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Question-answer
Американская стоматологическая клиника в Москве | US Dental Care
What if I have a bad breath?

Observe oral hygiene - brush teeth at least 2 times a day; Use dental floss daily to remove food residues and plaque between the teeth and under the gums; Use a scraper to clean your tongue. Change the toothbrush every 2 or 3 months; If you wear dentures or removable bridges, clean them carefully in the morning.

Visit the dentist regularly - it is necessary to perform a dentist examination and hygienic cleaning at least 2 times a year. If you have or have had periodontal diseases, the dentist will recommend you to make more frequent visits.

Quit smoking - consult your dentist and reduce your smoking habits as much as you can. 

Drink water more often - water prevents dry mouth and washes away bacteria.

Use mouthwashes - some rinses provide only a temporary solution, only temporarily masking the unpleasant smell. Consult with your dentist about antiseptic agents that not only prevent malodor from the mouth, but also kill microbes that cause problems.

In most cases, a dentist will help you cure and solve the problem of unpleasant odor from the mouth. If it is found that the oral cavity is perfectly healthy and the unpleasant smell still persists, the dentist will send you to the physician to determine the cause and prescribe a treatment plan.

What can cause an unpleasant odor from the mouth?

In the morning - saliva is hardly released during sleep, thus reducing the cleaning function, there is a reproduction of bacteria, which cause an unpleasant smell from the mouth.

Some foods like garlic and onions. Food that contains a sharp smell enters your blood and is then transferred to the lungs, it then exists with your breath once you exhale.

Poor oral hygiene - food particles not cleaned from the oral cavity contribute to the growth of bacteria.

Periodontitis (gum disease) - bacteria and food residues accumulate under inflamed gums.

Tooth caries and incorrectly fixed dental designs - can also contribute to the unpleasant smell of the mouth.

Dry mouth (xerostomy) - can be caused by some medications, salivary gland problems, or improper breathing (through the mouth).

The use of tobacco products causes a dry mouth, which as a consequence causes an unpleasant smell.

Dehydration, starvation and irregular nutrition - drinking water and careful eating increases salivation, thus preventing the emergence of bacteria.

Medical diseases - diabetes, liver and kidney disease, chronic nasal sinus infection, bronchitis and pneumonia; All of these diseases can cause malodor from the mouth.


How often do I need to visit a dentist for check up and cleaning?

You should have a regular dental visit at least twice a year or as recommended by your dental professional.

Regular dental visits are important because they help to keep your teeth and gums healthy.

There are two parts to a regular dental visit: 

- The check up 

- The cleaning

During the dental check up, your dental professional will check your overall oral health for any trouble areas.During the cleaning, your dental professional will remove any plaque and tartar buildup and may polish your teeth.

Are amalgam (silver) seals safe?

Dental amalgam was once one of the most common materials used to fill cavities. Also known as “silver fillings,” amalgam fillings are silver in appearance, but not in composition. Since many dentists now use tooth-colored materials to fill cavities and restore teeth, amalgam fillings are less common than in the past. However, amalgam fillings are more versatile than the newer materials, because they can be used for other dental situations and hold up better over time, especially in teeth that undergo wear and tear from pressure and chewing.

Amalgam seals are generally believed to be completely safe. Along with the American Association of Dentists, the Center for Disease Control, the World Health Organization, and others support the use of amalgam seals as a safe, durable, and cost-effective material. The U.S. Public Health Service claims that the only reason the use of amalgam seals is contraindicated is personal intolerance and allergy to components contained in a given type of seal.

While research shows there are no tangible health risks to patients who have been installed with amalgam seals, we are all aware that mercury is a toxic material if we are exposed to dangerous levels of exposure. Still, the American Dental Association argues that when mercury interacts with other components, it becomes a non-active substance that is safe. In addition to amalgamated, there are also many other seal options, such as composite (under tooth color), porcelain, and gold. In order to determine which of the options will be the best for you, it is necessary to consult with your doctor - dentist.

How often do I need to visit a dentist doctor for examinations and undergo a hygiene cleaning session?

You should come for periodic examinations and hygienic cleaning at least 2 times a year if your dentist or hygienist does not recommend more frequent visits.

Regular dental examinations and tooth brushing are important for preventing and preventing dental problems and maintaining the health of your teeth and gums. During such visits, hygienic cleaning of teeth and check for caries are made. In addition, in order to detect possible diseases and prevent future problems, the general state of the oral cavity is checked.

How can I determine whether I have gingivitis or periodontitis (inflammation of the gums)?

About four in five people suffer from periodontal disease and do not even know about it! Most people are unaware of their disease, as early stages usually proceed painlessly. Unlike caries, which often causes unpleasant sensations, periodontal disease can occur without any noticeable symptoms. That is why it is necessary to visit a dentist for regular examinations to identify existing problems in the early stages. Periodontal disease occurs when plaque, a sticky colorless film of bacteria, food residues and saliva, envelops teeth and gums. Bacteria release toxins (acids) that cause inflammation of the gums and contribute to the gradual destruction of bone tissue. Regular tooth brushing and use of dental thread remove plaque, thus protecting your teeth and gums from damage.

However, in addition to poor hygiene, there are other factors that can increase the risk of periodontal diseases:

Smoking or chewing of tobacco: tobacco promotes formation of a dental plaque and stones on teeth.

Restoration structures or tooth condition: structures (such as bridges) that have undergone changes; Boring teeth or damaged seals on which plaque is formed, which is difficult to clean with a brush.

Drugs: many drugs reduce salivation, cause dry mouth, thus creating a favorable environment for sticking plaque to teeth and gums.

