teeth

13 Myths About Dentistry That Are Still Alive

Health

Some of them are dangerous to believe. For example, if you believe that milk teeth do not need to be treated, you can bring a child to chronic ENT diseases and problems with bite.

Myth 1. If nothing hurts, you don’t have to go to the dentist

And in a few years you will be left without teeth or with caries on every third tooth.

It is not just that we recommend preventive dental visits four times a year.

Firstly, it allows you to correct self-hygiene and prevent the development of caries.

Secondly, caries at a very early stage can be cured without drilling. This technology is called ICON: a carious stain is treated with a special etching agent, then a caries-preserving compound is applied and the tooth is polished. As a result, acids that secrete cariogenic bacteria do not penetrate into the hard tissues of the tooth.

The problem is that the early stages of tooth decay do not last long. Someone has about a month, another has a few months, it depends on various factors. But, one way or another, frequent visits to the dentist will allow you to be in time and not bring your teeth to drilling.

Thirdly, some types of caries can be seen only in the picture: they are hidden inside the tooth. At preventive visits, the patient is made two targeted (small) pictures, each one can see 16 teeth at once.

Fourthly, on preventive visits, professional cleaning is done – plaque and stones are removed with ultrasound and the surfaces of the teeth are polished with brushes and rubber bands. “Why cleaning at the dentist, if I myself do well at home,” you ask. No, you are not doing it. Even if you brush your teeth twice a day, use an irrigator, antibacterial foam after eating and drinking, enamel strengthening gel and tongue scraper.

Therefore, the doctors’ verdict is unambiguous: come when it hurts, it’s too late… And if you regularly visit a doctor, then it will not come to pain.

Myth 2. It is easier to remove a tooth than to re-treat several times

This is not really a myth. It is really easier to remove: it takes 10-15 seconds, while the treatment can last an hour and a half. Or, in general, it can be stretched out for several receptions, if the case is complex and requires prosthetics.

Another question is whether it is correct to remove a tooth that can be saved? From the point of view of modern medicine, it is wrong. Dentists have accumulated enough knowledge and a high-precision technique has been invented to, for example, re-treat canals.

A good doctor will do everything to save your tooth.Alas, science has not yet come up with anything better than a person’s own teeth. Therefore, we say that implants are a good alternative to a missing tooth, not your own.

First, the tooth is an important sensory organ, just as important as the finger. Try to do a few actions without a thumb, and the extent of the loss will immediately become clear.

Secondly, implantation is a surgical procedure that is not always quick and easy. Plus it’s expensive.

Therefore, if the doctor offers you to remove a tooth, and you have doubts, get one or two more opinions. Perhaps the first clinic simply does not have the technology and competencies to save a tooth.

Myth 3. Teeth decay during pregnancy

This is a favorite myth of dentists. It is necessary to blame someone for the fact that the teeth have collapsed. So they shift it to the consequences of pregnancy.

If you hammer on your teeth for many years, and then routinely come to the dentist during pregnancy, it will most likely turn out that everything is very bad. But not because of the developing fetus, which “takes up all the calcium,” but because before that they did not watch their teeth.

During pregnancy, new circumstances may indeed arise: toxicosis, which is associated with high acidity, which is dangerous for the enamel, and gingivitis, which is possible against the background of hormonal changes.

But this is rather a deviation, and not a terrible “tooth decay”, which frighten pregnant women on the Internet.

And yet, if all teeth are cured during pregnancy planning, most likely there will be no problems with them. Your doctor can help you find the best hygiene products if needed.

Myth 4. The only reason for tooth decay is the love of sweets.

Caries is caused by two bacteria – Streptococcus mutans and Streptococcus sanguis. When a child is born, he still does not have bacteria, but then relatives pass on their microflora to him through kisses and dishes. Let’s say they try a spoonful of porridge at the temperature, and then give it to the baby.

Bacteria live in the body, and the more they become, the higher the intensity of caries. Sugar is by far one of the most important nutrient substrates for bacteria that cause tooth decay. Bacteria absorb it, secrete decay products in the form of lactic acid, which destroy the structure of enamel, and then dentin.

Therefore, fast carbohydrates, soda, toffee, chocolates – anything that sticks to the teeth and contains sugar – is bad for the teeth. If you remember, the inhabitants of the ancient tribes did not have caries. They chewed coarse, thermally unprocessed food, so their teeth were erased faster, and the life expectancy of people rarely exceeded 30 years. But there was no caries.

