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Three things your dentist does differently to you

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Ever wondered why your teeth feel so clean after a visit to the dentist? While daily brushing and flossing are an essential part of your oral health routine, it can be challenging to reach all the surfaces of your teeth and know what’s happening beneath your gums. That’s where regular dental check-ups are beneficial as your dentist can examine what is happening beneath your crowns and between your teeth. The best part is, you get to sit back and relax while your dentist cares for your oral health.

Your teeth are complex structures, and while you can only see the part of your teeth above the gums (the crown), what’s happening below the gums and between your teeth is just as important. Without healthy and strong foundations, the risk of needing more extensive and costly treatments increases.

 

Using dental instruments

Your dentist can detect any early signs of common oral health issues which you often can’t see at home, including gum inflammation, infection, and more serious issues affecting the bone that holds teeth in place. With precision instruments, your dentist can remove any plaque and tartar with their ultrasonic or sonic scalers and hand-held curettes1. Your dentist will also use magnification glasses and an LED light to enhance their vision and ensure a thorough examination of your teeth, gums and tongue2.

 

So, what are the three things your dentist does differently compared to you?

1. Removal of plaque

Plaque is an invisible, sticky film that forms on the surface of teeth. It’s made up of bacteria and leftover food particles. This bacteria feeds on sugars from food and drinks, producing acids that can damage tooth enamel.

Daily brushing and flossing help to remove plaque, which if left untreated, can lead to tooth decay, gum inflammation (gingivitis), and other health issues. Everyone gets plaque, especially after eating and drinking foods high in carbohydrates, but over time, plaque build-up can harden and turn into a substance called tartar or calculus which cannot be removed with a normal toothbrush.

2. Removal of tartar

Tartar is rough and cement-like, making it easy for more plaque to hide under the gums where your toothbrush and floss can’t reach. This buildup can lead to gum disease and other dental problems1.

Your dentist uses special hand instruments and an ultrasonic cleaner that vibrates at high speeds to loosen tartar from the tooth surface. Scalers use vibrations to loosen larger pieces of tartar and calculus. At the same time, it sprays a mist of water which washes away the debris, preventing it from re-sticking to your teeth. Curettes are the hook-shaped tool you might recognise from your dental visits.

Once the larger pieces of calculus have been removed, your dentist will switch to using hand instruments like this to scrape off smaller build-ups and run across the tooth surface to locate small deposits. Afterwards, the tooth surface can be quite rough, so your dentist may polish your teeth to smooth them out and remove any superficial stains that have built up.

3. Examining your teeth, gums and tongue

Your dentist will also examine each tooth, your gums, and your tongue. Healthy gums should fit snugly around each tooth and if they start to loosen, it can be an early sign of gum disease. Your dentist might use a small ruler to measure the space between your gums and teeth, checking for anything unusual.

 

 

What about X-rays?

Your dentist may request digital dental X-rays be taken of your teeth and gums during your check-up for concerns that cannot be seen by only looking inside the mouth. X-rays allow your dentist to see under the surface of the teeth and gums, helping to identify any dental decay, bone loss or fractures. They also help monitor how close the teeth are to the nerves and sinuses and the development of teeth under the gums, allowing your dentist to plan your dental treatments accordingly3.

How do dentists read X-rays?

There are a few different types of dental x-rays and the type of X-ray your dentist requests will depend on what they are looking for. Your dentist will examine your X-rays by:

  • Comparing your new and old X-rays- this allows your dentist to identify any changes in the condition of your teeth or jawbone over time.
  • Checking for any abnormalities- this may include a misaligned tooth or a cyst in the jawbone.
  • Comparing your left and right sides – this will help to highlight any potential issues and may make any problems easier to find.

 

Is this included in my check-up and clean?

Yes, your dentist will examine your teeth and gums at your regular appointments. Tartar can’t be removed with a toothbrush and requires special dental tools and a procedure called a scale and polish. If you require tartar removal during your regular check-up, your dentist may recommend this to remove buildup. You may also receive a fluoride application to help reduce dental decay and decrease the sensitivity of your teeth.

