Teeth cleaning is not only for beauty, prevention is more important. “The medical term for “scaling” is “cleaning”, which means removing bacteria and tartar such as tartar and pigment from the surface of the teeth, and “treatment” is to describe its role in the treatment of periodontal disease. The term “cure” refers to the removal of bacteria and tartar such as tartar and coloring from the surface of the teeth. Scaling can reduce the symptoms of gingivitis and periodontitis, but it cannot cure them. To be treated thoroughly, it should also be treated in a specialized hospital after scaling. But it is worth noting that scaling is good for oral health, but scaling is not suitable for everyone, especially certain people suffering from systemic diseases! What is dental scaling all about? As we know, periodontal disease is one of the two most common diseases of the oral cavity, which directly leads to the premature loss of teeth and affects a person’s chewing function. Poor oral hygiene and excessive plaque and tartar are the main causes of periodontal disease. Therefore, the use of ultrasonic cleaning, manual cleaning and other methods to clean plaque, tartar in a timely manner, which is often referred to as “scaling”, is the main method of preventing periodontal disease. “Scaling” refers to the use of cleaning instruments to remove tartar, plaque and stains on the teeth, and polish the surface of the teeth to delay plaque and tartar redeposition. Scaling instruments are divided into two categories: ultrasonic scalers and hand scalers. Ultrasonic scalers are highly effective tartar removers that save time and effort, but are not suitable for patients with pacemakers and infectious diseases such as hepatitis and tuberculosis. However, it should be remembered that “cleaning” alone can not prevent periodontal disease, but also to establish proper oral hygiene habits, adhere to morning and evening brushing, rinsing after meals, every once in a while to receive a professional cleaning, so that there can be a healthy periodontal environment, thereby effectively preventing the occurrence of periodontal disease. Two misunderstandings about scalingTo prevent periodontal disease, removing tartar is the most basic. But many people believe the wrong information and avoid scaling. First. Some people may think that scaling chips away at the teeth and creates gaps in the teeth. But scaling removes tartar from the surface of the teeth, not the teeth. Of course removing the tartar exposes the space where it used to be, so it feels like there is a gap between the teeth. But this is limited to people with a lot of tartar. People who have had their teeth cleaned for a long period of time see essentially no change after treatment. Secondly, some people think that you have to clean your teeth once every 6 months and once you start, you can’t stop, so you simply don’t clean your teeth. However, even though you brush your teeth every day, tartar will continue to be produced, and it is advisable to have your teeth cleaned regularly to prevent cavities and periodontal disease. Can tea and tobacco stains be removed? Some people see yellowish-brown or dark brown coloring on the surface of their teeth, which is unsightly. What’s going on here? It turns out that this is related to food, tobacco, chemicals and color-sourced bacteria. Tea, coffee and some colorful beverages in daily life can stain the surface of the teeth. If you smoke for a long time, you can also deposit a lot of plaque on the surface of the teeth, making the teeth yellowish brown or dark brown. These tooth surface coloring, mainly affect the aesthetic, although the pigmentation itself is not very irritating to the gums, but it is often deposited on top of plaque and tartar. When pigmentation is extensive and thick, it often provides a rough surface for plaque to accumulate, which in turn stimulates inflammation of the gum tissue. In addition, due to incomplete brushing and failure to remove plaque, some bacteria can also produce some pigmentation on the surface of the teeth. Therefore, it is important to maintain good oral hygiene habits in daily life, which will help prevent and reduce tooth surface coloration. But how to remove tea stains, tobacco stains and other pigments that have already formed? For good oral hygiene, only a small amount of thin pigment, you can directly use a rubber cup dipped in abrasive polishing agent on the surface of the teeth, you can remove the pigment deposited on the surface of the teeth. If there is not only pigmentation, but also tartar and plaque on the surface of the crown, then a supragingival curettage (scaling) should be performed, and after the curettage the surface of the tooth should be routinely buffed to smooth the surface of the tooth and reduce the redeposition of plaque, pigmentation and tartar. For extensive and thick tobacco stains, a sandblaster should be applied to completely remove the tooth surface pigmentation after the ultrasonic scaler removes the tartar. Sandblasting is a clinically proven method of removing surface coloration. It is through a work handle mounted on the sandblasting machine, the polishing sand will be sprayed to the surface of the teeth at high speed, to effectively remove the surface of the tea stains, tobacco stains and other pigmentation deposits, the role of white teeth. The main components of polishing sand are fine quartz and sodium bicarbonate. It is worth mentioning that while the quartz sand is sprayed to the surface of the teeth at high speed, it will also cause small scratches on the surface of the teeth, so after the sandblasting treatment, it is also necessary to polish the surface of the teeth with an eraser cup to minimize the scratches. Smooth the tooth surface. In addition, sandblasting treatment should pay attention to protect the soft tissues of the gums to avoid damage. Why teeth should be cleaned regularly during orthodontic treatment! Experts recommend that periodontally healthy people should have their teeth cleaned at intervals of six months to a year. This