But, in addition to sweets, there are other factors that affect the development of caries: frequent snacks, sour fruit juices, diseases of the ENT organs and endocrine glands… Therefore, sweets are not the only cause of tooth decay.

The top photo shows a patient who has not seen the dentist for a long time, gingivitis and a large number of stones and hard plaque. On the bottom – teeth immediately after professional cleaning

Myth 5. Hygienic teeth cleaning is painful.

Pain is a rather subjective thing: one will not feel anything, while the other is as if being cut with a knife. But, firstly, any dental procedure today is performed with anesthesia. An experienced doctor, seeing you for the first time, already understands whether it will be unpleasant for you – whether there are many stones and how hard they are, and will offer anesthesia.

Secondly, unpleasant sensations are possible only with a large amount of dental plaque. If a patient comes for a cleanse for the first time in the past five years, they most likely have subgingival and supragingival stones. Where there are stones, there is an inflammatory process.

According to our statistics, 8% of patients do not go to the doctor because they are afraid that they will be ashamed for poorly brushing their teeth.So my advice is to find a good professional to take care of you and go to the cleaning regularly. If this is not done, then it will hurt already at the operation.

Myth 6. It is better to leave the teeth of wisdom, suddenly they will come in handy

In the process of evolution, the facial skeleton of a person decreases and, probably, in a few millennia it will become the same as that of aliens, which are represented in popular culture.

The reduction of the jaw occurs due to the fact that we eat freeze-dried food and we simply do not need the eighth teeth – wisdom teeth.

The structure of the bone is much simpler than that of a tooth, so bones evolve faster and teeth more slowly. Many children are now partially missing wisdom teeth. And in most cases, extraction is indicated for the eighth teeth.

I had my wisdom teeth removed ten years ago – and this gives me only relief.

Myth 7. Whitening damages the enamel

Whitening is a medical procedure that has contraindications . If you have at least one tooth decay, a loose filling, enamel erosion, or tooth sensitivity, the doctor will not perform whitening.

First, he will prescribe treatment, and only then you can do aesthetics. This is not done in order to make more money from the patient. If the whitening compound, which is most often 33% carbamide peroxide, gets into the tooth cavity, it can cause pulpitis. And if it gets on the mucous membrane – a chemical burn.

The drug itself is harmless to enamel, it pulls out and whitens the tooth tissue in the crystal lattice, brightens the dark components. But such drugs can only be used by a qualified doctor. In his office, with isolation on the teeth and after professional hygiene, it is safe to do whitening.

Everything about aesthetics is expensive – and not only in dentistry. Therefore, offers of cheap whitening in clinics can conceal another danger. I saw when they put “Whiteness” on the teeth, shine with a cheap lamp and declare that this is laser whitening. And the most advertised in our country ZOOM-whitening is often faked: they glue the “ ZOOM ” sticker on lamps from other manufacturers.

It is difficult for a patient to understand where he will be deceived, and where conscientious doctors work. After all, both in one and in another clinic it is written about high technologies and high-quality whitening. Take a closer look at the price: in Moscow, ZOOM whitening costs about 25 thousand rubles, there is a very expensive consumable. Therefore, if you are offered ZOOM for 5 thousand, it is clearly unsafe.

Sometimes whitening is a little cheaper – Beyond, it costs about 20 thousand rubles. Consumables are a little cheaper, the light is different, the technology is different, but it is quite high quality. But normal whitening cannot cost less than 20 thousand.

Before and after teeth whitening

Myth 8. X-rays are dangerous

Many patients are really afraid of the extra dose of radiation and refuse to take pictures. But the risk from undiagnosed diseases is high, and the radiation dose from X-rays is minimal.

See for yourself:

Myth 9. Implants do not always take root

People are more willing to talk about bad than good. I often hear from patients that a friend / brother / matchmaker has fallen out of implants and now they do not trust artificial teeth. For us, this is a war with windmills.

In fact, titanium, from which the artificial tooth root is made, perfectly takes root in the jaw. Science has not described a single case of titanium intolerance. According to the US National Center for Biotechnology Information, dental implant success rates are over 97%. And doctors are used to relying on scientific evidence.

In my practice, I have encountered several times a situation when an implant had to be removed, although the reason was not clear. But this is a few cases out of 4000 successful ones.https://instagram.com/p/CJWRfYtH5Oe/embedIn my practice, there was a case when one patient out of eight implants did not take root. We could not find out the reason, we removed it and installed a new one. Everything went well with him

Basically, when implants have to be removed, the reason is not that they have not taken root. And the fact that they were installed incorrectly. This casts a shadow on all dentists.

