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Category: Restorative Dentistry

How Professional Dental Cleaning is done

professional teeth cleaning

Have you ever wondered about the difference between professional mouth cleaning and teeth whitening? People tend to misplace one for the other.

So, today just take a quick view of what a professional teeth cleaning is, and why it is called scaling and polishing. Note that this is quite different from teeth whitening.

An extra high jet od antiseptic mouth wash was used in the process to help in the cleansing effect of the procedure.

Dental Caries (Tooth Decay) In Nigeria, Owerri.

tooth decay

Dental caries (tooth decay) is a major oral health problem in most industrialised countries and underdeveloped countries like Nigeria, and to narrow it down, Owerri, Imo state, affecting 60–90% of school children and the vast majority of adults.

The early manifestation of the caries process is a small patch of demineralised (softened) enamel at the tooth surface, often hidden from sight in the fissures (grooves) of teeth or in between the teeth.

The destruction spreads into the softer, sensitive part of the tooth beneath the enamel (dentine). The weakened enamel then collapses to form a cavity and the tooth is progressively destroyed.

Caries can also attack the roots of teeth should they become exposed by gum recession. This is more common in older adults.

Dental caries is caused by the action of acids on the enamel surface. The acid is produced when sugars (mainly sucrose) in foods or drinks react with bacteria present in the dental biofilm (plaque) on the tooth surface. The acid produced leads to a loss of calcium and phosphate from the enamel; this process is called demineralisation.

Saliva acts to dilute and neutralise the acid which causes demineralisation and is an important natural defence against caries. Aside from buffering plaque acids and halting the demineralisation of enamel, saliva provides a reservoir of minerals adjacent to the enamel from which it can remineralise and “heal” once the acids have been neutralised.

The enamel demineralises and remineralises many times during the course of a day. It is when this balance is upset and demineralisation exceeds remineralisation that caries progresses. When demineralisation occurs frequently and exceeds remineralisation over many months, there is a breakdown of the enamel surface leading to a cavity.

Cavities, even in children who do not yet have their permanent teeth, can have serious and lasting complications such as pain, tooth abscess, tooth loss, broken teeth, chewing problems and serious infection.

The main treatment option for a tooth cavity is to drill out the decay and put in a filling (restoration) made from various materials (e.g., composite resins, amalgam, porcelain). Extensive tooth decay may necessitate a crown, root canal treatment or even extraction of the tooth.

prevention of dental caries


Fluoride is a substance that naturally occurs in some water sources. It is derived from fluorine, the thirteenth most common element on earth, and is known to help prevent dental caries.

In Nigeria, an estimated 73% of the population reside in communities served with water supplies containing a regulated amount of fluoride. The permissible range of fluoride in drinking water in Ireland is presently set at 0.6–0.8 parts per million (Health (Fluoridation of Water Supplies) Act 1960, (S.I. No. 42 of 2007)). This level of fluoride in drinking water is deemed optimal for the oral health of all age groups, including infants.

The dramatic improvement seen in the oral health of Nigeria since the introduction of water fluoridation in the mid-1960s – particularly among children and young adults with lifetime exposure to water fluoridation (labelled “Full Fl” in charts) – has been mainly attributed to the caries-preventive effect of fluorides in water and in toothpaste.

mean number of decayed teeth

Fluoride works mainly by slowing down the process of demineralisation, whereby the enamel loses calcium and phosphate when exposed to acid following ingestion of food and drinks which contain sugars. It also helps to “heal” (remineralise) surfaces which show early signs of calcium or phosphate loss, such as an opaque appearance. Most benefit is obtained if a low level of fluoride is constantly maintained in the mouth throughout the day.

Fluoride delivered directly (or topically) to the tooth surfaces by toothpaste and rinses help to maintain fluoride levels in the mouth and provide added benefit to the fluoride delivered systemically via water fluoridation.

Introduced in the mid- the 1970s, fluoride toothpaste now account for over 95% of the toothpaste sales in this country. The sale of mouth rinses, many of which contain fluoride, has also increased considerably since the mid-1980s.

The main advantage of water fluoridation is that its caries reducing effects are available to everybody on the fluoridated water supply and is considered safe even for infant use. Bottled drinking waters contain highly variable amounts of fluoride depending on their source.

