Prevent Dental Fluorosis in Mexico

This blog is brought to you by State of the Art Dental (SOTA DENTAL). We are an American style dental clinic located in the Hotel Zone of Cancun, Mexico. We offer Discount Dental Mexico.


i need a dentist mexicoAs we had already agreed in previous articles, dental fluorosis is a fairly common cosmetic condition in today’s society. Although it does not have the same health consequences that tooth decay, May itself affect seriously about the appearance and appeal of the teeth.

These are spots or white lines appear on the enamel due to excessive fluoride intake throughout childhood, when permanent teeth are developing.

If we want to avoid moderate or severe fluorosis, it is during this stage of life when dentists, parents and children themselves must act. Since Clinics Propdental I approached some clues to prevent dental fluorosis from an early age.

Basic measures to prevent dental fluorosis

Vigilance and insistence of parents, as well as the dentist and the dentist is the key to preventing this condition, something evident if we talk about young children.

How to start?

First we need to know how much drinking water contains fluoride in the area of ​​residence of the family, either tap or bottled. Your dentist or the public health department is those who can inform you about it.

Once the amount of fluoride clear that the child is receiving water and other sources (such as fruit juices and soft drinks) should work with the dentist to assess whether or not to receive a supplement to the substance through products Dental: a paste of specialized teeth, mouth rinses with fluoride …

The fluoride toothpaste should be used in very small amounts, especially dental veneers  mexicoin children under 6 years.

However, besides the above, there is a measure that is essential in all fields, not only in preventing this condition: schedule dental visits every 6 months. In general it is suggested to go to the dental clinic every six months, but that also depends on the oral health status of each. However, to control children’s teeth, you should respect these six months between appointments.

To ensure that these measures are met, parents and dentists themselves Clinics Propdental Barcelona should regularly monitor food and brushing of the smallest, to reduce fluoride intake and help prevent dental fluorosis.

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Brushing After Meals in Mexico

This blog is brought to you by State of the Art Dental (SOTA DENTAL). We are an American style dental clinic located in the Hotel Zone of Cancun, Mexico. We have the highest quality Dental Procedures Mexico.


partial dentures  mexicoMuch is said about the tooth brushing after meals and the truth is that this insistence is not strange when you consider the benefits of this action. Anyway still many who do not heed this advice and brush their teeth only once a day and it is important to mention that a complete routine related to dental hygiene is the technique more effective prevention of oral diseases and recommended.

Importance of brushing after meals

Let’s start from the premise that after eating always remains of food in the mouth, particles if not removed by brushing become plaque and this situation will greatly increase the chances of getting an oral disease, with caries dental one of the best examples of the danger of neglecting oral hygiene after eating.

Considering the consequences of the decay, we cannot forget that we are facing one of the most common causes of loss of teeth, it is not surprising that specialists insist on practicing brushing after meals, especially when we eat sugary products or after dinner, this is because at night we decrease the flow of saliva and defense level will be lower.

In other words we can say that toothbrushing is a preventive action that will be very useful to prevent any kind of oral diseases.

dental hospital mexicoTrue, it is not always possible to brush your teeth after eating and is that if we went out to eat was probably cannot carry out this process and so we have to point out some alternatives that, in certain occasions we can be helpful, as for example drink water or chew sugarless gum to increase the flow of saliva.

As we have seen the importance of this brushing is basic and indispensable when it comes to enjoy good oral health, however it must be stressed that the habit of oral hygiene not only consists of brushing as well be included the flossing in this routine and that this is a very useful element in removing food debris and plaque housed in spaces inaccessible to the brush interdental spaces being a case in point. Finally, there are the utility mouthwashes in this daily routine.

After reading the importance of brushing after eating … You’ll include this habit in your daily life? Your mouth will thank you.

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Benefits of Orthodontics for Adults in Mexico

This blog is brought to you by State of the Art Dental (SOTA DENTAL). We are an American style dental clinic located in the Hotel Zone of Cancun, Mexico. Visit our website to find out more about Dental Charges Mexico.


dental treatment mexicoIt’s never too late to receive orthodontic treatment to improve your smile. In fact, three out of four adults have some orthodontic problem could be solved with the right treatment. Today adults are the protagonists of 20% of the total orthodontic treatments and this statistic continues to increase. Find out how orthodontics can fix your dental problems.