It is important that the doctor understands the technology, understands which treatment method is suitable in this clinical situation, because there are a lot of types of implants.

A competent doctor prescribes examinations before implantation, eliminates contraindications, and performs the operation with a navigation template. This is a 3D printed structure. It perfectly matches the patient’s jaw and contains a hole into which the doctor inserts the implant. Thanks to the template, the dentist cannot “miss” a single millimeter and sets the artificial tooth in the right direction.

It is important to understand here that, as with whitening, quality materials cannot be cheap. And a doctor who studied for eight years, and then every year improved his qualifications at international courses, will not work for free.

therefore do not surrender to the hands of specialists who promise an implant for 10 thousand rubles. And don’t believe the myth that implants don’t take root.

Myth 10. Taking care of your teeth is expensive.

Dental treatment is really expensive. But if you regularly visit a doctor, do hygienic cleaning, take pictures and take care of your teeth at home, then you will not even know what dental treatment is.

I talked in more detail about how much prevention costs and how much less it is spent on treatment here .

In short: it is expensive to treat perennial caries, pulpitis, roots with cysts and install implants instead of extracted teeth. Come once every three months to the doctor for an examination and brush your teeth – no.

Myth 11. There is no need to treat baby teeth

This is a very dangerous myth for a little person. There are several reasons why it is imperative to treat milk teeth:

  • An untreated milk tooth is a risk of infectious complications and abscesses in a child.
  • This is the risk of losing the germ of a permanent tooth.
  • If a baby tooth is removed prematurely, deformation of the dentition may occur. This will lead to malocclusion and poor teething.
  • It is elementary for a child to chew when the teeth are neglected.
Milk teeth need treatment no less than permanent teeth.

Myth 12. Animals do not brush their teeth, and a person does not need

They ate an apple for the night – and cleaned their teeth from plaque, some argue. But it’s strange that they generally associate themselves with animals.

The industrial revolution took place 12 thousand years ago, when man learned to grow wheat, and animals have not yet reached this. Few of the carnivores began to lead a sedentary lifestyle, to raise their cubs in one place. A person has come to this, he cooks food on fire, makes sugar, bakes buns and exposes his teeth to great risks. Plus, the bactericidal properties of human saliva are not as high as those of an animal.

In my experience, if prevention is abandoned, the likelihood of developing dental diseases tends to 100%.

Probably, there are some casuistic cases when a person does not brush his teeth, and everything is okay, but science does not describe such cases, because it is difficult to find 100 such people for the entire population.

It’s like saying “my grandfather smoked until old age and didn’t get cancer”. But cancer hospitals are building new buildings every year and statistics show that deaths from cardiovascular diseases and oncology are only growing, so the fact that your grandfather smoked until he was 100 years old and did not get cancer is a rare exception.

There are no miracles. I have seen many cases when a patient comes and says that sometimes blood flows from the gums, but there are no other complaints. We take a picture and do not believe our eyes: 90% of the teeth no longer have a bone support, the teeth are kept on pure enthusiasm, and everything will have to be removed. There are much more such cases than those when a person does not brush his teeth and remains healthy.

Myth 13. Crown – “coffin” for a tooth

Russian dentists began to remove the nerve, when they treated teeth in polyclinics without water, and they heated up so that the nerve simply died from overheating, everything had to be stopped. Since it was expensive, it was more profitable for them to immediately remove all the nerves so that nothing hurt, and then put the crowns.

According to modern protocols, we do not remove the nerve under the crown. This is the most real villainy. The nerve must be preserved, because it is the key to the long life of the tooth, including under the crown.

In addition, today the crown is fixed with isolation, the tooth is pre-cleaned and an adhesive fixation protocol is used. This means that there will be no caries under the crown – there is no gap there.

If, before installing the crown, a nerve was mercilessly removed or a gap was left between the crown and the tooth, food got there and caries occurred. In the event that the restoration is performed poorly, some problems will arise with it all the time. Hence the myth about the “tooth coffin”.

Most myths have “legs growing” out of poor information. The culture of prevention in Russia is not developed, it is customary to come to doctors on their last legs. If you regularly visit a competent dentist, you will know everything about your teeth and the problems you may face.

Tell us what causes doubts for you? What procedures in dentistry do you not believe in and why?

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