Why is a good examination necessary?

During the initial examination, the patient is first asked whether he/she has systemic diseases, what his/her medical history is and what ailments he/she has had. This issue is very important for our patients; it is a situation that should be taken seriously so that our patients with systemic diseases do not encounter any health problems during their treatment.

The applications to be made during their treatment and the selection of the drugs to be used are organized in accordance with the information obtained during the first examination in accordance with the health of our patients.

The treatment plan, possible treatment alternatives and their advantages and disadvantages are thoroughly explained to our patients.

It should not be forgotten that treatments started without a good examination and treatment plan will always result in failure and will not last long. This will also cause loss of health, time and economic losses.

In our hospital, radiographic evaluations and intraoral examinations of our patients are performed using the most advanced technology required for diagnosis. As a result of these evaluations, treatment plans are created for our patients.

Should every wisdom tooth be removed?

  • NO, wisdom teeth that are fully erupted in the mouth do not need to be extracted if they can be cleaned easily and there is no deep decay formation on them. However, wisdom teeth that cannot be cleaned easily with dental floss and brush, have untreatable decay on them, and erupt into the cheek or tongue and cause the person to involuntarily bite the cheek or tongue should be extracted.

What is Impacted Tooth?

  • Impacted tooth is one of the terms in the field of dental surgery. Although it is generally known as a wisdom tooth, in some cases, normal teeth can also remain embedded in the mouth. If the tooth remains under the flesh without coming out to a visible place, this is called an impacted tooth. Although the impacted tooth does not cause any harm to the person in some cases, it can be seen as pain or inflammation at certain times.

What are the routine considerations after tooth extraction?

  • The tampon placed on the affected area should be bitten firmly for 30 minutes, the tampon should not be changed and then the tampon should not be placed again unless otherwise instructed.
  • Nothing should be eaten or drunk for 2 hours following the operation (except for the medications given), and only warm and soft foods should be preferred on the first day after the end of 2 hours (puree consistency). Very hot, granular, acidic, hard and granular food consumption should be avoided.
  • Alcohol and smoking should be avoided for the first 24 hours. Smoking can cause the clot formed in the operation area to break down and the wound area to become inflamed.
  • It is considered normal for bleeding to continue for 6 - 24 hours as a slight leakage. The accumulated blood should not be spat out but swallowed. However, if there is excessive bleeding or if the specified time is exceeded, put a tampon on the bleeding area, bite it and consult your doctor.
  • Following the operation, pain, swelling of the face, bruising of the skin, restriction of mouth opening may be observed. It is normal to encounter these conditions.

I have diabetes and blood pressure, can I have an implant?

  • Your chronic diseases, regular medications and allergies should be taken into consideration before each procedure and a treatment plan should be drawn accordingly. In order to complete your treatments in the healthiest way and to provide you with a comfortable use, it is recommended that patients with chronic diseases such as diabetes and blood pressure have implant treatment under the control of their doctors and dentists.

Does the Patient Feel Pain During Implant Operation?

  • You will not feel any aches and pains as local anesthesia will be applied during the implant procedure. Depending on the extent of your treatment and medical reasons, conscious sedation or general anesthesia may be required. At the end of the operation, you can overcome the healing process by using painkillers as recommended by your physician.

Can implants be applied at any age?

  • Implants can be applied at any age. In fact, tooth loss is more common in older age groups. However, it is necessary to wait for 15 years for girls and 18 years for boys. In some special cases, it is also possible to do it earlier in these young individuals. This should be evaluated by the physician.

Does every wisdom tooth cause crowding of the front teeth?

  • NO, people without wisdom teeth also get crowding. Because all our teeth have a tendency to move forward. In case of contact disorders between the incisors, crowding occurs. If treatment is planned to correct this and all teeth are to be moved backwards, wisdom teeth should be extracted.

How are Porcelain Laminates Made?

  • After the decision is made, your tooth is prepared for porcelain laminates. Most of the time less than 1 millimeter of enamel tissue is removed from the front and cutting surface of your tooth and an impression is taken from your tooth. With the help of this impression, porcelain laminates that are suitable for your tooth, that will complement your smile, almost in the thickness of a leaf, in the appropriate color are made and adhered to your tooth with special adhesives in the appropriate color.

Is tooth cutting a painful procedure?

  • Tooth cutting is a painless procedure performed under anesthesia. Our patients who leave our hospital with temporary prostheses do not have severe pain during treatment.

What is porcelain laminae, commonly known as leaf porcelain?

  • Porcelain laminates are very thin porcelain structures that adhere to the front surfaces of the teeth. With porcelain laminates, the gaps between the teeth can be closed, their length can be extended and reshaped, broken cracks, badly shaped and severely discolored teeth can have a beautiful appearance. In addition, for those who do not like their tooth color, who want permanent whiteness, for smile design in patients who do not like their smile, for teeth discolored due to antibiotics, for the correction of slightly crooked teeth, for those who require orthodontic treatment, provided that they are not advanced, crowding can be corrected in a few sessions.

What is general anesthesia and sedation?