 

What if I have dental extras? Is a scale and clean included in my check-up?

Eligible nib patients with dental cover are entitled to receive 100% back on preventative dental check-ups*, which include a scale and clean. Make sure to check your eligibility with your current health fund provider before booking your appointment.

Seeing your dentist for regular cleanings does more than just clean your teeth—it helps you take better care of your oral health. Book an appointment today so you can learn more about how to care well for your teeth.

 

*Payment by nib of dental benefits is subject to serving relevant waiting periods, annual limits and service limits. 100% Back only for nib customers with policies which provide no gap and have sufficient benefits remaining. Check your cover at nib.com.au or call 13 14 63. The dental check-up includes examination (011, 012), scale and clean (114) or removal of plaque (111), fluoride (121) and bite-wing or periapical x-rays (022, maximum of 2 per year) as deemed necessary and appropriate in the clinical opinion of the dentist (dentures not included). The services provided will be deducted from your annual limits and/or service limits. 100% back dental excludes DentalPass members and is not to be used in conjunction with any other offer or government scheme, nor substitutable or redeemable for cash. 

 

 

1https://www.healthdirect.gov.au/teeth-cleaning

2https://www.healthline.com/health/dental-oral-health/what-happens-during-a-tooth-cleaning

3https://www.teeth.org.au/dental-x-rays 

Specialist Orthodontist at nib Dental Care Wollongong

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Meet Dr Charles Daniels, nib Dental Care Wollongong’s Specialist Orthodontist

Dr Daniels qualified as an orthodontist in 1999 and has worked as a specialist orthodontist full time since then.  His basic dental training and specialist orthodontic qualifications were obtained in the UK over a period of 12 years. During his broad experience in university and hospital settings, he won 3 UK national prizes for orthodontic treatment results, research and clinical knowledge.

He came to Australia in 2003 and has worked in locations in Sydney, Paramatta,  Wagga Wagga, Canberra and Wollongong.  He established his own practice in North Sydney in 2006 and continues to maintain his commitment to Pacific Smiles Dental and nib Dental Care through his locations in Wollongong and Wagga Wagga. Dr Daniels is the longest serving team member of nib Dental Care in Wollongong starting work in the centre shortly after it opened in 2006.

Dr Daniels takes pride in keeping his practices at the forefront of orthodontic advances offering regular braces together with invisible braces and Invisalign.  He takes on cases of all ages and will offer early intervention for younger patients if necessary. He is adept at complex cases and is comfortable treatment planning cases involving jaw surgery and advanced restorations. He is a fully registered specialist and can offer orthodontic care within the scope of the cleft palate scheme.

He enjoys his position at nib Dental because of the close working relationships with his dental colleagues and fantastic supporting staff, as well as the wonderful patients.

Outside of work he has competed in a number of running events including the City to Surf and was at one time a surf life-saving volunteer at Tamarama beach and member of the veterans surfboat rowing team. He now enjoys cycling, sailing and climbing.  He has a small family in Australia and a big family in the UK.

Get in touch with nib Dental Care Wollongong to book an orthodontic consultation today.

5 Tips to protect your teeth and gums this winter

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Winter brings more than just chilly weather, and though many of us experience changes in our skin and allergies, it can also bring unwelcome changes to our oral health. If you’ve ever noticed increased sensitivity in your teeth or a persistently dry mouth during colder months, you’re not alone. These sensitivities are caused by lowered temperature, as well as a decrease in moisture in the air.

While there’s not much we can do about the seasons, there are some things we can try to reduce to keep our mouths happy and healthy all winter long.

Stay Hydrated: Cold weather often coincides with cold and flu season, leading to stuffy noses and increased mouth breathing. It’s important to stay well hydrated at any time, but particularly when our immune system is working overtime and fighting off or dealing with an infection. Hydration not only supports your body’s recovery but also helps keep your lips and mouth tissues moist, preventing sensitivity and discomfort. Sipping water throughout the day also maintains saliva flow, which is vital for protecting against tooth decay.