Benefits of orthodontics for adults

Today, orthodontists are trying many more adults than ever because people increasingly value the power and convenience that gives the fact of having a dress and nice smile. Any adult who has completed his orthodontic treatment is aware of this, but there are several studies that suggest the many advantages it provides orthodontics:

  • It increases self confidence
  • Increased career opportunities
  • Improving social life
  • Reduces the risk of dental caries and periodontal disease, as well aligned teeth tooth cleaning easier
  • Improves chewing
  • Increases comfort

How does age affect the orthodontic treatment?

As orthodontists, age is not at all an impediment when performing orthodontic treatment. However, there are certain factors to be taken into account when deciding on orthodontics. We talk about: oral health, general health and dental problem that must be repaired.

teeth implants mexicoIf there are issues that may complicate treatment and periodontal disease, leukemia, heart problems, uncontrolled diabetes, arthritis or osteoporosis can not recommend the orthodontist treatment.

Best orthodontic treatment

Orthodontic treatments have come a long way in recent years to the point of getting equipment much less visible and more comfortable than ever.

New Treatment options include tooth-colored brackets, virtually invisible aligners or devices that are placed on the inside of the teeth.

Not all of them can solve the full range of orthodontic problems, so choose the best for your orthodontic treatment is best to ask an appointment with your orthodontist Propdental.

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Caries of Holes, Pits, Grooves and Fissures in Mexico

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cheap dental care mexicoBecause of the embryological development, teeth presents a motley, variable occlusal anatomy, which conditions peculiar morphological features on the occlusal surface and free, which are responsible for some accidents or structural defects favoring caries. But it is in the occlusal surface of the posterior teeth where this sensitivity is greater.

Moreover, during the embryological development of the enamel also prays series of structural level of free surfaces, which should be considered in any study of dental pathology defects, occurs.


So we can understand the morphology of the occlusal surface with holes, pits, grooves and fissures, you will need to make a brief memory of embryological development responsible for enamel formation.

In posterior teeth, amelogenesis begins after onset of dentinogenesis in the areas of future cusp apexes. Once the first layer of dentin is formed, a differentiation in ameoblastos I preameloblastos occurs, then forming the first layer of enamel. Ameloblasts differentiation does not occur simultaneously across the layer of interior / preameloblastos epithelium; it happens gradually, starting in the areas of the cusp vertices and continuing to the cervical region, which determines the thickness Enamel, is different occlusal and cervical level, being higher in the occlusal half tercion crown and lower cervical level.

The continuous production of coating films in each cusp area makes confluence zones, thus originating degeneration and / or death layer preameloblastos / ameoblastos, which is compressed between the two cusps occur proliferating, an area condicioando no production of enamel. These zones correspond to the holes, pits, grooves and fissures with a morphology which depends on the tooth, the location, the stage of amelogenesis in which it occurs and the degree of development of the cusps.

Morphological characteristics

Frequently for holes, pits, grooves and fissures they are called interchangeably, when this is wrong, because each has a different anatomical features.

The holes, also known as “pits” are small pinpoint rounded depressions, conditioned by local enamel defects. The pits are areas of confluence of the grooves and fissures that are observed on the surfaces of premolars and molars, but may also be located in the palatal surfaces of the teeth of the anterior superior sector.

The grooves correspond to the confluence zone of the lobes of development and are observed as a depression in the base of two cusps. But sometimes, in the depths of these grooves intussusception, or deep cleft crack is observed, constituting the so-called fissures. These cracks have to understand the entire length of the groove.

These are mainly anatomical accidents and cracks, structural elements that promote tooth decay. Its shape, size and amplitude are variable, and even its size, and in some cases even reach the dentin-enamel junction limit.

For a detailed description of the grooves and fissures, we follow the classification of Nagano that we modified:

  • Open Type: When the angle that forms the two inner cusp slopes is very broad.
  • Type V: When the diameter of the input is greater than in the deeper areas. They can be open or closed, depending on the angle forming the inner cusp slopes.
  • Type U: When the diameter of the entrance of the fissure is equal in the deeper areas.
  • Type R: It is a crack or slit more or less straight, and very deep.
  • Type in IK: These are characterized by correspond to very narrow slits, ending in depth in a blister.
  • Type in inverted: When a fork in the bottom of the fissure.
  • Hourglass Type: When there is a combination of V-type surface and p-type inverted V-shaped blister on the bottom of the fissure.
  • Type funnel: When there is a combination of V-type surface and U-type at the bottom of the fissure.
  • Other: Sometimes some grooves and fissures with variegated and highly variable morphologies are observed.

The most common forms are in V, with 34% incidence, followed by IK-type, with 26%, I 19%, and U, with 14%. The diameter of cracks 0’1mm usually less than the diameter of the bristles of toothbrushes that is superior to 0’2mm, making impossible the removal of bacteria, as well as food debris and nutrients within.

