Three methods can be used to treat problems that result from gingival removal . Finding and eliminating the cause should be the top priority. The procedure is easier if there is bone tissue under the extracted gum.
- Repair of the defect on dental tissue.
- Treatment of tooth sensitivity
- Fulfillment of the extracted gingival tissue.
Repair of the defect on dental tissue
Tooth lips and cheeks neck areas, sometimes crowns, sometimes root, and in some cases, both root and crown on the enlarged tooth defects are encountered. These are often more common in those who use pressure brushing or a hard toothbrush or abrasive toothpaste and tooth powder. Atrophy is also noticeable in the gum tissue near this wedge-shaped defect. It is necessary to replace the gum with a filler in order to prevent more gum extraction and inflammation of the gingival margin in this section. Thus, the collection of food particles and bacterial plaques in this region will be prevented and the lost convexity of the lip and cheek faces of the teeth will be restored. This is because the loss of the outer camber may cause hard food particles to hit the gingival edge during chewing and damage this part.
It is possible to fill the defects on the tooth (as in the fifth grade cavities) with amalgam fillings on the molars and composite fillings can be used on the anterior teeth. However, there is no obligation to use rounds in composite fillings. This means that the defect can be repaired directly by filling. Aesthetic results are obtained with these fillings.
– Acid treatment should only be on the enamel tissue around the defect.
– To prevent acid from spreading on the dentin or root layer of cement, these deepest parts of the defect should be covered with a suitable protective lacquer or base prior to acid application.
– The sealant must never run out of the tooth boundary, ie over the gums. It should be borne in mind that in the event of an overflow of the filling edge, a future gingivitis will occur.
– The filler surface should be fully polished to prevent the bacteria from picking up and to prevent the filling of the filler from discoloring between the filler and the tooth.
Treatment of tooth sensitivity
As a result of the defect in the Kole region, this part of the tooth may be sensitive to contact, cold and heat. If the defect is large, sealing this region with a filler as described above ensures loss of sensitivity. If the defect is too shallow to fill, or if it covers the entire root circumference of the tooth, then some medicines that can remove the sensitivity may be administered. There are many drugs on the market that relieve the sensitivity of dental braces.
Treatment of tooth sensitivity
Our preferred method is fluoride application. A pat is made by mixing equal amounts (10 g) of sodiumfluoride, kaolin and glycerin. The sensitive part of the tooth is dried and rub with a metal tool for 2 minutes and washed with warm water. It can be repeated once a week in cases where the sensitivity is not fully exceeded. Sodium fluoride should never be applied to freshly cut teeth.
The most commonly used substances to remove the sensitivity of teeth 8% zinc chloride, liquid phenol, formaldehyde, ammonia silver nitrate, 2.5 gr. sodium carbonate monohydrate and 12.5 mg. the potassium carbonate mixture is sodium silico-fluoride. The last two of these preparations can also be used as a desensitizer in freshly cut dentin.
Brushing teeth by the patient at home with 2% sodium fluoride solution for one week also significantly reduces the sensitivity of the cole. However, the fluorinated solution should not be swallowed.
Stannous fluoride containing gel consistency of sodium monofluorophosphate, formalin (Thermodent) and strontium chloride (sensodyne) toothpastes also reduce sensitivity. Local administration of corticosteroid hormones has also been found useful.
Extraction of extracted gingival tissue