Pregnancy, contraceptives and puberty: changes occur at the hormonal level, making gum tissues more sensitive and susceptible to bacteria and the toxins they release.

Various diseases: diabetes, blood cell disorder, AIDS/HIV, etc.

Genetic predisposition: some patients may be predisposed to more aggressive types of periodontal disease.

Signs and symptoms of periodontal disease:

Генетическая предрасположенность: некоторые пациенты могут быть предрасположены к более агрессивным типам заболевания пародонта.

Признаки и симптомы заболевания пародонта:
  • Red and swollen gums - gums should never be red or swollen.
  • Bleeding gums - gums should never bleed, even if you push the toothbrush hard or use a dental thread.
  • Persistent malodor - caused by bacteria in the oral cavity.
  • A new distance between teeth - occurs due to loss of bone mass.
  • The gnoy around the teeth and gums is a sign that an infection is present.
  • "Withdrawal" (lowering) of the gum is the loss of the gum around the tooth.
  • Sensitivity or discomfort - plaque, dental stone and bacteria irritate gums and teeth.

Good oral hygiene, balanced nutrition and regular dentist visits will help reduce the risk of periodontal diseases.

How will cosmetic dentistry improve the appearance of my smile?

Over the past few years, cosmetic dentistry has become very popular not only because of the variety of procedures performed and the high quality of materials used, but also because patients are increasingly focused on improving their health overall. This includes both preventative dental procedures and being able to get a healthier, snow-white and radiant smile.

There are many available procedures in cosmetic dentistry that improve your teeth and smile in general. Depending on your specific needs, cosmetic dental procedures can restore the condition and appearance of both one tooth and the entire oral cavity.

Types of cosmetic dentistry procedures: tooth whitening, composite seals, ceramic viniras, ceramic crowns, dental implants and orthodontics.

Depending on your specific situation, with the help of a doctor-dentist consultation you will choose the necessary types of cosmetic dentistry procedures that will make your smile even more attractive.

What can be done if the tooth enamel is painted or darkened?

Since tooth whitening has recently become very popular among most patients, many methods and products have emerged to achieve a snow-white smile.

Professional tooth whitening is a fairly simple method of dental treatment that is used to change the natural color of tooth enamel and is an ideal way to help highlight the beauty of your smile.

With age, the outer layer of tooth enamel is erased and a dark or yellowish hue appears. Smoking, coffee, tea and wine can also contribute to changing the colour of teeth, making them yellow and dim. Sometimes the color of teeth can change due to the administration of drugs, for example tetracycline.

A dentist must be consulted before the bleaching procedure. Sometimes tooth whitening may not remove stains on enamel, in which case the doctor will offer you other options such as vinirs or crowns to prevent stains from being visible. Since only natural tooth enamel is bleached, it may be necessary to replace old seals, crowns and other dental structures.

Since the result of bleaching is not constant, in order to preserve the beauty and whiteness of your smile, every few years it is necessary to maintain the result achieved by repeated procedures.

What action can I take if I don 't have a tooth?

Due to the development of modern dental treatment and prevention, there are increasing opportunities to preserve the tooth without resorting to its removal. When any problems arise with the tooth, the dentist takes every possible way to restore the original functions of the tooth and preserve it.

If you have removed the tooth, there are several options for replacing the missing teeth:
  • Removable bridges are a good solution for replacing one or more missing teeth, especially in difficult situations where it is not possible to use other replacement options. They are usually made of material that picks up to the color of your teeth and are artificial teeth with metal fasteners that dress on adjacent natural teeth.
  • Fixed bridges - this type of bridge is typically made of a cermet or composite material and is fixed to permanent teeth adjacent to the site of the missing tooth. The advantage of this bridge is that it is fixed (non-removable) and very strong. A disadvantage is that in order to fix a non-removable bridge onto two healthy natural teeth, it is necessary to install crowns that will hold it.
  • Prostheses - this type of prosthetics is used when all or almost all natural teeth are missing on one tooth jaw. Prostheses are removable artificial teeth that are made in a way that is very similar to the patient 's natural teeth.
  • Implants are a great way to replace one or more teeth. They can also be used to support dentures. The implant is an artificial tooth root that is surgically injected into the jaw bone. A crown is then mounted on the implant, which gives the impression and sensation of a natural tooth. Implants are very stable and durable. Besides, it is the most aesthetic version of prosthetics.

If you do not have at least one tooth, you must consult with a dentist in order to find the most appropriate treatment option in your particular case. Preventing and treating problems at an early stage always takes less time and is less costly than delaying treatment.

What can be done with old, color-changing, unattractive seals?

Most of us have seals in our mouth that were installed years ago or were made as a child. Over time, these seals have worn out and darkened, and make you feel insecure when we smile, laugh or talk. Old seals may not only be unattractive, but may also appear with various cracks and defects over time. In addition, when the seal is already old, a space is formed between the tooth and the seal where food residues and bacteria enter, which can lead to caries.

During the examination, the dentist will assess the condition of your seals and give recommendations, which of them require replacement and which option is best suited in your particular case. Today, many modern dental filling materials are available, which are used to replace old seals.

Options for replacing old, unattractive and color-changing seals:
  • Composite seals are seals that exactly match the natural color of your teeth. They are particularly well suited for use on the front teeth or visible part of the teeth.
  • Crowns - this type of denture repair is used when the tooth is too damaged and cannot be repaired with a seal or other kind of restoration.
  • Tabs are seals that are made in the laboratory from composite material, gold, or ceramics in tooth color. Ceramic tabs are very popular, as they are almost no different from natural teeth.
  • Viniras - usually used on the front teeth and look very natural. May also be used to eliminate unwanted large-size inter-tooth slits.


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