Examination & Prevention

The Dental Health Examination or more commonly known as oral health check up forms the core service. This helps in delivering good dental care by keeping treatment to a minimum by prevention.


During this appointment we go through your

  • Medical history including current medication
  • Dental history,relevant details about past dental care, details of any problems, concerns, discussion of any particular treatment that is needed or you want.
  • Examination of mouth head-and-neck tissue checks, cancer screening, jaw function ,teeth, restorations, gum condition, bone levels & health.
  • Radiographs and other investigations are performed as and when required.


All findings and proposals are fully discussed with the patient including any alternative options and their benefits. All treatment proposals are based on sound clinical diagnosis. Treatment is started after discussing and getting a full informed consent of the patient. A printed estimate of the cost of treatment is produced, and any changes to the treatment plan required during treatment are explained. If a patient needs to see the hygienist, it is discussed at this appointment.

Recall for examination/Hygienist is set up at this appointment.

Preventive advice is given at this appointment.


Prevention

“Prevention is better than cure”. Preventive dentistry is the modern approach to reducing the amount of dental treatment required. The primary cause of tooth loss is gum disease and tooth decay.


How can we prevent gum disease?

  • By preventing plaque formation
  • By avoiding smoking
  • By maintaining good diet


(All these are discussed during the check up, hence we encourage our patients to attend them).

Our hygienist service is fundamental to treating and preventing gum problems and for regular on-going maintenance.

-The appropriate frequency of hygienist visits may vary with individual needs. The intervals normally recommended are between 3 months and 1 year.

We offer the services of our Periodontist (gum specialist) in more advanced cases.


Prevention of tooth decay


Diet and oral hygiene is key to prevention of tooth decay. Oral hygiene and dietary instructions are given to patients as per individual needs, mainly during examination and hygienists visit. The oral healthcare in children and young adults can be managed by periodical fluoride application, and pit fissure sealants application.


Fluoride application


Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It is applied to both children and adults teeth as and when needed. Your dentist will advise you if you need fluoride application.

Pit and Fissure sealants


Pit and fissure sealants are intended to prevent tooth decay. Teeth, especially the back teeth, have pits and fissures. It is these pits and fissures that are most vulnerable to tooth decay, because food sticks in them which makes them hard to clean. Dental sealants are materials which can be placed in these pits and fissures to fill them in, this creates a smooth surface that is easy to clean. Your dentist will advise if and when you need them.


How to use a brush

One should use a small to medium size brush with soft to medium multi-tufted, round-ended nylon bristles or ‘filaments'. The head should be small enough to reach into all parts of the mouth. Children need to use smaller brushes but with the same type of filaments.



There are several methods of using the toothbrush. Here is one of the common and more advised method.

  1. Place the head of your toothbrush against your teeth, then tilt the bristle tips to a 45 degree angle against the gumline. Move the brush in small circular movements, several times, on all the surfaces of every tooth.
  2. Brush the outer surfaces of each tooth, upper and lower, keeping the bristles angled against the gumline.
  3. Use the same method on the inside surfaces of all your teeth.
  4. Brush the biting surfaces of the teeth.
  5. To clean the inside surfaces of the front teeth, tilt the brush vertically and make several small circular strokes with the front part of the brush.
  6. Brushing your tongue will help freshen your breath and will clean your mouth by removing bacteria.

In case of electric brush the positioning can be followed as above but no circular movements. An electric toothbrush head should be changed as soon as it is worn out, usually every 2-3 months.


Interdental aids

One should clean the interdental areas (the spaces between our teeth) of our teeth with floss, dental tape or interdental brushes.

Floss is mainly used where the interdental area is very tight or narrow, whereas the brushes are used for wider areas.

How to Floss

1. Break off about 18 inches of floss, and wind most of it around one of your middle fingers. Wind the remaining floss around the same finger of the other hand.

2. Hold the floss tightly between your thumb and forefingers, leaving no slack. Use a gentle ‘rocking' motion to guide the floss between your teeth.

3. When the floss reaches the gumline, curve it against one tooth till you feel resistance.

4. Hold the floss against the tooth. Gently scrape the side of the tooth, moving the floss away from the gum.




Interdental Brushes

These are available in different shapes and sizes .



The dentist or hygienist will advise as to which one is needed for an individual depending on the interdental area.