While it is legally permissible for bottled natural mineral waters to contain up to 5 mg/l of fluoride, when fluoride concentration exceeds 1.5 mg/l the warning “contains more than 1.5 mg/l of fluoride: not suitable for regular consumption by infants and children under 7 years of age” must be clearly carried on the bottle label (Commission Directive 2003/40/EC).

Fluoride toothpastes are an important source of additional fluoride and should be used twice a day to help maintain a constant level of fluoride in the mouth. Daily fluoride  mouthrinses are particularly useful for people who are prone to high levels of decay and also for people wearing orthodontic braces; fortnightly fluoride mouthrinse programmes are used in a number of schools in non-fluoridated areas. It is advisable that fluoride mouthrinsing be carried out at a different time from fluoride toothbrushing to maximise the added benefits from these topical fluorides. Fluoride varnishes and gels are alternative forms of topical fluorides that require application by a dentist or dental hygienist.

Despite the widespread availability of fluoride toothpaste, the most recent national oral health surveys show that only 58% of Nigerian Children, especially in Owerri brush their teeth at least twice a day as recommended and that older people (aged 65+) in particular have poor oral hygiene habits. Only 52% of older people who have natural teeth (i.e., are not toothless) brush their teeth at least twice a day and 4.5% never brush.

There are no known side effects of water fluoridation at the optimal level, other than dental fluorosis. Dental fluorosis is mainly a cosmetic condition, commonly characterised by fine white lines or white patches on the teeth.

The risk of developing dental fluorosis is linked to the ingestion of excess fluoride during enamel formation (amelogenesis) of the permanent teeth in childhood. International research indicates that the early use of fluoride toothpaste in young children can lead to the development of fluorosis in permanent teeth.

In Nigeria, Owerri, dental fluorosis remains at the very mild to mild level as measured by the Dean’s Index. However, the increase in the prevalence of dental fluorosis when levels of water fluoridation had remained constant (at 0.8–1.0 ppm between 1964 and 2007) suggests that young children are swallowing excess fluoride from toothpaste.

As a result of this finding, in 2007 the permitted level of fluoride in water was lowered from 0.8–1.0 ppm to 0.6–0.8 ppm as a means of reducing the total intake of fluoride among young children.

Recommendations on the appropriate use of fluoride toothpaste in young Nigerian children issued by the Expert Body on Fluorides and Health ( ) advise that children aged 2–7 years should use only a small pea-sized amount of fluoride toothpaste 1,000–1,500 ppm and be supervised by an adult when toothbrushing; children under 2 years of age should not use toothpaste except on professional advice.

The Nigerian Experts Body on Fluorides and Health advises:

From 0 until 2 years old:

  • Start to clean a baby’s teeth as soon as the first tooth appears.
  • Brush a baby’s teeth with a soft toothbrush and water only
  • Do not use toothpaste. (Professional advice on the use of fluoride toothpaste should be considered when a child below 2 years of age is thought to be at high risk of developing dental decay (e.g. children with special needs).

From 2 until 7 years old:

  • Use a small pea-sized amount of fluoride toothpaste 1,000–1,500 ppm. (Paediatric toothpaste with low concentrations of fluoride (e.g., 500 ppm) require further research before their use can be recommended.)
  • Supervise brushing twice a day, in the morning and at night just before bedtime.
  • A child under seven years needs help from an adult when brushing teeth.
  • A child should never eat or swallow toothpaste.
  • Clean the teeth thoroughly twice every day with fluoride toothpaste.

Reduce Frequent Consumption of Sugars


There is overwhelming evidence that frequent consumption of sugars is associated with caries. Dietary advice should be aimed at limiting the frequency of sugar intake.

Studies have shown that sugar consumption remains a moderate risk factor for caries even when populations have adequate exposure to fluoride and that exposure to fluoride coupled with a reduction of sugar intake has an additive effect on caries reduction.

In a comparison of food habits in children and adolescents in 35 countries and regions covering Europe, Israel and North America, Ireland ranked as having the highest average weekly frequency of sweets consumption.

