Recommendations for after a tooth extraction

All surgery leads to a series of risks, and a dental extraction is not exempt from it. It is important to instruct the patient about the risks of an extraction, and what the care should be after the procedure.

Below we present the frequent errors that the patient commits after an extraction and that we must prevent this from happening by educating him.

Do not explain the medical history to the dentist. The first thing that the patient must do before undergoing a dental extraction, is to tell the dentist if he has any health problem or if he is under any medication.

If the patient is diabetic, it is very important to know, because the dentist must take certain precautions when performing the procedure to remove the piece; remember that you need to go through a healing process and if you have sugar problems, it could get complicated.

Similarly, if there are problems with the pressure, the patient should stabilize before undergoing surgery, if you take a medication that makes the blood lighter, you should suspend it several days before to avoid bleeding.

Bacteria must be controlled in advance. It is recommended to perform a deep dental cleaning in order to eradicate as many of the possible bacteria that inhabit the patient’s mouth, which could trigger various infections, including bacterial endocarditis.

Check the nerves of the patient. It is true that many people experience tremendous panic every time they sit in front of the dentist. It is best to recommend that the patient sleep well one day before the operation and follow our recommendations to the letter. If the patient appears too tense, he may experience dizziness, hyperventilation, tachycardia and even some fainting due to excessive lowering of glucose levels.

Suspend alcohol and cigarette After the process of extraction is over, there are those who believe that after a couple of days, they can return to their normal routine, when certain restrictions still have to be followed in what we eat and drink.

You must explain to the patient that it is forbidden to drink alcohol, as well as smoking, during the first three weeks after surgery. In general, several medications will be prescribed for pain and healing, which are eliminated by the liver and if alcoholic beverages are ingested.

Regarding the cigar, the smoke contains certain toxic substances that could cause irritations and interfere in the healing of the wound. So it is recommended to avoid lighting a cigarette at least in the first 48 hours.

Control the bleeding. At the end of the extraction, a gauze is usually placed over the wound so that the patient maintains the pressure for at least half an hour.

Some people consider that 30 minutes is too long and do not follow the instructions to the letter: perhaps notice that little blood springs, but the situation can be reversed in a few minutes and present a hemorrhage if the patient does not comply with our instructions.

Care with food. After the extraction, the patient should follow some dietary recommendations. The best thing will be that during a few days it takes a soft diet, based on soups and warm broths, as well as yogurt and juices; Drink plenty of water in the first 24 hours after the operation and avoid using cigarettes, as they could hurt and cause bleeding.

The hygiene to follow. Recommends the patient not to rinse or brush during the first 12 hours after extraction. After this time, make swish with warm water and salt every two or three hours, in order to avoid the proliferation of bacteria.

Recommends brushing your teeth gently and avoid touching the affected part of the gum; a couple of days later, brush the place where the extraction was made and its surroundings, with the intention of not allowing plaque to form and bad breath.

Driving. There are people who do not foresee that the dental extraction turns out to be a small surgery, where it will be necessary to use anesthesia to be able to carry it out. The best thing is that he is patient, accompanied by a friend or family member, who will be able to return home safe and sound, without having the need to handle these inconveniences.

Human mesenchymal stem cells manage oxidative stress

The transplant of mesenchymal stem cells (MSCs) is a powerful source for the treatment of pathologies in which tissues of the organism are damaged due to oxidative stress, a process involved in many diseases, such as   atherosclerosis ,  myalgia encephalopathy ,  periodontitis , Alzheimer’s and aging due to the oxidation produced in the cells, and which contributes as one of those responsible for its deterioration and aging when it surpasses the limits established by the antioxidant mechanisms in an uncontrolled manner.

This produces a concentration of free radicals, a chemical species, defined and dangerous, characterized by its high reactivity and ability to form other free radicals by chemical chain reaction.

The objective of several studies is to assess whether MSCs can manage oxidative stress to the benefit of cells. To this end, the MSCs underwent different in vitro tests:

Exposure of MSCs to reactive oxygen and nitrogen species (hydrogen peroxide and S-Nitroso-N-acetylpenicillamine) separately and combining them whose concentration was gradually increased to determine the viability of the cells in a chemical stress environment.

Subsequently, the levels of reactive species within the MSCs were measured.

The expression of genes and the activity of superoxide dismutase, catalase and glutathione peroxidase were analyzed in these cells, important enzymes for being natural defenses against oxidative stress and excess of free radicals.

Finally, the cells were deprived of glutathione, an antioxidant that helps protect the cells of reactive oxygen species, to observe the integrity and viability of the cells.

The final results showed that the MSCs have a great capacity of resistance to oxidative stress, observing in them low levels of reactive species in the internal compartments of the cells. Likewise, a low expression of protective enzymes to oxidative stress was found due to the little damage caused in the MSCs, but high levels of glutathione were found, which indicates that the cells remained in good condition throughout the experiment.

However, those cells inhibited from the production of glutathione, lost their ability to protect themselves in the presence of reactive species. Thus, MSCs in vitro proved to be able to cope with the damaging effects produced by reactive species that are normally found in the environment.

It is questioned if this capacity can be maintained in vivo, that is, within an organism, since in this way the cells could contribute in regenerating tissues by successfully regulating stress agents after a transplant by limiting their action.

How whitening treatments and their products work

In general terms, teeth whitening should be discolored. The chemicals that use whitening treatments are strong enough to penetrate deeply into the enamel of the teeth (the strong layer that covers them) and trigger a chemical reaction that breaks down the compounds of blemishes. This reaction is called oxidation.

