📍 Your gum health is in safe hands with modern treatment methods in Mersin Yenişehir.

Does bleeding happen when brushing teeth? Do your teeth look longer than before?

Unfortunately, many of my patients who think such symptoms are “insignificant” come to the point of losing their teeth over time. Gum recession; It is a serious gum disease that often progresses insidiously, but can lead to tooth loss if neglected. Gingival retraction actually means that the jawbone holding the tooth has melted. Gum recession is more common, especially in older age groups or individuals with incorrect brushing habits.

But the good news is that when gum recession is noticed, it can be stopped with early and correct treatment and the lost tissues can be replaced. As long as it is not noticed too late or neglected.

What is Gum Retraction?

Gum retraction is the retraction of the gum as a result of the melting of the soft tissue surrounding the teeth, that is, the jawbone holding the tooth in such a way as to expose the root surface of the gum. Teeth appear longer, sensitivity increases as the root surface remains outside, and over time this can lead to caries, inflammation and tooth loss.

Gum pulling is not a disease by itself.

 It is usually the result of another problem:

* Gingivitis (gingivitis)

* Caries, Infections and Abscesses

* Periodontitis (Advanced Gum Disease)

* Hard brushing habit

* Clenching or grinding of teeth

* Orthodontic problems and incorrect closing of teeth

* Cigarette use

* Systemic Diseases and Medicines

* Traumas and Physical Blows

If you have one or more of these, there is a high probability that you will experience gum pulling.

What are the Symptoms of Gum Retraction?

* Lengthening of tooth lengths

* Sensitivity of the teeth (especially in hot and cold)

* Bleeding gums

* Bad breath

* Redness or swelling of the gums

* Feeling of shaking or emptiness in the teeth

• Formation of Dec December between teeth

If you have even one of these symptoms, you should be evaluated by a dentist without wasting time. Gum pulling does not correct by itself; it is a progressive process.

Here are the main reasons that lead to gum retraction:

1. Tartar and Plaque Accumulation (Insufficient Oral Hygiene)

Bacterial plaque that accumulates on teeth that are not brushed regularly and are not cleaned with dental floss hardens over time and turns into tartar. These dental calculi put pressure on the edge of the gum and irritate the tissue in the area. Over time, the gum becomes inflamed and begins to recede. Tartar is not just an aesthetic problem; serious inflammatory processes can be hidden under it. I recommend every patient to have a dental stone cleaning at least 1 time a year with special hand tools. But first of all, I would like to say that it is necessary to obtain a cleanable mouth, which can be achieved with anatomical dental filling and, in other words, by having a mouth with a key-lock relationship between all teeth and opposite teeth.For this reason, it should also be known that thanks to the mouth that can clean itself, there may be no need to clean dental calculi.

2. Incorrect Brushing Techniques

Brushing teeth too hard or applying pressure at the wrong angles mechanically damages the gum tissue. This condition can lead to noticeable gum retractions, especially in the neck areas of the upper canine teeth and molars. It is very important to use medium-hardness bristled brushes, to brush gently from the gum to the tooth in a sweeping style and in circular movements. It is thought that a hard brush will clean better or a soft brush will protect the gums, but in fact, you damage your teeth and gums.

3. Clenching and Grinding of Teeth (Bruxism)

Chewing muscles exert intense pressure in people who squeeze or grind their teeth without realizing it during sleep. Nov. This force weakens the bone connections of the teeth and the gum. Micro tears form on the gum, which can lead to withdrawal over time. The use of a night record is quite useful in such cases. If left untreated, not only the gums can be affected, but also the tooth roots and the jaw joint.

4. Dental Caries, Infections and Inflammations

Tooth decay does not only affect the tooth. When the bruise deepens and reaches the nerve tissue, inflammation may develop at the root tip. These infections sometimes spread to the surrounding tissues and cause abscess, fistula or withdrawal in the gum. In addition, untreated gum infections (gingivitis, periodontitis) are a direct cause of withdrawal. Especially chronic infections gradually destroy the supporting tissues of the tooth.

5. Genetic Predisposition (Aggressive Periodontitis Disease)

Some individuals have a greater sensitivity to gum diseases. Withdrawal may start at an earlier age due to a genetic predisposition in people with advanced gum disease (Aggressive Periodontitis) problems in their family. Protective measures are of much greater importance for these people. We can’t completely change genetic factors, but we can control the risk.

6. Smoking Use

Gum circulation is disrupted in individuals who smoke. The gum is not oxygenated enough and the defense mechanism is weakened. This condition prepares the ground for infections more easily. In addition, smoking can mask gingivitis. So the problem progresses, but it goes unnoticed. As long as smoking is not stopped, the chances of success in treatments decrease.

7. Orthodontic Problems and Tooth Closure

Complicated teeth, a jaw structure that does not align properly, or faulty orthodontic treatments can cause some teeth to put too much pressure on the gum. This condition can also lead to local gum withdrawals over time. Orthodontic evaluation is therefore necessary not only for aesthetics, but also for periodontal health.

8. Poorly Made Fillers and Dentures

Overflowing fillings, bridges or coatings that put pressure on the edge of the gum can lead to irritation, inflammation and withdrawal of the gum tissue. Such restorations need to be re-evaluated and, if necessary, corrected. In our clinic, we offer both aesthetic and healthy solutions with minimally invasive procedures with a laser device in such cases.

9. Systemic Diseases and Drugs

* Diabetes

* Diseases of the immune system

• Some blood pressure medications

These conditions can affect the structure of the gum tissue.

➡️ Therefore, gum removal becomes easier.

10. Traumas and Physical Blows

Situations such as accidents, hard bites or improper use of dentures,

➡️ It can cause gum retraction by damaging the gum.

What are the Treatment Methods of Gingival Retraction?

First of all, the correct diagnosis and treatment are required. If the cause of gum retraction is determined, an effective treatment can be planned.

Treatment options include:

* Dental stone cleaning with professional special hand tools

* Root surface flattening (Open or Closed Surgical Curettage Operations)

* Frenulum (tongue or lip tie, gingival curtain operation) Operations

* Soft tissue graft ( Gingival Transplant)

* Laser-assisted surgeries

➡️ With advanced methods, it is possible to achieve both aesthetic and functional success.

Will Gum Pulling Return?

This is one of the most common questions we hear from our patients.

Answer: Yes in the early period, and yes in the advanced period only with surgical operation methods

If there is a withdrawal caused by gingivitis, the gum can recover itself after the inflammation is removed. But if the root surface of the tooth is exposed, advanced surgical methods such as soft tissue grafting may be required in this case.

What Is Good for Gum Extraction?

You may be doing this search on the Internet often. But here’s what you need to pay attention to:

Although suggestions such as herbal solutions, carbonated water, clove oil provide temporary refreshment, the real solution is professional intervention.

It is Up to You to Protect Your Smile…

Gum pulling; when you are late, it leads to jaw bone resorption and even tooth loss. But with early diagnosis, correct diagnosis, appropriate treatment planning and successful treatment, it can be completely controlled.

I’m Prof. Dr. As Birkan Taha Özkan, I continue to approach each of our patients with special solutions in our clinic, to bring you a healthy smile by combining modern technologies and experience Decently.

If you want to make an appointment for your questions, you can contact us.  We would like to welcome you at our clinic in Mersin Yenişehir.

Dental filling is the most common treatment that we apply to reconstruct the damaged structure of the tooth for reasons such as caries or fractures. However, after the filling is done, it is not possible to say that the tooth “stays healthy for life” anymore. Thanks to high-quality material, ideal technique, proper care, the filling performs its function like a tooth and tries to be used in a healthy way for life. But besides all this, we can also encounter situations where the filling has fallen off or rotted again.

In this article today I tell you;

• Why does a filled tooth decay again?
• Why does the filling fall off?
• What can be done to replace the falling filling?
• What is the importance of anatomical filling?
• What advanced techniques can we use to save the tooth?
• How do we prevent the tooth filling from falling out? I’ll tell you in full detail.

Why Does the Dental Filling Fall Out?

1.Not completely cleaning the caries: The most important point when making a dental filling is to 100% clean the caries or caries under the filling. If even a small bruise remains, it may not give you symptoms, but this bruise continues to rot the tooth from the bottom and make bad breath. Result: The filling falls off after a short time or a new bruise forms under it. If you say, ”I had a filling, but six rotted again, or part of my tooth broke,” this is most likely the reason.

2.Tooth decay again: During dental filling, caries may start again when a micro-opening occurs at the boundaries of the filling that touch the tooth, that is, especially around fillings with edge leakage. This situation leads to a loss of hygiene of the place where the filling is made, an increase in plaque and tartar accumulation, food is stuck and therefore bacteria formation, causing the fillings to rot again. In addition, tooth decay is directly related to the habit of brushing teeth and flossing.

3.Structural loss of the tooth: If most of the tooth has been lost due to caries, the filling cannot hold on to the tooth alone. In this case, by placing aesthetic mini screws (Glass fiber posts or retention pins) inside the tooth and under the filling, we make a restoration that both the filling is solid and looks natural. You can think of the mini screws placed under the fillings as the columns of the building. If it is provided with columns to make the building resistant to earthquakes, mini screws are also made to strengthen the fillings.

4.Low-quality filling material: The quality of the filling material is directly related to the life of the filling in terms of the adhesive strength of the filling to the tooth. If the content balance of the composite resin is disturbed or a cheap and poor quality product is used, the filling cracks, breaks or falls off in a short time. In our clinic, we use only world-class, European-approved, long-lasting, aesthetic and biocompatible filling materials with high strength, viscosity and wear resistance.

5.The physician’s manual ability and technical knowledge: this is one of the most important elements that should not be ignored. Dec. Dental filling is an art. It is not only to close the gap, but to reconstruct the anatomical shape appropriate to the nature of the tooth. “We are building a structure that mimics the natural tooth, not just the filling.” – Prof. Dr. Birkan Taha Ozkan

For a specialist like me, who has been engaged in both surgical and restorative dentistry for many years, every filling is an engineering application.

6.Conditions for making the filling: The area where the filling is made must necessarily be dry. Saliva filling materials that come into contact with blood and moisture do not adhere to the tooth sufficiently. In addition, it is necessary to use the layering method in composite fillings and to place them layer by layer and to place them by hardening by light polymerization in each layer.

7.Bruxism and hard foods: Night tooth tightening (bruxism), hard-shelled foods, bad chewing habits can cause fillings to break and fall out.

Treatment Methods Applied for Falling Filling and Advanced Surgical Treatment Methods

As a dentist, my goal is not to pull out that tooth after the falling filling, but to save it. Here are the treatment options we have applied for this:

New, Anatomical Dental Filling

If the structure of the tooth is suitable, first all the caries is cleaned, then a dry environment is provided and the filling is renewed by creating layer-by-layer, correct contact and frame systems.

Mini aesthetic screws (pins)

If the firm tissue of the tooth has decreased and the filling cannot hold, we place special aesthetic mini pins (Glass fiber post or retention pins) inside the tooth to ensure that the filling adheres to the tooth more firmly. This method is especially vital for teeth with reduced enamel support.

Root canal treatment

If the filling has fallen out and the caries has progressed much further and reached the nerve (pulp) inside the tooth, it is no longer enough just to renew the filling. Root canal treatment may be required at this point. The infected nerve tissue inside the tooth is cleaned, the canal cavity is shaped and disinfected, then the canal is filled and a filling or crown coating is applied on it. By making a mini screw filling, the patient can also be protected from the coating.

 Apical resection

In teeth where the root tip remains inflamed despite root canal treatment, it is possible to keep the tooth in the mouth by surgically cutting and cleaning the root tip. It is one of the dental rescue operations.

 Reimplantation

It is the process of taking out a tooth that has a risk of withdrawal, but the root is intact, the inflammation is removed, and it is immediately put back in place after treatment. Only experienced surgeons can do it easily.

Hemisection

In very deep-rooted molars, only the problematic root can be removed and the other intact root of the tooth and the crown extension in the mouth can be kept in the mouth. Then, a 1-tooth-sized coating is applied on the solid root and crown, giving the patient a new tooth. In this way, it will be saved without tooth extraction and there will be no need for an implant.

I have saved many of my patients’ teeth with these advanced surgical methods. I used my expertise, patience and meticulousness in these transactions. Because every tooth is an organ, and it is valuable for every tooth to stay in the mouth.

If the Tooth Cannot be Saved with the Above Methods?

Despite all these procedures, if the root of the tooth has melted, cracked, and bone loss has occurred around it, unfortunately, it may be necessary to pull the tooth out. But remember that our priority is to extend the life of the tooth or save the tooth. Getting support from dentists who have both surgical and restorative equipment in this regard will be the right choice for you in the long run.

Why is Anatomical Filling Important?

All the fillings I apply in my clinic are based on the principle of anatomical filling. So:

* Establishes elbow contact (contact point) with neighboring teeth; does not allow the escape of food residue

* Anatomical shapes compatible with the opposite tooth, tubercles, grooves, fissures are formed; makes effective chewing

• The natural chewing surface and grooves of the tooth are restored; it does not contain food residues on the chewing surface and prevents bad odor

* Color harmony is ensured; composite filling is tried to be made in a color that cannot be distinguished from natural teeth

• Allows the use of dental floss to an ideal extent, but the food residue does not pass through
• Closes like a zipper like a key lock relationship, makes an effective grinding system, so the tooth cleans itself

Fillings made in this way are not only aesthetic, they are self-protective systems.

How Do We Prevent Tooth Filling From Falling Out?

Not only the doctor has the responsibility to prevent the fillings from falling, but also the patient. Here are the main points to pay attention to:

Brushing teeth with the right technique: The direction of brushing, duration and application pressure are very important. It should be conscious brushing, not random. I always personally show my patients the correct brushing technique.

 Do not use soft brushes: Soft brushes are not always good. Excessively soft brushes do not completely clean the plaques and cause accumulation on the edges of the filling. For this reason, you can usually choose medium hardness toothbrushes routinely.

