9. Solving oral myths

9. Solving oral myths

Many people are afraid of sitting on a cold medical table and hearing the sound of the machine, so they choose not to receive treatment. Or they may have bad experiences with dental care in childhood, which leads to the fear of teeth in adulthood. Today, "# unraveling the oral core myth" will solve the problem.

Q: What should I do if there are shadows on my teeth? Do I need to pay for sedation dentistry at my own expense?

A: If you are afraid of dental visits because you have had a bad experience with them, it will lead to delayed treatment and worsening of oral lesions. In the end, you will have to face larger treatments, which is not a good thing.

Many clinics now have the "sedation dentistry" project. However, this project's current health insurance benefits are only for patients with disabilities, and others have to pay for it themselves.

#sedation dentistry: It allows patients to be treated while they are asleep and relaxed, helping doctors to complete the treatment more focused. At the same time, it can also prevent patients from increasing the complexity of the treatment due to tension and anxiety.

I don’t have the bad habit of smoking or chewing betel nut, but I find that my teeth are getting yellower and yellower. Why is this?

Q: Why do my teeth turn yellow even if I don’t have any bad habits?

A: As people age, enamel becomes thinner and more fragile, which makes teeth more susceptible to staining and pigmentation. In addition, receding gums and exposed tooth roots are also causes of yellowing of teeth.

Your daily eating habits include foods with heavy natural pigments and tea drinks, such as coffee, red wine, curry, and tea. These can stain your teeth. If you want to keep your teeth ivory-white, it is recommended to rinse your mouth or brush your teeth immediately after eating to reduce the chance of pigmentation.

Q: Do I need to go to a hospital or a clinic for dental implants?

A: The focus of dental implant surgery is not to choose "which medical institution" to go to for treatment, but to choose a "physician" who can formulate a complete treatment plan and accurately perform dental implant surgery. In fact, after graduating from a bachelor's degree in dentistry, he needs to undergo 3-5 years of full-time specialist training, keep up with the latest medical trends, and learn the latest dental science knowledge and innovative techniques, so that he can provide the best treatment for each patient's special situation.

In addition to the qualifications of the doctor, the equipment of the medical institution, the professionalism of the medical staff, and the dental technician are all very important. When you go to the clinic for consultation, you can observe whether the medical equipment is advanced, or whether disinfection and infection control are thoroughly done. These are very important.

The myth I want to unravel today is "Whether it is better to do #inter-clinic whitening or #all-ceramic patches". This is also a question I am often asked. Let's break the myth together.

Q: Is it better to have in-office whitening or all-ceramic veneers?

A: First of all, this involves the cause of yellowing of teeth, as well as the degree of yellowing, appearance and color, and the condition of oral health. Please ask a professional doctor for treatment recommendations.

And there is no "certain" answer to any method, because even if all-ceramic veneers are used, if #oral cleaning is not done properly after completion, the life of the veneers will be shortened and the teeth will be damaged.

If you use in-office whitening and faithfully follow the precautions prescribed by the doctor, the whiteness of your teeth will also increase accordingly. Therefore, no matter what kind of treatment is done in the end, it is very important to clean your mouth well.

Q: Can periodontal disease be used for dental implants?

A: The prerequisite for dental implants is that the oral health must be good. When there is periodontal disease, it means that the amount of bacteria in the oral cavity is very high. Treatment must be performed first to restore the oral health before dental implants can be performed.

If the oral condition is poor, forced dental implantation will not only prolong the recovery period of the dental implant wound, but even if it is successful, it will also reduce the life of the implant. For patients who have suffered from periodontal disease, maintaining oral health is very important. Regular follow-up visits are the best way to extend the life of dental implants.

Q:What is dental plaque?

A: Dental plaque is a type of tiny bacteria that is colorless, thick, and adheres to and deposits on the surface of teeth. Dental plaque is caused by more than 700 species of bacteria in the oral cavity. The best sources to grow it are: sweets, refined starch, and any food residue.

In addition to producing toxins and causing mild to severe inflammation of the gums, the bacteria in dental plaque can also produce toxic acidic substances that attack the enamel on the tooth surface, leading to tooth decay and periodontal disease.

