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Dental cleaning and Hygiene

Cleaning teeth from calculus and plaque: stages and new technologies

Every person's oral cavity contains many bacteria - according to recent studies, there are about 200 billion different microorganisms in one gram of saliva. If hygiene procedures are carried out poorly or in insufficient quantities, then the bacteria are able to actively multiply, settle on the teeth, gum tissue and tongue in the form of plaque. If it is not promptly removed, then without cleaning the soft plaque hardens and turns into tartar build-up, which is no longer possible to get rid of at home. It is plaque and tartar build-up that are the main reasons for the development of most diseases of the oral cavity, namely, caries, gingivitis and their dangerous consequences.

The goal of comprehensive hygiene, which is carried out in the dental office, is to remove plaque and hard calculus from the interdental spaces, from the surface of the teeth, as well as from under the gums.

Why do you need professional hygiene?

  • excellent prevention of dental caries and gum disease,
  • elimination of bad breath,
  • painless - the doctor uses anesthesia in the form of a gel or local anaesthetic solution when necessary
  • it is completely safe - it can and should be done even for children from 2-3 years old,
  • we are working - you are relaxing! A comfortable chair, pleasant music.

We use the latest technology in everything, including in the care of your teeth, prostheses and implants. Modern equipment have made hygiene methods effective and even enjoyable - many patients compare them with a SPA procedure for teeth. While the doctor is doing their work, you relax in a comfortable chair, listening to pleasant music without unpleasant sensations.

After comprehensive oral hygiene, the condition of the gums is noticeably improved, their inflammation decreases, bleeding decreases, teeth look whiter. Thus, the removal of plaque and calculus is recommended for the treatment of gum disease, as well as for the prevention of tooth decay and inflammation of the mucous membrane.

What results does professional hygiene allow to achieve?

  • effective and complete removal of plaque and hard calculus from the surface of the teeth, from under the gums,
  • elimination of the habitat of pathogenic microorganisms,
  • elimination of bad breath,
  • brightening the enamel,
  • removal of yellow pigmented "smoker's staining",
  • protection of teeth from decay, and gums from inflammation, caused by pathogenic microorganisms (contained in deposits),
  • saturation of tissues with microelements through the use of fluoride varnish,
  • effective enamel cleaning while wearing braces,
  • extending the service life of prostheses and implants

Our patients, who regularly undergo complex cleaning of teeth from plaque and calculus, can boast of strong, snow-white teeth and healthy gums!

How is the cleaning done? 4 procedures for healthy teeth and gums

Hygiene is usually carried out in a complex - this is how you can achieve high results. These are five stages or five procedures, the purpose of which is to remove deposits, as well as restore the health of enamel and gums.

  1. removal of plaque and tartar with an ultrasonic scaler,
  2. cleaning the surface of the teeth and interdental spaces with an air-abrasive stream,
  3. polishing the surface - it is important to achieve its smoothness so that plaque does not accumulate,
  4. application of fluoride,
  5. NOT AN OHT’s SCOPE OF PRACTICE – PERIODONTISTS DO THIS.

Stage 1: removal of soft and hard dental deposits

Benefits: effective removal of even the hardest dental calculus.

This is the main method for removing calculus and plaque from the surface of the teeth, as well as from under the gums. And this is the first thing a dental hygienist starts with.

A special device is used, which is called a scaler. Ultrasonic waves or micro vibrations are delivered through a special tip, which breaks the stone into tiny particles. At the same time, a small amount of water is supplied - firstly, for cooling, so that the enamel surface does not overheat and there is no burn of the gums, and secondly, to wash out crushed pieces of plaque and tartar.

The procedure is often painless, but for some patients (especially in the presence of sensitive enamel or tartar located under the gums) it can cause unpleasant sensations - in this case, a surface anesthesia in the form of a gel is applied to the mucous membrane.

Gentle removal of plaque and stone without pain! Keep your teeth and gums healthy for years to come. Prevention equals smart savings!

Stage 2: air-abrasive cleaning air polishing

Benefits: removal of plaque, freshness of breath, contraindications and gentle cleansing without damaging the enamel and gums

After removing hard deposits, air-abrasive cleaning is carried out using the Air-Flow technology. It can be used as an independent tool, but, as a rule, with complex hygiene, it still complements ultrasonic, because it does not remove hard deposits.

A special device delivers a stream of water under high pressure through the nozzle. At the same time, abrasive substances are used - this is a special powder, which consists of microscopic granules. Their size is no more than 14 microns (micrometer). Due to this combination, effective washing away of soft dental plaque is carried out both from the surface of the teeth and from under the gums, as well as from the interdental spaces, where it is extremely difficult to get with other devices and instruments. In addition, gentle cleaning of the surface of dentures, composite restorations, orthodontic structures and even dental implants is carried out.