If there is a missing tooth, be sure to get it treated: if the tooth opposite the missing tooth does not work, it will rot over time. The expression ”non-functioning iron rusts” tells exactly this. If the filled tooth is not used, it begins to rot because it does not do its job.

Regular dental check-up: Check-ups every 6 months, or Check-ups as often as your dentist determines, are vital for early detection of caries.

Decongestant Decongestant and interface brush usage: In anatomical fillings, food residue does not escape between the fillings or between the teeth, but you still make the Decongestant a habit.

Conclusion: It is important not to do it in order to have a filling, but to Keep the Tooth alive and to be able to use it effectively in chewing. This can also be achieved with the Anatomical filling system

The important thing for me is not only to make fillings, but to be able to keep that tooth healthy and effectively chewed in the mouth for many years. In every application we make at our clinic in Mersin Yenişehir;

✔ Scientific information,

✔ Technical manual dexterity,

✔ Aesthetic details,

✔ Anatomical harmony is in the foreground.

It is very important that you are treated in the right hands so that your fillings do not fall off, do not rot again and have a long life.

Everyone who reads this article should know that:

Dental filling is not just to fill the gap.

Dental filling is performed with a combination of a physician’s knowledge, hand, and visual aesthetic taste.

If done well, the tooth will be saved. If it is done poorly, one main tooth can be lost every time.

In order to prolong the life of the filling in our clinic:

• We clean the bruises thoroughly,
• We use high quality filling materials,
• We do the dental filling in a dry environment, we do it by isolating it from blood, moisture and saliva,
• We use stratification technique, we get a color close to the natural tooth by taking care of the color tone
• We are moving forward using the layering technique, we harden each layer separately,
• We give natural dental anatomy; we give the main tooth shape to the dental filling with special hand tools and milling cutters,
• For the purpose of filling strength; if necessary, we use mini support screws (support pin or glass fiber post),
• In order to provide the shape and color tone of the filling exactly with the neighboring teeth; we use filling tubes with a wide color range.

-And thanks to this, we give confidence to the filling, although we cannot guarantee it according to ethical rules.

Conclusion: The Life of the Filling Starts in the Hands of the Physician, Lasts in the Hands of the Patient

If you want a filling to last a long time;

• The right material,
• The right technique,

* Experienced physician,

* Proper care, this quartet needs to come together. Dec.

Every filling is a solution, but a well-made filling makes its solution permanent without creating a new problem. Remember, it is more important to make the right filling than filling.

If you also say“ “Let my filling stay for many years, I want to reduce the risk of having problems.”…

You are in the right place, you can contact our clinic in Mersin Yenişehir, we can create an appointment without being late.

The most comprehensive guide on the use of dentures. The process of getting used to prosthetic teeth, cleaning, speech problems and care tips. Get support from a specialist doctor in Mersin.

Hello Dear Readers;

It is everyone’s right to smile. However, with the loss of natural teeth, this smile can disappear over time. Fortunately, today, mobile dentures (dentures), which are highly developed both aesthetically, functionally and anatomically, can compensate for this loss. With the high-tech prostheses we apply in our clinic, we restore the freedom of eating, speaking and smiling safely to our patients.

In this article, I want to tell you in full detail what my patients who use dentures should pay attention to in daily life, starting from the first days to long-term care.

It May Be Difficult to Get Used to Dentures in the Early Days, But It is Temporary

When you first meet a new prosthesis, it is extremely normal to have a foreign body feeling in your mouth. This is a temporary situation. Most of my patients get used to this feeling completely within 1-2 weeks. In the early days, I recommend that you pay special attention to the following:

* Consume soft foods: Avoid hard, crusty or sticky foods. Purees, soups, boiled vegetables are ideal.

* Take small bites: Do not strain your mouth and do the chewing process slowly.

* Get into the habit of chewing on both sides: Chew with both sides so that the prosthesis fits evenly and your jaw joints adapt.

• Make sure that you can chew: Denture dentures should be able to perform cutting, plucking grinding and double-sided balanced pressing when chewing. If you cannot chew with equal pressure on all sides, you can urgently go to the dentist for a dental check-up to balance the tooth alignment.

* Go for a checkup when there is a Gum knock: Prosthetic dentures should be made exactly compatible with the gums, but dentures can hit the gums at the initial stage. The knock is corrected by the dentist’s intervention on the denture and you can use the denture more comfortably.

Speech Difficulties Are Normal – They Are Overcome With Patience

Especially in upper palate prostheses, problems such as slurred speech, letter swallowing or muffled sounds may occur. If your denture and prosthesis are made compatible with the jaw, gums and facial structure in all its details, I recommend it to you:

• Do speaking exercises in front of the mirror.

* Strengthen your pronunciation by reading newspapers or books.

* Repeat challenging sounds such as ”S, S, Z”.

Remember, it may take up to 1 month for your tongue, cheek muscles, facial structure, lip muscles and nasal tissues to get used to the new prosthesis. Novo Novo. This process is completely natural. But if this process could not achieve a complete compliance, please have your check-up and have your dental examination again.

Oral Hygiene: Although You Use Dentures, Your Gum Health Is Vital

The tissues under your denture are still alive. Therefore:

• After each meal, remove and wash your prosthesis and brush it with prosthetic brushes.

* Do night care with denture cleaning tablets.

* Brush your gums and tongue with a soft or medium-hard brush.

If you notice sores, redness, bad breath or pain in the mouth, be sure to contact our clinic. Prolonged pressure can cause ulcers and bone resorption.

Remove Your Dentures at Night and Store Them in a Wet Environment

Removing your prosthesis while sleeping at night allows your oral tissues to breathe, prevents the risk of escaping into the windpipe during night breathing, and offers more comfortable use in the morning. The removed dentures should be stored as follows:

* Store in a container filled with clean water or in a water container with a special tablet.Jul.

• Do not use hot water (it may cause deformation).
• Do not leave your prosthesis in a dry environment outside the mouth, do not let it dry out.

Other Points to Be Considered When Using a Prosthesis

* Loss of balance: If your prosthesis has started to play, primer filling or re-alignment may be required.

* Food accumulation under the prosthesis: Get into the habit of mouthwashing after every meal.

* Smoking and tea/coffee consumption: May cause color changes and smell of dentures.

* Regular Dental Checkups: Come to our clinic in Mersin Yenişehir every 6 months to have both your oral tissues and your denture fit checked.

* Chewing efficiency qualification: The prosthetic teeth must fully perform the task of cutting, plucking and grinding during chewing. According to the tooth arrangement in the prosthesis, cheek support, lip proximity, smile harmony and face height, and at the same time, it is necessary to make a denture that is compatible with the jaw joint.

* Pain in the gums and jaw: Before prosthetic dentures are made and measured, treatments should be performed to regulate jawbone irregularities and gum growths that can hit the gums. Then, taking a measurement, the fit of the prosthetic denture to the gums and jaw becomes more comfortable.

Additional Recommendations For Octogenarian Patients

The majority of prosthesis users are elderly individuals. Some special recommendations for this group:

* Attention to dry mouth syndrome: The function of the salivary glands may decrease with age. Chewing sugar-free gum or using saliva-enhancing sprays may be beneficial.

* Loss of balance and risk of falling: Prevent fractures by putting water in the sink when removing the prosthesis.

* Tissue weakening due to vitamin deficiencies: Pay attention to your diet, consult an internal medicine specialist if necessary.

• The presence of jaw bone resorption: As you get older, jaw bone resorption and gum growth may occur, therefore, prosthetic dentures may need to be replaced.

How Long is the Life of the Prosthesis?

A well-cared-for prosthesis can be used easily for an average of 5-7 years. But:

• Your oral jaw bone and gum structure may change over time.
• The shape of your gums may change with age.
• More comfortable solutions can be developed with new materials.

That’s why annual checks are important. Even if your denture seems to fit very well, it is my recommendation that it should be checked by a specialist dentist.

The Last Word: Dentures Are Not Just a Tool; They are an Element that Determines Your Quality of Life

A prosthetic tooth completes what is missing, rebuilding your speech, chewing habits, even your self-confidence. That is why the design of the prosthesis, the way it is placed and the craftsmanship of the physician are of great importance.

I am, Prof . Dr. As Birkan Taha Özkan, when I make prosthetic dentures for each patient in my clinic; I plan the contribution to smile aesthetics by planning the gingival structure, jaw bone analysis, jaw joint fit, proportion with the face with special measurement and measurement methods. At this stage, I take into account the triangular aesthetic appearance of the expansion of the face along with cheek support and lip fullness. In addition, I take care to choose false teeth from Porcelain teeth in order to increase chewing efficiency and provide smile aesthetics. While making dentures, I make aesthetic and natural-looking denture applications. When making dentures and dentures, I perform intraoral measurement, measurement of facial tissues and prosthesis construction planning stages by considering all the tissues of the teeth, gums, jaw and face holistically. We aim to offer not only teeth, but also a comfortable life.

If you are also having problems with dentures or if you are preparing to use a prosthesis for the first time, I am waiting for you at our clinic in Mersin Yenişehir. We are here so that you can smile confidently in your life again with special solutions for you.

Frequently Asked Questions | Denture (Prosthetic Tooth)

1. Is it difficult to use dentures?

In the early days, there may be a slight feeling of unfamiliarity. However, thanks to the specially prepared prostheses, this process passes quite comfortably. You can adopt and adapt denture dentures compatible with the gums, jawbone, palate, jaw joint and face very easily as soon as possible. With the right prosthesis planning, patients can adapt to chewing, laughing and speaking functions in a very short time.

2. How to get used to dentures? How soon will I get used to it?

Usually, the adjustment process is completed within the first 7-10 days. If every detail of the construction stages of prosthetic dentures has been carried out uniformly, feeding soft foods during this process, using the prosthesis regularly and coming to the control immediately in case of discomfort accelerates adaptation. Thanks to the special measurement techniques we use in our clinic, the prostheses are designed in the closest way to the natural tooth.

3. Is it difficult to eat with false teeth?

Chewing is not difficult in dentures made of high-quality material, porcelain teeth and teeth positioned in accordance with the correct jaw relationship. At first, it should be started with small bites and eventually move to harder foods. If the chewing surfaces are formed in the correct anatomy, if the key-lock relationship between the opposing teeth is ensured, if the appearance of teeth from the lips during smiling is at the ideal rate, patient comfort increases thanks to Decals made with the appropriate facial measurement for the jaw joint. This is one of our priorities as a clinic.

4. Does a false tooth cause pain? Does it hurt?

There is no pain in a well-planned prosthesis. However, in the first days, some contact points may put pressure on the gum and cause bumps. This condition is temporary and is easily corrected. In addition, irregular spots on the gingiva and jawbone that have the potential to cause strokes are determined in our clinic even before the prosthetic denture is made. In fact, thanks to the treatment or operations of these gum and jaw bone irregularities that fit the denture to the palate at work, the alignment of the denture to the gum and jaw is facilitated. These problems are prevented from growing with individual rehearsal sessions in our clinic. At the same time, by ensuring the harmony of the prosthetic denture, it is prevented from hurting or hurting.

5. Do you sleep with false teeth at night? Will it be removed?

Movable dentures should be removed at night while lying down. This allows the gums to rest, prevents the risk of swallowing a false tooth or escaping into the windpipe, and ensures the maintenance of oral hygiene. This does not apply to patients using fixed prostheses.

6. How long is the life of a denture? How many years should it change every one?

The average duration of use of prostheses is 5-8 years. However, according to the changes in the jaw structure, this period may be shortened or prolonged. The life of dentures can be extended with checks to be made once a year or with a dental examination. Beyond the life extension, if possible, the efficiency obtained from the prosthetic denture can also be increased in terms of chewing smile aesthetics or face adaptation.

7. What should be done if the denture is playing in the mouth?

If your prosthesis is playing in your mouth at the initial stage, contact your dentist immediately and have your gum fit to the jaw. If your prosthesis is tight at first but loosens later, it may loosen due to abnormal jawbone melting and unstable gum growth. In this case, re-adaptation (reline) should be performed, prosthesis renewal or gingival jaw bone arrangement operation should be performed. In our clinic, laser-assisted measurement techniques ensure that the prosthesis fits perfectly to the jaw.

8. How should denture be cleaned? Which products should be used?

Mobile dentures should be brushed with a soft brush and denture cleaning solution after each meal. It is not recommended to use soap or toothpaste. In addition, when the prosthesis is removed at Jul-ture, it should be kept in a clean water container.

9. Does a false tooth cause speech disorder?

Gingival compliance weakness, when the opposing teeth do not have key lock-lock compatibility with each other, when the dentures are of insufficient size relative to the face and jaw joint, when the teeth placed in the denture are positioned incorrectly, dentures cause speech disorders with insufficient lip support.  But although these detailed studies are performed uniformly by the dentist, it may be difficult to pronounce some letters in the early days. However, this situation will disappear in a short time. Thanks to the individual rehearsal and speech simulations we perform in our clinic, this adjustment time is reduced to a minimum.

10. Is a denture or an implant better? Which should be preferred?

The answer to this question depends on the person’s jaw structure, bone quantity and general health status. If the jawbone is suitable for the implant, fixed coatings on the implant and implant offer a more comfortable, effective chewing, more aesthetic and stable solution. But if there is not enough bone for the implant, the implant can be made by supporting it with advanced surgical techniques, and then the implant upper fixed coating treatment is performed. Alternatively, prosthetic dentures with a well-planned and high-quality denture can also be preferred.

Hello Dear Readers;     

Today I am going to tell you about not only a health problem, but also an important condition that directly affects self-confidence, human relationships and quality of life: Breath odor, or halitosis as it is also known.

If you’re ready, let’s take a step-by-step look at everything you need to know about breath odor together;

• What causes breath odor?
• How does persistent bad breath go away?
• What systemic diseases cause breath odor?
• How to find the real cause of bad breath?
• Is there a definite solution to bad breath?
• Which doctor to go to for bad breath?

