Dentists and dental hygienists measure periodontal disease using a device called a periodontal probe. This thin "measuring stick" is gently placed into the space between the gums and the teeth, and slipped below the gumline. If the probe can slip more than 3 mm (0.12 in) below the gumline, the person is said to have a gingival pocket if no migration of the epithelial attachment has occurred or a periodontal pocket if apical migration has occurred. This is somewhat of a misnomer, as any depth is, in essence, a pocket, which in turn is defined by its depth, i.e., a 2-mm pocket or a 6-mm pocket. However, pockets are generally accepted as self-cleansable (at home, by the person, with a toothbrush) if they are 3 mm or less in depth. This is important because if a pocket is deeper than 3 mm around the tooth, at-home care will not be sufficient to cleanse the pocket, and professional care should be sought. When the pocket depths reach 6 to 7 mm (0.24 to 0.28 in) in depth, the hand instruments and cavitrons used by the dental professionals may not reach deeply enough into the pocket to clean out the microbial plaque that causes gingival inflammation. In such a situation, the bone or the gums around that tooth should be surgically altered or it will always have inflammation which will likely result in more bone loss around that tooth. An additional way to stop the inflammation would be for the person to receive subgingival antibiotics (such as minocycline) or undergo some form of gingival surgery to access the depths of the pockets and perhaps even change the pocket depths so they become 3 mm or less in depth and can once again be properly cleaned by the person at home with his or her toothbrush. Extractions & Immediate Dental Implants for Upper Incisors Bridge.


Sometimes, a surgical procedure is carried out to clean away plaque bacteria and deposits that are under the gum within periodontal pockets and on the root surfaces at the furcations (where the roots diverge). These areas are inaccessible to brushes and floss and inflammation will persist in these sites as long as bacteria are allowed to colonize them. Under local anaesthesia, the gum is lifted away and the root surfaces are cleaned under direct vision to ensure that all bacteria are removed. Sometimes, it is possible to treat bone loss at the same time using a special regenerative treatment. At the end of the procedure, the gums are sutured back into place around the teeth. Dental Implant For Front Tooth (London, UK)
If the progress of periodontal inflammation is not halted, the supporting structures of the teeth, including the surrounding bone, are destroyed. The teeth eventually loosen and are lost, or require extraction. Other problems patients may experience include painful abscesses, drifting of the teeth which may interfere with eating, and unsightly lengthening of the teeth with exposure of the roots, as a result of gum recession. ClickDo Review by Dr Hossein Amini at Angel Smile Dental Practice
The information in this 14-module syllabus is intended (1) to meet academic requirements for Dental Students, Dental Hygiene Students, and Dental Assistant Students related to clinical pharmacology; (2) to provide a framework for an in-service training program in oral healthcare settings; and (3) to serve as a resource for oral healthcare personnel wishing to review evidence-based information on specific topics related to clinical pharmacology. A PDF is also available for each of the modules that may serve as a convenient chairside resource.
Loosened or knocked-out tooth: If your tooth becomes loose due to trauma, call your dentist. For a knocked out tooth, gently insert the lost tooth back in its socket if possible, holding the tooth by the crown using a clean washcloth. If the tooth is dirty, first rinse the root, but do not scrub it or remove any attached tissues. If reinsertion is not possible, hold the tooth under the tongue and go to the dentist immediately.
Dentin comes into play for aesthetics as well, because it's got a naturally yellowish hue. As people age, their enamel can become thinner, a result of decades of wear and tear. The thinner the enamel, the more likely the yellowish dentin shows through. That's why older people often have yellowed teeth. Bleaching products won't help in this situation because they don't affect the dentin. Refresh Dental a Dental Clinic in London for Cosmetic Dentistry or for Dentist
To control pain, anesthesia options during surgery include local anesthesia, sedation or general anesthesia. Talk to your dental specialist about which option is best for you. Your dental care team will instruct you about eating and drinking before surgery, depending on what type of anesthesia you have. If you're having sedation or general anesthesia, plan to have someone take you home after surgery and expect to rest for the remainder of the day. London Community Dental Alliance Low-cost Dental Clinic
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Dentin comes into play for aesthetics as well, because it's got a naturally yellowish hue. As people age, their enamel can become thinner, a result of decades of wear and tear. The thinner the enamel, the more likely the yellowish dentin shows through. That's why older people often have yellowed teeth. Bleaching products won't help in this situation because they don't affect the dentin. Holborn Dentist Monik Vasant - Testimonial From Tom Parker