Regardless of the morphological characteristics of the furrows and fissures, it is taken into account other considerations, such as the thickness of enamel there from the bottom of the fissure to the dentin-enamel junction limit, which may have a thickness of 0 ‘ 2 mm or less, and the existence of “cracks” in this area.

Caries of holes, pits, grooves and fissures

The location on the occlusal surfaces was described by Miller in 1880, and is usually observed in earlier than those located in the proximal surfaces form.

The incidence of caries free tooth surfaces is small when it is compared with that of holes, pits, grooves and fissures, occasionally reaching up to 50% of all locations, and being the most common site among children and adolescents.

This high frequency of dental caries in these areas has already been good dentist mexicoestablished prior to the start of this century, in a work that was conducted by Hyatt, in 1923, he studied more than 2,500 cracks posterior teeth, finding only a only free fissure caries. In a later work Bodecker, in 1929, he was able to observe this high incidence, since 90% of the cracks of their study showed caries, 98% of the fissures of the first molars being affected.

Tooth decay is a disease present in all countries, which affects the entire population. Fortunately, thanks to advances in medicine and dentistry, we can say that today, this disease is just a formality, sometimes painful, we know that it is easily curable if diagnosed quickly. As always, and especially in diseases such as those with caries etiology, we must emphasize and give special emphasis to preventive good is our best weapon to curb the development of caries.

A regular visit every three months in our dentist to control us our oral health should be enough to make our way through the dental clinic is a walk and so we simply avoid much greater evils that could trigger loss of tooth structure, or periodontitis any other disease that is actually much more serious. In this way and with prevention, we can save a lot of money and incidentally avoid the terrible ordeal suffer toothache.

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Examination of the Teeth and Supporting Structures in Mexico

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new teeth mexicoIf this article we talked about dental trauma. This time we will talk about the subject to revision teeth and supporting structures. Each of the teeth should be carefully observed for signs and symptoms.

In an examination of the teeth may be from minimal exposure to coronary fracture of the tooth neck level.

There may be tooth mobility horizontally; we tested 1 to 3, according to millimeters of displacement. It can also be vertical. D if it were a group of teeth we can think of an alveolar fracture.

The mobility of the crown must be differentiated from the tooth, that can be mobile, but not the tooth. This may feel if we put a finger on the oral mucosa and move the tooth.

In dislocation, there is displacement, inflammation and bleeding in the periodontal ligament and percussion sensitivity.

Pulp vitality tests

They can be thermal or electric. For all we know, these tests we used to hear the general state of the pulp and even tell us how is the nerve not indicate the presence or absence of blood flow in the pulp :; Also, after a trauma and pulp nerve endings are as asleep and not transmit impulses of an electric or thermal stimulus. This means that we can give false negative results.

However, these tests have to perform and repeat them periodically. The most reliable, besides power, are pencil carbon dioxide or small sponge saturated ethyl chloride; ice can confuse us, and this, to thaw the cold water can reach several teeth. Thus, we can evaluate the pulp condition and evolution.

It can be positive and negative pass; or stay positive, or negative and mexico dentistspositive pass. We must not forget that for the movement to normalize in the fully formed, coronary area of ​​a tooth needs to pass some time, even up to nine months. The negative maintained, however, may not be indicative of irreversible damage.

As always insist all dentists, we must remember that the most important thing is to go to the dentist as soon as possible, and that if they suffer a blow, the fact of going passing the time can become the worst enemy, including having to reach the affected tooth removed and replaced by a dental implant. The examination of the teeth is essential for a correct diagnosis in all cases.

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Drugs used for Dentistry in Mexico

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restorative dentist mexicoThere are a number of medications that your dentist may prescribe, depending on the condition that you suffer. The drugs are prescribed to fight certain oral diseases, to prevent and treat infections or to control pain and relieve anxiety.

We have collected a list of the most used drugs in dental care. The type of medication, dosage used and the way how to take change from patient to patient, depending on why it is used, the age, weight and other considerations.

Although Propdental your dentist will provide all the information you need about the drug, make sure you understand the reasons why you should take and informs the dentist of any health problems you have.

Drugs used in dentistry to control pain and anxiety

Local anesthesia, general anesthesia, conscious sedation or nitrous oxide are some of the drugs used in dentistry to control pain and anxiety. It is also contra-indicated and taking anti-inflammatory and anesthetic.

  • Antiinflammatory drugs

Corticosteroids are anti-inflammatory drugs used to relieve discomfort, redness of the mouth and gum problems. They can only be taken under medical prescription and nonprescription not be used, especially in children.

