentist with a proper ultrasonic scaler.

2. Myth : Only sugar causes cavities

Fact: Cavities occur when bacteria produce acids in the mouth. The process can begin by any carbohydrate that you consume. That includes sugar, fruits, vegetables, rice and bread. To reduce chances of tooth decay, one should not only practice good dental care but also limit the intake of acidic products.

Sensitivity and specificity are statistical measures of the performance of a binary classification test, also known in statistics as classification function:

• Sensitivity (also called the true positive rate, or the recall in some fields) measures the proportion of positives that are correctly identified as such (e.g., the percentage of sick people who are correctly identified as having the condition).
• Specificity (also called the true negative rate) measures the proportion of negatives that are correctly identified as such (e.g., the percentage of healthy people who are correctly identified as not having the condition).
• Thus sensitivity quantifies the avoiding of false negatives, as specificity does for false positives. For any test, there is usually a trade-off between the measures. For instance, in an airport security setting in which one is testing for potential threats to safety, scanners may be set to trigger on low-risk items like belt buckles and keys (low specificity), in order to reduce the risk of missing objects that do pose a threat to the aircraft and those aboard (high sensitivity). This trade-off can be represented graphically as a receiver operating characteristic curve. A perfect predictor would be described as 100% sensitive (e.g., all sick are identified as sick) and 100% specific (e.g., no healthy are identified as sick); however, theoretically any predictor will possess a minimum error bound known as the Bayes error rate.

The two most common oral care problems people hear about are Plaque and Tartar. While they are related, they are both very different maladies that need different kinds of treatment.

Plaque

Plaque is a sticky, colorless, soft substance that builds up around the gum line. Plaque is film of bacteria made up of food particles and saliva, and it collects on your teeth every day. Plaque hurts your teeth and gums because it can cause cavities, periodontal disease, and gingivitis, and it can harden into Tartar if it isn’t removed each day.

Plaque causes cavities because of the acid contained within it. It attacks your teeth enamel after you eat, and if it does this long enough without being cleaned, it can break through the enamel, giving the cavity a place to take hold. Plaque also irritates the gums – if your gums bleed when you brush or floss, this could be because of plaque. If you don’t take care of this, the gums will pull away from your teeth, which may cause you to lose a tooth.

Luckily, Plaque can most easily be removed with daily brushing, flossing, and rinsing. Plaque forms within eight hours, so make sure you brush before bed, too.

Tartar

Tartar is yellow or yellowish brown. It’s hard, porous and crusty. It can be very unsightly, and forms along the gum line. Tartar is made up of hardened plaque that hasn’t been brushed away. It is hard because it comes from the mineral deposits in saliva.

Tartar is harmful because it’s hard and porous – bacteria build up inside the tartar on your teeth. It also causes cavities, gum disease, and tooth loss. If tartar isn’t removed it will continue to grow and calcify.

Tartar is not as easily removed as plaque. It can only be done professionally, by a dentist. Tartar is removed by scaling it – instruments are used to remove tartar from teeth. If the tartar has formed below the gum line, then you may have to get surgery to remove it. The best way to prevent all of this is through vigilant brushing and flossing. Tartar control toothpaste has also been shown to help.