* The relationship of breath odor with conditions such as reflux, stomach, tonsils and sinusitis

In the end, the most important:

You will learn that bad breath is not fate, it can be solved with the right diagnosis and treatment.

Is Bad Breath and Breath Odor the Same Thing?

Let’s give a clear answer to this question:

No.

*Bad breath is caused by the inside of the mouth, such as tooth decay, gum disease, oral infections, bacterial plaque on the surface of the tongue.

*Breath odor, on the other hand, is usually caused by non-oral (systemic) causes. It occurs when there is a problem in different systems of the body, such as the stomach, throat, lungs, liver, kidneys, or a metabolic disease.

If we cannot make this distinction, we can start treatment with mouthwash and postpone the problem for years without realizing it.

85% of the bad breath coming from the mouth is characterized as halitosis caused by the inside of the mouth. 15% of breath odor is caused by systemic diseases (internal causes).

What causes bad breath?

Causes of Intra-oral origin:

* Dental caries

* Gum diseases (gingivitis, periodontitis)

* Dental calculi and dental plaques

* Buried 20% dental infections

* Crooked teeth

* The bacterial layer on the tongue (especially the tongue ridge)

• Dry mouth

* Oral wound, canker sores, infected areas

* Braces and transparent plaques

* Poorly made fillings, coatings and bridges (e-max, zirconium, laminated, porcelain, empress)

* Amalgam fillings

* Insufficient cleaning of mobile prostheses

* Poor oral care ( not brushing teeth, not cleaning the tongue)

* Smoking, tobacco and bad habits

* Insufficient water consumption

* Not going to regular Dentist checkups

* Dry mouth (Xerostomia/Xerostomy) (decreased saliva): Saliva is the most powerful defense that suppresses bacteria in the mouth. If saliva decreases, bacteria increases, which is why the mouth dries out, creating bad breath. It even creates an advanced breath odor.

➡ Smoking, certain medications, and diabetes can cause this.

What Causes Breath Odor?

Causes of systemic Diseases(non-oral origin):

1. Reflux

One of the most common reasons. Stomach acid travels up the esophagus, while odor-emitting gases also reach the mouth.

➡A more intense smell, heartburn and a feeling of tightness in the throat are typical in reflux patients in the morning.

2. Helicobacter pylori

This bacterium, which lives in the stomach, can cause heavy sulfur-smelling breath, along with gastritis and ulcers.

➡It is diagnosed by blood test or endoscopy.

3. Sinusitis and nasal discharge

It is common in people with nasal congestion who sleep with their mouth open at night.

➡ Inflamed liquid flowing into the throat causes a bad smell.

4. Tonsillitis (chronic tonsillitis)

Bacteria and food residues that accumulate in the crypts on the tonsils produce a bad smell.

➡ “White stones” called tonsillolites can be the source of the smell.

5. Diabetes (diabetes disease)

In patients with uncontrolled diabetes, there is an acetone-like sweet and sour smell on the breath.

➡ Ketone bodies in the blood are reflected in the breath.

6. Liver and kidney failure

In these diseases, toxins accumulated in the body are excreted through breathing.

➡Ammonia odor occurs in liver patients, fish-like odor occurs in kidney patients.

7. Lung infections

Inflammation of the lungs in diseases such as bronchitis, pneumonia causes foul-smelling gases that come out with breath.

8. Intestinal Diseases

Bowel cancer or tumors and bad bacteria also make the breath smell that does not pass through constantly.

“I’m brushing my teeth, but my mouth still smells bad”

I have heard this phrase many times in the clinic. Because in this case, not the mouth, but another system is speaking.

Brushing teeth, cleaning the tongue, making mouthwash is important, but it is not enough.

If the smell comes from an extrinsic cause, the mouth and breath odor persists, no matter how clean the inside of the mouth is. Jul.

Is There a Definitive Solution to Persistent Bad Breath?

Yes

But the solution is not mouthwash, mouth spray or menthol gum. These are temporary instant initiatives and solutions. Even these initiatives delay, hinder and even enlarge the solution of major diseases that cause bad breath. The solution is to correctly identify the main cause and main source of bad breath or breath odor and plan treatment accordingly. Breath odor is a result. If we dentists find the cause of this result, treatment will be possible.

Oral cavity, dental caries, gum diseases (gingivitis, periodontitis), poorly made dental fillings, irregular veneers and bridges (e-max, zirconium, empress, laminated, porcelain), embedded 20-piece tooth, amalgam filler, braces and transparent plaque, oral infection, wound canker sores, herpes, tartar and dental plaque, poor oral care, lack of attention to cleaning mobile dentures, if caused by bacteria on the surface of the tongue, treatment in dentistry… Stomach or if it is also caused by the lungs, the relevant branches are in their doctors … But first of all, a proper clinical examination, a detailed radiographic examination, personalized planning and determination of the patient’s systemic diseases should be directed correctly by making personalized dental treatment planning, taking into account the medications he uses.

Which Doctor To Go To For Bad Breath?

The answer to this question is:

• The first step should be a dental examination or a specialist dental examination.
• If there are no problems in the mouth, teeth, gums, jawbone:

* Doctor of gastroenterology (for reflux, stomach bacteria)

* Otolaryngologist (ENT) (for sinusitis, tonsillitis)

* Doctor of internal medicine (for systemic diseases such as diabetes, liver, kidney)

* Chest diseases doctor (for lung infections)

Does Bad Breath Affect Social Life?

Absolutely yes.

Bad breath and bad breath cause a person to withdraw when talking, withdraw from social environments, and feel unsafe in job interviews, which is why introversion happens. In the long term, psychological effects such as loss of self-confidence, feelings of loneliness, and depression/anxiety may occur. Among my patients, there have been people who have resigned from their jobs because of this, experienced problems in their marriage, or completely Decoupled from the friend environment. But with the right diagnosis, with the right treatment, the lives of these people have been reshaped.

The Questions You are Most Curious About Bad Breath?

How does the breath smell pass?

➡ First, there are the reasons that cause breath odor. If it is caused intraorally, dental treatment is required; if it is caused systemically, such as stomach, sinus, liver, treatment by a doctor in the relevant branch is required.

Does the stomach smell come to the mouth?

➡ Yes. In cases such as reflux or stomach bacteria (Helicobacter pylori), foul-smelling gases can reach the mouth.

Is there a definite solution to bad breath?

There Are ➡. But the solution is not mouthwash or chewing gum, but to eliminate the cause of bad breath.

Which section to go to for bad breath?

➡First to the dentist, then to the ENT, gastroenterology, internal medicine or pulmonology doctors.

How do I know if I have a breath odor on me?

➡ Simple methods such as mirror test, spoon test can be applied. The most important thing is to pay attention to the reactions of your surroundings.

I use gum all the time, it doesn’t go away. Why?

➡Chewing Gum suppresses the smell, but does not eliminate the cause of bad breath. It provides temporary refreshment. In addition, constantly chewing gum to get rid of bad breath can cause jaw joint disorders, jaw joint pain due to tooth biting imbalance, and irreversible problems in the jaw joint by over Novating the jaw muscles. To prevent bad breath, do not constantly chew gum and damage your jaw joint…

Does stress really cause bad breath?

Yes, stress directly affects bad breath. Under stress, many physiological changes occur in our body. One of them is the decrease of saliva production in the mouth. It facilitates the proliferation of anaerobic bacteria that cause dry mouth, bad breath and bad breath. In other words, when you are stressed, saliva, which is a natural cleaning system in your mouth, does not work enough and this prepares the ground for the formation of bad breath. Stressed individuals often clench or grind their teeth without realizing it, especially while sleeping at night. This, in turn, causes tooth enamel erosion, jaw joint pain and headaches. Stress suppresses the immune system, inflames the gums and makes them open to infection, and over time turns into advanced gum disease (periodontitis), leading to gum recession, jawbone resorption and tooth loss. People under stress often neglect their personal care. They reduce habits such as brushing teeth, flossing buddha teeth over time

Can stress affect the stomach and cause breath odor?

Absolutely yes. Especially in individuals experiencing chronic stress, the increase of stomach acid, the triggering of disorders such as reflux and gastritis are common conditions. This, in turn, causes the foul-smelling gases that rise from the stomach to the mouth to escape through the breath. He emphasizes that in such cases, stomach infections such as Helicobacter pylori can also increase bad breath.

You Don’t Have to Live with the Bad Breath Smell

I’m Prof. Dr. As Birkan Taha Özkan, I always say this: “Bad breath smell is a result. When we dentists find out the main source of the cause of bad breath and breath odor, the solution is possible and inevitable.”

Do not forget:

* Even if you don’t notice the smell of your breath, it is felt by your surroundings.

• People may not tell you that your breath smells bad or that your mouth smells bad so as not to offend you.

* But you are responsible for protecting your own health, self-confidence and quality of life.

Don’t hide it anymore.

First, you can completely remove breath odor from your life with the correct diagnosis, personalized planning and successful treatment approach of dentists and related medical branch doctors.

Hello Dear Readers,

During the years I have spent in the field of oral and dental health, I have encountered a recurring problem in thousands of patients: dental abscess. Usually, our patients describe this condition as “severe pain and swelling that comes out suddenly”. However, this is actually a serious reaction of the body to an infection. The good news is that with early diagnosis and proper treatment, a dental abscess is a condition that can often be successfully treated.

But I would like to point out in particular:

➡ When the pain goes away, the problem will not go away.

➡ Do not think that there will be no need for treatment because the abscess has burst.

➡ It is dangerous to burst an abscess at home.

Sometimes these infections, which can be temporarily suppressed with an antibiotic, can spread to the jawbone, neck, or even the entire body if left untreated. It can even cause life-threatening systemic infections such as septicemia. Therefore, please read the following information carefully. A dental abscess is not just a ”pain”; it is a serious health problem that concerns the entire body.

And now, with the text I will share with you, you can learn about this topic in detail, and have a clear idea of what to do when you experience symptoms.

Ingredients

• What is an Abscess?
• What is a Dental Abscess?
• What Causes a Dental Abscess?
• What are the Symptoms of a Dental Abscess?
• How is a Dental Abscess Diagnosed?
• How Does a Dental Abscess Pass?

* Frequently Asked Questions About Dental Abscess

WHAT IS AN ABSCESS?

Abscesses are pink or dark red pus sacs that occur in tissues of the body such as mouth, teeth, gums, cheek, under jaw, neck circumference and armpits and skin areas in the body, named according to the areas where they are located, usually caused by bacterial infection. It is a way for the body to try to throw off the infection in order to recover. The pus in abscesses consists of dead tissue, white blood cells and bacteria. Although abscesses can occur almost anywhere on the body, they are more common on the skin, subcutaneous, cheek, oral mucosa and teeth. Abscesses that appear on the skin become pink or red in color, swollen and painful.

WHAT IS A DENTAL ABSCESS?

A dental abscess is a local bacterial-caused inflammation that occurs inside, around the dental tissues, or on the bone holding the tooth. It manifests itself in the form of pus (pus) accumulation in the area of inflammation. A dental abscess can occur in different areas close to the tooth for different reasons. An abscess at the tip of the tooth is called a periapical abscess. An abscess that forms on the gum is called a periodontal abscess. An abscess that comes out of the tooth and reaches the cheek is called a cheek abscess.

WHAT CAUSES A DENTAL ABSCESS?

Dental abscess can occur for various reasons. The most common causes include poor oral hygiene, tooth Decays, trauma, gum diseases and unsuccessful root canal treatments. An infection begins when the bacteria reaches the inner part of the tooth, called the pulp, which can lead to an abscess.

Especially untreated deep caries, old and leaky fillings, failed root canal treatments or broken teeth make it easier for bacteria to move to the root tip. In addition, dental procedures that are not performed under sterile conditions also prepare the ground for infection. Most of the factors that carry the infection directly to the bone are caused by faulty or neglected treatment processes. In order to reduce these risks, all operative procedures in our clinic are performed in a special operating room environment within our clinic in 100% compliance with sterilization protocols.

WHAT ARE THE SYMPTOMS OF A DENTAL ABSCESS?

The symptoms of a dental abscess can generally be listed as follows;

* Toothache or severe pain in the gums. The pain can spread to the jawbone, neck and ear.

* Redness

* Swelling. The swelling experienced may develop in the face, cheek or neck area, which may cause breathing or even swallowing difficulties.

* Pain during chewing

* Difficulty opening the mouth

• Bad taste and constant bad smell that does not go away
• High fever

* Sensitivity to hot or cold food and drinks

HOW IS A DENTAL ABSCESS DIAGNOSED?

A dental abscess can be diagnosed with a clinical examination by a dentist and a detailed radiological examination. The dental examination is extremely important. Since there are other ailments that may show symptoms similar to a dental abscess, they should be determined during the examination.

X-ray imaging can usually be used to diagnose a dental abscess. Computed Tomography (CT) imaging can also be used in cases where the infection has spread to other areas of the neck.

Who Is More At Risk?

The risk of developing an abscess is much higher in some individuals than in others. Since the risks of those with immune system problems and systemic diseases are very high, dental and gum health requires extra attention.

* Patients with diabetes

* Individuals with a weak immune system (those undergoing cancer treatment, those undergoing organ transplantation)

* Smokers

* Women who experience hormonal changes during pregnancy

• Individuals with poor oral hygiene

* Those who have bruxism (tooth tightening) problems

In these individuals, abscesses spread faster and healing may be delayed. For this reason, I recommend more frequent check-ups.

HOW DOES A DENTAL ABSCESS PASS ?

In the treatment of dental abscess, first of all, the source of the infection is determined. Then the infected tissue is cleaned and root canal treatment is applied if necessary. The procedures are performed with local anesthesia and the person does not feel pain. In severe cases, tooth extraction may be required. Antibiotic treatment can also help control the infection.

* Draining the dental abscess: The dental abscess is drained with a small incision or needle. This method is usually a temporary solution. Usually, additional treatment is required. Oct.

