I BRUSH 3 TIMES still teeth DECAY !!!

 Doctor I brush 3 times still my teeth are decayed!

Why is it?
What can I do?

Generally we- dentist ask a question back – when did you start brushing ?!



Brushing habits will be developed seriously only after the age of 10
(unless until your parents are very strict about brushing habits)



Some are blessed with strongly mineralized teeth ,
while majority will be having teeth with deep pits where yummy chocolates can be stored more than 24 hours.
All the bacteria will enjoy it and excrete some form of acids .

these acids dissolve tooth making narrow pit into a cavity.



Depends on your mouth atmosphere including nature of food ,your immunity and intra oral temperature, saliva  – this will increase in to a big hole from few months to few years .



Look at the mirror ,the first big biting tooth ( first molar) inside your mouth-
 has erupted at the age of 6 !



if you have little one at the age of 6 -7 years ,do open their mouth and  take a look, you will be surprised to see how much food –sticky food and plaque are there on the surface.



This is the time we call mixed dentition period-

And this is the time you will be having milk teeth and permanent teeth together, then some will be shedding some will be erupting  and that continuous 10 – 12+ years.
And this is the time we should give more attention to developing decays.



Ok, that’s history
What is to be done now ?– can I never be out of dental clinic in my life ?



Dear friend,

Its not the dentist alone solve the problem,
we do our part and trusting your co –operation we send you home ,

like you take your car to service – maintenance and check-ups…

find out your comfortable dentist and do the necessary treatments and regular follow-ups….you will not be left at the middle of the road with breakdown car if your where following specifications of maintenance .



Tale piece; Still no body is accident proof - 
Lets do our job and hope for the best !!


Thank you
dentist24x7@gmail.com  
dentist24x7.blogspot.com

 

Dr.Shoukath Ali.
Dental Surgeon, Sharjah- UAE.

WHO IS THE REAL SMILE DESIGNER YOU OR YOUR TECHNICIAN? [ a topic for dentists]

Let us give all the credit to our lab - technicians and take all the responsibility our self.

Or the other way We DENTISTS are the ACTUAL SMILE DESIGNERS – and no way we can blame the technician –

or our loyal customers will not get convinced the errors of the third person since they are only rely on us .

Here we should know what is EXPECTED and what is ESTABLISHED.

From early diagnostic wax up …

to temporary crown and bridges especially if a plan for changing Occlusal Vertical Dimension [increased OVD in this patient]…..

unfinished /un glazed final work….

chair side modification of the work if it is not as we EXPECTED…..[this is the most important part –since it can fluctuate our Blood Pressure !]

and finally temporisation of the prosthesis- are few of them…

it was a challenging case due to lack of time – and no room for any errors – big responsibility-

even after proper planning   so many surprises due to the irresponsible laboratory persons -and how this has managed will be briefing here .

pre treatment photographs

temporary -acrylic crowns +crown & bridges       

[ in case of altering Occlusal Vertical Dimension...this is very important- not concentrating on the appearance since it may have to change many times -but no compromise in function ]...

keeping anterior edge to edge bite -posterior bite is raised . 

 Zirconium for anteriors and metal trial for posteriors- 

after all guidelines this is what came from  the lab! 

[ i usually ask for unglazed -un finished -BISQUE TRIAL]

each steps were discussed -photos given and properly guided -still surprises can happen .

that is the reason for this post.

this stage: it  is better not to show to the patient- and they should not feel we are correcting some mistakes that has happen....this is important because they should not  lose confidence !

               after correction of the anteriors - patient and her daughter were called for their                       VIEWS & OPINION.

[even though both of them like the smile - my judgement like most of you think was to reduce still 0.5 mm vertical hight and shape alteration according to that height]

this time it looks better - but still needed bit improvement-

to reach to golden proportion ! 

all golden proportion achieved KEEPING  the EDGE TO EDGE BITE at anteriors [ not to increase vertical crown height ] and same time OVD is reached to the EXPECTED level. 

finally I could finish it only 4 days back

[ my actual  plan for finishing was 2 weeks before her flight.ie;last month.]

– and today she came to the clinic with husband and daughter to say thanks….

I too believe the END IS WHAT THAT COUNTS….

And she flew to Canada tonight with happy smiling face …..

thank you 

Dr.Shoukath Ali.

Sharjah.UAE.