Q: How does dental plaque form in the mouth?

A: Normal people have many different bacterial colonies in their mouths. However, bacteria must accumulate to a certain level before they can cause harm to the human body. Plaque actually means a large accumulation of bacteria. It is mainly caused by "poor oral hygiene habits"! If you do not use the correct cleaning method to remove food residues, once bacteria stick to the surface of the teeth and gums, after a large accumulation, it will turn into dental plaque and damage the teeth and gums. If plaque continues to accumulate, it will gradually turn into hard calculus that is difficult to remove.

The scariest thing about dental plaque is that when combined with a small amount of food residue in the mouth, it will automatically multiply in large numbers, making complete removal increasingly difficult over time. Therefore, in addition to cleaning your teeth carefully after three meals, whether you have eaten or not, the correct way is to clean your mouth carefully at least once a day before going to bed to help maintain the balance of bacteria in the mouth.

Q: How to choose toothpaste to prevent dental plaque?

A: In terms of selection, in addition to choosing toothpaste containing fluoride to prevent tooth decay, toothbrushing mainly uses mechanical friction between bristles and teeth on the surface to achieve the purpose of removing plaque and tartar. The abrasives in toothpaste can increase the function of mechanical friction to remove tartar and plaque. (Common abrasives include calcium carbonate, magnesium carbonate, aluminum hydroxide, and titanium dioxide.)

However, the higher the dosage of the abrasive, the better. For example, some "tooth powders" not approved by the Department of Health have too high abrasive dosage, or the particles are not fine enough, and the brushing force is too strong, which can easily cause damage to tooth enamel. In the long run, it can lead to tooth damage and even nerve exposure and sensitivity.

The steps of oral cleaning and teeth cleaning are strictly implemented. Many patients will ask, "How do you know if the dental plaque has really disappeared from the mouth?"

Q: How to detect dental plaque?

A: Plaque display solution and plaque display tablets will be good helpers. If you use a display solution, after brushing your teeth, drop 3-4 drops of the display solution into your mouth, and then rinse your mouth. If red or purple stains appear on your teeth, it means there is residual plaque. You must use a toothbrush or dental floss to remove the red and purple stains until your teeth are completely clean.

Plaque-displaying agents can be used to strengthen teeth cleaning skills and strengthen the skills of blind spots that are difficult to clean, so as to achieve the purpose of brushing teeth thoroughly and reducing oral bacteria.

If you want to have a confident smile, in addition to neatly arranged teeth, everyone also desires bright and flawless teeth. Many people will first choose to use "whitening toothpaste" to improve it.

Q: How does whitening toothpaste make teeth whiter?

A: Whitening toothpaste usually contains light agents, abrasives, slightly acidic substances, peroxides and other ingredients. Toothpaste containing polish ingredients will make your teeth "immediately whiter" after brushing. Abrasives are used to scrape off the tartar on the surface of the teeth to whiten the teeth. However, if the abrasive particles are too rough or the patient uses it for a long time, it may cause the wear of the enamel, which will not only make it easier to stain and stain, but also may cause problems for sensitive teeth.

Helping children clean their mouths requires changes based on their age.

Q: How to choose children’s toothpaste?

A: When the first tooth appears during the infancy period, it is necessary to establish a good tooth brushing habit. You can use moistened gauze, toothpaste, etc. to start cleaning to develop the tooth brushing habit. From 1 to 3 years old, you can gradually use gel toothpaste. Children over 3 years old can start using paste toothpaste when they have the ability to distinguish between mouthwash and swallowing.

Q:What is fluorine rubber?

A: Dental-specific fluoroplastics can be roughly divided into solution, gel or paint forms. The texture is more like jam pectin, and the fluoride concentration is about 12300ppm (12.3mgF/g). Because it is highly fluid and must be endured by biting the dental tray for about 4 to 6 minutes, it is suitable for children over 6 years old. The stannous fluoride, amine fluoride, sodium fluoride and sodium fluoride plus chlorhexidine in fluoroplastic not only have the function of fluoride in preventing dental caries, but also have antibacterial effects.