* Tooth extraction: In cases where root canal treatment does not work, the tooth affected by the abscess can be saved by root canal replacement treatment, if the tooth is not saved, the abscess is drained by tooth extraction.

* Canal treatment: Endodontic therapy, that is, canal treatment, is the process of cleaning, shaping and filling the canal cavity with tissue-friendly canal fillers by removing pulp tissue that is inflamed for various reasons or infected by the placement of microorganisms.

* Drug treatment: If the infection is limited to the abscess area, antibiotic treatment may not be needed. However, antibiotic treatment can be applied in cases where the infection has spread to other teeth or to a nearby area.

Dental abscess treatment and Dental rescue Operation with combined treatment: It is highly likely that the abscess will be saved without pulling the tooth and the abscess will be removed, with a positive result with combined treatment and operation. At the initial stage, root canal treatment of abscessed teeth should be performed uniformly. If he has undergone root canal treatment in the past, canal filling and dental filling are strengthened by performing canal treatment renewal treatment. Then the infection is drained with gingival incisions and the inflammation is controlled with antibiotic treatment. Finally, it can be achieved to remove the inflammation at the root tip of the tooth by performing Dental rescue Operations, Reimplantation and Apical Resection Operations. In this way, both the abscess is completely removed and an attempt is made to be saved without pulling the tooth.

Those Who Think ”I will Pass the Abscess with Antibiotics” Pay Attention!

One of the most common mistakes in society is to take antibiotics immediately when the pain starts. However, a dental abscess does not go away only with medication. Because the antibiotic cannot fully penetrate the abscess chamber. The vessels in the infected area are narrowed, and the density of pus makes the effect of the drug limited. This can cause the infection to spread and spread to the bone. Even the unconscious use of antibiotics causes the tooth abscess to grow inside the jawbone and insidiously dissolve the jawbone, giving the patient no symptoms, including pain.

I always tell my patients this:

“Be sure to get examined by your doctor before starting antibiotics. Antibiotics only work in the right amount and in the right case at the right time.”

Indiscriminate use of antibiotics not only increases resistance, but also masks a spread that can be life-threatening.

Things to Be Considered After Treatment

Being careful after your treatment is done will speed up the healing process and prevent complications. For this reason, I definitely make the following recommendations to my patients:

• If antibiotics have been prescribed, use them until they run out.

* If pus has accumulated in your mouth, follow the mouthwash recommendations to the letter.

* The use of painkillers should be as recommended by the doctor.

* Avoid hot food/drink during the healing process.

* Apply a cold compress to the area where the swelling is present (for the first 24 hours).

* Brushing teeth should not be interrupted, but the area where the procedure is performed should be gently cleaned.

• Do not skip check-in appointments.

What happens if a dental abscess is not treated?

Untreated dental abscess can lead to serious complications. The infection can spread to the jawbone, reach the sinus cavities, or enter the blood, posing life risks such as sepsis. For this reason, when symptoms of a dental abscess appear, it is necessary to consult a dentist without wasting time.

Unfortunately, sometimes patients with abscesses come to the doctor late, thinking that they will manage the condition with painkillers for a few days and pass. This delay can cause the infection to spread to bone tissue, permanent asymmetry of the face, or, although rare, turn into sepsis, which is a life-threatening picture.

In addition, root canal treatments that are not well monitored or unsuccessful after root canal treatment may also turn into abscesses years later. That’s why I recommend regular periodic checkups to every root canal treatment patient.

The Most Common Mistakes That Patients Make

According to my clinical observations, the following errors play the biggest role in the progression of dental abscess:

* Waiting for it to “go away on its own”

* Trying to burst the abscess at home

* Stopping the antibiotic early or taking it according to the head

* Discontinuing treatment halfway with the reduction of pain

* Continuing inadequate oral hygiene

* Postponing the 20th tooth that needs to be removed

Remember, the passing of the pain does not mean that you have recovered. The infection may be progressing quietly at the root tip or in the bone.

What Should Be Done To Protect Against Dental Abscess?

I always say this: the best way to treat a dental abscess is to prevent it from ever occurring. Because when the abscess forms, the damage has already begun. However, with the right measures, it is possible to completely prevent this situation.

The protective methods I recommend are:

*Regular tooth brushing: Brush your teeth with fluoride toothpaste with a medium-hardness toothbrush after each meal.

• Decongestant Decongestant and interface brush use: Bacterial plaque between the teeth can cause abscess.

* dentist check-up every 6 months: Hidden progressive caries is detected early thanks to this.

*x-ray evaluation of 20-year-old teeth: Buried or half-healed 20-year-old teeth are a risk of abscess.

*Reducing the consumption of sugary foods: Bacteria love sugar very much; it weakens tooth enamel.

*Smoking should be stopped: Gum disrupts blood flow, increases the risk of infection.

*Root canal treated teeth should be monitored regularly: infection may recur in old root canal treatments.

Conclusion: Decumbent Abscess Should Not Be Ignored

Dental abscess is a serious health problem and should not be neglected. With early diagnosis and proper treatment, dental health can be maintained and more serious complications can be prevented. When you experience symptoms of a dental abscess, it is important to consult a dentist without wasting time.

A dental abscess is a focus of infection that should be taken seriously. Antibiotics offer a temporary solution, but alone is not enough. The source of the abscess should be identified and drained under special sterile conditions, and then the necessary treatment should be performed.

In our clinic in Mersin Yenişehir, we apply all sterilization protocols in both microbiological and surgical terms in such cases, and we offer a safe and effective treatment to our patients.

FREQUENTLY ASKED QUESTIONS ABOUT DENTAL ABSCESS

• Does a dental abscess kill?

If the abscess is not treated by a dentist or specialist dentist, it can spread to other areas in the head and neck area. A swelling that will prevent the patient from breathing is life-threatening. It can pose serious risks of shortness of breath, heart attack and vital functions. The condition of spreading the infection called septicemia to the entire body by entering the bloodstream is also fatal.

• Is a dental abscess explosion dangerous?

The eruption of the abscess can be positive in terms of relieving the patient by draining pus (pus). However, it does not mean that the infection has passed. As soon as the abscess bursts, the main underlying cause of abscess formation should be found and the problem related to this causative tooth gum or jawbone should be treated. In addition to treating the main source that causes this abscess, the abscess path, the source of inflammation that remains in the Decussation of the abscess on the jawbone should also be eliminated. If necessary, antibiotic support will be decided by your dentist or maxillofacial surgeon. It should definitely be evaluated by a dentist.

• Can dental abscess blasting be done at home?

The eruption of the abscess can give you a lot of relief at that moment, but never burst the abscess. The first controlled removal of the abscess in abscess will be very useful for the body both in the jaw area and systemically. Although it is thought that relieving inflammation will reduce pain, the risk of adding new bacteria to the environment is very high. It is ideal to perform a controlled evacuation of the main abscess, a method of controlling the infection, and a series of treatments or operations that eliminate the main underlying causes of the infection.

• How many days does a dental abscess go away?

A dental abscess does not go away on its own. In an abscess, pain and swelling are reduced if the inflammation flows out on its own. Also, if the abscess goes out on its own, know that it will start to melt the jawbone or damage the gum inside the jaw or gum. The dental abscess can be controlled in 2- days and the ideal treatment can be started. The patient immediately begins to relax during this process in terms of pain and swelling. But unless intervened by a dentist or maxillofacial surgeon, the abscess has a high risk of recurrence and will even come back with a bigger problem, such as a boomerang.

• how is the treatment of 20% dental abscess?

The tooth that causes inflammation is often pulled together with or after the use of antibiotics. The abscess path should be cleaned, abscess residues on the jawbone should be cleaned by surgery, and the risk of cyst formation on the jawbone of the inflammatory residue should be reduced in the future. If the abscess has given way to the skin, facial aesthetics should be protected by applying aesthetic stitches to the skin.

• How is dental abscess evacuation performed?

Local anesthesia is applied to the area where the abscess develops. Then the inflamed area is cleaned under sterile conditions. It is necessary to make sure that the inflammation inside the extracted jawbone is completely cleaned with special hand tools. Gingival suture can be performed to ensure the healing of the gum after tooth extraction. If the dental abscess has given way to the gum, cheek, lip or skin, the abscess path should also be cleaned very carefully to prevent the destruction of the abscess in the skin.

• What happens if the dental abscess is not treated?

A dental abscess does not go away without treatment. If the abscess bursts, the pain may decrease. However, this does not mean that the problem has disappeared. If a dental abscess is left untreated, it can threaten the function of life by melting the jawbone, developing a jaw cyst, gum retraction, scarring of the skin, skin collapse and deformation, increased bacterial circulation in the body, and the risk of a heart attack due to septicemia, closing the respiratory tract with abscess growth.

• How does a dental abscess pass at home?

Abscess does not pass at home. Painkillers can be taken until you go to the dentist, hot and cold foods should be avoided. But this is a temporary solution. Painkillers are taken 6-8 hours before going to the dentist and help the doctor’s diagnosis to be correct. It is absolutely necessary to consult a dentist.

Prof. in Mersin Yenişehir. Dr. Easy methods that you can apply to toothache at home from Birkan Özkan. Herbal recipes, cold compresses, salt water mouthwash and more.

Alternative Solutions to Toothache at Home

hello, Iʼm prof. Dr. Birkan Taha Ozkan.

“How does the toothache go away?”

“What is good for toothache at home?”

“My tooth hurts at night, what should I do?”

These questions have been among the most frequently asked questions by my patients for years.Dec. Especially when the pain wakes you up from sleep at night, coincides with the weekend, or suddenly starts and becomes throbbing, people first look for the remedy in natural and practical methods at home.

I’m Prof. Dr. As Birkan Taha Özkan, in this article I will tell you about some temporary solutions that can be applied to relieve toothache at home.

But first of all, I would like to emphasize this: these methods are not therapeutic, they are just simple suggestions that can relax you until you reach the doctor. The real and permanent solution is professional treatment, which will always be applied by a dentist or specialist dentist to the specialist. Also, my advice in particular is that if you have pain and are going to take painkillers, you should take painkillers to your dentist 6-8 hours before the moment of examination, this nuance is very important for your dentist to make the correct diagnosis when diagnosing the main source of pain during the examination.

In our clinic in Mersin Yenişehir, our advanced technological devices detect the source of pain in a short time. We offer fast and effective solutions with our laser device, advanced electronic devices and personalized treatment techniques. However, in order to relieve the pain experienced in the process until you come to the clinic, I will share the alternative methods that work for you most often in this article.

Ingredients

1. The Main Causes of Toothache Are
2. Symptoms of Toothache at Home (What Signs Can You Notice?)
3. What Is Good for Toothache at Home? (The Most Effective Herbal and Practical Recipes)
4. When Should You Go to the Dentist? (Possibility of Immediate Treatment in Mersin Yenişehir)
5. Vital Situations That May Occur If You Do Not Go to the Dentist

1.The Main Causes of Toothache

Toothache interrupts your daily life. It disrupts your sleep patterns, affects your eating and drinking habits, restricts your work and social life. That’s why it’s so important to understand the source of the pain. Here are the common reasons:

* Caries and Excessive Enamel Wear

Bacteria in the mouth erode your tooth enamel by using the waste products of the food you eat. When the caries progresses and reaches the nerve region (pulp) inside the tooth, hot-cold sensitivity and throbbing pain occur.

* Tooth Fracture or Crack

Cracks in the tooth may occur as a result of biting a hard object or as a result of an accident. These cracks stimulate the nerves inside the tooth and turn into a sharp pain during chewing.

* Gum Problems

If the gum is pulled, the tooth roots are exposed; this area becomes very sensitive. In advanced gingivitis, the gum pockets deepen, an abscess forms, and a throbbing pain begins.

* Nerve Inflammation or Nerve Infection

A deep bruise or trauma leads to inflammation of the nerve tissue. In this case, the pain that passes slightly during the day may turn into throbbing at night. Painkillers may not be enough sometimes.

* Tooth Root Tip Abscess

When the infected nerve area is filled with bacteria, it makes an abscess. Abscess is usually accompanied by severe throbbing in the tooth, tenderness in the gum, and sometimes slight swelling.

* Pain Caused by Sinusitis

The tooth roots in the upper jaw are close to the sinus cavity. When sinusitis occurs, the sinus pressure is reflected to the tooth roots. In this case, you may feel throbbing in the tooth, but there may not be caries in the tooth itself.

* Pain from the Jaw Joint (TMJ Problems)

Problems in the jaw joint (temporomandibular joint) can create a feeling of hitting the tooth. Although the tooth structure is intact, it may feel like a toothache by forcing the jaw joint to squeeze the teeth or closing incorrectly.

For the correct treatment for toothache, it is necessary to determine which of these causes prevails first. By recognizing the symptoms at home, you can gauge the severity of the problem and take the appropriate steps.

2.Symptoms of Toothache at Home (What Signs Can You Notice?)

Catching toothache at an early stage prevents the progression of pain and facilitates treatment. Also, if you notice in advance that you will have toothache, it will be a painkiller taken without toothache that can prevent your pain or reduce the dose of pain you will experience. Here are some simple signs that you may notice yourself at home:

1.Hot-Cold Sensitivity and Sudden Whining

• If you feel a quick ache when you touch your tooth to something cold, hot, or sweet/sour, it may be that the tooth enamel has been eroded. This path means that a finger reaches the nerve tissue.

2.Sharp Pain During Chewing

• Normally, if the teeth hurt when chewing something, there may be a crack or fracture in the tooth. This pain is usually triggered by chewing pressure.

3.Bleeding Gums and Redness

• If your gum bleeds when brushing your teeth, or your gum looks red, swollen, it may be the beginning of gingivitis (gingivitis). This leads to gum retraction and the exposure of the root part of the tooth as it progresses, this place becomes very sensitive, and the tooth sensation can turn into throbbing.

4. Slight Swelling in the Face or Jaw Area

• When the tip of the tooth root becomes infected, a slight swelling may occur on your face or in the jaw area. If the swelling increases over time, a tooth root abscess may be developing.