There are two chemical whitening agents that are commonly used in whitening products and professional treatments.

One of them is carbide peroxide, and the other is hydrogen peroxide.

Professional Whitening Dentistry

One of the advantages of obtaining your whitening in a dental office is that they will examine and clean your mouth properly before the whitening procedure, increasing the quality of the result.

Health professionals generally use carbide or hydrogen peroxide. Some dentists can supplement with intense light to accelerate the chemical reaction of whitening, although the actual effectiveness of this type of light has been much questioned.

The procedure typically involves a dentist who applies the peroxide gel, removes it and reapplies several times. Professional whitening treatments can achieve changes in your teeth from four to six shades.

Another benefit of treatment in the office is that during the whitening your gums and the rest of the mouth are protected. While these whitening procedures may be the most expensive, their effects are also the most lasting.

Dental whitening at home led by dentists

Whitening products to apply at home also use gels, and up to 20% contain carbide peroxide, as well as other ingredients, including flavoring agents, water and glycerin.

Your dentist will take impressions from your mouth and make custom plates to use during treatment. It will give you a gel to apply to your teeth through the plates with clear instructions with defined time intervals and for a period of one to two weeks.

Home whitening at home

Before making decisions to start a whitening procedure with products available in the supermarket or the drugstore, it is a good idea for your dentist to first check the condition of your mouth, to identify and treat any problem before applying the whitening product.

As mentioned, most of the bleaches for home use carbide peroxide or hydrogen peroxide, which is the same agent used by professionals in the office but with a different concentration.

The whitening products of mass consumption are chemical solutions that can come in the form of gel, rubbers, strips, mouthwash or in the form of toothpaste. OTC products (sold without medical formula) are a cheaper alternative to professional treatments and are more convenient.

Who should not have a whitening?

You should know that Whitening is not a solution for everyone. If you have problems with your gums, deteriorating tooth enamel or cavities, it is recommended to consult your dentist before applying any whitening product on your teeth.

Also, if you apply whitening products and you experience unwanted sensations in your teeth after using it, visit your dentist to evaluate your oral condition.

How to get children to lose their fear of the dentist

Being afraid of the dentist, unfortunately, is very common among children. It is due to the mixture between the fear of the unknown and the invasive treatments to which they occasionally end up exposed.

If when you arrive at the clinic you start to cry, hide behind us, make movements to make the dentists’ work more difficult or begin to feel ill just before going to the specialist, it is indicative that our son or daughter is afraid of the pediatric dentist.

How is the first visit to the children’s dentist?

In this first visit, the pediatric dentist will examine all the dental pieces, checking their hardness, their color and will examine if there is decay.

To prevent the fear of the infant dentist, the child must be accustomed to going to the consultation since the first teeth come out. Thanks to this, we will get you familiar with the consultation and the environment of this.

In addition to this, periodic reviews must be made in which the treatment of occlusal sealants will be applied. It is a non-invasive technique that prevents the appearance of decay in the teeth of children.

This type of treatment, accompanied by a routine of dental hygiene, will preserve your dental health intact, thus avoiding invasive treatments such as tooth extraction.

How to reduce the fear of child dentists?

Before taking them to the children’s dentist, we recommend that you accompany them from time to time to the dentist. In this way, they will become familiar with dental clinics, instruments and their environment.

When we see that we do not get scared or hurt, they will realize that the dental clinic is not a hostile environment and that we will prevent them from going to the scared pediatric dentist. In addition, we will transmit confidence and gain security.

Another point that we must take into account is not to make negative comments. That is, if you hear us make such comments, you will believe that dentists and everything related to dental health is harmful and a threat to them.

And finally, look for a pediatric dentist who is used to dealing with children, one that can help them in their stressful situations. If you follow all these tips, your son or daughter will go to the consultation in a carefree way and will not panic at the time of dental checkups or treatments.

Dismantling the myths of non-professional tooth whitening

Nowadays, dental aesthetics are fundamental for many people. Getting a totally healthy and white dentition has become a necessity. In this sense, the state and color of our teeth play a prominent role in our self-esteem and way of dealing with our personal relationships.

This constant intention to wear teeth of a perfect color causes that, in some occasions, people use home remedies that can damage their teeth, since they look for the easiest solutions that, generally, are also the cheapest.

On the one hand, the color of our teeth can be damaged by various foods and habits: tobacco and coffee are the most widespread. In this regard, there is a mistaken belief in assuming that certain foods whiten our teeth. This is not really the case: dairy products, for example, are the foods most commonly related to the hue of the dentition, but, the reality is that this type of product helps favorably teething in terms of strength, but not in relation to its coloration.

The same applies to the widespread myth of fruits (such as apples) and certain citrus fruits (such as lemon). These food products do not have a bleaching effect. In fact, excessive consumption of products with a high acid content can have a negative effect on our dentition, since they are a direct cause of dental hypersensitivity.

On the other hand, the whitening function that is associated with certain toothpastes that are sold with this claim in numerous supermarkets is also not true. This type of toothpaste gives only shine and cleanliness, just like any other toothpaste not labeled as such. Even, in certain cases, it is these toothpastes that have a high degree of abrasiveness that damages the dentition (a fact that is not usually indicated on their packaging).

In Cool dent we always insist on the importance of avoiding any type of whitening that is not professional and is not supervised by an expert in this method , since the enamel does not recover once damaged and it is probable that all these random techniques cause damage in the same, triggering an oral problem.