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SECRET OF THE HEALTHY AND BEAUTIFUL TEETH
Healthy teeth it is beautifulBeautiful and healthy teeth-dreams of everyone. How correctly to clean a teeth, какми tooth-pastes is better to use how to struggle with caries? On these and many other things the questions, concerning care of a teeth and their treatment Vladimir Novikov - the head physician of clinic "Personal stomatology", a member of the Russian National Academy of Aesthetic and Cosmetic stomatology answers.
 
- You could not tell objectively about merits and demerits of the most popular tooth-pastes (Колгейт, Блендамед, Аквафреш)? What of them to prefer? And whether there is a big difference in quality between them and more expensive pastes, type Shouted also others, on sale in drugstores?
- If paste of in an original way manufacture it should correspond to certain standards. From this point of view it is necessary to use the tooth-pastes got in drugstores or in stomatologic clinics. Usually more expensive pastes are made of better raw materials with use natural компонетов.

- Prompt effective bleaching paste.
- The most effective are firm Rembrandt tooth-pastes (to buy them it is possible in drugstores).
 
- Whether it is useful to clean a teeth different pastes? Whether really it helps to struggle better with caries?
- Really not to cause organism accustoming to same копонентам tooth-pastes, it is better than them to change periodically (some times throughout a year).
 
We clean a teeth-  Stomatologists apply to strengthening of tooth enamel  фторлак. Advise, how still it is possible to strengthen enamel?
- The best strengthening of enamel is its cleanliness. It is reached by careful personal and professional hygiene. Saturation of enamel by fluorine can be spent special gels, tooth-pastes and conditioners for an oral cavity.

- If enamel on a forward teeth is damaged, whether it is possible to suspend process of destruction of a teeth?
- It is better not to wait, while they will collapse even more, and to put seals at once. And in some cases even there is no necessity to drill a tooth, it is possible to paste a protective plate пломбировочного a material and thus to protect a tooth from the further destruction. Such seals are absolutely not appreciable and very durable.
 
- What is вкладки and whether they can replace a crown?
- Really in some cases вкладки can to replace functionally a crown, but the choice is defined by a concrete situation. Вкладки are the same seals of the big size only made in laboratory. They are fixed on cement.
 
- What tooth-pastes can use at the superfluous maintenance of fluorine in water?
- It is better to use the tooth-pastes which are not containing fluorine (some children's pastes). Usually the fluorine maintenance is specified on a label. However, the science has not come in this question to a common opinion. And many researchers consider, that short-term and insignificant influence of fluorine from a tooth-paste does not render essential influence on development флюороза.
 
Open a mouth...- I heard, that the child had healthy teeth, the woman already in времябеременности should accept a special vitamin complex. What it for vitamins?
- It is better to take vitamins under the recommendation of the attending physician. In a correct dosage they are of use only.
 
- Than differ вкладки from seals? Whether it is necessary to put not ceramic вкладку?
- Вкладки are the same seals only made in laboratory. At the expense of it they have the big durability and accuracy прилегания. If you trust the expert to put costs. Nekeramichesky вкладки more щадящи to resisting teeth (less them use up), but are less durable.
 
- Tell, whether there is any vitamin complex (or medicines) which would prevent destruction of a teeth?
- If you mean "tablets from caries" they do not exist. As shows world experience, unique means from oral cavity diseases is careful personal and professional hygiene of an oral cavity.  
 
- Prompt please, what vitamins with calcium need to be used for maintenance of a teeth. The calcium use глюканата gives nothing. The same question concerns care of a children's teeth.
- If at you metabolism infringements the organism should take away calcium from usual products with which you eat (dairy products, cheeses, fish). If calcium is acquired badly глюконат some calcium a problem all the same will not solve. In this case it is necessary to address to the expert in a metabolism is better. Instead of trying to strengthen indefinitely enamel by means of calcium it is better to think that destruction of a teeth occurs under the influence of the acids developed by microorganisms in an oral cavity. Therefore to prevent destruction of a teeth it is possible having eliminated acid influence on a teeth, and at all eating кальциевых tablets. All told fairly and for the child.
 