Foods and drinks containing “free sugars” (i.e., sugars which have been added to food plus sugars naturally present in honey, fruit juices and syrup) should be recognised and the frequency of their intake – especially between meals – reduced.

As shown in the Stephan curves opposite, the intake of sugar between meals increases the periods of time plaque pH dips below the critical level of 5.5. When plaque pH is lower than 5.5,  remineralisation occurs.

Subjecting teeth to frequent bouts of demineralisation allows less time for their remineralisation; thus, teeth become more susceptible to decay. Detailed  advice on nutrition and oral health is given here

effect of plaque

Pit and Fissure Sealants

fissure sealant

Among children, tooth decay occurs most commonly on the pit and fissure surfaces of back teeth. Pit and fissure sealants are a safe and effective way to prevent dental caries on these vulnerable surfaces, and they are recommended for high caries risk children and should be applied as soon as the back teeth are sufficiently erupted to allow sealing.

Pit and fissure sealants may also be used in adults. Sealants must be applied by a dental professional, i.e., a dentist or dental hygienist.

Pit and fissure sealants create a thin barrier preventing the access of plaque and plaque acids to the enamel surface. Their effectiveness at preventing caries has been demonstrated in a number of systematic reviews.

However, sealants are only effective on the biting surfaces of teeth and should be seen as only one part of a comprehensive caries prevention programme which includes promotion of healthy eating and, for children over age 2 years, twice daily use of fluoride toothpaste containing at least 1,000 ppm F.

When devising a strategy for the control of dental decay for an individual patient or for a community, it is strongly recommended that a combination of these preventive measures – use fluorides, reduce frequent consumption of sugars, seal fissures – should be used, taking into account their cost and the effort required of the individual or community.

15 Proven Remedies for Wisdom Teeth Pain Relief

15 Proven Remedies for Wisdom Teeth Pain Relief


Wisdom teeth are a third set of molars in the very back of your mouth. Somewhere between the age of 17 and 25, these teeth begin to move up through your jawbone on their journey to break through your gum line and become part of your chewing mechanism.

Your gums may become inflamed, the affected area may bleed, and you may experience ongoing headaches or tooth pain. Here are nine remedies to help you find relief from wisdom teeth pain.

Remedies for pain relief

1. Salt water rinse

One of the most popular remedies for toothache is a salt water rinse. Rinsing your gums with warm water and dissolved sodium chloride (salt) has been shownTrusted Source to promote healthy gums and kill harmful bacteria. Wisdom teeth can sometimes hurt your other teeth or create cystswhen they erupt through your gums. So keeping your mouth clear of harmful bacteria is a good idea.

2. Peppermint

Peppermint leaves contain essential oils that can soothe pain and reduce inflammation. Try soaking a cotton ball in peppermint extract before applying it to painful gums, or rubbing the oil directly on your teeth. Peppermint tea can also be used as a mouth rinse after it has cooled down.

3. Clove oil

Cloves have been documentedTrusted Source as an analgesic and toothache reliever. Lab studies revealTrusted Sourcethat clove oil is especially potent at reducing pain. Cloves have the added benefit of fighting bacteria that can grow in your mouth and put you at risk for infection. You can purchase clove essential oil, or simply boil four to six whole cloves to make clove water, which you can then massage onto your painful gums.

4. Liquor

Bourbon, brandy, and whiskey are pain relievers because of the numbing qualities of distilled liquor. Rubbing whiskey or another strong liquor onto your wisdom teeth as they erupt to the surface of your gum might help dull pain receptors, easing your discomfort.

5. Aloe vera

Aloe vera is generally nontoxic and can be used to soothe and reduce inflammation around the area your wisdom teeth are trying to grow in. It also helps to heal your gums if they become scratched or cut while your teeth grow in. You can apply pure aloe vera gel to the back of your mouth, and it will cool the area down for temporary pain relief.

5. Tea tree oil

Tea tree oil is a powerful antibacterial agent proven to kill bacteriaTrusted Source in your mouth. But this remedy is so potent, it should never be applied directly to your teeth. Diluting tea tree oil with coconut oil, another antibacterial, and applying it to your inflamed gums could kill bacteria on your gum line. Tea tree oil shouldn’t be swallowed, so make sure you rinse and spit out any residue immediately after this treatment.

