A person can lose about 25% -40% of the thickness of the bone during the first years after extracting a tooth. A person can lose about 25% -40% of the thickness of the bone during the first years after extracting a tooth. In some cases, the bone becomes insufficient to ask one or more implants, then make increases bone to have a sufficient amount of bone to receive implants. In some cases, the bone becomes insufficient to ask one or more implants, then make increases bone to have a sufficient amount of bone to receive implants.

There are several levels of bone growth:

* Graft with donor collection site in the mouth (symphysis chin, branch rising … with graft donor site sampling in the mouth (symphysis chin, rising branch …

* Filling material. Filling material.

* Elevation sinus. Sinus elevation.

Bone grafts can restore bone quality and strength to initial placement of implants optimally. Bone grafts can restore bone quality and strength to initial placement of implants optimally. Not all patients who need to receive increased bone implants. Not all patients who need to receive increased bone implants. It is best to consult your dentist for details. It is best to consult your dentist for details

All twenty baby (or primary) teeth come in by the time your child is two or three years old.

Primary Teeth

This chart tells you when baby teeth come in (or erupt) in most children.

If your child is getting his or her teeth and seems to be in pain, you can:

• rub the gums with a clean finger, or
• rub the gums with the back of a small, cool spoon.
• If your child is still unhappy, your dentist, pharmacist or doctor can suggest an over-the-counter medicine to ease the pain.

Here’s what you should not do:

• Do not use the kind of painkiller that can be rubbed on your child’s gums. Your child may swallow it.
• Do not give your child teething biscuits. They may have sugar added or contain hidden sugars.
• Do not ignore a fever. Getting new teeth does not make babies sick or give them a fever. If your child has a fever, check with your doctor.

Permanent Teeth

At age six or seven, the first adult (or permanent) teeth come in. They are known as the “first molars,” or the “six-year molars.”

They come in at the back of the mouth, behind the last baby (or primary) teeth. They do not replace any primary teeth.

Also at around age six, children start to lose their primary teeth. The roots slowly get weak, and the tooth falls out. Children lose primary teeth until they are about 12 years old.

It’s okay for children to wiggle their primary teeth if they are loose. But it’s not okay to use force to pull out a tooth that’s not ready to come out. When a tooth comes out at the right time, there will be very little bleeding.

Why do the new permanent teeth look yellow?

Permanent teeth often look more yellow than primary teeth. This is normal. But it could also be caused by medicine your child took, by an accident that hurt a primary tooth, or by too much fluoride. Ask your dentist about this when you go for a check-up.

Healthy Gums

Cavities are the main problem children have with their teeth. But children can get gum disease too, just like adults. It happens when the gums that hold our teeth in place get infected.

Daily brushing and flossing can stop gum disease. If your child’s gums bleed, don’t stop brushing. If the gums are always swollen, sore or bleeding, there may be a serious problem. You should take your child to the dentist.

Dental Safety

Here are some ways to protect your child’s teeth:

• Always use infant car seats and seat belts when you drive.
• Babies will chew on almost anything. Keep them away from hard things that could crack their teeth.
• Children fall a lot when they are learning to walk. Teeth can break, crack, get knocked out or become loose. See your dentist if this happens.

If you have questions about your child’s teeth, talk to your dentist.

Young children are not able to clean their own teeth. As a parent, you must do it for them when they are very young and do it with them, as they get older.

When your child can write (not print) his or her name, your child is ready to do a good job brushing. You should check to make sure your child does a good job.

You should start cleaning your child’s mouth even before your child has teeth. It gets both you and your child into the habit of keeping the mouth clean, and it gives baby (or primary) teeth a clean place to come into. The goal is to wipe all parts of the gums and teeth.

Here’s how to do it:

• Lie your baby in a comfortable place.
• Make sure you can see into your baby’s mouth.
• Use a soft baby brush or wrap your finger in a clean, damp washcloth. Then, brush or wipe your baby’s gums and teeth.
• Do not use toothpaste until your child has teeth.

How to Brush

Step 1

Hold the toothbrush at a 45-degree angle to the teeth. Point the bristles to where the gums and teeth meet.