Although fluoride gel can prevent dental caries, everything must be done in an appropriate amount, because excessive intake of fluoride is likely to cause fluorosis, and correct tooth cleaning methods and tools are the fundamental way to prevent dental caries.

Q:What is fluorine paint?

A: As the name suggests, "fluoride varnish" has a texture like paint and a fluoride concentration of about 22,600 ppm. Professional dentists will

It is applied on the surface of the teeth one by one just like applying nail polish. When the fluoride paint comes into contact with saliva, it will begin to harden and precipitate on the surface of the teeth. Even if children swallow saliva, there will be no problem of accidentally swallowing fluoride, and it is relatively safe.

According to the guidelines of the American Academy of Pediatric Dentistry (AAPD), fluoride varnish is suitable for children under 6 years old to prevent dental caries. At the same time, it is recommended that infants and young children should develop the habit of oral cleaning when their first teeth grow, and visit children's dental clinics for regular follow-up examinations to reduce the occurrence of dental caries.

Q: What is the difference between fluorine paint and fluorine rubber?

A: In fact, whether you choose fluorine paint or fluorine glue, you must undergo treatment by a professional dentist.

-Fluoride: The fluoride concentration of fluorine paint is about 22600ppm. The fluorine concentration of fluorine rubber is about 12300ppm

-Usage: Fluorine paint adopts application type. Fluoride requires the use of dental trays.

-Acceptability: Fluorine paint is highly immediate and does not cause irritating odor. Since the treatment time is short, it is suitable for infants and young children.

Fluorine glue needs to be endured with a dental tray for about 4 to 6 minutes. It is suitable for children with cognitive abilities (children over 6 years old). In order to increase the child's treatment cooperation, some natural aromatic flavors will be added.

-Preventing dental caries: According to the guidelines of the American Academy of Pediatric Dentistry (AAPD), fluoride varnish is slightly better than fluorine glue in preventing dental caries. Whether it is fluorine paint or fluorine glue, when a child's first tooth erupts, they should pay attention to oral hygiene and go to the children's dentist clinic for thorough examination and maintenance every 3 to 6 months. This is the fundamental way to prevent dental caries.

Q: What are the common oral diseases among pregnant women?

A: Dental caries, periodontal disease, gingivitis, periapical disease, etc., are all common oral diseases among pregnant women. Because women are affected by hormonal changes during pregnancy, they may experience symptoms such as increased eating frequency and morning sickness. If the oral cavity is not cleaned well, food residues may remain in the mouth, causing the growth of oral bacteria. Oral diseases can easily come to the door if not done well.

These oral diseases are likely to affect the health of the fetus, so during pregnancy, you should pay more attention to oral hygiene and go to the dental hospital for regular check-ups.

When most people have a toothache or a foreign body in their mouth, they will immediately think of going to the dentist for medical treatment. However, for pregnant women, many women worry that dental X-rays and treatments will have an impact on the fetus, and would rather bite their teeth and endure the pain than seek medical treatment.

Q: As a pregnant woman, should I go to the dentist for medical treatment if I have an oral condition?

A: You should seek medical treatment as soon as possible. Whether you are an ordinary person or a pregnant woman, once you have an oral problem, you must seek medical advice as soon as possible so that the doctor can examine and determine the severity of the problem. Generally speaking, it is not recommended to be exposed to X-rays during pregnancy. More invasive treatments should be completed during the second trimester of pregnancy (4-6 months), including teeth cleaning, fillings, and nerve pumping. However, "emergency treatment" can be carried out at any time, including infection control flushing, medication, etc.

Before the consultation, the dentist must be clearly informed of the pregnancy period and expected date of delivery, as well as the medications currently being used or any allergies to the medications. As long as the dentist is informed of the pregnancy status, he or she will rely on professional judgment to ensure that local anesthesia and medications are used within a safe range.

Because changes in hormones increase the frequency of eating or vomiting, do you need to brush your teeth after every meal? Today's "Unraveling the Oral Core Myth" will lead mothers to solve the problem together.