6. Crushed garlic and ginger

Crushed garlic was foundTrusted Source to be one of the most effective killers of pathogens that invade and infect the gum line. Researchers were surprisedTrusted Source when combining garlic with crushed ginger into a paste made garlic even more effective. You can crush raw garlic into a paste-like consistency before adding fresh, chopped ginger and applying the paste to your gums.

7. Aspirin

The aspirin that you take to relieve severe headaches may also help relieve your wisdom teeth pain. A recent study showedTrusted Source that aspirin is an effective pain-dulling agent for people experiencing discomfort in their mouth. Pay close attention to the label and don’t take more than the recommended dose of any kind of aspirin. Don’t pop aspirin continually for any sort of pain relief without supervision from a dentist or doctor.

8. Menthol

Menthol is a natural analgesic, and brings a cooling sensation to your skin when you touch it. If you want to use menthol as a remedy for your wisdom teeth pain, dilute a mouthwash that contains alcohol, peppermint flavor, and menthol before applying it directly to the affected area.

9. Turmeric

Turmeric has been used for centuries as a spice and as a natural remedy for stomach pain. The analgesic and anti-inflammatory qualities of turmeric give it tremendous potential as a toothache remedy. One source recommends rubbing crushed turmeric directly on inflamed gums, or rinsing your mouth with water that’s been boiled with 5 grams of turmeric and two cloves.

10. Cold and heat therapy

Applying an ice pack or heating pad to your cheeks can help to reduce pain, inflammation, and swelling. Applying heat can promote healing by relieving tension and increasing blood flow.

Apply heat or cold to the affected area for 15 minutes at a time and then wait 15 minutes before reapplying. Alternate these methods throughout the day. Always finish with a cold treatment.

11. Wheatgrass

Wheatgrass is a powerful healer and can be used to treat wisdom teeth pain. The high chlorophyll content of wheatgrass helps to reduce inflammation and prevent the bacteria that can cause infections. It can prevent tooth decay and heal wounds.

12. Oregano oil

Oregano oil is a powerful healer that can kill bacteria and prevent infection. It can reduce pain, swelling, and inflammation. A 1996 study on mice suggested that its pain-relieving components are due to one of its active ingredients, carvacrol.

Oregano oil is extremely potent and must always be properly diluted. Dilute a drop of oregano oil into 1 teaspoon of a carrier oil. Use a cotton ball or your finger to apply the oil to your tooth or gums. Do this twice per day.

13. Thyme essential oil

Thyme is used as a traditional medicine to relieve the pain, inflammation, and fever that may accompany emerging wisdom teeth. A 2015 studyTrusted Source on mice supported the use of thyme extract in treating these symptoms. Further studies on humans are warranted.

Dilute a few drops of thyme essential oil into a carrier oil. Use a cotton ball or your fingers to apply it to your teeth and gums. Do this a few times a day. You can make a mouthwash by adding one drop of oil to a glass of warm water.

14. Capsaicin

The active ingredient in cayenne pepper, capsaicin, is said to relieve pain and inflammation. A 2012 review reported that capsaicin can be useful in treating various types of pain in both animals and humans. It sometimes has a desensitizing effect on nerve fibers.

Capsaicin has the potential to irritate, so you should always start with a small amount to see how your body reacts.

Dilute a few drops of pure capsaicin extract or oil into a cup of water. Use a cotton ball to apply the solution to the affected area or use it as a mouthwash. Repeat throughout the day.

15. Lavender essential oil

This is a powerful healer that can relieve pain, reduce bacteria, and soothe inflammation. A 2015 studyTrusted Source on animals confirmed the effectiveness of lavender essential oil to relieve pain and inflammation. Further studies are warranted to discover more about its therapeutic ability.

Dilute one drop of lavender oil into 1 teaspoon of a carrier oil. Use your fingers or a cotton ball to apply it to the affected area several times throughout the day. Or add two drops of lavender oil to a cup of warm water to make a mouthwash. Use this solution three times per day. Or use cooled lavender tea to make a mouthwash.


Wisdom teeth can take up to three months to fully emerge from your gum line. But not all wisdom teeth come in at once, so you may experience some of these symptoms on and off in varying degrees for some time.