Teeth whitening is one of the most popular cosmetic dentistry treatments offering a quick, non-invasive and affordable way to enhance a smile.  Universally valued by men and women alike, whitening (or bleaching) treatments are available to satisfy every budget, time frame and temperament. Whether in the form of professionally administered one-hour whitening sessions at a dental office or cosmetic spa, or home-use bleaching kits purchased at your local drugstore, solutions abound. Best Dentist in London
Aspen Dental is dedicated to providing affordable dental care, no matter what procedure you’re interested in or need. Teeth whitening—classified as a “cosmetic” procedure—doesn’t have to be out of reach. This is why we offer several third-party financing options and accept coverage from several leading insurance providers. Once you select and decide on a treatment plan with your Aspen Dental team, you can trust that costs will not change unexpectedly thanks to the Aspen Dental Peace of Mind Promise®.

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The dentist or oral health professional will examine your gums with a probe to measure the spaces between the tooth and gum. This will determine the health of your gums and supporting structures. If necessary, the dentist or oral health professional will instruct you in tooth cleaning techniques or may clean your teeth professionally to remove any plaque and calculus (hardened plaque).

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It is possible to have gingivitis and not notice any signs or symptoms, so regular visits to the dentist are vital in determining a patient's specific risk level. The dentist is the primary-care provider of the mouth and will be able to provide all of the facts and information necessary in diagnosing the disease and taking steps in curing or reversing gum disease. Barry Smith Dental on Argyle. Camden
You might also notice some discoloration on your teeth. This is called plaque. Plaque is a buildup of bacteria and food debris on your teeth. Although bacteria are always present in your mouth, they only become harmful when conditions allow them to increase dramatically. This might happen if you don’t brush or floss, or get dental cleanings on a regular basis.
In orthodontics, small diameter dental implants, referred to as Temporary Anchorage Devices (or TADs) can assist tooth movement by creating anchor points from which forces can be generated.[12] For teeth to move, a force must be applied to them in the direction of the desired movement. The force stimulates cells in the periodontal ligament to cause bone remodeling, removing bone in the direction of travel of the tooth and adding it to the space created. In order to generate a force on a tooth, an anchor point (something that will not move) is needed. Since implants do not have a periodontal ligament, and bone remodelling will not be stimulated when tension is applied, they are ideal anchor points in orthodontics. Typically, implants designed for orthodontic movement are small and do not fully osseointegrate, allowing easy removal following treatment.[13]

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To achieve an adequate width and height of bone, various bone grafting techniques have been developed. The most frequently used is called guided bone graft augmentation where a defect is filled with either natural (harvested or autograft) bone or allograft (donor bone or synthetic bone substitute), covered with a semi-permeable membrane and allowed to heal. During the healing phase, natural bone replaces the graft forming a new bony base for the implant.[27]:223

Bruxism (clenching and grinding of the teeth) can lead to micro-cracking of the incisal edges of the teeth. Extrinsic stains may settle more readily into these cracks, and a thin layer of enamel can be left. This thin enamel layer is partially transparent, allowing the dark background of the mouth to shine through, affording a darker appearance of the incisal edge.
In orthodontics, small diameter dental implants, referred to as Temporary Anchorage Devices (or TADs) can assist tooth movement by creating anchor points from which forces can be generated.[12] For teeth to move, a force must be applied to them in the direction of the desired movement. The force stimulates cells in the periodontal ligament to cause bone remodeling, removing bone in the direction of travel of the tooth and adding it to the space created. In order to generate a force on a tooth, an anchor point (something that will not move) is needed. Since implants do not have a periodontal ligament, and bone remodelling will not be stimulated when tension is applied, they are ideal anchor points in orthodontics. Typically, implants designed for orthodontic movement are small and do not fully osseointegrate, allowing easy removal following treatment.[13] Dental Implants Harley Street London - Dr Michael Norton's state-of-the-art surgery
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