Step 2

Use gentle circles. Do not scrub. Clean every surface of every tooth. For the front teeth, use the “toe” or front part of the brush. The key word is gentle. You can hurt the gums by brushing too hard.

Toothbrushes and Toothpaste

The best kind of brush is soft, with rounded bristles. It should be the right size for your child’s mouth. You will need to buy a new toothbrush at least every 3 or 4 months.

Children can be hard on toothbrushes. If the bristles get bent or worn down, they will not do a good job, and may hurt your child’s gums.

Make sure the toothpaste has fluoride. This symbol means the toothpaste has fluoride. Use only a bit of toothpaste, about the size of a pea, and make sure your child spits it out.

As excessive swallowing of toothpaste by young children may result in dental fluorosis, children under 6 years of age should be supervised during brushing and only use a small amount (e.g. pea-sized portion) of toothpaste.

Children under 3 years of age should have their teeth brushed by an adult using only a smear of toothpaste.

You may find yourself looking after the health of someone else. This person may be family, or a close friend. There is a lot you can do to help when this person needs mouth care.

It may feel a bit strange at first, so go slowly. If the person does not want your help, respect their wishes. Ask your dentist for advice in this case.

Here are the procedures you should follow:

Natural Teeth

1. Stand behind the person to brush and floss their teeth.
2. Let the person sit in front of the sink. That way, you can make the same motions you use when you brush and floss your own teeth.
3. Make sure you use a soft toothbrush. Or you may find an electric toothbrush better when you brush someone else’s teeth. Ask the person to tell you if you are brushing too hard.
4. Have the person rinse with warm water when you are done.

Complete or Partial Dentures

1. Let the person tell or show you how to take the complete dentures or “partial” out. (With complete dentures, put the upper set back first, and then the lower set.)
2. Both kinds of dentures must be cleaned daily.
3. Look for cracks in the denture. If you find any, take it to a dentist for repair.
4. Fill the sink with water.
5. Scrub the denture with a denture brush and soap.
6. Rinse with water when you finish cleaning.
7. Soak denture overnight. It can be soaked in a special cleaner for dentures (denture cleanser), in warm water or in a mix of warm water and vinegar (half and half). If the denture has metal clasps, use warm water only for soaking.

Mouth Tissues

1. Ask if it is okay to look inside the person’s mouth.
2. Check the mouth closely. Look for swelling, red or white patches, parts of the gums that have changed colour and sores that do not heal in a few days. If you see any of these things, call the person’s dentist.
3. Clean and massage the inside of the person’s mouth with a damp cloth or a soft toothbrush.

If you lose a tooth, you can replace it with a “false” (or artificial) tooth. If you don’t replace it, your other teeth may get out of line. You need to care for complete dentures and partial dentures as carefully as you would look after natural teeth.

Four Main Types of Dentures

1. A fixed bridge (or fixed partial denture).

One or more false teeth are held between healthy teeth on both sides. You cannot take this kind of bridge out by yourself.

2. A partial denture (or removable partial denture).

One or more false teeth are held in place by clasps that fit onto nearby healthy teeth. You can take the false teeth out yourself, for cleaning and at night.

3. Complete dentures.

If you lose your teeth, these dentures can replace all your natural teeth.

4. Dental implants.

Dental implants are used to support false teeth or a fixed bridge. You must have healthy gums and bone (under your teeth) to support the implant. Your dentist (or oral surgeon) will put a small metal post into your jawbone.

Over time, the post will bond with the bone around it. The post (or implant) will act like an anchor to hold one or more false teeth in place.

Looking After your Dentures

You need to care for complete and partial dentures as carefully as you would look after natural teeth.

• Clean them every day. Plaque and tartar can build up on false teeth, just like they do on natural teeth.
• Take them out every night. Brush your teeth and gums carefully, using a soft toothbrush. Be sure to clean and massage your gums. If your toothbrush hurts you, run it under warm water to make it softer OR try using a finger wrapped in a clean, damp cloth.
• Soak them overnight. They can be soaked in a special cleaner for false teeth (denture cleanser), in warm water or in a mix of warm water and vinegar (half and half). If your denture has metal clasps, use warm water only for soaking. Soaking will loosen plaque and tartar. They will then come off more easily when you brush.