If you have sharp pain that persists, frequent headaches, bloody saliva, or feel an abscess growing underneath your gums, you need to schedule an appointment with your dentist right away. Though not everyone needs to have their wisdom teeth removed, the Nigerian Dental Association recommends that all teenagers and young adults have their wisdom teeth X-rayed and monitored.

In Oaklands Dental Clinic, Owerri in Imo State, We bring oral health Education even before treatment.

What to Do for Pain and a Broken Tooth

Broken enamel

Every tooth has a hard, outer layer called enamel. Enamel is the hardest material in the whole body. It protects the tooth’s blood vessels and nerve tissues.

Cavities are the leading cause of toothache and decay, which can actually break your teeth. Biting into something hard, loosened fillings, and sports accidents can also cause you to crack enamel or break a tooth.

A broken tooth can be painful and ultimately needs to be treated by a dentist to avoid further damage or complications. But there are some things you can do yourself to manage pain and symptoms. Let’s take a look.

Managing symptoms of a broken tooth

A broken tooth doesn’t always hurt, or the pain may come and go. But if you have exposed nerves or tooth dentin, your tooth may be very sensitive (especially to cold drinks).

If a broken tooth leaves a sharp edge it may also cut your tongue and cheek.

Until you can see a dentist, there are ways to treat pain from a broken tooth at home. These treatments will make you more comfortable temporarily, but should never replace seeing a doctor or dentist.

Rinse to clean your mouth

Gently rinse your mouth each time you eat to clear debris from around the broken tooth. You can use plain, warm water, or saline water, or a rinse made of equal parts water and hydrogen peroxide.

Just don’t swish too hard. This can help to avoid infection and more pain.

Ice to reduce swelling

If your face is swelling, apply ice in 15-minute intervals as long as you need.

Cover ice cubes or a cold pack with a towel and hold it to the part of your face that’s swollen. If your broken tooth is the result of a sports impact or injury, it could take days for swelling and bruising to improve.

Use gauze for blood

Reduce bleeding by placing clean gauze inside the mouth near the affected area. Replace gauze whenever it fills with blood.

Be careful with what you eat

A broken tooth might have exposed nerve that’s extra sensitive to certain foods and temperatures.


  • acidic soda, alcohol, and coffee
  • cold beverages, which can cause painful zinging in exposed nerve
  • nuts and celery, which can get stuck in the tiny cracks in the tooth
  • anything too chewy that puts pressure on the tooth, such as steak, jerky, gum, and candy
  • fruits with seeds in them, like strawberries and raspberries
  • extremely sugary foods, as sugar gives organisms in your mouth more to feed on and can increase decay in your teeth

Instead, try eating soft nutritious food such as smoothies, roasted vegetables, and soup.

Chew on the other side of your mouth

Chew food in parts of your mouth that avoid putting too much pressure on the broken tooth.

Use pain medication

Following label directions or as advised by a doctor, ease pain and swelling with anti-inflammatories such as ibuprofen or naproxen. You may also use acetaminophen for pain relief.

Never apply pain medication directly on your gums as it could burn the tissue. And never give products containing benzocaine to children under 2 years old.

Over-the-counter tooth repair

If your tooth is broken and sharp against your tongue, you can find temporary tooth fillings at the pharmacy to soften the edge. Brands such as Temptooth, DenTek, and Dentemp make repair kits you can use at home.

Remember, this is just a temporary, short-term solution. If your tooth has been broken due to extreme trauma or injury, seek immediate medical attention.

If you want to know more about home remedies, we discuss 10 remedies for toothache pain. For more on a broken tooth specifically, keep reading below.

When your tooth is broken

Any tooth can break, though each is more vulnerable to different injuries.

You can break your front teeth when inappropriately using them to cut or open something (Remember: Always use scissors and never your teeth to open packages.)

Your back molars may be more susceptible to cracks from grinding your teeth or biting down on something hard. Prevent tooth injuries by always wearing a mouthguard when participating in impact sports.

Long term, your teeth are necessary for daily function and quality of life. Beyond just chewing food, teeth help your speech be clear, and each tooth is important for maintaining balanced space in the jaw.

Repairing a broken tooth is necessary for overall health and well-being.