  • General anesthesia is the creation of a comfortable surgical environment by administering anesthetic drugs by the anesthesiologist, preventing the patient's temporary loss of consciousness, pain sensation and providing muscle relaxation. The continuation of general anesthesia is provided with Oxygen / Air and accompanying anesthesia gases (Sevorane is used in our hospital).  
  • In sedation, sedative drugs are administered by the anesthesiologist to relax the patient. During sedation, the patient's reflex activities continue (such as swallowing reflex) and the patient communicates with the dentist throughout the procedure and obeys commands (open your mouth, close your mouth, etc.). This is a great advantage in terms of completing the procedure in a safe and optimal time. At the same time, by creating amnesia (forgetfulness); it prevents the patient from remembering the sounds, unpleasant feelings and pain after the procedure.
  • General anesthesia and sedation procedures are performed under operating room conditions. Each patient is monitored, meaning that their blood pressure, heart rate and blood oxygen levels are monitored by the anesthesiologist and anesthesia technician throughout the procedure.

Is Sedation Harmful?

  • There is no harm in it. On the contrary, it relaxes the person. This method, which is applied even in children, is easily applied in adults. The aim is only to prevent the person from feeling toothache if it is for the tooth. By not feeling the pain, the anxiety and stress will be eliminated with this method. The most beautiful and important benefit of sedation is for the physician. When going for a tooth, dentists need to establish a dialog to save time when the patient feels pain. As such, the procedure is quite long and stressful. However, since sedated patients do not feel pain, the dentist feels comfortable and the procedure is completed in a short time. It can also treat many teeth at the same time.

How is it decided whether to use general anesthesia or sedation?

  • The patient and his/her relatives, the dentist and the anesthesiologist decide together which of these procedures will be preferred. The duration of the procedure, the depth of surgery, your internal disorders and your preference are the factors that determine the decision.

Endodontics - What is Root Canal Treatment?

  • In cases such as deep caries, when some restorations are required, fractures or cracks in the tooth, trauma, the pulp (nerve) tissue inside the tooth is intervened to save the tooth.

What should be considered in a tooth that has undergone root canal treatment?

  • After the treatment is completed, care should be taken not to chew on that tooth until the upper filling of the tooth is completed. After the filling is completed, this tooth will participate in the chewing process like the other teeth in the mouth. During this time, your dentist can prevent excessive load on the tooth by making a ??? impression on the chewing surface to prevent the tooth from breaking. These teeth can often function as long as the other teeth in the mouth in a healthy way.
  • A new blow to the tooth after root canal treatment, breakage of the upper filling or a deep fracture or crack may cause re-infection of the tooth. In this case, if the treatment can be renewed, the dentist tries to keep the tooth in the mouth longer by repeating the root canal treatment.

My teeth are aching after filling, is this normal?

  • After the filling treatment, there may be complaints of tingling depending on the proximity of the decay to the nerve. However, this pain is not expected to keep you awake at night. It is expected that the pain will decrease day by day.

Are there side effects of teeth whitening?

  • Teeth whitening does not cause a permanent problem in the tooth enamel if it is done under the control of a dentist. However, permanent damage can occur with the uncontrolled application of products sold on the internet or in markets.
  • Possible reversible side effects are as follows;
  • Dehydration (loss of water in the teeth, the water content will be restored in about 1 week after whitening). Dehydration causes the teeth to look more opaque white after the whitening process, when the water loss returns, the teeth will look more transparent and natural. Tooth sensitivity; may last 24-48 hours after whitening. Soft tissue irritation; these are burns that occur when the bleaching gel touches the gums, cheek or lip tissues. It is reversible, it can heal spontaneously or healing can be accelerated with the gel to be applied to the irritation area. There will be a decrease in the hardness of the enamel during whitening, but it has been proven by scientific studies that the hardness of the enamel returns to its original state with the regular use of fluoride toothpastes.

Why Does Tartar Form?

  • Dental calculus is formed when bacterial plaque cannot be removed from the tooth surface. The plaque that appears on the teeth has a soft structure at first. However, it takes on a hard form with the precipitation of saliva and various minerals.

Does scaling damage teeth?

  • Scaling does not harm the teeth. On the contrary, in the absence of treatment, tartar causes bleeding and infection in the gums. In order to get the best result in many dental treatments, the treatment is started by scaling in line with the patient's needs.

Does scaling damage teeth?

  • Gum diseases are the cause of conditions such as swelling and bleeding in the gums. In addition, symptoms such as bad breath, gum recession and displacement of teeth are also seen in gum diseases. However, the most common symptom is bleeding gums.

What Causes Gum Recession?

  • The main cause of receding gums is gum disease. In addition, gum disease can cause loss of bone tissue. In addition, not brushing the teeth correctly is also among the causes of gum recession. Brushing hard and too much pressure is effective in receding gums. On the other hand, clenching and grinding the teeth also play an important role in the occurrence of gum recession.

Will flossing damage my teeth?

  • Floss does not cause any damage to the teeth and gums when used with the correct technique. You should consult your dentist before use and learn the correct technique of use.

Is fluoride necessary for teeth?