  • Anesthetics

Dental anesthetics are used in the mouth to relieve pain and irritation caused by many diseases, including dental pain, teething and sores inside or outside the mouth. Some of these drugs are also used to relieve pain and irritation that causes dentures and other dental applications, including orthodontic appliances. There are anesthetics that can be purchased without a prescription and others that require the authorization of a professional.

Important note: Most drugs that contain benzocaine used during teething can be used in babies from 4 months. Most other medicines containing dental anesthetic can be used from 2 years old. Moreover, because the elderly are particularly sensitive to the effects of local anesthetics should not take a larger dose of indicating the box or dentist. Anesthetics used to combat dental pain should not be used for a long time: they are only given for discomfort for a while, until the dental pain can be treated. People, who wear dentures and denture is taken when new, should visit their dentist after a few days to determine if the fit of the prosthesis is correct.

Medications to control plaque and gingivitis

Chlorhexidine is an antibiotic used to control plaque and gingivitis in the mouth and periodontal pockets (the space between the teeth and gums. This type of medication is taken through oral rinses.

Important note: The chlorhexidine may cause an increase of tartar on your teeth. It can also cause discoloration of the teeth, fillings or dentures. Brushing with anti-plaque toothpaste and flossing daily can help reduce the buildup of plaque and stains. Also, you should visit the dentist every six months for you to examine your teeth and gums. These visits are a good opportunity to inform you of an allergic reaction to this medicine.

  • Antiseptic

Maybe your dentist will recommend the use of an antiseptic mouth to reduce plaque and gingivitis and kill germs that cause bad breath.

Drugs to prevent tooth decay

Fluoride is used to prevent tooth decay and is in the vast majority of toothpastes. It is absorbed by the teeth and helps to strengthen and resist acid and bacterial action. In the form of varnish or oral rinse, fluoride also helps reduce oral sensitivity. Moreover, fluorides can also rectarse in liquid or chewable solid form. Usually it is taken once a day.

Important note: You should not take calcium, magnesium or iron while taking fluoride. You should not take dairy products an hour before taking the amount of daily fluoride. Finally, keep in mind that too much fluoride can stain your teeth intrinsically.

Medicines for dry mouth

There are several drugs used to stimulate saliva production in patients with the syndrome of dry mouth or xerostomia.

Other antibioticsrestorative dentistry mexico

Tetracycline (and derivatives thereof) can be used alone or in combination with surgery or other therapy to reduce or temporarily eliminate the bacteria associated with periodontal disease to prevent destruction of the bone that support the teeth or to reduce pain and irritation caused by the sores. This type of antibiotic may have a gel or rinse.

Muscle relaxants may be prescribed to reduce stress and help stop teeth grinding or treat TMJ problems.

They can also prescribe anti-fungal medications to treat oral candidiasis. The goal of treatment is to stop the advance of the candida fungus.

Although some of the drugs used in dentistry are available without prescription, it is important to bring out responsible consumption and follow the dentist in each case.

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Jaw Movements and Positions in Mexico

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dentist prices mexicoAs we said earlier, thanks to the numerous studies and works that have been done over the years and encompassing both classical and modern, we can say we have complete knowledge of all jaw movements and positions. Previously we talked about fringing jaw movements and positions in this article.

Mandibular positions

The anterior border opening movement is the most anterior opening and wide as possible. It occurs when the jaw performs an opening movement in position of maximum protrusion. Observed in the sagittal plane, the movement draws a wide curve posterior concavity.

The fringing lateral movement is the movement of possible extreme upper and laterality. Seen from the front plane, that is, looking at the person in front begins in the PIM, as this is the highest position in space and from this point the jaw can move right and left, with tooth contact, reaching the extreme lateral positions.

The movement has an angular shape with the PIM at its apex. Each of the sides of the angle are the result of route following teeth in each case guide the lateral movement, to slide against each other. When the guide teeth are the incisors and / or canines, the plot shows a steep slope with respect to a horizontal line, which when the posterior sectors.

Lateral angles of healthy subjects with Angle Class I guide, calculated from the first two millimeters of mandibular movement range between 35 and 40 degrees in women and between 44 and 46 degrees in men. Notably, in the same individual, most often, the angles of side guide on both sides are different.

On average, the maximum lateral displacement in adults ranging from 9 to 11 mm, depending on the different authors, and different measurement techniques. It should be noted that, as with the protrusive movement, the ability of mandibular lateralization varies with age, since it is 8 mm on average in children 6 years ,. It becomes maximum between 11 and 20 years. And from here it is decreasing gradually, reaching 7.5 millimeters in individuals over 71 years.