Prosthetics- In what case it is necessary to delete a wisdom tooth (eight)? Doctors speak that it is operation at 2 o'clock, and complications, as nearby a figurative nerve are possible. How much it is really serious operation?
- Operation really serious, but for the skilled surgeon it does not make a problem. Easier so to delete a wisdom teeth which lay under a gum and are not visible it is not necessary. However if such recommendation was given by the doctor-ortodont it makes sense (if there are for this purpose proved indications).
 
- If on a forward tooth the small slice is broken off, whether it is necessary to do something in avoidance of further caries?
- At отколе tooth parts actually occurs it разгерметизация. Even if now it does not disturb you, in the future microorganisms through open access can reach a nerve and cause its inflammation. Therefore I recommend to restore сколы in the near future.
 
- Whether it is necessary to touch to (delete) at children a dairy teeth that the new grew exactly?
- Dairy teeth keeps a place for constants, therefore ahead of time they cannot be deleted in no event.
 
- From what age children need to dress брекеты?
- Брекеты put on only after formation of roots and прорезывания all constant teeth. Usually it occurs by 14 years. To this age plates are used. Any intervention also it is not required to probably your child, as jaw growth proceeds.
 
- Procedure of bleaching of a teeth is how much harmless. What means is better to use for this purpose?
- Bleaching procedure is harmless, if is spent under the control of the doctor. Without the doctor to bleach it is possible only using tooth-pastes.
 
- What types пломбировочных materials exist. What is компомеры?
- Пломбировочные materials share by a principle твердения - on светоотверждаемые and self-hardening, on a material - on polymeric (composites, компомеры, ормокеры) and metal (amalgam). There are still cements. Компомеры is пломбировочные the materials allocating fluorine.
 
On reception at the doctor- Tell, caries is an infectious disease?
- No, not the infectious.
 
- Tell about techniques and the means applied in modern prosthetics.
- Prosthetics can is spent with a support on the next teeth (мостовидные artificial limbs), with a support on a gum (demountable artificial limbs) and with a support on имплантаты. Cosmetic prosthetics is a separate area.
 
- Tell please about preventive maintenance of caries and пародонтита.
- Caries and парадонтит are бактериозависимыми diseases. Therefore their preventive maintenance is same - careful personal and professional hygiene, напрвленная on reduction of quantity of microorganisms in an oral cavity.
 
- At what age it is necessary to begin correction of a wrong bite at the child?
- Consultations in this occasion are necessary for spending from 5-year-old age.
 
- How long keeps on a teeth венировое a covering?
- The basic moments are the choice of a design and carefulness of execution. Composit виниры are calculated for 5-8 years, ceramic - on 10-15.
 
- What do you think of implantation of a teeth? Whether often implants get accustomed and whether it is dangerous to health? What to do, if имплантаты have not got accustomed?
- For today implantation is the most reliable and predicted stomatologic procedure. The percent of success of the given procedure comes nearer to 100 % it is considerable above, than at treatment of root channels, prosthetics by crowns, etc. Replacement of the lost teeth имплантатами is the most safe procedure as the next teeth is not damaged. In case of improbable tearing away, implantation can be spent repeatedly.
 
- Whether it is possible to "pull together" somehow a teeth, to reduce distance between a forward teeth, and that in this case is better to make what not to do much harm to a teeth and gums?
- It is possible to rearrange a teeth (to pull together a teeth ahead), but sideways the empty place all the same remains. The question consists in closing of intervals between a teeth. Most are effective, a fast and simple method is escalating of a teeth (art restoration). It is safe for a teeth and at correct execution does not cause a gum inflammation.
 