  • If dental plaque is not removed, tooth decay occurs. Fluoride mixes with saliva, settles on the tooth surface and protects the tooth. Thus, it also prevents the formation of caries. A small amount of toothpaste is sufficient to eliminate the bacteria in the mouth.

How do we know if our tooth is decaying?

  • Sensitivity of the teeth to cold and sugary foods indicates tooth decay. The appearance of gray-brownish stains on the teeth may also indicate tooth decay. Patients should have a routine dental examination every year to detect tooth decay. New cavities can be detected with intraoral examination and low-dose radiographs, and they can be restored before they progress and cause too much damage to the teeth.

Should amalgam restorations (silver fillings) be replaced with composite (white restorations)?

  • If a new tooth decay is observed under or at the edge of amalgam restorations, it can be replaced with a composite (white restoration) restoration depending on the type of tooth tissue loss.
    Composite restorations are tooth-colored polymer structured aesthetic restoration materials that are frequently used in both anterior and posterior group teeth.

Why Does Tooth Sensitivity Occur?

  • Gum disease is among the main causes of tooth sensitivity. The root surfaces exposed by receding gums are sensitive to hot, cold, sour, sweet and acidic foods and beverages.

What happens if orthodontic treatment is not performed?

  • If orthodontic problems requiring treatment are not intervened, tooth crowding and skeletal disorders, chewing problems, jaw locking and joint pain, tooth decay, gum diseases can be advanced. Serious problems such as tooth loss and jaw locking can be encountered.
  • Do Teeth Return to Their Former State After Treatment?
  • Since the teeth move for a lifetime, after the orthodontic treatment is over, the teeth try to return to their old positions. Therefore, reinforcement treatment should be applied after the braces are removed. Reinforcement treatment is applied for approximately 8 - 12 months.

Are Milk Teeth Really Important?

  • Milk teeth are important for your children to speak and chew properly and for aesthetics. Untreated decay of deciduous teeth causes pain, bad odor, chewing difficulties, malnutrition and unsightly appearance. For this reason, children should be taken to the dentist when their baby teeth begin to erupt. Teeth are important for all people for eating, speaking and aesthetics. Apart from these features, the most important task of milk teeth is to provide a healthy oral environment for permanent teeth. Chronic caries problems or early tooth loss cause structural defects in permanent teeth. In addition, the most important reason why permanent teeth, which are completed at the age of 13-14, are crowded is the early loss of deciduous teeth. It should also not be forgotten that dental caries for both deciduous and permanent teeth causes pain and abscess formation when left untreated. No child with aching teeth can eat healthy. Prolonged caries problems lead to a weakened immune system and frequent upper respiratory tract infections in children. Nutritional problems and frequent infections cause adverse effects on growth and development in children.

What health problems can tooth decay cause if left untreated?

Decayed primary teeth are extremely harmful both for the child and for the development of the permanent teeth below. The roots of untreated decayed primary teeth develop an infection after a while. This infection can cause permanent developmental staining of the enamel of the developing teeth below. In addition, decayed baby teeth are a serious source of infection and can be the source of infections that can spread to vital organs in the body. For example, the heart, kidneys and joints are easily affected by these infections. The nutrition, sleep patterns, growth, physical and social development and quality of life of a child who is exposed to tooth decay and its consequences at a young age are impaired. For all these reasons, decayed milk teeth should not be neglected by saying that they will fall out after a while anyway, and they should definitely be treated.

My child sucks his/her finger, does it affect the tooth structure?

  • If your child sucks his/her thumb or uses a bottle for a long time, this can lead to a bite anomaly called 'open bite' in later life. To prevent this, you can consult your doctor and try methods to help your child break this habit.

From what age should toothpaste be used?

  • Age-appropriate pastes can be used for children from the 6th month onwards. The fluorine doses contained in pastes for children of different age groups are different, so it is important to choose the right paste. From the age of 7, children can start using pastes suitable for adults.

How should children with fear of the dentist be approached?

  • Even adults are known to hesitate before routine dental check-ups and treatments. It is therefore understandable that children can find going to the dentist quite daunting. Parents can try the following ways to help their children feel less nervous about visiting the dentist:
  • Talk to your child about the visit, simply explain what might happen. You can tell your child that the dentist will "count" and "take pictures" of their teeth. Please do not talk to your child about how the dentist scared you or how bad your last visit was. Do not use words that children may be afraid of, such as "needle". It is helpful to talk to your dentist about any concerns your child may have. Try to work together with your dentist to help overcome the fear. Do not bribe your child to go to the dentist or take your child to the dentist as punishment

What measures can be taken to prevent tooth decay in children?

It is important to consult a pediatric dentist and have an initial examination from the time the teeth erupt until the child is 12 months old. In this first visit, the pediatric dentist can provide the family with very useful information about proper nutrition, oral hygiene and dental development before the development of wrong habits and the onset of dental caries.

The most effective preventive method is to teach children the habit of brushing their teeth at an early age. Starting from the eruption of the first milk tooth, brushing with fluoride toothpaste should be started by parents and/or caregivers.