Moisturise Your Lips: Dry, chapped lips are common in the winter and can be prevented by using a lip balm, preferably with a SPF (sun protection factor). Using a lip balm with SPF not only prevents dryness but also shields your lips from harmful UV rays. If you’re prone to cold sores, keeping your lips hydrated also helps to reduce the risk of cold sore outbreaks and maintains the health of this delicate skin. Keep a lip balm handy wherever you go to lock in moisture and keep your lips smooth and supple.

Care for Your Teeth and Gums: When your immune system is busy fighting off winter the flu, your oral hygiene needs extra attention. Bacteria quickly multiply in the warm, moist area of the mouth, and feed on food particles left on the teeth and gums. Frequent snacking, which is common in the colder winter months, can lead to an increased risk of decay. Regular brushing and flossing become even more critical during these times to remove food particles and maintain a healthy balance of bacteria. Take your time with your oral care routine, especially before bedtime when saliva flow decreases, leaving your teeth more vulnerable.

Address Sensitivity: If you struggle with sensitive teeth, winter can increase your discomfort. Desensitising toothpaste can provide relief by covering and healing exposed areas of your teeth. Talk to your dentist to find the right product for you and incorporate it into your daily oral care routine.

Our top five tips to care for your oral health this winter

A few simple habits can go a long way in protecting your oral health during the winter months:

  1. Replace your toothbrush regularly, especially after recovering from a cold or flu.
  2. Maintain a balanced diet to support your immune system.
  3. Rinse your mouth with water after consuming staining beverages like tea, coffee, or wine.
  4. Consider using a humidifier in your home or office to combat dry air.
  5. Don’t forget to schedule regular dental check-ups to catch any issues early on.

Maintaining good oral health during the winter months is essential for your overall well-being and comfort. Follow these tips to minimise discomfort and book your next check-up to keep your smile healthy and happy.

Baby teething misconceptions: fact vs fiction

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Caring for your family’s dental health can feel overwhelming, especially when it comes to your little one’s precious smiles.  Baby teeth, also called milk, primary, or deciduous teeth, usually start to emerge around 9 months of age*, but this can vary from 3 to 12 months. By the time they’re 3 years old, most children will have their full set of 20 baby teeth.

There are many misconceptions when it comes to baby teeth and it’s natural for parents and soon-to-be parents to have questions about how to best care for them. We’ve clarified the myths and facts about baby teething to make sure you baby’s dental health journey gets off to a great start.

Fact vs fiction

Facts

Looking after baby teeth starts before their first tooth appears. Clean your baby’s gums and tongue with a soft, damp cloth, even before they have any teeth. Once their teeth appear, progress from a cloth to a small, soft, toothbrush and start using a children’s, low-dose fluoridated toothpaste from 18 months of age.

  • Baby teeth set the pattern for the adult or permanent teeth to follow. Every tooth is important, so caring for baby teeth is crucial.
  • Baby teeth are prone to decay. Baby teeth aren’t as strong as adult teeth and can be damaged by bacteria much easier. Early childhood decay is often caused by sugary drinks and foods, including fruit juices, flavoured yoghurts and dried fruit.

Fiction

  • Baby teeth move up and down in the gums. It can look like those little teeth are coming up, then down, but that’s an illusion. When a tooth emerges, there may be swelling in the gum. This swelling usually goes down, revealing more of the tooth.
  • Baby teeth don’t matter because they’re going to fall out anyway. Each baby tooth helps with eating, speaking, and making space for adult teeth.
  • Baby teeth don’t need brushing. Tooth decay works in the same way, regardless of age. Sugar in foods fuels bacteria in dental plaque, leading to acid erosion of tooth enamel and the formation of cavities. Maintaining good oral hygiene and limiting sugar intake can help break the cycle of decay.
  • Don’t worry if a baby tooth falls out. When a baby or adult tooth falls out, it’s like removing a book from a bookshelf without replacing it. Similarly, in the mouth, the surrounding teeth can then shift into the empty space. This shifting can cause both functional (chewing) and aesthetic (appearance) changes.
  • Babies and children can brush their own teeth. Children usually develop the ability to do a thorough job of tooth cleaning around age 8. Let them practice, but make sure to always brush their teeth yourself as well.

