A question for PH Dentists

[Ozone]

MacGee said:

Rach* said:

Is your dentist doing it themselves?


When I treat a patient for chronic perio......

The most important thing is: You!
Your home care regime, making sure you keep your teeth absolutely spotless in between appointments, checking your plaque control techniques. Otherwise debridement is pretty much pointless.


I use local about 80% of the time, some people would rather not. Middle-aged men have the lowest pain threshold IMO, so they get enough to perform a lobotomy


Might ache a bit after treatment, usual headache painkllers are enough to control.

agree Rach...specia;ists reckon you cant do chronic perio without local...100%...unless you're tough like bloke above!!!!

OK. Is chronic perio a new cleaning system - i've never had it before and i haven't changed my cleaning technique etc. My dentist said it was up to me to have it done - i don't have bleeding gums but decided that she must be recommending it for a good reason. If i don't change my cleaning style am i wasting my time having this done?

I had a really bad experience with my very first filling where the drugs hadn't taken effect and all i could see was spinning lights and i was in agony but the dentist wouldn't stop - ever since then i am in terror in the chair expecting pain at any moment.

Edited by Ozone on Wednesday 3rd November 15:03

[Rach*]

Have a read about periodontal disease: here is a good place to start

http://www.colgate.co.uk/app/Colgate/UK/OralCare/O...

I've got patients til 5, but if you have any questions I'll try to answer them

[MacGee]

good site for the public..

[Ozone]

Rach* said:

Have a read about periodontal disease: here is a good place to start

http://www.colgate.co.uk/app/Colgate/UK/OralCare/O...

I've got patients til 5, but if you have any questions I'll try to answer them

Thanks Rach. Thats worrying reading - can you damage your gums through brushing too hard? I am under the impression that gums do not grow back once they are damaged.

I'd better have the treatment to be on the safe side.

[Rach*]

You can damage your gums brushing too hard, I recommend almost everyone to buy an electric toothbrush these days, they're so cheap right now.


Gum disease is pretty terminal for teeth if left untreated and is now linked to other systemic disease.


I would ask her how deep your pockets are, are there any furcations, are any of your teeth loose, how much bone loss do you have on your xrays - is it vertical loss or horizontal loss, how good is your oral hygiene.


Disclosing tablets will tell you exactly how well you're cleaning your teeth.

[littlegreenfairy]

anonymous said:

[redacted]

Thanks

[Ozone]

Rach* said:

You can damage your gums brushing too hard, I recommend almost everyone to buy an electric toothbrush these days, they're so cheap right now.


Gum disease is pretty terminal for teeth if left untreated and is now linked to other systemic disease.


I would ask her how deep your pockets are, are there any furcations, are any of your teeth loose, how much bone loss do you have on your xrays - is it vertical loss or horizontal loss, how good is your oral hygiene.


Disclosing tablets will tell you exactly how well you're cleaning your teeth.

Thanks Rach. I am concerned about how bad my gums are now

I'll try and remember the questions but inevitablely i'll ask how my fornications are and how deep is her pocket.......

[Rach*]

Write them down, try not to worry, hopefully it's mild/early stage and easily controlled.


ETA: Do you smoke?

Edited by Rach* on Friday 5th November 12:20

[Ozone]

No, never smoked. Drink alot of tea if that makes a difference.

Is this a consultation now

[Rach*]

I should be switching off from teeth, I'm going to BTap!


Smoking is v.v.v. bad for gums, but tea is ok

[Ozone]

Cheers for that.

Don't get mixed up with any of the reprobates at BTaP, just sit near Garlick or Mr Will they'll protect you*

• This may not be true

[Rach*]

Thanks for the tip

[Rollin]

anonymous said:

[redacted]

[Rollin]

I once saw a patient with a partial denture with palatal coverage that had been cemented to
some remaining teeth. It was designed not to be removed. The patient had had it for a number of years until it inevitabley knackered the remaining teeth. I had the pleasure of removing the denture/abutment teeth to see a few years of accumulated rotten food under it. Not pleasant
That was made in Poland.

[Oakey]

Rach* said:

You can damage your gums brushing too hard, I recommend almost everyone to buy an electric toothbrush these days, they're so cheap right now.


Gum disease is pretty terminal for teeth if left untreated and is now linked to other systemic disease.


I would ask her how deep your pockets are, are there any furcations, are any of your teeth loose, how much bone loss do you have on your xrays - is it vertical loss or horizontal loss, how good is your oral hygiene.


Disclosing tablets will tell you exactly how well you're cleaning your teeth.

I recently noticed that my gums were slowly receding and on two teeth there is a little notch in the tooth at the gunline. I put this down to brushing my teeth whenever possible (minimum three times a day) and have recently bought a softer tootbrush. Any other advice?

[Rach*]

Just use an electric one, all half price at the mo'



Right, I am leaving the building! BTaP here I come!

[pauldavies85]

I would agree with Rach here, cleaning is everything to treat/manage perio problems in all but the most aggressive/severe case (rare). Please be aware that true perio disease has large element of predisposition and you can not be cured of this.

I think electric brushes are fantastic as they remove most of human error/laziness - every patient i see with a noticeable improvement in oral health has bought an electric brush, often surprised that i have noticed the change!

Polish dentists - sure some are ok, I would say 60% of my NHS work has been created by them at these wonderful corporate practices that the PCT do nothing about to regulate. Of course this has only been my experience in my area, most appear not to be trained in root canal and are not clinically capable of placing 'white' composite fillings (very technique sensitive!)

Our treatment costs a lot because we live in England (where you pay £3.50 for a coffee) and it is good quality that will last (if you listen and are capable of looking after your own mouth). Luckily the NHS can always pick up the pieces when you've spent your money in another countries economy.

Luckily most of my patients appreciate this, with a few of the shoppers being sent back to the chosen treatment country to be repaired (on the 'cheap' I'm sure) - denture anyone?

[-Z-]

Agree with the above, I have quite a lot of east European patients and almost all have examples of pretty shocking dentistry.

When looking at whole mouth X-rays you can usually pick out east Europeans by the obscene amount of root canalled teeth they have.

Why? Because east European dentists seem to be pretty rubbish at White fillings, with leakage, cracks and secondary decay that inevitably leads to root canals/extractions.

[MacGee]

PintOfKittens said:

IIRC it wont hurt MUCH afterwards - it will be a bit sore and bleeding, but wont be that painful - its the actual cleaning bit thats fking painful

Whenever I goto Poland with the missus I get my teeth done there. WAY better than UK dentists.

where is PoK when we need another anecdote full of nonsense. Next he'll be telling us that british cars are useless...

[Ozone]

MacGee said:

PintOfKittens said:

IIRC it wont hurt MUCH afterwards - it will be a bit sore and bleeding, but wont be that painful - its the actual cleaning bit thats fking painful

Whenever I goto Poland with the missus I get my teeth done there. WAY better than UK dentists.

where is PoK when we need another anecdote full of nonsense. Next he'll be telling us that british cars are useless...

Is that for all of that or one part?

Just tell me about the pain!!!!!