Q: How should pregnant women take good oral health care?

A: According to the guidelines of the American Academy of Pediatrics (AAP) and the National Federation of Dental Associations of the Republic of China, pregnant women are recommended to reduce their sugary diet, use fluoride toothpaste containing more than 1,000 ppm, and perform oral cleaning at least twice a day. At the same time, use dental floss to deeply clean the adjacent surfaces between teeth.

At the same time, it is also recommended that pregnant women must brush their teeth or rinse their mouth after eating and vomiting. They can appropriately use fluoride (fluoride salt, fluoride toothpaste, fluoride mouthwash) as an oral cleaning tool.

"I'm pregnant, will taking X-rays have any effect on the fetus?", "Will taking X-rays during pregnancy have any impact on my body?" These are the most frequently asked questions in dental clinics.

Q: Will pregnancy X-rays affect the fetus?

A: When it comes to X-rays, many people will directly associate them with radiation. In fact, according to the Atomic Energy Commission of the Executive Yuan, the X-ray examination used for dental diagnosis is only 0.01 millisieverts based on a full-mouth X-ray. The impact on the human body can be said to be minimal.

In addition, the "Oral Health Care and Diagnosis and Treatment Materials for Pregnant Women" guidelines provided by the Ministry of Health and Welfare also clearly state that it is safe to use X-ray photography as a tool for diagnosing and treating dental problems during pregnancy. The number and type of dental X-rays will depend on the clinical situation and the patient's health history. Dental professionals should provide safety equipment for radiation exposure, such as abdominal and cervical shields to protect the abdomen and neck of pregnant women.

Whether during pregnancy or postpartum, many mothers hope to minimize the impact of their own conditions on their babies. Therefore, whether they are undergoing dental implants or dental fillings, the most common question asked by many new mothers or women who are breastfeeding is "Can I receive dental medication while breastfeeding?"

Q: Can I take dental medication while breastfeeding?

A: In fact, the amount of drugs that enter the human body and are secreted into breast milk is extremely low. It has no obvious effect on infants and young children. However, anti-cancer drugs, hormones, radiation or psychiatric drugs must be used with caution.

If medication is really necessary, it is recommended that the dentist consult with an obstetrics and gynecology department or internal medicine department to find a medication suitable for the mother.

If you really must use medicine, it is recommended that you follow the doctor's instructions and do not increase or decrease the dosage on your own. If you have any situation, you should consult a doctor or pharmacist immediately.

Mouthwash is the easiest choice for oral hygiene. There are various kinds of mouthwash on the market with confusing ingredients. Are they useful? Can mouthwash be used by everyone? When should it be used?

Q:What is mouthwash?

A: It is a general name for oral chemicals, and its main ingredients are sodium fluoride (NaF), chlorhexidine (Chlorhexidine), Stannous Fluoride (Stannous Fluoride), cetylpyridinium chloride (Cetylpyridinium chloride), alcohol (Alcohol) and other ingredients.

Mouthwash can currently be divided into 2 categories:

- Medicinal mouthwash: Bactericidal and bacteriostatic mouthwash must be approved by the Food and Drug Administration of the Ministry of Health and Welfare, and the relevant approval number of the "Ministry of Health and Welfare, Food and Drug Administration" must be clearly stated on the packaging.

-General mouthwashes: antiseptic, fluoride, and herbal essential oil mouthwashes still contain the above common ingredients, but the concentration has not yet "reached" the Ministry of Health and Welfare and Food and Drug Administration's drug regulations for mouthwashes, and the medical effect is weak.

Q: Is mouthwash useful?

A: The function of mouthwash is to inhibit bacteria, so it can only be used as an auxiliary tool for cleaning and cannot be used as a regular cleaning tool. Its level of cleaning absolutely "cannot replace" the correct use of mechanical cleaning tools such as toothbrushes, interdental brushes, and dental floss. Basically, after using a mechanical cleaning appliance, different ingredients are added to the mouthwash. With the help of mouthwash, it can help repair the enamel that may be susceptible to tooth decay, inhibit harmful bacteria in the mouth, and strengthen the surface structure of the teeth.