Furthermore, since each side end position may be a maximum opening, which viewed from the frontal plane, resembles the shape of a shield. The fringing lateral movement can also be observed from the horizontal plane. From this perspective it is observed that the incisal point moves laterally very discreetly and forwards, and is also very common that the route is asymmetric between both sides. From each lateral end position can be performed a maximum protrusive movement until reaching the extreme lateral position of the opposite side, which results in a rhomboid.

When the jaw makes a lateral displacement, the condyle of balancing work or not, pulled by contraction of the lateral pterygoid muscle on the same side, it made a translation down, forward and inward, while the working side condyle rotates slightly backward. However, because of the insertion of the temporomandibular ligament in the lateral condylar pole, this subsequent rotation is limited, so the condyle working, and therefore, the whole jaw to move laterally. This lateral movement of the entire jaw towards the working side during lateral movement is called a Bennet movement, and depends, therefore, temporomandibular side weave work and the contour of the medial articular cavity non-working side.

The direction movement takes Bennet and how it occurs, varies between individuals, as it depends on the joint structures. If the lateral component occurs at the beginning of the movement called “Movement Bennet immediately”; if it occurs gradually, it is called “Progressive Movement Bennet.”

However, there are some authors who consider the existence of a “Movement Bennet immediately” is indicative that the condyles they are not properly seated in the glenoid, since the configuration of the joint surfaces is such that when the condyles found in its uppermost position, coinciding with the current concept of RC, maintain close contact with the inner wall joints, so they can not travel medially.

Observing the motion of the condyle roll in the sagittal plane, the angle describing the downward component thereof, with respect to a horizontal line, called condylar angle in lateral guide. This angular value is usually higher than the protrusive condylar guidance. If the same movement in the horizontal plane, the angle that draws the medial component of motion with respect to a parasagittal plane is observed, it called angle Benet, which has an average value of between 7 and 8 degrees. A high value of this angle is related to a broader movement Bennet, while a low value will be associated with a movement of discreet or absent Bennet. The average moving amount Bennet measured in the horizontal plane is 0.5 mm to some authors, and 0.75 mm for others.

If areas fringing jaw movements in three planes are combined three-dental emergency mexicodimensional space that represents the maximum stroke that can perform a point in the mandibular midline in all directions is obtained. Because of the way it acquires this volume is called “Bicuspid Posselt.” Watching it is clear that the jaw has its maximum mobility in the area of ​​contactants movements, and decreases as it approaches the zone of maximum openness, in which the movement is punctate. All border movements are limited by the joint, ligament and muscle structures, but the upper or coronal portion thereof, ie the contactants movmientos, they are limited also by the tooth contacts.

These we have seen, along with the article mentioned above, are called mandibular movements and positions fringing. Grounds that we have explained is thanks to studies and tests that have been conducted over the years by researchers and Posselt.

In the case of detecting any problem in our jaw, whether you have trouble chewing, to bruxism problems, we should not expect to see a dentist. Clinics in Propdental we can help you, tell you about what their condition, we will give you all the information you need, and at the time it deems appropriate, start treatment as soon as possible to resolve the pathology. It is also important that, while we believe have no problem in our oral cavity, we make a regular visit to the dentist every three months in order to ensure that not only our mouth looks healthy, but actually it is not. Prevention is the greatest tool that we have.

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Mandibular Rest Position in Mexico

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endodontists english speaking mexicoOur jaw has a multitude of movements, and has been studied for decades. Thus, we have a bibliography at our disposal that allows us a detailed study about it.

When the jaw is at rest, hanging skull leaving a distance between the occlusal surfaces of both jaws of between 1 and 3 millimeters measured incisal. In this separation it is called occlusal clearance, and is generally higher in men than in women.

If the situation is observed in the space of incisal point in the sagittal plane of rest (PR), it is found that over 80% of subjects, this point is in the vertical PIM, or very quietly behind her (0.6 mm); on the other, this point is a maximum of 1 mm in front of the vertical PIM.

If the same point is observed in the frontal plane, it is found that the PR is generally centered vertically in PIM. The PR is determined by a number of factors which include the elastic properties of muscles, both mandibular elevators, such as the tongue and lips, the elastic properties of the tendons and tissues of the temporomandibular joint the existence of a negative pressure in the oral cavity, the weight of the jaw, head posture, and finally, muscle tone, which is controlled not only by the afferents from muscle spindles mandibular elevators, but also information which is supplied by receivers temporomandibular joint, periodontal and oral mucosa and influence of higher brain areas related to emotional states.