Treatment- What to do, if enamel on a teeth has a yellow shade?
- Colour of a teeth is defined by a pigment containing in them. To clarify a teeth in this case various methods of bleaching will help. The elementary - use of bleaching tooth-pastes. The guaranteed result gives professional bleaching.
 
- That you think about винирах as long they stand and whether it is possible to bleach them.
- For each design there are indications. Виниры can change and improve appearance of a teeth considerably. Composit виниры are calculated for 5-8 years, ceramic - on 10-15. A natural teeth is exposed to bleaching only, виниры thus is not clarified.
 
- What products it is most useful употребять in food (i.e. they promote that gums and enamel of a teeth were healthy and interfere with caries formation)? Stomatologists know, that the chewing elastic band is harmful to a teeth, especially considering that the majority has seals. The advertising, propagandising to use a chewing elastic band after meal, only a trick. What it is better to undertake?
- The reason of occurrence of caries is a destruction of enamel under the influence of the acids developed by microorganisms. Therefore I advise to use in food the products which are not containing sugar and other carbohydrates. After meal a teeth certainly is better to clean or, at least, to rinse. It is possible to chew as a last resort a chewing elastic band as they promote salivation. Many elastic bands contain the carbamides reducing acidity, or ксилит, oppressing ability to live of microbes. The most important thing - to learn correct personal hygiene and regularly to pass the professional. And seals which are pulled out are simply poor-quality.
 
The doctor- Very much it would be desirable to have белозубую a smile, prompt as it is possible to bleach a teeth independently. What tooth-paste it is possible to combine good care of a teeth and maintenance of gums in a normal condition?
- Bleaching as well as any other procedure has the indications and противолпоказания. The elementary method of clarification of a teeth is their professional cleaning, that simultaneously eliminates and кровоточивость gums. To bleach a teeth it is possible by means of long and regular use of tooth-pastes with bleaching effect. Faster are professional methods of bleaching of a teeth.
 
- Tell please about electric tooth-brushes. Whether they are effective? And what is better for choosing?
- Electric tooth-brushes are created for increase of efficiency of clarification of a teeth, especially in remote places. But it does not mean, that in the manual way it is impossible to reach the same effect. I can recommend electric tooth-brushes of firm Oral B.  
 
- Whether bleaching pastes are harmful to enamel? I heard, that are very harmful.
- Bleaching tooth-pastes on the basis of abrasives are really harmful, however now such in the market practically are not present. The Most safe and effective bleaching tooth-pastes are firm Rembrandt pastes.
 
Teeth- If tooth enamel very sensitive, reacts on cold and is hot. Whether it is possible to make something?
- The most probable reason of a hypersensibility of a teeth is истончение an enamel blanket. In this case the tooth is necessary for protecting a superficial seal. In the given question the tooth-paste will not change a situation.
 
- And the truth, what a cud without sugar is useful to a teeth? Or it simply advertising?
- Жвательные elastic bands without sugar promote allocation of a saliva and thus oral cavity clarification. Some of them contain карбомиды or ксилит, oppressing activity of pathogenic microflora.
 
- If round a wisdom teeth (that with one on the other hand) gums constantly inflame. In what there can be a reason?
- At a lack of a place for a wisdom teething remain десневые hoods under which it can be hammered peeping and to cause an inflammation. In this case you need either to remove a hood, or to remove a tooth.
 
- Tell, whether it is possible to treat during pregnancy a teeth with use frosts? Whether it is harmful?
- To treat a teeth with заморозкой it is possible. It is desirable to use анестетики on a basis артикаина (ультракаин, убистезин, септонест, альфакаин).
 
Chupa-chups- All know, that sweet it is harmful to a teeth. Prompt please, what sweets are more harmful to a teeth, and what - less.
- Stomatologists do not forbid to eat sweet, and advise after that to clean a teeth or at least to rinse a mouth. The least harmful are sweets on the basis of wood sugar (ксилит which is often used in products for diabetics).
 
Has prepared
Irina Rusina
31.10.03
 
At material preparation conferences have been used