Other causes that contribute to Pyorrhea are; malocclusion (bad-bite),
Poor dental work by an incompetent dentist and a habit like teeth
grinding.

Malocclusion,(Bad-bite) can generate chewing forces on the teeth that
cause stress and eventual bone resorption (bone-loss)

Poor dental work can be a big contributor as a precursor of Pyorrhea.
Fillings that have open margins,overhangs and open contacts between
the teeth can cause irritations of the gum tissue. And poorly placed
fillings that interfere with the occlusion (premature contact) will lead
to the periodontal consequences of malocclusion.

This Type of malocclusion if untreated can lead to TMJ (jaw )disorders.
The tension,induced habit of teeth grinding can also play a very important
role in the progression of periodontal disease (Pyorrhea).

The constant grinding of teeth can cause repeated muscular pressure
on the teeth which in turn damages the periodontal health of the
surrounding, adjacent tissues.

Is Pyorreha treatable ? Fortunately, the answer is YES, but it must be
treated in the early stages. In fact, if treated early enough, it can
even be reversible.

It is important to realize that Pyorrhea,is a progressive disease
which means….. the worse it gets,……the faster it degenerates !

There is no controversy regarding the removal of tarter (calculus)
from the teeth. Because it will invariably destroy the tissue if it
remains around and between the teeth involved.

Therefore , IT MUST BE REMOVED! The calculus that you might be able
to see above the gum tissue is called supragingival calculus.The calculus
that you cannot see is called subgingival calculus.

The removal of calculus from your teeth is accomplished by procedures
called, scaling and curretage.The latter,often being used to indicate
a very deep scaling procedure to remove the subgingival calculus that
is well attached to the root surfaces below and hidden under the gum
tissue.

Scalers and curettes are dental tools used by the Dentists,Hygienists
and Periodontists (GUM Specialists) to scrape and remove the calculus
from your teeth. They come in several different sizes and shapes.

The supragigival calculus is usually removed quite readily however
the subgingival calculus which is much harder and more severely attached,
is much more difficult and challenging to remove.

The scraping that will remove the calculus is done in an upward fashion
with great care. Misuse of these tools, may cause damage to the tissue
and fail to remove all of the tarter.

The scaling procedure can be very tedious,discomforting and time
consuming depending on the severity of calculus that is present.
A competent, dental-professional, may take an hour or more if needed
to accomplish the job required at hand.

Depending on the condition of your mouth, more than one appointment
may be necessary to accomplish the task in the proper manner.

The Cavitron is another instrument used in the dental office to help
remove stains and calculus from your teeth. It is an instrument that
does its work via supersonic vibrations which are water cooled and up
to a point, does a creditable job and can be a very pleasant experience.

In fact, most people who have had the cavitron used on them, prefer it
rather than the manual scraping and curettage using the hand tools
described earlier.

That been said,the cavitron does have its limitations removing all
traces of tarter that may be present.This is the reason why most
professionals who use the cavitron will supplement the scaling
procedure with the use of hand instruments as well.

A word of CAUTION ! ….. Beware of dentist who’s idea of a routine
periodontal care procedure consists of the ” cleaning of the teeth”
a process that usually takes only a few minutes, whereby the supra-
calculus may be removed and the teeth are then polished with a
rubber like prophy cup and pumice paste.

This latter procedure may be fine in a young child or adult who does
not have evidence of any gum disease yet. Dental professionals who
routinely clean teeth in this manner with all patients are not only
doing a poor,inadequate job, but they may be charging you fees for
services that they have not provided you.

Be aware of the amount of time you are in the dental chair when you
are having your teeth ” cleaned.”A average cleaning appointment
that requires scaling and/or curettage, usually will take at least
3/4 to 1 hour to complete.

Most dental offices will charge their fees for services according
to the amount of time they have spent cleaning your teeth. One hour
is referred to as 4 units of time. Each unit of time equaling 15
minutes.

If your cleaning appointment is scheduled for 1 hour, then some one
should be with you,cleaning your teeth for that period of time.

Unfortunately, there are many dental offices that abuse this cleaning
procedure and in my opinion,the dentist and or hygienist who does
this is guilty of unprofessional and fraudulent behaviour.

I have always been deeply concerned of this type o fraudulent activity
in my profession.I’m afraid it may becoming more the rule than the
exception.

PLEASE watch out for it ! … It could save YOU a lot of money !

The public awareness of “Pyorrhea (gum disease) cannot be over
emphasized……In fact,it should be reinforced on a regular basis.

Please direct any questions you may on this Blog anytime !

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