An air polisher not only effectively removes dental plaque, but also polishes teeth. The procedure is often called even "Air-Flow whitening" - this effect is achieved by cleansing the enamel, restoring its natural shine and smoothness. This is a nice addition to the hygiene complex. And the powder particles are so small that they do not lead to the cracks or scratches either on the enamel of living teeth or on the materials of denture crowns.

Stage 3: polishing the enamel

Benefits: the enamel becomes smooth - this is an effective protection against re-accumulation of plaque.

Our teeth have a porous surface. In addition, composite restorations also gradually lose their density and become porous. It is in these micro-spaces where the smallest bacteria accumulate. Therefore, it is important to make the enamel smooth, to level the surface of the fillings and the joints with the tissues of a living tooth.

The procedure is carried out after hard deposits and soft plaque have been completely removed. That is, after ultrasonic, the air-polishing procedure, as well as manual cleaning with special hand instruments, if necessary, in those places where there was a large accumulation of calculus (usually under the gums).

To polish the entire surface of the teeth, special abrasive pastes are used, which are selected individually - the condition of the enamel, the quantity and quality of the installed fillings are taken into account. The paste is applied with rubber polishing cup which the doctor gently passes over all the teeth, polishing teeth.

Stage 4: enamel strengthening

Benefits: enamel is saturated with useful microelements and becomes stronger

The final stage of hygiene is fluoridation or enamel strengthening. A special protective fluoride varnish in the form of a gel is applied to the surface of the teeth, which removes the increased sensitivity of the enamel, strengthens it, forming a special film that will help protect against bacteria attack.

It is not recommended to eat or drink for about 30 minutes after fluoride application to allow useful elements to saturate the enamel.

NOT AN OHT’s SCOPE OF PRACTICE – PERIODONTISTS DO THIS

Features of cleaning with braces

In the presence of braces, complex cleaning is necessary, and it can be carried out even every 3-4 months. The best solution would be to remove the arc and all elastic bands / springs, but in general, hygiene can be carried out even if they are present - there are no restrictions.

With braces, an ultrasonic scaler is also used to remove deposits along the gum line. From the area of the brackets themselves, plaque is removed mainly with the help of an air polisher.

Do I need to carry have hygiene done implant placement?

It is imperative - firstly, to preserve the result of treatment, since plaque accumulates both on the prostheses themselves and on the gums. Secondly, comprehensive hygiene, which is carried out at least once a year, will allow you to maintain the clinic's warranty obligations and save you from complications in the form of implant failure. Read more about hygiene after dental implantation in our separate article.

What is tartar and plaque?

Dental plaque and tartar are usually called a single word - "deposits". Normally, several hundred species of various microorganisms live in the human’s mouth - and this is completely normal. But under the influence of acids, in violation of metabolic processes in the body, and when home care is inadequate, pathogenic microflora begins to prevail in our oral cavity - first plaque is formed, and then a harder tartar, which consists of bacteria, destroying all tissues of the oral cavity.

What is the difference between plaque and tartar?

Dental plaque is a thin biofilm that forms on surfaces of teeth and gums. It usually can be removed with a toothbrush. Tartar is hardened. It is formed when soft plaque remains undisturbed on teeth surfaces for some time. It is no longer possible to remove it on your own with any hygiene products at home - but can be removed with an ultrasonic and hand scalers by a professional.

Where can deposits be found?

It is customary to distinguish two types of deposits - supragingival and subgingival. The former are located on the surface of the teeth - and it can be both plaque and stone. In smokers, such plaque is evenly distributed over the enamel and has a pronounced yellow colour. If the cause of deposits is poor oral hygiene, then such a plaque / tartar is presented in the form of a thin rim along the gumline - as a rule, immediately along the entire row.

Subgingival deposits, as the name implies, are located below the level of the gum - in the so-called periodontal pockets on the neck and roots of the teeth.

INACCURATE FROM A SCIENTIFIC POINT OF VIEW – BETTER REMOVE THE WHOLE PARAGRAPH

Why are dental tartar and plaque dangerous?

"Fresh" tartar and plaque are invisible and do not have time to damage your teeth. But as they grow, they become noticeable and lead to pathological processes not only in the oral cavity, but also in the whole organism.

  • visual disturbances: the plaque is yellow and visible to others. Your teeth change colour, often the crowns appear shorter due to deposits along the gum line,
  • bad breath, which occurs due to the metabolic byproducts of the microorganisms,
  • caries and pulpitis occur, since bacteria gradually eat away at first the enamel, and then dentin - the internal tissues of the tooth,
  • periodontitis occurs - inflammation of the periodontal tissues surrounding the dental root,
  • the risk of the formation of cysts and granulomas increases, especially when the deposits "deepen" and are localized under the gum, on the roots,
  • the gums become inflamed - first there is gingivitis (gum inflammation), and then periodontitis (‘gum disease’) your gums start to recede and your teeth become wiggly. .

Remember! There is the most direct link between early tooth loss and poor oral hygiene! Periodontitis and inflammation of the gums along with periodontal tissues are the main and main reason why our teeth fail.