All these factors explain why the PR is not a static position, but that is changing in the same individual. Several studies have shown that alterations in the estomagnático system, for example, tooth extractions, aging, wear of the teeth, removing occlusal stops, or increasing the vertical dimension, lead to the adoption by part of a PR guy different from that previously possessed.

On the other hand, it has shown that certain types of malocclusion endodontist mexicodetermine characteristic patterns of mandibular rest. For example, in affected subjects a unilateral crossbite, there is increased activity in postural posterior temporal side cross determines jaw skewed to that side at rest.

As with any muscle or joint, we can also suffer problems in our jaw. It is very important the problem is that we have to correct it as soon as possible, and that our jaw is fundamental to our quality of life pillar and having a problem with it significantly reduces quality of life. In case you have any problem, you only need to talk to specialists in your Propdental clinic near where after examination will be able to issue you a concise diagnosis about their condition and begin early treatment to end as soon as possible their suffering.

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Dental Treatment for Fractures in Mexico

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dental services mexicoDental traumatologías are perhaps too poor common today. Contact sports, falls or certain habits that do not enjoy a great reputation for oral health as opening his mouth bottles are usually responsible for the vast majority of dental trauma that can cater to a clinic.

In immature teeth, where we try to maintain the vitality of the root pulp to continue their training, pulpotomy treatment is advisable, however, to remove the pulp to or below the neck of the tooth, it will be very fragile in that area .

This Pulpotomy “classic” is most appropriate in immature teeth with crown fractured completely and to be rebuilt afterwards.

The pulp amputation will do with a diamond bur at high rpm and cooling water because, as they say clinicians, there is less damage to the tissue under the amputated area. This must be clean, should not be tears and the walls must be clean of dentinal debris.

It tries to stop the bleeding with cotton balls soaked anesthetic or saline, and when this is achieved, calcium hydroxide is placed. In case you mix up with methylcellulose or distilled water, the preparation will be more liquid to put on the amputated pulp, without pushing it so that it does not enter the pulp tissue, but we’ll let slide down the walls of the cavity.

Other authors recommend calcium hydroxide powder, on a base of calcium hydroxide in hard setting. From his work Cvek technique, surface pulpotomy or “shallow Pulpotomy · popularized, to be held in immature teeth can be reconstructed by an acid etching and composite. It consists only removes about 2 mm of pulp tissue from exposure and aims to keep alive the pulp tissue of the neck part so that there is a normal root development and that part of the tooth.

Once anesthetized and isolated area, exposed dentin with a saline or anesthetic solution is washed. About 2 millimeters pulp is removed with a round diamond bur aqueous conregrigeración, leading gradually Strawberry on the pulp. In turn, we carve one adiento dentin around, where afterwards will record the restorative material.

The pulp wound with saline washing and hemostasis dela try to get a pulp with a cotton ball saturated with anesthetic or saline, you can also help the application of calcium hydroxide, thanks to its property to produce a coagulation necrosis. Next, place a layer of photopolymerizable calcium hydroxide, hard setting, on the pulp and dentin and then a glass ionomer. Finally, the tooth is restored with a composite. Collagen below, which starts mineralized, thus forming a dentin bridge occurs. The pulp tissue immediately can remain in good health for several years.

Control every 6 months for a couple of years will allow us to evaluate the success if the tooth has no symptoms, no internal or external root resorption, or radiographic signs of apical periodontitis. The root, immature teeth, continues to develop and there dentin formation. And the tooth meets the pulp vitality tests, if possible perform.

Therefore, it is defined by Apexoenésis, to such treatment, by which we try to keep the living pulp in an immature tooth, which has suffered a pulp exposure traumatic (or cavities) having an open apex, because the root is developing with radicular walls diverging or converging parallel, in order to continue the root development and the apex is closed.

The main objective is to maintain the vitality of the root pulp. But when these immature teeth pulp undergoes necrosis before complete root development, the conduit will be appreciated radiographically, very wide, thin walls and apex open, unlocked, with the presence or absence of periapical rarefaction area.

Trying to perform a root canal treatment of first intention in these teeth, it can lead to failure, because although the mesial and distal root walls can be converged, we must not forget that the buccal and lingual walls, do not appreciate in radiography It takes longer to form and fall in overfilling. So, the best treatment will make a apico – training.

Apexification, it is the process of creating an environment inside the root canal and periradicular tissues, which favors the formation of a calcified barrier across the open apex. As Frank described, it will succeed by cleaning and preparing the canal, so remove debris and bacteria and placement of a paste inside the same.

