Case studies on effects of brushing
Do you believe that tooth brushing can help you to
maintain the oral hygiene? If you answered "No.", you should
stay here! You are the only person who can protect yourself from
the periodontal disease. The aim of this page is to let you know
how tooth brushing works. Some pictures of my ex-patients will also
help your understanding.
Case1
(A 38 yrs-old male)
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- Initial oral conditions
- You may have impression from the above picture that teeth are
cleaned up very well. Please watch carefully. Can you see the
slimy teeth surfaces (dental plaque) and black lines on the
border of the teeth and gingival tissues (dental tartar)? You can
also see the gingival inflammation.
Though the gigival tissues slightly bleed, patients in this
condition usually don't have subjective symptom. Thus, few
people go to the dental offices at this stage. Don't miss the
sign!
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- 1.5 months later
- This picture shows the improvement of the gingival tissue after careful (advanced?) brushing for 1.5 months
You may feel that the oral condition gets dirty. The reason
is that the tartar appear from the gingival pocket. Don't
misunderstand! This is a good sign of the improvement. Since the
gingival inflammation decrease, now you can see the space of the
gingival margin clearly.
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- Maintenance
- The improvement is obvious now. It took about 18 months to
get this stage. This kind of care is really time-consuming. You
can avoid it by doing the "correct" tooth brushing every day.
It's a life-time work to maintain your oral health!
- Summary
- The above case is a good example to understand the brushing
is effective to improve the gingivitis. Just try to brush your
teeth, whether you trust me or not. It is impossible to
extinguish the bacterium causing peridontitis, so they live in
the oral tissue all the time. The everyday's "correct" brushing
is easy, cheap and good treatment method. Let's keep on brushing
every day!
- Appendix
- The point is to "scrub off" the dental plaque by using a
brush. It is not necessary to use the expensive tooth paste for
the periodontal disease. The chemicals in the tooth paste don't
decompose the dental plaque so much. The mechanical action like
brushing is much more important.
It should be also pointed out that many bacterium causing
periodontitis hate the air. You can break lump of the mature
plaque by brushing so that bacterium become exposed to the air.
This prevents increasing the bacterium. Your general condition gets better
spontaneously only by removing the plaque, as far as it's not
in very bad condition.
Case2(A 59 yrs-old female)
- Our initial diagnosis was that this patient would have to
use full denture in near future. However, she did her best to
brush her teeth. As a result of the improvement, she needs only
partial denture for the rest of her life. Not full denture!
-
- Initial oral conditions
- The tissues demonstrate swelling, especially on the left-hand side of the gingival.
- At first,we thought this patient had to use full denture in near future.
But she did her best to brush her teeth,so she will be able to eat using partial denture only.
In this condition,the subjective symptom is the bad breath,
and the pain in the case of the bad general conditions.
-
- After the improvement of the gingival tissue by the brushing
- The first conditions was the bleeding from the gigival tissues by the brushing in spite of changing to the soft tooth brushing,
but getting better in the gingival condition.
The swelling of the gingival tissues was decreasing,and the dental caries was appeared.
Not enough thooth brushing,the dentists cannot do the caries treatment satisfactorily.
The swelling gingival tissues disturb the caries treatment and the dental immpression.
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- Setting Temporary crown
- We completed the first stage of the periodontal treatments,we set temporary crown.
So it was getting natural in oral view.
It took aout one year to this level,but it is not enough.
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- A periodic examination
- We set final crown,it was getting better aestheticaly.
But this is the start line to maintain the oral health care.
Because the patients tend to neglect to brush their teeth before the next reriodic examination.
Let's maintain the oral health care ,because of not return to the hateful treatment.
Case3(A 17 year old male)
- Teen's periodotitis
- Teenagers tend to be taken perriodontitis recently.
In many cases because of bad general coditions,but only poor oral hygiene progress the symptoms usually.
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- Initial oral conditions
- This patient had a crowding,so he could not brush his teeth well.
He was advised to take the orthodontic treatment.
- But he came to our office for the periodontitis was getting worse during the orthodontic treatment.
-
- two months later
- At first,he couldn't brush his teeth disturbing by the orthodontic wire.
But he was well trained in brushing,he could brush well by using mirror.
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- The retention of orthodontic treatment
- He took long time to brush his teeth with orthodontic appliance till then.
but he said he could brush easier after removing orthodontic wire.
It appears the interdental space as a result of decrease of swelling in gingival tissue.
We can never remove the dental plaque without inserting the tooth brush in this space.
- Insert a brush head into the space like using tooth pick.
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- A periodic examination
- He recovered the oral health highly.
But it partially remains gingival pokets two times depth as compared with normal.
He can't maintain the oral health by himself.
- I think it is difficult to go to the dental office, if once canceled the reservation.
I surely think the doctor and staff are anxious about your oral health.
You have better to find courage to call for reservation again.
- We are truly anxious about.....
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