5. Increased Throbbing At Night

• Blood pressure rises when lying down, the throbbing sensation increases. If an annoyance that passes slightly during the day turns into a severe pain at night, there may be inflammation in the nerve tissue.

6. Temporary Response to Painkillers

* Painkillers for a few hours (paracetamol, ibuprofen, etc.) it relieves, but if the pain starts again after the effect of the drug passes, the infection in the nerve area (inflammation of the pulp) may have progressed.

7. Bad Breath and Taste Disorder

* A bad smell due to the accumulation of bacteria and a metallic taste sensation in the mouth can be a harbinger of a nerve infection. If there is pain with this sign, the situation is urgent.

8. Discoloration of the Tooth

* The infected tooth may turn gray or yellow over time. This indicates that the dental nerve has lost its vitality and the inflammation may have turned into a cyst.

9. Mild Fever and Weakness

• If there is an advanced infection, the body may have a slight fever in response; you may feel sluggish. This may indicate that tooth root inflammation has a systemic effect.

10.Inability to Fully Open the Jaw (Trismus)

• When the abscess progresses, the jaw muscles are affected and it may be difficult to fully open the mouth. Nov. In such a case, you should contact the dentist without wasting time.

If you notice a few of these signs, you should definitely be examined urgently by a dentist. Early intervention both shortens the duration of pain and allows simpler treatment methods to work. Below you will find the most effective recipes that will quickly provide relief at home.

3.What Is Good for Toothache at Home?

(The Most Effective Herbal and Practical Recipes)

You should definitely go to a dentist to relieve your toothache for a short period of time. But until the moment you go to the clinic, you can control the throbbing, reduce gingivitis and reduce the pain level by using recipes that you can apply at home. Here are the most effective methods:

1. Gargle with Salt Water

• Preparation:

1. Add a teaspoon of table salt to a cup (200 mL) of warm water.
2. Stir until the salt has completely dissolved.

* Application: Three times a day, for 30 seconds each time, do mouthwash (mouthwash) to cover the painful area.

* The Effect of:

* Salt water reduces the number of bacteria in the mouth and soothes gingivitis.

* Reduces edema (swelling) in gum pockets, relieves gum sensitivity.

• Provides temporary relief by creating a slight washing effect on the tooth enamel.

2. Carbonated Paste (Sodium Bicarbonate)

Preparation:

1.Mix half a teaspoon of baking soda with a few drops of water to make a paste consistency.

Application: Apply this paste directly around the painful tooth and to the gum area. After leaving the paste for 2-3 minutes, rinse your mouth thoroughly with warm water.

 The Effect:

*Carbonate balances the acid level in the mouth; bacterial growth is reduced.

* Relieves sensitivity by slowing down micro acid erosion in tooth enamel.

* Soothes irritation of gum tissue and reduces swelling.

3. Cloves and Clove Oil

How is it Applied?

*Chewing a Clove Grain: Gently hold a clove grain around the painful tooth by chewing it in your mouth. Do not bite until the clove grain is disfigured in your mouth; the released oil Tues down the pain.

• Application with Clove Oil: Drip a drop of pure clove oil sold in pharmacies on a clean cotton swab or gauze.Jul. Place this cloth on the painful tooth for 5-7 minutes by gently pressing it without making direct contact with the gum. Rinse your mouth with warm water once after application.

The Effect:

* The eugenol substance in cloves is a natural painkiller and mild antiseptic.

* It quickly reduces the throbbing pain by pressing on the nerve endings.

* It has an antibacterial effect that reduces the risk of infection.

*Attention: Pure clove oil is strong; be careful not to touch the gum directly, otherwise it may cause a burning sensation.

4. Cold Compress

How To Apply:

1. Wrap a few ice cubes in a clean cloth or a thin towel. Jul.

2.Gently press on the cheek area where the painful tooth is located (from the outside) for 10-15 minutes.

3. Every 15 minutes, take a break for 10 minutes, then repeat if necessary. Dec.

The Effect:

* Cold narrows the vessels in that area, so both swelling and pain are reduced.

• It helps to quickly regress edema (swelling) that occurs especially around the nerve or in the gum area.

5. Ginger Tea or Ginger Paste

Tea Preparation:

1. Add a teaspoon of grated fresh ginger to a glass (200 mL) of boiling water.
2. brew for 5-7 minutes. Drink it warm after warming up.

 Application of Paste:

1. Mix half a teaspoon of powdered ginger with very little water to make a paste consistency.
2. Apply the paste you have prepared to the caries area of the gum and tooth. wait for 3-4 minutes and rinse your mouth with warm water.

The Effect:

* Ginger is a natural anti-inflammatory. The compounds in it, such as gingerol and shogaol, reduce inflammation around the gums and nerves.

* Increases the pain threshold, relieves throbbing.

• When applied both in the form of drinking and paste, it has a direct effect on the tooth and gum.

6. Sage and Lavender Mouthwash

*Sage Gargle:

1. Put a teaspoon of dried sage in a glass (200 mL) of boiling water.
2. after brewing for 7-8 minutes, strain. When it becomes warm, gargle twice a day, including the painful area.

• Lavender Oil Mouthwash:

1. Drip a drop of lavender oil into a glass (200 mL) of warm water.
2. Gargle once a day, stirring.

 The Effect:

* Sage is a powerful antibacterial. It helps to control gingivitis by reducing the microbes in the mouth.

• Lavender oil relieves gum discomfort with its soothing and relaxing effect. When applied together, it reduces the feeling of swelling and pain.

7. Pay Attention to the Lying Position

How To Apply:

1. It is useful to support your head with two pillows when the pain increases.
2. When the head is held slightly above the level of the heart, the pressure in the tooth decreases, the throbbing pain sensation eases.

The Effect:

*Blood flow changes when lying down; this can reduce the severity of throbbing pain.

• Especially at night, when the throbbing accelerates, the head is raised to control the pain.

4.Ne When Should You Go to the Dentist?

(Possibility of Immediate Treatment in Mersin Yenişehir)

You may think that things are going well when the methods at home give you temporary relief. But if you experience the following situations, we solve the problem as soon as possible thanks to our advanced laser device and other advanced technological equipment in our clinic in Mersin Yenişehir. It is very important that you make an appointment without wasting time; otherwise, you may encounter inflammation or infections that have moved to difficult-to-recycle spots:

1. If The Pain Is Severe Enough To Last Longer Than 24 Hours
2. If You See Swelling on the Face or Neck, Especially Fever and Redness
3. If You Feel Extreme Pain and Tenderness During Chewing
4. When Painkillers No Longer Feel Effective
5. If Bad Breath and Taste Disorder Are Present
6. If You See a Discoloration, Yellowing or Greyish Tone in the Tooth
7. If Throbbing and Pain that Prevents Sleep Have Started at Night

5.Vital Situations That May Occur If You Do Not Go to the Dentist

Toothache at Home Can Temporarily Ease, But It Can Leave Permanent Damage!

Suppressing toothache at home can provide short-term relief. But every day that passes without treatment can lead to more damage to the tooth, gums and even the jawbone. This condition, initially just a small bruise, can lead to tooth loss in the future, melting of the tissues around the tooth and irreversible bone loss.

Remember: toothache is an alarm. Instead of silencing this alarm, the main source should be identified, the cause should be learned and solved in a permanent way.

Some patients may go down the path of randomly using antibiotics or high doses of painkillers to suppress the pain. This not only solves the problem; it temporarily puts you to sleep, makes the problem grow bigger, but also can lead to much more serious, even life-threatening consequences.

 What does excessive drug use lead to?

* Liver and kidney failure

* Drug poisoning

* Allergic reactions

* Suppression of the immune system

* Development of antibiotic resistance

Even in documented cases, tragic consequences have been encountered, such as hospitalization due to uncontrolled medications taken to relieve pain, and even, unfortunately, death.

 Even if the pain passes, the disease may continue to progress

The fact that the pain has passed does not mean that the problem has been solved. For example, if the nerve has died, the pain may stop for a while, but the inflammation progresses inside the jawbone and can turn into much more severe problems such as a cyst, abscess, or even jawbone loss when it goes unnoticed.

Therefore, if you have a severe or non-passing toothache, you should contact the dentist without wasting time instead of looking for a solution at home.

In our clinic located in Mersin Yenişehir, we quickly detect the source of pain thanks to advanced imaging systems, our modern laser device and advanced technological devices, and offer permanent and comfortable solutions.

Amalgam Filling? Composite (White) Filling? New Generation New Technique Anatomical Filling

Amalgam or composite filling, which is better? Prof. Dr. Birkan Taha Özkan explains in detail the aesthetic and functional anatomical filling techniques he applies in his clinic in Mersin Yenişehir. The right choice guide for dental fillings is here!

When your tooth decays or breaks, the first question you encounter is usually:

“Should I have an amalgam filling or a white filling?”

When choosing between these two filling materials, it is necessary to look not only at their color, but also at their durability, biological compatibility with the gum, allergic reaction, aesthetics, anatomical compatibility with other teeth, functionality and long-term results. However, there is another point to consider here: Beyond using high-quality filling materials, the technique your dentist uses to apply the filling material and the craftsmanship used when making the filling are at least as important as the material itself.

What is an Amalgam Filling?

Amalgam fillings are a type of filling that has been used for years and consists of metal alloys (a mixture of silver, tin, copper and mercury). It has been preferred especially in the back teeth due to its durability. However, today its use has decreased considerably due to aesthetic concerns, mercury release, risk of metal allergy and environmental factors.

Advantages:

• It is durable, resistant to chewing forces.
• It is fast to apply and low cost.

Disadvantages:

• It is gray in color and unaesthetic.
• It mechanically adheres to the tooth structure and can damage the tooth.
• It can expand and contract with heat, which can lead to cracks in the tooth.
• Some people may experience sensitivity due to its mercury content.
• If amalgam fillings that have become deformed and distorted over the years are not replaced, there is a possibility of causing tongue cancer or oral cancer.

What is a Composite (White) Filling?

Composite fillings are known as aesthetic fillings that are resin-based and contain glass particles. It perfectly matches the color of the tooth, that’s why it is called “white filling or laser filling”. Contrary to popular belief, blue light is used instead of laser light (red light) to harden the filling in composite filling. Composite filling color has colors and tones suitable for the tooth according to the filling material quality. This is important in choosing the most suitable filling material for the color and tone of the tooth. However, what is important here is not only the color, but also the application of a technique that can give the anatomy of the natural tooth.

Advantages:

• It is aesthetic, has a natural tooth appearance.
• It chemically bonds to the structure of the tooth.
• It can be applied in stages, provides a more controlled shaping.
• It can be applied with less material loss in the tooth.

Disadvantages:

• The application time is a little longer.
• It can cause cold-hot sensitivity,
• It can cause gum problems,
• It can cause the filling to fall or break during chewing.
• If the filling is not applied to the tooth with the right technique, with a sufficient amount of filling material suitable for the anatomy of the tooth, it can break quickly and even the main tooth can break and cause sensitivity.

Therefore, if you want to have a white filling, it is very important for your dentist to have sufficient knowledge and manual skills about “aesthetic filling”.

Color is Not Only Important in White Tooth Filling: Anatomical Harmony Determines the Quality of the Treatment

Dental fillings are no longer just a question of “white or gray?”. At this point in dentistry, we are in a period where the filling is evaluated not only in terms of aesthetics but also in terms of function, durability and compatibility with the natural anatomy. Because a filling should not only cover the decay; it should also be able to mimic the function, shape and biological harmony of the natural tooth. This can be achieved with the new generation new technique Anatomical Filling.

“If you cannot understand that a filling has been made by looking at a tooth, that filling has been made well.”

Unfortunately, many of our patients apply to us with fillings that break in a short time, cause discomfort during chewing, cause food residue to escape, and even cause tooth loss by leaking again under the decay. The most basic reason for this is that the filling is seen as only “cleaning the decay and closing that area” and is not restored in accordance with the nature of the tooth.

This is where anatomical harmony comes into play.

I Apply Anatomical Fillings at My Clinic in Mersin Yenişehir

I do not see white filling applications in my clinic as an ordinary “cleaning the decay – putting the material” process. It is possible for teeth to regain their natural tooth appearance after decay. Each dental filling has its main natural tooth morphology (outer appearance), the way it accepts the chewing load, the sensitive points that need to take the chewing load and its harmony with the neighboring teeth. Thanks to the Anatomical Filling, which contains high handicraft, the chewing efficiency in digestion and the comfort that prevents food residue escape, aesthetic appearance, harmony, pleasure and long-term durability can be provided to the tooth. This is why I use the Anatomical Filling Technique.

What is Anatomical Filling?

An anatomical filling is a filling application that is made in exact accordance with the natural form of the tooth. In this technique, the indentations and protrusions, tubercles (chewing peaks), grooves and contact points of the filling, color and tone harmony are rebuilt in the same way as the natural tooth. Thus, a result that is as close as possible to the natural tooth in terms of both aesthetics and function is achieved.

Fillings made with this technique:

• Prevent excessive pressure formation during chewing.
• Provides compatible contact points with neighboring teeth.
• Does not create pressure on adjacent adjacent teeth and provides chewing comfort
• Prevents food residue escape and prevents gingivitis and gum disease
• Prevents food accumulation and re-cavities.
• Since the color and tone harmony is made exactly with the neighboring main teeth, it is not aesthetically noticeable from the outside.
• Increases cutting and grinding and increases biting efficiency in the tooth
• Prevents bad breath due to effective chewing and grinding
• Prevents tartar and plaque formation and tooth discoloration since it ensures effective chewing
• Protects the jaw joint and jaw bone since it ensures regular grinding
• Allows double-sided chewing, which is healthy
• Anatomical filling also provides one-to-one support for maintaining facial symmetry

New Generation New Technique Anatomical Filling

While filling is being made, I would like to talk about a special technique, even if composite filling or amalgam filling is made. The name of this filling technique is Anatomical Filling. The Anatomical Filling technique aims to give the filling the shape of the main tooth with its aesthetics and external appearance, to prevent food residue escape, to maximize cutting, tearing and grinding in chewing efficiency, to maximize mechanical digestion with the biting efficiency obtained from the tooth, to increase the strength of the filling and to prevent the filling from decaying again.