Although initially it was thought that the important thing was the placement of calcium hydroxide inside the duct. Currently, it states that the success of treatment depends on cleaning and debridement of the pulp, excellent space and a perfect coronary sealed to prevent contamination during the duration of the treatment.

Technique to follow in dental fractures:

We will be divided into six phases:

  • Access cavity
  • Cleaning and shaping
  • Placement of calcium hydroxide
  • “Temporary” access cavity. Shutter
  • Periodic monitoring
  • Final obturation

The access cavity after isolation with rubber dam should be higher than normal to facilitate the introduction of heavy instruments necessary for the removal of necrotic tissue and to seal the pulp space correctly.

Removal of necrotic tissue inside the duct: The working length is to be determined as soon as possible. For this we take a thick lime introduced into the duct, it is held to the walls of the access cavity or duct and does not move, and even the lime holding a cotton ball placed within the access to that the file does not move the child’s fingers to grip the plate. The radiograph is slightly shorter than the length of the root, thus avoiding possible trauma to living cells that may be in the periapical tissue or injury can result in the wall.

Canal preparation will be done carefully, taking the files by a circumferential movement all the duct walls, but gently, so as not to tear the fragile walls of the root; all accompanied by a rich and copious irrigation with sodium hypochlorite, more or less diluted.

Some authors recommend the use of ultrasonic instruments for better preparation and duct cleaning, using cavitation and fluid movement within the duct. When the tooth no longer shows signs or symptoms, dry it and tipped through thick paper. Meanwhile, a mixture of calcium hydroxide is prepared. As a vehicle, the authors have used methylcellulose, distilled water, saline, anesthetic solution, glycerin, until a workable paste.

Keep in mind that the mixture of calcium hydroxide, less labor time will be at a faster set is spatula. Some authors use the calcium hydroxide powder, without vehicle. Other barium sulfate added, for greater opacity, but is not necessary because when using a large amount in wide passages, always inside is distinguished. We introduce into the camera with a plastic instrument or a portamalgamas, with attackers and condense gutta percha, or a lentulo, the working length. In case we use commercial preparations, as these have a liquid part, we eliminate this the tipped thick paper, we use them to condense the mixture together with gutta percha attackers.

Patiently and slowly fill the tube, avoiding always leave gaps, which confirmed radiographically, and not guided by the faces of the patient, you may feel slight discomfort, caused by air-to periapex that you can get caught in the duct, but sobreobturar, but if it comes to periapex not usually cause any harmful reaction.

Sealing the access cavity

Finally, after removing excess calcium hydroxide mixture to the pulp chamber of the tooth neck, we sealed access with a material to prevent the leakage and passage of bacteria to the pulp space. Some authors suggest MRI; others, a double sealing oxyphosphate Cavit and zinc cement, composite and even amalgam (posterior teeth). Whatever the material we use, should have several millimeters thick and place it on a cotton ball to prevent its passage to passage.

The important thing is that this “temporary” seal is present for several months or even years, until it is decided whether or not changes or pasta, or to end the canal filling.

Regular monitoring

Remote control begins at 4-6 weeks to observe sealing the access cavity and radiographically if calcium hydroxide is not as dense as the principle, the fluid inlet of periapical tissues inflamed has dissolved to inside the duct. Jan If so, we will open the tooth and after washing and review with limes along the preset to work again will fill the canal with calcium hydroxide. We act the same way, in the event that there has been an acute episode of pain, swelling or appearance of a fistula

The following controls will become a period of approximately six months. We can see, from the year, a decline in area of ​​rarefaction and simultaneously forming a barrier bone or radiolucent line, linking the root apical walls, in which case we can change the calcium hydroxide or just leave as it is, the possibility of reinfection, change the length of work and traumatizing new tissue that may be organized at the apex of the root. Sometimes the bone barrier is not visible on x-ray and does exist, but only appears at the apex, if we open the tooth and sondamos, gently, with a median file or thick paper tip.

The stop may take form between one and three years, depending on the state of root formation at the time of pulp necrosis and apical pathology submitted and may have different shapes as described by Frank. In most cases, the barrier is observed in the place of the duct where we came up with calcium hydroxide and is usually seen root growth. Only sometimes he would and could be because the epithelial sheath of Hertwig retains its specialized information direct root function. Histologically, bone barrier is shaped something like cement, bone and other calcified tissues, but porous so we must seal it.

Final obturation

This can be done with gutta-percha, by a technique of modifying the vertical condensation or lateral condensation, since being the width of the tips as thicker conduit percha are skipped.