But besides the fact that teeth and gums are destroyed, it is important to remember that plaque consists of pathogenic bacteria. They enter the bloodstream via periodontal pockets and travel throughout the body.

Why does plaque accumulate on teeth?

The very first and main reason is the absence, poor-quality oral hygiene or its omission. But there are also third-party factors that cause an increased accumulation of plaque.

  • improperly selected hygiene products: a too hard brush leads to injury to the gums and enamel,
  • transition to a gentle care regimen when the first signs of inflammation of the mucous membranes appear - in such situations, hygiene, on the contrary, should be strengthened to the maximum,
  • eating "sweet" foods that are rich in light carbohydrates,
  • lack of solid food in the diet,
  • smoking, drugs, abuse of tea and coffee,
  • violations of the composition of saliva, which leads to the fact that it does not cope with cleaning teeth,
  • lack of vitamins in the body,
  • malocclusion that does not allow for hygiene in certain areas of the dentition,
  • general diseases: diabetes mellitus, endocrine and hormonal disorders, diseases of the gastrointestinal tract,
  • therapy with antibacterial drugs.

Indications and contraindications for professional cleaning

Professional hygiene should be carried out at least once a year, even if you do not see any external manifestations. Deposits may be located under the gums and have not yet led to an inflammatory process - you just may not yet notice the changes. Therefore, hygiene will be the best prevention.

In addition, the hygiene(with some restrictions) is necessarily carried out in the presence of implants and prostheses based on them - to maintain the healthy state of the tissues, preserve the guarantee and the result of treatment. Hygiene is also needed when wearing braces (can be done every 3-4 months).

Indications

  • presence of plaque and tartar, incl. under the gums,
  • pigmentation of the enamel,
  • inflammation and bleeding of the gums,
  • "Smoker's staining"
  • frequent consumption of coffee and black tea,
  • preparation for the installation of braces, prostheses, veneers, lumineers or implants,
  • presence of braces,
  • the presence of any dentures, including those on implants,
  • prevention of diseases of teeth and gums.

Contraindications (mostly for Air-Flow)

  • diseases of the respiratory system asthma, bronchitis (with caution),
  • inflammatory and infectious diseases of the oral mucosa,
  • acute viral diseases,

Does the method have disadvantages?

If the teeth are cleaned by a professional doctor, then the method has no drawbacks - the soreness after the procedure is either absent at all, or passes quickly, the tissues are not injured, plaque and calculus are removed very efficiently. The only drawback can be considered the need for professional hygiene on an ongoing basis. In combination with high-quality self-hygiene, this will be an excellent prevention of many diseases of the teeth and gums.

Rehabilitation rules after comprehensive hygiene

After professional hygiene during the first day, you should stay away from discolouring drinks and foods for 3 hours.

To maintain the result, it is advisable maintain good self-hygiene. To do this, you need to follow only 3 simple rules:

  • Choose the right toothbrush. Your doctor-hygienist will recommend the most suitable option and teach you how to use it,
  • choose the right toothpaste: this recommendation will be given to you by you oral health practitioner - again based on the condition of the enamel of the teeth and the health of the gums,
  • observe regular hygiene.

Professional Dental Hygiene Package

4 hygiene appointments* + 1 free

  • includes assessment of the gums, ultrasonic and hand scaling, polishing, fluoride varnish application, and personalised advice on home care
  • valid for 3 years
  • can be passed on to family members
  • savings - $190
$760

* The length of 1 hygiene appointment is 50 minutes; depending on the condition of you gums and the amount of deposits, more than 1 hygiene appointment may be needed to carry out a full-mouth clean (for example, in presence of gum disease when ‘a deep clean’ is indicated). However, for most clients one 50-minute appointment is enough for a full-mouth clean.

7 hygiene appointments* + 2 free

  • includes assessment of the gums, ultrasonic and hand scaling, polishing, fluoride varnish application, and personalised advice on home care
  • valid for 5 years
  • can be passed on to family members
  • savings - $380
$1330

* The length of 1 hygiene appointment is 50 minutes; depending on the condition of you gums and the amount of deposits, more than 1 hygiene appointment may be needed to carry out a full-mouth clean (for example, in presence of gum disease when ‘a deep clean’ is indicated). However, for most clients one 50-minute appointment is enough for a full-mouth clean.

10 hygiene appointments* + 3 free

  • includes assessment of the gums, ultrasonic and hand scaling, polishing, fluoride varnish application, and personalised advice on home care
  • valid for 5 years
  • can be passed on to family members
  • savings - $570
$1900

* The length of 1 hygiene appointment is 50 minutes; depending on the condition of you gums and the amount of deposits, more than 1 hygiene appointment may be needed to carry out a full-mouth clean (for example, in presence of gum disease when ‘a deep clean’ is indicated). However, for most clients one 50-minute appointment is enough for a full-mouth clean.