I plan the construction of the anatomical filling very precisely step by step.

Anatomical Filling Application Stages

Stage 1 :Detailed examination: I perform a clinical examination and detailed radiographic analysis. The current structure of the tooth, the degree of decay, the level of contact with the adjacent tooth, the need for contact with the opposing tooth, the need for mini screw use in addition to the filling, the presence of hidden decay reaching under the gum, the bite load balance analysis of the filling to be made and the need for a coating after the filling are evaluated in detail.

Stage 2:Local anesthesia: Local (regional) anesthesia is applied to ensure that the procedure is completely painless. In individuals with a high pain threshold and patients with a low level of decay, the anatomical filling technique can be performed without the need for local anesthesia.

Stage 3 :Decay Cleaning and Tooth Shaping: The damaged tissue is cleaned with precision. When performing an anatomical filling, the priority is to clean the tooth decay or remove the previous filling. While cleaning the decay or removing the previous filling, I work to ensure the strength of the tooth by preserving the tooth enamel-dentin structure as much as possible and without damaging the nerve structure of the tooth. I also perform a 3D scan of the decay inside the tooth and ensure that the decay under the filling is completely cleaned, which is very important. While the teeth are cleaned of decay, I professionally shape the tooth structure left after the decay in order to prevent the filling from falling out and to ensure the filling’s retention for long-term use.

 Stage 4: Anatomical Metal Frame System Application: When we move on to the filling stage, I use a special anatomical metal frame system to ensure the contact point of my filling with the adjacent tooth and to prevent food residue from escaping. After placing an anatomical metal frame around the tooth, I place a triangular wedge between the frame and the adjacent tooth to ensure the proper fit of the filling to the tooth. With this anatomical metal frame contact system, I ensure that the adjacent teeth and the newly made fillings support each other and fight shoulder to shoulder.

Stage 5: Isolation and Etching: At this stage, providing saliva, blood and moisture isolation is very important and provides long-term durability to the anatomical filling. Then, I provide the infrastructure for the attachment of the filling to the tooth by acid etching the surfaces of the tooth that come into contact with the filling. With the acid etching process, I try to prevent the filling from falling out, strengthen the connection between the filling and the tooth, and minimize the possibility of re-decay of the new filling.

   Stage 6: Bonding Agent (Bond) Application and Layering Method: First, I move on to the Layering Method, which is the layer-by-layer placement of our filling. In the first stage, I ensure that the filling is connected to the tooth and the filling layers are connected to each other by means of the Bond applied on the tooth. In the first stage of filling placement, I use a fluid composite between the metal frame and the tooth, ensuring that my fluid filling reaches critical areas at risk of decay, thus ensuring tooth-filling integrity. I place the filling step by step with the layering method and polymerize (harden) each layer with blue light. The layering method is used to divide the floors of a 100-story skyscraper building.

  Stage 7: Anatomical Shaping in Filling Craft: After placing the top surface layer in the filling, the handcraft performance increases before the filling polymerizes, and at this stage, I give the filling a special anatomical tooth anatomical shape with 6 special hand tools. After this anatomical shape is given, the anatomical filling starts to take the first main original tooth shape, then I polymerize and harden it with blue light. At this stage, I provide the key-lock relationship with the opposing tooth by giving the filling an anatomical shape with specially designed burs and hand tools. With this new anatomical filling shape, I provide a zipper-type sealing between the teeth that will allow effective chewing. Thanks to the Anatomical Filling, patients are saved from food residue escape, they make a sealing closure with the back teeth that will even tear paper, and they gain the ability to cut, tear and grind effectively. At the same time, as a result of giving the Anatomical Filling a special design anatomical shape, we ensure that the chewing load balance is distributed evenly throughout the mouth during chewing in order to provide tooth, jaw and jaw joint balance.

Anatomical Filling, where knowledge, craftsmanship and design come into being in the tooth, has the final appearance.

Advantages of Anatomical Filling

• It imitates the natural chewing function of the tooth exactly.
• The shape of the tooth does not deteriorate,
• The shape of the tooth does not deteriorate, it is not noticeable from the outside.
• Compatible contact points are formed with neighboring teeth, food getting stuck in between is prevented.
• The risk of re-cavity is reduced.
• It is perfectly compatible with the gum.
• It provides color tone harmony with neighboring teeth.

💬 In short…

Just being “white or gray-black” does not make a filling aesthetic. Real aesthetics consists of the combination of shape, anatomy, function and naturalness. Not Just a Filling, a Craft

Remember; a filling does not only close the gap, it also directly affects your chewing function. A filling that is not done correctly can be the main reason for years of headaches, jaw joint disorders and digestive problems. That’s why filling is actually a craft.

I do every filling in my clinic anatomically because the natural form of a tooth is vital not only for aesthetics but also for healthy chewing and correct closure. The light transmittance, enamel resemblance and natural appearance of the white filling; giving the correct shape and adjusting the filling size to millimeters are just as important.

This is not just a filling; it is a detail that will change your chewing, a small but effective touch that will affect your quality of life.If you care about your functional needs as much as your aesthetic concerns, I would like to see you at my clinic in Mersin Yenişehir.You can make an appointment to meet the solutions that are specially planned for you, that bring aesthetics and function together.

You are at the right address for Diastema Treatment!

Treatment of diastema is a treatment method in which the gap between two teeth is closed with the use of adhesive restorative materials in cases of narrowness. Decongestant is the treatment method. It is also known as Intermittent / Discrete dental treatment. These gaps are sometimes only in one area (between two teeth), sometimes between several teeth. Decals are Decals.

What is a split tooth (diestama), why does it occur and how is it treated with permanent aesthetics? Prof. Dr. Learn in detail the steps of Composite filling (composite lamina), porcelain lamina, orthodontics and frenectomy with the smile design applied by Birkan Taha Ozkan at the Mersin Yenişehir clinic. Dental aesthetics and speech function are corrected Decently together.

What is a Split Tooth (Diestama)? Why Is It Caused?

Your smile gives direction to your social life and self-confidence. A gap between your front teeth—a grin in the mouth, incomplete, a problem of Decussation called “diestama”—can not only cause aesthetic anxiety, but also cause serious discomfort in speech function. I’m Prof. Dr. Birkan Taha Özkan; I am sharing our discrete dental treatments combined with digital smile design, minimally invasive technique and physician’s craftsmanship that push the boundaries of “dental aesthetics” in my clinic in Mersin Yenişehir. Below you will find every detail about ”split tooth (diestama) treatment”.

1. What is a Split Tooth (Diestama)?

When we say ”Decussated tooth”, the gap (diestama) usually seen between the front two teeth comes to mind. Latin “diastema” is a term that refers to the separation of the teeth from each other; in the vernacular, different spellings appear as diestama and diastema. Simply to define:

A Decussated tooth is a condition in which there is an unaesthetic, unwanted gap between two teeth (mostly upper incisors) in the mouth. If the size of the gap is usually greater than 0.5 mm, it is considered that there is a Decoupling between the teeth.

This gap is not only an aesthetic defect, but can also lead to problems such as speech problems (difficulty making the Deco, “th” sound), putting too much stress on the jaw joint, and food getting stuck between the teeth. When it occurs in children, it can often be a temporary condition due to the stage of milk tooth loss, but most often it becomes permanent due to genetics, habits, or gum problems.

2. Causes of Split Teeth (Diestama)

2.1. Genetic Factors and Jaw-Tooth Incompatibility

* The Size of the Jawbone, etc. Tooth Size: Gaps form between the teeth in patients where the jaw structure is wide and the teeth are relatively small. Decubitus is a relatively small tooth size. This condition can be inherited genetically from the family. The jaw-tooth ratio is a congenital variation that begins in childhood.

*Family History of Diestama: A split tooth that is seen exactly in the mother, father, or grandparents may be inherited. Genetic transition directly affects the arrangement of teeth in the jaw.

 2.2. Missing or Smaller than Normal Teeth

*Lack of Upper Lateral Incisors (Peg Lateral): The upper lateral incisors (the teeth right next to the canine teeth) may be smaller than normal or missing. This causes the formation of a Decussation between the front two teeth, called the “valley state”.

*Variations in Tooth Size: In some individuals, a tooth may develop into a genetically smaller (such as “peg lateral”) form, which leaves a wide gap between neighboring teeth. Dec.

2.3. Large Labial Frenum (Gum Curtain)

* The labial frenum( gum curtain), which extends from the inner part of the upper lip to the gum tissue, is normally in the form of a thin band. But in some people, this Decongestant tissue develops excessively and keeps a place between the teeth like a thick band. This Dec Decussation leads to an increase in the intertangular spacing by sticking to the intertangular gums and jawbone. December 19, 2016.

* Frenectomy (Gum Curtain Operation) Necessity: If this tissue forcibly keeps the gap between the teeth open, only orthodontic or lamina Decontamination may not be able to close the gap permanently. In this case, frenectomy (gingival curtain surgery) is a must. It is a surgical procedure and should be performed under sterile conditions.

 2.4. Gum Diseases (Periodontal Problems)

• Periodontitis and Jaw Bone Loss: Advanced gingivitis (“periodontitis”) dissolves the bone tissue surrounding the teeth. The loss of supporting tissue leads to the teeth moving away from each other. In addition, in some cases, it leads to the opening of the teeth as if in a fan shape and unbalanced elongations. This condition causes an increase in December between the teeth by Deconstructing the tooth sequences.
• Gingivitis and Gingival Tissue Deterioration: Gum retraction can occur even with early-stage gingivitis. When the gum is Decayed, the gap between the teeth visibly increases.

 2.5. Incorrect Swallowing Reflex or Tongue Thrust (Tongue Thrust)

* Tongue Thrusting Habit: Some patients develop a habit of pushing their teeth forward instead of backward during natural swallowing. This condition causes the tongue to constantly put pressure on the front incisors and, over time, a gap between the Decussations forms.

* Necessity of Speech and Swallowing Therapy: It is important to plan speech and swallowing therapy not only to close the teeth; but also to correct the swallowing habit.

 2.6. Bad Habits: Finger Sucking, Lip Biting

* Childhood Finger Sucking: The habit of finger sucking, which continues especially for psychological reasons, causes the upper incisors to be pushed forward. This is a common factor in the formation of diestama.

* Severe Lip Biting or Pen Biting: Constant lip or pen biting can also cause diestama as a result of applying abnormal force to the front teeth.

 2.7. Premature Loss of Early Baby Teeth

* Milk Tooth Deficiency and Displacement: When milk teeth are pulled out early in children, permanent teeth from below may be displaced. This temporary separation usually closes when the permanent teeth are maintained and aligned, but sometimes a tendency to permanent diestama occurs if it is not followed up.

 2.8. Changes in Tooth Position Due to Trauma

* Traumas due to bumps, falls or sports accidents can trigger the displacement of teeth, the opening gaps become permanent. Misaligned teeth can be the cause of diestama.

3. Aesthetic and Functional Effects of a Split Tooth (Diestama)

A split tooth (diestama) not only causes a feeling of “malaise”, it can cause the following problems both aesthetically and functionally:

3.1. Aesthetic Concerns:

Self-confidence decreases, smile embarrassment and social shyness develop.

* Creates an uncomfortable image in photos and social media posts.

 3.2. Speech Problems:

* Decal Speech (Lisibility Disorder): When removing letters such as ”S, Z, S, Ç, J”, air leaks between the teeth and causes a decal sound.

* The penetration of the language into the space leads to a deficiency in letters that force the t-sound, such as “T, D, L, N”.

3.3. Difficulty Chewing and Biting:

• Although it is not a big problem in the short term, food shredding efficiency decreases in the long term.
• It puts too much strain on the side teeth, which can lead to premature wear and sensitivity.

 3.4.Gum and Periodontal Problems:

* Food residue is often stuck to the diestama area, triggering gingivitis.

* Gum retractions may accelerate as the cavities grow.

  3.5.Jaw Joint (TMJ) Loading;

* Unstable closing, insertion imposes excessive stress.

* Temporomandibular joint (TMJ) problems may occur in the long term.

As a result, the diestama problem is not only an “aesthetic defect”; it must also be treated to maintain a healthier chewing, speech and bone tissue.

4. Methods of Treatment of Split Teeth (Diestama)

Below, Prof. at our clinic in Mersin Yenişehir. Dr. You will see the comprehensive, digitally supported and aesthetically oriented discrete dental treatment protocols implemented by Birkan Taha Özkan. Our goal in every case is to offer minimally invasive, long-lasting results by preserving the natural tissue.

4.1. Composite Filling (Composite Lamina) (Bonding– – Fast and Minimal Intervention)

❖ What is Composite Filling (Composite Lamina)?

Composite lamina (bonding) is colloquially known as “diestama closure with composite filling”. It is a method in which gaps are removed by applying a tooth-colored composite resin material directly to the tooth surface.

❖ In Which Cases Is It Suitable?

* Enamel is a protective process, It is innocent compared to coatings

* Small gaps between Deceleration 0.5–2 mm.

• Cases where there is no need for serious changes in the natural size of the teeth, only the “December” should be closed.

* Aesthetic needs for which the patient demands a quick solution, which can be completed in a single session.

❖ Advantages of Composite Filler (Composite Lamina)

* Completed in One Session: You can open your teeth and smile on the appointment day.

* Minimum Enamel Loss: The composite layer is added without abrasion of the tooth.

 * Hekim Craftsmanship: Natural enamel tissues are imitated with handwork; your smile looks “symmetrical and vibrant”.

• Low Cost and Easy Repair: Regional repairs can be made in case of possible fractures, there is no need to completely renew.

4.2. Porcelain Lamina (Leaf Porcelain) – Maximum Aesthetics and Durability

❖ What is Porcelain Lamina?