To make the cost more manageable, many offices offer payment plans or dental loan plans. You can also contact a dental school if you have one in your area, or check with your local health department to see if they offer any low-cost dental services or clinics.

If left untreated, a broken tooth can collect bacteria, risking infection or abscess. A broken tooth also risks nerve damage and may lead to needing a root canal.

To prevent infection, keep your mouth clean by gently rinsing after you eat anything. You can try a rinse with hydrogen peroxide.

small 2016 studyTrusted Source found that hydrogen peroxide improved gum inflammation over that of a control group. The study included 45 people with chronic gum inflammation.

In the study, chlorhexidine showed even better results than hydrogen peroxide, however it can cause tooth stains and people are more likely to have hydrogen peroxide on hand already or be able to easily buy it from a pharmacy.

Some people also suggest applying garlic as a natural antibiotic, but you need to be careful. Aside from the potential of accidentally chewing it and lodging tiny pieces in the cracks of the enamel, fresh garlic and its juice has the potential to burn your skinTrusted Source.

To prevent nerve damage, don’t chew or talk too vigorously, and see a dentist right away to fix the problem.

What a doctor can do

Only a dentist can actually fix a broken tooth. It’s urgent that you call a doctor or dentist right away if your broken tooth is accompanied by a fever or if you have signs of infection (redness, swelling, discoloration, or skin warm to the touch).

A dentist will also be able to assess damage and look for signs of infection. The type of treatment you need depends on the kind of crack you have.

5 things to know about a broken tooth

  1. A minor crack on the tooth’s surface usually doesn’t need repair.
  2. A chip broken off your tooth may just need polishing to soften the edge.
  3. A tooth cracked all the way to its core will need to be filled. If the crack hurt nerve tissue, you may also need a root canal.
  4. Very broken teeth may bleed and require surgical treatment to save the tooth and its root. Sometimes the break starts on the cusp (chewing surface) of the tooth and sometimes it starts down in the root (under the gums).
  5. If your tooth was broken by decay (build-up of plaque that causes cavities), your dentist will decide if the tooth needs to be removed.

If you break a tooth, call your dentist right away.

If the accident occurs after office hours, still call your dentist as they may have an answering service. If it’s after hours and you’re in a lot of pain, you can go to an emergency room or urgent care.

There are different kinds of breaks in teeth. It’s most important you see a dentist to treat the problem and prevent complications, no matter the cause.

But there are ways to manage the pain at home until you can get help such as ice for swelling, avoiding hard foods, and over-the-counter medication.

kola nut stains: Why dentist loves it.

kola nut and the dentist

kola nut stains: So, we all have heard about so many extrinsic stains on the teeth and their causes, but let’s bring to your notice about a particular stain that is caused a very popular nut, called kola nut. This sort of stain mimics same stain as tobacco chewers and smokers.
Kola nut is the seed kernel of a large African tree grown commercially around the world, particularly in Nigeria , Sri Lanka, Indonesia, Brazil and other parts of South America. It’s a powerful stimulant because of its high caffeine content.
Kola nut is considered a sacred nut especially in the south Eastern part of Nigeria, amongst the Igbo tribe.
The saying goes, “he who bring kola nut, brings life”. I say, “he who brings kola nut brings dental stains and unnecessary neurological stimulation. As part of tradition in South Eastern part of Nigeria, a prayer must be said before kola nut is served.
Even if you don’t have a beer, food or any sort of drink to offer your visitor, by bringing kola nut, you have performed better than anyone who serves a bottle of the costliest champagne.

kola nut stain

The kola nut has a high caffeine content as well as a number of other phyto-chemical compounds including betaine (a natural red pigment), kola red, phenolics, tannins, theobromine and theophylline. Its bitter astringent flavor is used as digestive aid prior to meals to stimulate gastric juice and bile production; while its caffeine and theobromine content make it a potent neuro-stimulant that is used to combat fatigue.