is because even if you brush your teeth carefully every day, there are still some plaque, soft scale or food residues left on the surface of the teeth, in the gap or gum margin and gingival sulcus, and over time, these substances are calcified to form hard tartar, which causes inflammation of the gums. During orthodontic treatment, the wearing of fixed orthodontic appliances greatly increases the area of plaque attachment and also increases the difficulty of removing plaque. Plaque, soft tartar and tartar can easily accumulate on the tooth surface, making brushing relatively difficult and prone to gingival inflammation, which manifests itself as red, swollen, bleeding and hyperplasia of the gums, which in turn hinders the smooth progress of orthodontics. Therefore, regular scaling is more important during orthodontics. What is the danger of dental calculus? Before introducing dental calculus, it is important to first understand plaque. Plaque is a sticky bacterial plaque on the surface of the teeth, in which the bacteria and their products are the main cause of periodontal disease. It is an indispensable initiator of periodontal disease. A large number of experiments have proved this point of view, for example, aseptic animal experiments have proved that only foreign body stimuli such as tartar or wire ligatures. In the absence of bacteria, gingivitis is not induced, and if fed with food spiked with bacteria, periodontal inflammation can be caused in experimental animals. Epidemiologic investigations have found that the distribution, prevalence and severity of periodontal disease are positively correlated with the oral hygiene and plaque accumulation of the population. The prevalence of periodontal disease is significantly higher in those with poor oral hygiene and high plaque accumulation than in those with good oral hygiene. It can be seen that plaque is the most important cause of periodontal disease, without plaque there is no periodontal disease. Calculus is calcified or being calcified plaque and soft scale deposited on the tooth surface: it is not easy to be removed because of the gradual deposition of calcium salts in saliva or gingival sulcus fluid. Tartar is closely related to periodontal disease; the amount of tartar is positively correlated with periodontal inflammation, but plaque is more closely related to tartar. The pathogenic role of tartar is mainly due to the tartar surface can be attached to a large number of plaque and bacterial toxins, resulting in gingival inflammation, in addition to the tartar itself is hard and rough, mechanical stimulation of the gingiva, at the same time, tartar impedes the implementation of oral hygiene measures, is caused by gingival bleeding, deepening of the periodontal pockets, alveolar bone resorption and the development of periodontal disease is an important factor. Therefore. Treatment of periodontal disease should first remove tartar. Will there be stones on the teeth? We often hear about “gallstones” and “kidney stones”, but there are also stones on the surface of the teeth. Plaque, tartar, and food debris can build up on the surface of the teeth when some parts of the teeth are not cleaned. These substances stay on the tooth surface for a long time, oral saliva in the calcium salt and other inorganic salts will be slowly deposited, so that the plaque, soft tartar from soft to hard, and gradually mineralized, become hard yellow-white tartar, tightly pasted on the surface of the teeth, look like some of the scale in the kettle. The surface of tartar is rough. It is easy to adsorb plaque and plaque produced by a large number of bacterial toxins, resulting in bleeding and inflammation of the gums. At the same time, the rough surface of tartar has mechanical stimulation of the gums, which can aggravate the inflammation of the gums. Tartar formation site and speed is closely related to oral hygiene. Tartar forms faster in areas with poor oral hygiene. Sometimes, tartar will be deposited along the tooth surface down to the gums, root surface, more difficult to clean, resulting in severe inflammation of the gums. Therefore, good oral hygiene habits are the most important and effective means of preventing tartar formation and gum disease. Once tartar is formed, it is tightly bonded to the tooth surface and cannot be removed by brushing, etc. It needs to be scaled in the hospital (also known as scaling). What kind of people should have their teeth cleaned? Scaling means going to the dental department of a dental specialty hospital or general hospital and having your teeth scaled by a professional dentist. It is medically recommended that the following situations should go to a regular hospital for ultrasonic cleaning: (1) Periodontal health of the population, should be every six months to one year to go to a regular hospital for ultrasonic cleaning, in order to prevent the occurrence of periodontal disease. (2) When periodontal disease occurs, such as bleeding from brushing and swelling of the dental bed, you should go to a regular hospital for treatment. Doctors will perform scaling and other treatments according to the different conditions of each patient. After the treatment of periodontal disease patients, in order to ensure the effectiveness of treatment and prevent the recurrence of the disease, should be regularly rechecked for periodontal maintenance treatment, which includes dental cleaning. (3) Women who are planning to have a baby should go to a dental hospital or a general hospital’s stomatology department before pregnancy to have their mouths examined, and then decide whether they need to have their teeth cleaned according to the examination. To ensure oral periodontal health during pregnancy. (4) Before and during orthodontic treatment, the periodontist should check the periodontal condition and decide whether it is necessary to clean the teeth. (5) missing teeth need dentures, before the restoration work begins, it is necessary to go to the oral periodontology to check the periodontal situation, to decide whether you need to do