Porcelain lamina (leaf porcelain, ”veneer”) are 0.2–0.4 mm thick glass‑ceramic coatings glued to the front surface of the teeth. Aesthetics is the art of dentistry; it reflects the tooth shape, color, light transmittance very closely to natural enamel.

❖ In Which Cases Is It Suitable?

* Medium‑grade gaps in the diestama range of 2-5 mm.

* If the tooth color is too yellow, a brighter smile is desired.

• If there are also tooth rotations (slight rotation) or small perplexities, the lamina can close all these deficiencies at once.

❖ Advantages of Porcelain Lamina

 * Superior Aesthetics: It gives the closest result to natural enamel with its light transmittance and transparent structure.

* Durability and Color Stability: Without changing color for years, the risk of breakage is minimal.

* Minimal Enamel Etching: Only a very light enamel cut keeps the tooth strong.

 * Suitable For Complex Cases: Diestama + slight rotation + discoloration is corrected in a single session.

4.3. Orthodontic Treatment – Permanent Alignment with Wire and Transparent Plaques

❖ What is Orthodontics and Its Role in a Split Tooth

Orthodontic treatment provides ideal closure both functionally and aesthetically by checking the location of the teeth. In particular, diestama is the most permanent solution for wide gaps above 6 mm or jaw-tooth mismatch.

❖ In Which Cases Is It Preferred?

* Wide Diestama (≥ 3-5 mm): Gaps large enough to cause tone difference or biomechanical problems with coating techniques such as composite or lamina.

• If there is a Decongestment in the Jaw Structure: The relationship between the lower and upper jaw, if the bite angle deviates from normal.
• If it is Accompanied by Confusion: the position of more than one tooth is distorted, if the diestama is combined with this disorder.

❖ Advantages of Orthodontic Treatment

 * Permanent Solution: The diestama is completely closed alami way.

 * Functional Balance: Chewing, speaking, closing function is made ideal.

 * Aesthetic Options: Social life will not be disrupted with transparent plaque or aesthetic ceramic brackets.

 * Monitoring with Digital Recordings: Every stage is recorded digitally; the result guarantee is high.

4.4. Frenectomy (Gum Curtain Operation ) – The Necessity for Permanent Closure of a Separated Tooth

❖ What is the Gum Curtain and How Does It Play a Role?

* Labial frenum is a soft tissue band extending to the gum part of the upper lip. Under normal conditions, it is thin and flexible; it does not form gaps.

• A Large or Over-Developed Frenum clings tightly to the gum tissue between the front two teeth, causing it to remain permanently open to the Decumbent.

❖ How is Frenectomy Performed?

Local Anesthesia and Minimal Surgery: The area is numbed with local anesthesia. Gum curtain is an operation to remove gum tissue with a laser. There is no bleeding at all, we apply a protocol that does not require stitches or is closed with several small sutures. Healing agents are applied to the gum area and it is ensured that it heals in a shorter time.

❖ Advantages of Frenectomy

*Permanent Closure of the Diestama: Provides support until the teeth come closer together because the frenum pressure is lifted.

*Minimally Invasive: Very short time and comfortable recovery with laser.

*Aesthetics and Function Together: When the Deceleration closes, the gum shape also regains its natural line.

5. Treatment Planning: Examination, Radiography and Oral Preparation

Every successful dental treatment starts with the right planning. The steps we follow in our clinic:

Detailed Patient History and Photo Documentation:

* Family history, gum problems, habits, trauma history are recorded.

* Facial profile photos, front and side faces of teeth, bite angles are archived digitally.

Radiographic Examination: Panoramic and Periapical X-rays:

* A panoramic X-ray is taken to examine the position of the tooth roots, the height of the jaw bone, the condition of the gums.

* Suspicious gum pockets and the length-mold condition of the roots are detailed with periapical films.

* If necessary, bone anatomy and foramen structures are monitored with CBCT (3D tomography).

 Gum and Periodontal Examination:

• If there is an inflammatory condition, periodontal treatment (deep cleansing, scaling, laser periodontal therapy) is planned first.

Routine Oral Cleaning (Tartar Cleaning):

• Before diestam intervention, a healthy gum floor is needed that is free of tartar and plaque.
• After polishing, the surface of the tooth becomes shiny and clean; the bonding or lamina material’s adhesion surface improves.Jul.

Digital Smile Simulation and Patient Approval:

* The patient is shown “before‑after” case photos and final approval is obtained about which method to choose.

6. Advanced Complications That May Occur If Left Untreated

In the long term, the following problems occur when a split tooth (diestama) is not treated:

* Chronic Gum Diseases: Cavities lead to the compression of food particles. This accelerates the accumulation of plaque and tartar, triggers gingivitis.

 * Functional Disorders: Speech problems become permanent. If the “blockage in the voice” and “slurred speech” are not corrected at a November age, habits will settle in the tongue and lip muscles.

 * Jaw Joint (TMJ) Problems: Unstable closure puts an asymmetric load on the jaw joint. Over time, symptoms such as TMJ pains, headaches, squeaking‑clicking in front of the ear (click sound) develop.

 * Aesthetic and Psychological Effects: Loss of self-confidence, social withdrawal, shyness towards photography and public speaking.

 * Tooth Abrasions and Fractures: The side teeth come under extra stress to compensate for the closure, which leads to abrasions and microcracks.

For the above reasons, the problem of diestama ceases to be “just a gap”; it turns into a chronic problem that affects the entire oral dental health. Early intervention prevents more costly and complex treatments in the future.

7. Prof. Dr. Birkan Taha Özkan’s Philosophy and Craftsmanship in Discrete Dental Treatment

“Every tooth is a millimeter work of art. For me, ’dental aesthetics‘ is not just whitening or closing gaps; it is the ability to integrate ’smile design’ with facial anatomy.”

I am, Prof . Dr. Birkan Taha Özkan, I consider aesthetic dentistry as “the art of medicine”. When planning the treatment of a split tooth (diestama), I apply the following principles:

“When the color of the tooth, its shape, the gum line and the smile line come together, a ‘natural work of art’ emerges. Dec. Every detail of this work is shaped according to your facial anatomy.”

“The most important reference for us is a happy patient smile. Every discrete dental treatment in our clinic is like the ‘birth of a work of art’. We make our hands, eyes and digital instruments speak every day to give this work its due.”

Let’s Plan The Right Split Tooth (Diestama) Solution For You Together!

If your separated teeth (diestama) bother you both aesthetically and functionally, we are waiting for you at our clinic in Mersin Yenişehir. We solve diestama permanently and naturally with your special smile design, minimally invasive techniques and the artistic dexterity of a physician.

Split teeth, diestama, aesthetic filling, composite filling, coating, aesthetic smile, smile design

Hello Dear Readers;

Tooth extraction is an inevitable treatment process in our lives most of the time. Whether it is due to a caries or a buried tooth problem, sometimes we have to pull our tooth out when it is impossible to save it. However, during the recovery process after tooth extraction, he may sometimes encounter unexpected complications. The most common of these complications is inflammation after Decontamination, that is, alveolitis or “dry socket”, which you often hear among the public. In this article, I will explain what inflammation is after tooth extraction, why it occurs, its symptoms, treatment and most importantly, how you can prevent it in detail and in a sincere language.

What is Inflammation After Tooth Extraction?

Inflammation after Decontamination is called alveolitis in medical language or “dry socket” as it is popularly known. A blood clot normally forms in the cavity formed in place of the extracted tooth, and this clot protects the tissues during the healing process and reduces the risk of infection. But if this blood clot disappears early or does not form at all, the bone socket in the tooth extraction cavity becomes open to bacteria, which leads to inflammation, that is, infection.

This infection usually begins 2-4 days after tooth extraction; it manifests itself with unpleasant symptoms such as severe pain, throbbing pain that starts suddenly during the day or at night, bad breath, taste disorder, brownness in the tooth extraction area. The pain can mostly start from the shooting area and spread to the jaw, ear and neck.

The Causes of Inflammation After Tooth Extraction?

The main causes of inflammation after tooth extraction are:

*Early deterioration or non-formation of a blood clot: It is very critical to protect the blood clot in the gravitational cavity. The formation of a clot leaves its place after a while to the gum and filling with the jawbone. However, if the clot is damaged, the tissues remain open to bacteria.

Use of non-sterile instruments: Tooth extraction is a bleeding and surgical procedure, so it is necessary to use sterile instruments, devices and tampons. During tooth extraction under non-sterile conditions, the tooth extraction site passes into inflammation and a dry socket or Alveolitis forms.

In case of Extremely Difficult tooth extraction: The gum is opened during tooth extraction, tooth extraction takes place by partially taking support from the jawbone. However, during tooth extraction, the jawbone may be damaged by excessive strain or bleeding of surgical hand tools on the jawbone and it tends to become inflamed. In this case, the dental extraction socket can turn into a dry socket, that is, into an Alveolith.

*Lack of proper oral hygiene: Inadequate care leads to an increase in the level of bacteria in the mouth and an increased risk of infection.

*Smoking: Smoking reduces blood circulation, delays the healing of tissues and prevents the protection of a clot.

*Weak immune system: Chronic diseases such as diabetes or immunosuppressive conditions increase the risk of infection.

* Insufficient cleaning of the shooting area: Incomplete cleaning or insufficient removal of stitches in dental practice prepares the ground for infection.

• Other infections present in the mouth: Gum diseases or other mouth infections negatively affect recovery after shooting.

How Is the Treatment of Inflammation After Tooth Extraction?

For the treatment of inflammation, the specialist dentist performs the following steps:

* Cleaning the dental extraction cavity: Infected tissues and bacteria are thoroughly cleaned with sterile tools and sterile solutions. It is made sure that solid bones and healthy blood vessels appear. After making sure that a blood clot has formed, it can be left to heal on its own.

* Application of a regional antiseptic buffer: In order to solve the inflammation of the dental extraction area, the area is cleaned with sterile solutions after being cleared of infected tissues. Then, in order to prevent the recurrence of the infection and to avoid antibiotics, special sterile antiseptic tampons are placed in the tooth extraction area. Usually, he also feels sick from the clove smell of this sterile antiseptic tampon in the mouth.

* Antibiotic administration: The infection can be controlled both locally with oral antiseptic solutions and, if necessary, with systemic antibiotics.

* Painkillers: Appropriate painkillers may be prescribed to reduce pain and inflammation.

* Suturing or wound care: The wound is closed properly to support healing, and stitches can be made to bring the gums closer together and heal properly.

Patient-specific care recommendations: Oral hygiene instructions, dietary recommendations such as avoiding habits such as nicotine-containing cigarettes and granular foods are given.

The experience of the specialist physician is very important in the treatment process. Experienced and meticulous dentists in their field minimize the risk of infection, follow the postoperative care process in detail and ensure the most comfortable recovery of patients.

What Should Be Done To Prevent Inflammation After Tooth Extraction?

*Follow all the dentist’s recommendations completely: Pay attention to oral care, especially for the first 72 hours, and eating and drinking, such as avoiding granular foods.

• Do not smoke or drink alcohol: these substances slow down healing, lower the immune system and increase the risk of infection.

*Protect your oral hygiene: Gently clean your teeth with soft brushes, antibacterial mouthwash can be used.

*Avoid hard and hot foods: Feed carefully to protect the wound area in the first days.

• Do not disrupt your regular check-ups: Stay in touch with your doctor to detect possible complications early.

What is the Whiteness at the Wound Site After Tooth Extraction? Should we be worried?

The white layer seen at the tooth extraction site can sometimes be a white fibrin layer that forms on top of the blood clot and is usually normal. But if this is accompanied by whiteness, bad smell, pain and swelling, it is definitely necessary to consult a doctor, because it may be a sign of inflammation.

What are the Physician-Caused Causes of Inflammation After Tooth Extraction?

Although most often the cause of inflammation is due to risk factors such as negligence in the patient’s oral care or smoking, sometimes causes caused by the dentist’s practices can also occur:

*Insufficient sterilization and hygiene: If adequate sterilization is not provided in the surgical area, surgical hand tools and tampons, the ground may be prepared for the entry of bacteria.

* Excessive damage to Gum Tissue: Applying excessive trauma to soft (gum) and hard tissues (jawbone) during surgery makes recovery difficult. It also causes inflammation of the jaw bone or gingiva.

*Insufficient bleeding control: If the appropriate environment is not provided for the formation of a blood clot, the clot may disappear early.

• Tooth extraction takes longer than usual: Tooth extraction is a surgical bleeding procedure, but the risk of infection increases with prolonged tooth extraction.

* Incorrect sewing practice in cases where stitches are required: Small mistakes made in sewing techniques; inability to close the gingival wound site in the tooth extraction area, the use of dental floss prone to bacterial involvement, even removing the stitch under non-sterile conditions can negatively affect the healing process.

• Failure to completely clean the surgical area: Jaw bone fragments or tooth root remnants left in the tooth extraction cavity may invite infection. Abscess or inflammation of the root of the tooth should be cleaned with special hand tools (curette) after tooth extraction and in cases where it cannot be removed from the mouth.

As a result of the retention of the tooth root: Inflammation can occur when the inflamed tooth roots are crooked, if the tooth breaks during extraction and remains in the tooth extraction socket.

However, such risks are minimized by experienced and expert physicians in their field. Ben, by paying attention to such complications with meticulous evaluation and sterilization protocols before each procedure in my clinic, the margin of error is minimized. In our clinic, special surgical techniques suitable for each tooth extraction are used, the gum and jaw bone tissues are tried to be protected at the maximum level during tooth extraction, the tooth roots are tried to be removed without breaking, and also the inflammations at the root end attached to the jaw are removed with special hand tools during tooth extraction. In addition, by following our patients closely after the operation, we intervene immediately even with the smallest negative.

Conclusion and Expert Advice

Although tooth extraction may seem like a simple routine procedure, expertise and experience save lives, especially in cases that are difficult and require surgical intervention.