We can use a technique that soften the gutta percha, making a gutta-percha master point for that conduit, two or more heating and rolling with two glass tiles. When we have tested and noticed that adapts to the duct, heat the tip and we take an impression of the barrier or the apical third of the canal. We may also use thermoplastic gutta percha inserted into the duct type syringes or guns II.Naturalmente seals have to put a sealer cement before condensing the gutta percha and check for radiographs adaptation of the sealing material to the apical third.

If we make a lateral condensation, we put more accessory tips if needed;

general dentist mexicoexcess gutta percha and cement chamber is removed, cleaning well, making sure that no debris that may tarnish the crown, and doing the “fingernail test.” The access cavity is filled with a treatment compuesto.Es material with a large number of hits, up to 95%, however, we can have failures during treatment, which can be satisfactorily resolved, such as the contamination of the duct sealing fracture, pain, tenderness to percussion, swelling, fistula, etc. … or by growth of granulation tissue inside the canal and we appreciate that when reviewing the files appear conduit bloodstained, even being short. And fractures, the worst prognosis to be very fragile teeth, horizontal, treatable if the root has a proper length for an orthodontic extrusion and vertical type, which can not be treated, condemning the tooth extraction.

These fractures may also be after treatment, even after several años.De Similarly, the presence of necrotic debris between the calcified barrier that will subsequently to periapex can result in an apical periodontitis, years after treatment.

As mentioned above, the fractures are a common mla in our country today, and although each day more precautions taken, still required especially oriented towards prevention instead that really is what will prevent , because of bad luck or an unwise practice continuously, we end up making an unexpected visit to our trusted dentist.

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Prevention can prevent inflammation of the gums in Mexico

This blog is brought to you by State of the Art Dental (SOTA DENTAL). We are an American style dental clinic located in the Hotel Zone of Cancun, Mexico. We offer Dental Travel Mexico.


dental websites mexicoUnlike what happens with dental caries, which often show signs of presence with a throbbing discomfort or a sudden pain, periodontal disease does not cause any symptoms for a long time. Actively prevent inflammation of the gums from the health monitoring will help us to prevent periodontal disease and its harmful consequences, including the loss of teeth.

We help to prevent inflammation of the gums

The gums are an important part of the tooth structure. They are responsible for supporting the teeth firmly to the bone and provide a protective layer to nerves and tooth roots. Increased tooth mobility is usually caused by a malfunction or damage gum, why it is worth taking care of periodontal tissues in the same way we do with teeth.

Regular checkups with the dentist allow studying the state of the gums regularly. Any deterioration will be assessed first visually and, if necessary, by radiography. In addition, our dentists are also able to measure periodontal pockets around the teeth to see if they have withdrawn another sign that would show that the damage is starting.

Causes of gingival problems

Although periodontal disease may develop in early cases from the age of 10 is usually a condition related to adulthood. Many people do not experience a serious infection of the gums to last 40 years and the problem tends to worsen with age.

Another factor leading to the occurrence of periodontal disease is pregnancy and other steps causing hormonal changes in women. The same happens with diabetes and consumption of certain drugs. It is for that reason it is very important to inform dentists about any health problems you have or medications we are.

On the other hand, it is also important to raise awareness that in this case the snuff is an enemy of health, in this case oral as it releases toxins that can aggravate gum disease. Stop smoking because not only will help slow the progression of inflammation, but also favor the appearance of teeth, they darken and turn yellow in people who smoke.

Early signs of inflammation of the gums

Although we have healthy teeth, it will do no good if the support of the gums is not correct. It is therefore important to take care of the gums and watch for signs of infection, such as gingival recession, the sore gums, sensitivity to cold or heat, redness of the gums or inflammation.

Gingivitis is the mildest stage of gum infection and carries 70% of the ailments. Usually shows its presence with bleeding gums when brushing your teeth or the presence of bad breath permanently. Start because of poor oral hygiene fails to remove bacteria from the gum line until they irritate tissues. If left untreated, gingivitis can progress to periodontitis, a more serious periodontal disease at its peak ends up causing bone loss that can lead to the loss of teeth.

Reducing periodontal diseasedental offices mexico

Brush your teeth two or three times a day for two minutes is critical to preserving the health of teeth. But there is another toilet habit that has the same importance for brushing teeth, but in this case for the gums floss. Flossing daily (preferably before bedtime) is essential to remove food debris and bacteria that remain between the teeth and the gum line.

While that may cause some bleeding the first few days, the discomfort and the blood will be reduced to days as the infection is cured. If it is not in your case, contact your dentist Propdental to help you discern the causes of this situation in your particular case.

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