A final tip!

Take your baby for their first dental visit when their first tooth appears or when they turn 1, whichever comes first. Book an appointment with your dentist to learn more about your baby’s teeth. If you’re unsure of what is best for your child, your dentist can provide information and help for you and your baby.

 

 

*https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/teeth-development-in-children 

How sleep dentistry and general anaesthetic can help manage dental anxiety

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Dental anxiety is common and can often prevent someone from going to the dentist. As a result, people may miss dental check-ups, leading to an increased need for emergency care or complex treatments. It’s important to recognise that dental care is crucial for both oral and overall health. Regular check-ups can prevent many dental issues related to our lifestyles. It’s important to remember the benefits of dental care for our entire bodies, not just our mouths.

For most people, managing dental anxiety starts with an open and honest conversation with their dentist. Sometimes, a partnership approach involving your GP, dentist, and other health professionals may be necessary.

How can I manage my dental anxiety?

There are a range of options when it comes to managing dental anxiety, including medication to help with relaxation, nitrous oxide gas (happy gas), IV sedation and general anaesthesia. These can be given in addition to local anaesthetic.

Sleep dentistry

Sleep dentistry, also known as IV sedation, is a type of conscious sedation and is an excellent option for managing dental anxiety. There are a few types of sedation used in sleep dentistry including;

  • Nitrous oxide mixed with oxygen; this gas is administered via a mask which covers the patient’s nose.
  • Oral tablets; work by relaxing the muscles and slowing down the nervous system.
  • IV sedation; is the deepest form of conscious sedation and involves receiving sedating medication through an IV drip. This allows your dentist to manage your dosage throughout treatment.

Sedation can be administered by your dentist, or an anaesthetist who comes to the dental clinic and can only be received at a dental practice which has the right equipment. Your dentist will let you know if their practice can offer IV sedation, or they may recommend an alternative clinic.

What are the effects of conscious sedation?

Having conscious sedation makes you feel calm and relaxed. You will still be breathing for yourself, but the combination of medications means you won’t have any memory of the procedure. Many people drift off to a light sleep, but they can still respond to verbal prompts.

General Anaesthetic

Under general anaesthetic (GA), you are fully asleep, so you’re not conscious or aware of the procedure being done. The use of a GA depends on your current dental health or other medical, physical or behavioural factors.

You and your dentist will work together on planning all aspects of your dental treatments. If you’re undergoing treatments under GA, your dentist may perform preliminary, separate treatments in preparation. After these preliminary treatments, we find that some patients tolerance for ‘in-chair’ procedures improves, and they no longer need to proceed with a GA as planned.

Common procedures under GA;

  • Removal (extraction) of wisdom teeth
  • removal of other teeth
  • Dental implants
  • bone grafts
  • and a range of other more complex procedures

What is involved in general anaesthetic?

Because administering general anesthesia requires an extra level of care, hospitals with an anesthetist typically handle this procedure. Many private health insurance providers cover part of the cost of general anesthesia, so it’s useful to discuss this with your health fund.

Going to the dentist doesn’t always have to be nerve-racking. If you feel anxious about dental visits, you can schedule a non-invasive check-up. During this appointment, your dentist or oral health professional will conduct a visual examination of your mouth and discuss any concerns before jumping into treatment options.

Book an appointment and speak with your dentist about your options when it comes to maintaining your oral health and managing dental anxiety. They will be able to determine the best option when it comes to IV sedation and treatments under general anaesthetic.

 

 

Dental anxiety and phobia – Better Health Channel
Oral health and dental care in Australia, Dental procedures requiring general anaesthetic – Australian Institute of Health and Welfare (aihw.gov.au)

 

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*For eligible nib members. 100% back on preventative check-ups depends on your level of cover and available limits. Services must be provided by a dentist in nib’s No Gap network and are subject to standard waiting periods, annual and service limits. Check-ups include examination, scale and clean, fluoride, and x-rays if needed.