Inflammation after tooth extraction, if not treated correctly, can lead to complications such as severe pain, healing delays, and even a jaw bone infection. For this reason, it is essential to take care of oral care in the period after tooth extraction and to get professional support without wasting time on possible symptoms.

If you are also concerned about inflammation, alveolitis or other complications after tooth extraction, I recommend that you contact your specialists, dentists, specialist dentists or maxillofacial surgeon without wasting time. Remember, early intervention brings the best results, and reliable physician support is essential for a healthy mouth.

For a healthier mouth and a smooth healing process, specialist physician control and the right treatment plan are essential. Contact us and we will protect your healthy smile! If you want to minimize the risk of inflammation after tooth extraction and have a healthy and smooth recovery process, please do not forget to make an appointment at our clinic in Mersin Yenişehir.

Everything That Is Curious About 20-Year-Old Tooth Extraction

As a specialist in oral, dental and maxillofacial surgery, one of the most common problems I encounter in my professional practice is the pain my patients experience related to 20-year-old teeth, jaw jams or infectious tables. In this article, I want to tell you about the 20-year tooth extraction process in the most understandable, scientific and reassuring way. If you’re like, “Does a 20-piece tooth extraction hurt?”, “What happens if it is not withdrawn?”, “ How to do a 20-piece tooth extraction?”, “When will I get better?if you are looking for answers to questions such as ”, ” 20% tooth extraction 2025 prices”, you are in the right place.

What is a 20-piece Tooth?

20-year-old teeth are the third molars that come out in the December of 17-25 years. Each individual can have four pieces. But they don’t always come out properly. Nowadays, with the shrinking of the jaw structures, these teeth may remain embedded or curved.

• In many patients admitted to our clinic in Mersin Yenişehir, we observe that these 20 teeth cause severe pain and gum and jaw bone infections by pressing on the surrounding gum tissue.

Why Do 20 Teeth Come Out?

In fact, 20 teeth are useful molars to increase the chewing efficiency in the mouth. However, thanks to evolution, it has lost its effects over time. But in many people, they continue to develop genetically. In the past, people’s 20 teeth could easily come out because their jaw bone structures were larger, but nowadays these teeth either remain embedded or come out in a curved state because the jaw bone structure has narrowed.

The extraction of these teeth often turns into a painful process. Teeth of 20 that cannot come out properly can damage the surrounding gums, jawbone and neighboring teeth, leading to serious problems.

the main reasons for the appearance of 20-year-old teeth are as follows:

* Genetic predisposition

* Completion of the dental development process

• The fact that the third molars are still programmed in the body
• There is enough space to get out on the back of the jawbone

What Happens If the 20th Tooth Is Not Extracted?

If they remain buried, they can cause negative effects on oral and dental health over time. If the problematic 20th tooth is not removed, it can cause not only local, but also general health problems. While it creates an infection in the gum and jawbone, it also infects the upper respiratory tract, in which case we can also see frequent recurrence of infections such as tonsillitis (tonsillitis infection ) and pharyngitis. 20-Piece teeth that try to come out both embedded and oblique also rot the molar immediately in front of it internally or can form a cyst on the jawbone, which can also inflame the gum. These teeth should be intervened without wasting time.

The problems that a 20-piece tooth that is not pulled can create are as follows:

* Compression and distortion of the tooth sequence (often distortion of the front teeth, increased coloration of crooked teeth, continuous increase in the formation of dental calculi)

* Decaying formation (in the area that cannot be cleaned between neighboring teeth and teeth)

* Gingivitis and abscess

* Risk of cysts and tumors ( cysts and tumors thin the jawbone, cause jaw bone loss)

* Throat infection, tonsillitis and pharyngitis

* Extremely severe pain (ear, temple, under jaw and headache)

* Excessive intra-cheek biting and inflammation or pain of the cheek flesh, cheek squeezing

When is the 20th Tooth Extraction Performed?

the best time for a 20th tooth extraction is the period before the tooth completes its full development. This usually happens between the ages of 17 and 25, and whether 20-Decker teeth will cause problems can be determined by a clinical examination or detailed radiographic evaluation. In other words, the desired intervention method and treatment timing are critical to take measures without damaging the 20-year-old tooth itself and the environment. For example, after the pressure of 20 teeth on the jawbone and the teeth in front of it, the chewing setting in the mouth may change completely and a distortion of the front teeth may occur. After the distortion occurs, distortion treatment is often performed with a long orthodontic treatment process or smooth tooth alignment is provided. For this reason, the method of getting rid of long-term orthodontic treatment, 20-year-old teeth or embedded 20-year-old teeth with timely appropriate treatment methods, tooth extraction may be a treatment option. For this reason, this situation can be clarified by an examination at the age of 16.. At this age, since the teeth have not yet fully settled, the extraction becomes easier and the healing process can occur faster.

Thanks to the interventions made at an early age, the swelling and bleeding condition after 20 tooth extraction becomes more manageable. For this reason, a dentist or maxillofacial surgeon should be consulted without wasting time.

However, 20-year-old teeth may not always be pulled. It is not mandatory to have a tooth extraction at the age of 20 in people whose jaw structure is suitable and does not feel discomfort.

Why Should 20 Teeth Be Removed? Should Every 20th Tooth be Removed?

20-year-old teeth are teeth that have completely come out at the very back of the jaw bone, most of the time they cannot come out or remain half-gone. Full, embedded or semi-protruded 20-piece teeth can put pressure on the surrounding tissues, creating the following risks:

* Infection and cyst formation in the jawbone

* Inflammation spreading to the throat, frequent recurrent pharyngitis and tonsillitis infections (tonsillitis)

* Gum swelling, throbbing pain, bad odor in the mouth

* Causing root resorption (jaw bone resorption) by pressing on the roots of neighboring teeth

* If it is close to nerve tissues in the lower jaw, there is a risk of temporary or permanent numbness and tingling after shooting

* intra-cheek biting due to 20 teeth, constant cheek biting does not cause inflammation in the cheek

• If the 20 teeth that have come out completely in the mouth do not contribute to the chewing efficiency and there is no tooth in return, they put pressure on the gum tissue over time, causing throat infection and pharyngitis.

* Difficulty opening the mouth, ear pain, stress on the jaw joint

Especially bacteria that accumulate around half-buried 20-piece teeth can cause infections that eventually reach the throat and lymph nodes. Patients usually contact us with throbbing pain, inflammation in the throat, difficulty swallowing and weakness.

Such disorders indicate that not only a tooth, but also the general health of the body is beginning to be affected.

In the early period, the shooting operations performed while not yet getting too close to the nerves are both more comfortable and the risk of nerve damage is much lower.

Is a 20-piece tooth extraction surgical? Why should a maxillofacial surgeon be preferred?

Every 20th tooth extraction is not the same difficulty. While some teeth can be removed with simple extraction, some are located in a horizontal position inside the bone, adjacent to the nerves. Such situations require advanced surgical expertise and high manual dexterity.

A mistake to be made on the 20-piece teeth, which are the closest teeth to the nerves in the mouth, can lead to temporary or permanent numbness.

For this reason, a dentist who is a maxillofacial surgeon can reduce the risk of complications.

As a specialist maxillofacial surgeon, I am trying to plan the operation with millimeter calculations by evaluating not only the tooth; but also the jaw bone, gum, nerve and vascular structure surrounding it. In this way, I am trying to minimize the swelling, pain and sensation losses that may occur after the procedure.

How is a 20-Piece Tooth Extraction Performed?

A 20-point tooth extraction is not always a standard tooth extraction procedure. many criteria such as the position of the 20th tooth in the jawbone, root structure, relationship with neighboring teeth, distance to the jaw nerve line and damage to the surrounding tissues to the gum directly affect the surgical approach. While some 20-piece teeth can be removed with a simple maneuver, most of the time the procedure;

* Regional local anesthesia,

* Soft tissue (gingival) incision,

* Planned removal of the jawbone surrounding the top that holds the tooth by protecting it,

* Protection of the jawbone and jaw joint by dividing the tooth into several parts,

* Requires advanced surgical steps such as nerve line protection.

In most of my patients, I complete this procedure in a single session, with minimal bleeding, in my special sterile operating room. However, this is only with the physician’s surgical hand dominance, clinical experience, knowledge equipment, field of expertise, anatomical knowledge and respecting the surrounding tissues (teeth, gums and jaw bones), I complete my operation. Tooth extraction should be performed by preserving all tissues with sensitive hand technique.

As a professor of maxillofacial surgery, I perform a clinical examination or detailed radiological evaluation before the procedure in each patient.

Panoramic X-ray, if necessary, using 3D dental tomography (CBCT);

• The angle of the tooth inside the jawbone,
• The distance of the roots to the nerves,

* The curvature or discrete position of the roots,

* The relationship of the tooth with the surrounding soft and hard tissues,

• I analyze bone density and infection spread in detail.

Anatomically, since everyone’s jaw bone structure and the position of a 20-year-old female are not the same, a separate personal special tooth extraction method is applied to each case.

Surgical Planning Is Specific to the Patient

In my clinic in Mersin Yenişehir, all surgical procedures are performed in accordance with infection control protocols under special sterile operating room conditions.

In addition, the patient’s systemic diseases — for example, diabetes mellitus, blood thinners, hypertension, immunodeficiencies — are definitely taken into account before the procedure, and if necessary, a medical consultation is provided and a personalized 20-tooth extraction planning is made.

In accordance with these plans, I not only remove the tooth during the shooting, but also:

• If there is an irregularity on the surface of the jawbone, I apply a bone rasping procedure that will speed up healing and reduce bleeding.
• In cases of abscess or inflamed 20 teeth, the abscess tissues in the jawbone are cleaned with special hand tools and carefully washed with sterile solutions.
• Special biological agents are used to stop blood flow in patients with intense bleeding.
• If there is an excess of gums after tooth extraction, these tissues are shaped and restored to their normal anatomical form.
• When closing the surgical area, the gingival tissue is carefully stitched with antibacterial suture materials with high biological compatibility.

Detailed Analysis Is Required For Oral Comfort After 20 Tooth Extraction

The success of surgical tooth extraction is related not only to the removal of the tooth, but also to the repair of the surrounding tissues of the gum, jawbone, neighboring teeth.

Therefore, after the procedure;

* The gingival integrity is repaired again before it deteriorates,

• If bone protrusions or a deformed jawbone have formed in the jawbone due to tooth extraction, the jaw is corrected with bone rasping tools and prevented without damaging the gum tissue.
• An incision is made into the gum tissue for tooth extraction, after tooth extraction, if there is an excess in the gum, it should be cut to the anatomically desired size and sutured last.

Thanks to all these steps, after the procedure:

* Swelling is minimized,

* Tension does not occur in the suture area,

* The healing process accelerates,

* The comfort of daily life is restored as soon as possible.

Is 20% Tooth Extraction Painful?

does a 20-piece tooth extraction hurt? How long does the pain last after that?

During the 20th tooth extraction performed under local anesthesia, due to the nature of local anesthesia, all the intervention stages performed are felt, but no pain is felt. But then, since the healing process of the tissues begins, there may be mild to moderate pain lasting 1-3 days. However, the duration of this pain varies from person to person. Most of my patients I took it on the same day, 2 hours later he was able to eat and drink whatever he wanted, my teacher even said that I had no pain. In order to reduce these pains, most patients go through this process quite comfortably thanks to the drug protocol and ice application recommendations that I have specially planned for you after the procedure.

How Long Does a 20-piece Tooth Extraction Take?  How many minutes does an embedded 20-gauge tooth extraction take?

• Non-surgical shots: 20-30 minutes

* Surgical (embedded) Deceptions: lasts between 45-60 minutes

In my own practice, I care about the planning process in equal proportion to the transaction itself. Because a properly planned 20th tooth extraction is completed with minimal trauma in a short time when critical details such as the presence of the patient’s systemic disease, 20th tooth risk analysis are determined.

Things to Be Considered After a 20th Tooth Extraction

what to do and avoid after a 20th tooth extraction.

During the first 24 hours:

• Do not spit, swallow
• Do not use a straw
• Do not rinse your mouth

* Avoid hot food-drinks

• Definitely do not smoke (to avoid jaw bone formation and jaw bone inflammation/ abscess)

The first 3 days:

• Cold compress to prevent swelling and bruising to the tooth extraction area

* Regular use of prescription medications

* Sleep on your back with a high pillow

*Avoid hard foods

• Stay away from smoking

How Much Are the 20% Tooth Extraction Prices in 2025?

The price of a 20th tooth extraction does not depend solely on the “tooth extraction” process. The price varies according to the dental risk analysis, the difficulty of the maxillofacial surgery operation, the dentist’s expertise and medical experience, anatomy knowledge, information equipment, the quality of technological devices and materials used in the clinic.

the main factors affecting the shooting prices as of 2025 are as follows:

• If the tooth is buried or removed

* The proximity of the tooth to the jawbone or nerves

* Pressure or damage caused by neighboring teeth

* Infection, abscess or cyst formed on the gum or jawbone and their size

* Advanced surgical techniques that may be required during the shooting (bone removal, tooth division, nerve isolation)

* Laser-assisted surgery or bone powder insertion, gum transplantation additional treatment procedures Oct.

I would like to underline at this point:

In some cases, the roots of the teeth may be very close to the jaw and lip nerve, may be located in a completely horizontal position inside the bone, or may have melted the root of a neighboring tooth. It is technically difficult to pull a tooth in such cases. In these procedures, beyond the dentist’s knowledge, his experience, manual ability, patience, treatment planning and emergency management are decisive.

Therefore, the prices are not fixed; they become clear after the patient’s panoramic film and clinical examination. I make this evaluation in detail at my clinic in Mersin Yenişehir, I plan the process and possible alternatives by talking with the patient.

Result:

your 20-year-old tooth may be buried or painless. But that doesn’t mean he’s harmless.

These teeth should be carefully evaluated both in terms of the risk of nerve damage, infections spreading to the throat, and the “unnecessary intraoral load” that does not participate in the chewing function.

The correct intervention with a specialist physician in time and field protects both your health and comfort.