Caring for Implants

Because the implant sticks to bone, it can be treated more like a natural tooth. But it is NOT as strong as a natural tooth. You must brush and floss the implant very carefully. Be gentle, but make sure you brush all sides of the implant. At least once a day, floss very carefully. You will need to be gentle with the floss where the implant meets the gum.

If you have false teeth, see your dentist regularly. Your mouth is always changing. This means your false teeth will need to be adjusted from time to time to make sure you have a good fit.

If you have a bridge or implants, check-ups will help you make sure that your natural teeth get good care. If you have problems with your false teeth, your dentist may suggest you see a special dentist who knows more about false teeth. This kind of dentist is called a prosthodontist.

Important

People who have complete or partial dentures can also get gum disease around any natural teeth that are left. If you have gum disease:

• Your false teeth will not fit well over gums that are sore, swollen or bleeding.
• Your partial dentures (or removable dentures) will not be held firmly in place if your natural teeth and gums are not strong.

Be sure to see your dentist regularly for professional cleaning and check ups, so that he or she can detect any early signs of gum disease, and provide appropriate treatment.

Here is a quick guide to common dental problems. You should visit your dentist if you have these warning signs.

A balanced and nutritious diet is good for your general health and your dental health. Without the right nutrients, your teeth and gums can become more susceptible to decay and gum disease.

Sugar is one of the main causes of dental problems. The average Canadian eats the equivalent of 40 kg of sugar each year. Here are a few ways to cut down:

• Try to choose sugar-free snacks – see the snacks listed below.
• Add less sugar to coffee or tea (or use sugar substitutes).
• Avoid sugar-sweetened soft drinks.
• Look for fruit juices and drinks with no added sugar.
• Read lists of ingredients when you’re grocery shopping. Honey, molasses, liquid invert sugar, glucose, and fructose are all types of sugar.
• When you do eat sweets, avoid sticky sweets. They cling to teeth and are harder to brush away. Eat sweets with a meal, not as a snack. The increased flow of saliva during a meal helps to wash away and dilute sugar.
• Carry a travel-size toothbrush and use it after eating sweets. If you can’t brush, at least rinse your mouth with water or eat a fibrous fruit or raw vegetables. Or chew a piece of sugarless gum.

Some great-tasting snacks that won’t harm your teeth:

• Plain milk and buttermilk
• Fruit and raw vegetables
• Plain yogurt, cheese and cottage cheese
• Hard boiled or devilled eggs
• Nuts, sunflower or pumpkin seeds
• Melba toast
• Salad

Flossing removes plaque and bacteria that you cannot reach with your toothbrush. If you don’t floss, you are missing more than one-third of your tooth surface. Plaque is the main cause of gum disease. It is an invisible bacterial film that develops on your teeth every day.

Within 24 to 36 hours, plaque hardens into tartar (also called calculus), which can only be removed by professional cleaning. Floss at least once a day, and plaque never gets the chance to harden into tartar. Getting into the habit of daily flossing is easier when you floss while doing something else like watching.

How to floss your teeth

Step 1
Take a length of floss equal to the distance from your hand to your shoulder.

Wrap it around your index and middle fingers, leaving about two inches between your hands.

Step 2
Slide the floss between your teeth and wrap it into a “C” shape around the base of the tooth and gently under the gumline. Wipe the tooth from base to tip two or three times.

Step 3
Be sure to floss both sides of every tooth. Don’t forget the backs of your last molars. Go to a new section of the floss as it wears and picks up particles.

Step 4
Brush your teeth after you floss – it is a more effective method of preventing tooth decay and gum disease.

Flossing Problems and Solutions

Gums sometimes bleed when you first begin to floss. Bleeding usually stops after a few days. If bleeding does not stop, see your dentist. Floss can shred if you snag it on an old filling or on the ragged edge of a tooth.

Try another type of floss or dental tape. Ask your dentist or dental hygienist for advice. If your floss still shreds, see your dentist.