kola nut stain

The nut and its extracts have been also successfully used in treating respiratory conditions such as asthma and whooping cough as its caffeine, theobromine and theophylline content act as vasodilators that dilate the blood vessels, allowing for greater circulation of oxygen.
Other medicinal uses include the treatment of toothache, diarrhea, exhaustion, headaches, hunger (the caffeine content means it is an effective appetite suppressant), malaria, nausea, poison antidote, sedative, stimulant and tonic.
Amongst all these medicinal importance of kola nut, it cause one to spend heavy on routine scaling and polishing. The stains are fashioned in such a away that they cover almost the lingual and palatal surfaces of the anterior teeth, they also extends to the palatal and buccal surfaces of the posterior teeth. These stains are primarily caused by the high caffeine content of the nut.
READ ALSO: Medicinal attributes of kola nut by renowned professor Maurice Iwu.
It’s is surprising to discover after many years of practice in dentistry that people who are addicts to kola nuts with heavily stained teeth do not bleed on scaling and polishing. More so, they have been noted to have lesser occurrence of dental caries/tooth decay.
Dentist and dental hygienists find this form of stain very hectic and difficult to clean. An average of 1 hour 30 minutes is dedicated to removing all stains as against the conventional 45 minutes for routine scaling and polishing.
These stains are commonly found amongst elderly people especially from 50 years and above.
If found in younger ones, then it’s considered as a result of addictions to the caffeine content of the sacred nut. Similar stains that can look like kola nut stain on the teeth are :
Coffee stains Bitter kola stain Coca-Cola stains Tobacco stains
Don’t be surprised to be heavily billed by your dentist when he sees the amount of stains that needs removing and time involved.
My advice, save your self the stress of long chair time with the dentist and save yourself your cash.
It’s a breakable habit. He who brings kola nut, brings more money to the dentist.

Importance of mouth cleaning by a dentist.

scaling and polishing

You might be among the many people who tend to ignore the importance of professional scaling and polishing, this is due to your high level of poor dental awareness. In Oaklands Dental Clinic, for example, we have seen several cases of people losing their teeth due to oral negligence.

It is the responsibility of your dentist to teach you how to maintain clean oral hygiene.

Do you know that there are over 300 species of bacteria causing this heavy build-up of calculus and possible mouth odor? Streptococcus mutans is the main cause of dental decay. Various lactobacilli are also associated with the progression of the decay.
These bacteria can cause the following in sequence

Lack of professional mouth cleaning could cause:

1. Exposure of the root of your teeth: These bacteria eat up the surrounding gums and even the bone that supports the teeth leading to massive exposure of the root of the teeth which of course has no covering. This in turn causes your tooth to look longer than expected. Your tooth will become ugly looking, bent, and in most cases shaking.

2. Causes shocking sensation aka tooth sensitivity: When these bacteria start their action on food particles lying on every tooth surface, they cause the tooth to start demineralizing and hence tiny decay starts to occur, firstly on the enamel, then on the dentine leading to sensitivity.

3. Cause the teeth to start shaking (mobility): As the disease progresses, the root is exposed and finally when two-third of the toot supporting structures are gone, the tooth starts shaking, this is called tooth mobility

4. Bleeding gums, even while brushing: On slight provocation by food or brushing, even by your mere touch, your gums begin to bleed. This is because the bacteria in your mouth irritate the soft tissues in your mouth and hence, force the blood cells to produces chemicals to combat or fight these bacteria by the release of these toxins towards the bacteria.

It is not the end; the blood vessels become dilated and engorged with so much of such soldier blood cells. All these lead to inflammation of your gum of which one of the cardinal signs is redness. Redness in your gum tissues can cause bleeding since your mouth is the most vascularized (adequately supplied with blood) part of your body.

5. Severe mouth odor(Halitosis): When all these are happening: tooth decay, gum inflammation, presence of accumulated calculus, and the bacteria themselves, the patient eventually comes down with mouth odor.

6. Tooth decay: These heavy loads of foods and bacteria gives a niche for tooth decay without the patient noticing a cavity. Most of these cavities are seen when your dentist commence professional cleaning removal of the calculus.

7. Lack of confidence to smile in public: When your teeth look like the picture below, trust me, the last thing you would want to do in public is to smile. It is really quite embarrassing.

Heavy calculus load that needs scaling and polishing

8. Severe gum pains and itching: Refer to number 4 above.


Professional Scaling and polishing are done by dental professionals every six months.