scaling and other periodontal treatment to ensure the normal use of dentures, but also to maintain the periodontal health is an essential measure. (6) diabetic patients due to the lowering of systemic resistance, often bleeding gums, swollen gums, loose teeth and other symptoms, so should also go to the hospital to do an oral examination, scaling and other periodontal treatment. Teenagers should pay attention to the habit of brushing teeth Unknown Many people have the habit of drinking tea, its herbal tea, fruit tea and is regarded as a good health care, but do not forget to protect your teeth while drinking tea. The surface of each tooth is covered with a layer of enamel (enamel), enamel is a very hard substance, its hardness is second only to diamond, is the hardest tissue in the human body, in the whole of nature’s material hardness in the total ranking of the second. Enamel can be afraid of acid, enamel is worn acid erosion, dentin exposure, the larger the exposed area, the more pronounced the pain. Enamel all wear and tear can occur endodontic disease. Some beverages including orange juice and tea are the “natural enemy” of tooth enamel. Tea contains tea polyphenols, tea polysaccharides, tea pigments, tea saponins, caffeine and the medicinal value is very high, but the researchers after the acidity of the herbal tea test found that many kinds of herbal tea is acidic enough to erode enamel, and its degree of damage to the teeth and even orange juice 3 times. Therefore, the researchers recommend that patients whose teeth have been eroded drink less or preferably no herbal and fruit teas. In terms of oral health care, in order to have healthy and beautiful teeth, it is necessary to pay attention to dietary habits and try to eat a reasonable diet. Less snacks, especially to eat less sweets, because sugar can be converted into acid; recipes to enhance the consumption of carrots, carrots, carrots, apples; as far as possible to replace tea with dairy products to enhance the calcium; tea is best in moderation, to change the habit of slow sipping, rinse your mouth after drinking tea. Brush your teeth immediately after breakfast, lunch, dinner and snacks. At present, more and more people realize the importance of “cleaning” to dental health, but in the clinic, many people will ask the doctor whether there will be “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage”, “dental damage” and “dental damage”. However, in the clinic, many people will ask the doctor whether there will be problems such as “tooth damage”, “tooth sensitivity”, “bleeding gums” and “wider gaps between teeth” after scaling. In fact, the ultrasonic scaling head itself does not have any cutting function, it is relying on the high-frequency vibration of ultrasonic waves to break the tartar, and the doctor has to keep moving the working head, there is no pressure, but only gently touch the tartar, which will not damage the teeth. However, if the operation is not appropriate, such as pressure or stay on the tooth surface for too long, it will leave small scratches on the surface of the tooth, generally visible under the microscope subtle roughness, such scratches can be made up by polishing. Some people will feel tooth soreness during scaling, which is mainly caused by root exposure, which is a typical manifestation of periodontal disease. Tooth roots are sensitive to cold, hot, sour and sweet stimuli. Therefore, the more severe the periodontal inflammation, the more obvious the root exposure may be, and the more pronounced the soreness will be during the treatment. Tooth sensitivity after scaling: Temporarily eat less cold and hot food In addition, some patients also experience tooth sensitivity after scaling, which is mainly due to the fact that before scaling, the exposed tooth roots are encircled by tartar, which isolates them from hot and cold stimuli. In order to reduce the pain, you can avoid contact with too cold, too hot food for a short period of time after the cleaning, so that the teeth have an adaptation process, the symptoms will be relieved. Bleeding when cleaning: due to plaque tartar stimulation Many people in the cleaning process will have bleeding, this is because plaque tartar and other stimulation of the gums inflammation, the more serious the inflammation, the more obvious bleeding gums. If you normally bleed when you brush your teeth, it means that the gum inflammation is no longer mild. Only completely healthy gums will not bleed when cleaning. Therefore, if you insist on brushing your teeth carefully after scaling to remove plaque and other irritants, you can reduce bleeding gums. After cleaning the gap between the teeth after the problem also makes a lot of people suffer, in fact, this is over the years poor oral hygiene habits “payback”. Teeth original normal gap is filled by the gum papilla, but due to the long-term accumulation of tartar, resulting in gum recession, the root exposed, the gap is gradually covered by tartar, after the removal of the gap will appear to be very large. Once the teeth have gaps, cleaning is more difficult, but also more important, otherwise it is easy to attach plaque tartar and stimulate the gaps to become further enlarged. The steps of scaling: ① Let the patient rinse with 3% hydrogen peroxide solution for 1 minute, and then rinse with water, the operator steps on the switch to check whether the handpiece is spraying water and whether the working head is vibrating to make the water spray in mist. ② Gently touch the working head of the handpiece to the tartar, with the front side edge of the working head against the tooth surface at an angle of about 15° to the tooth surface, and use the ultrasonic vibration of the tip of the working head to remove the tartar, without applying too much pressure. It is important to keep moving the working head without stopping at a certain point. The working head should not be placed vertically on the tooth surface. ③ Ask the patient to rinse the mouth to remove the tartar. ④ Remove tartar from the whole mouth in a certain order to avoid omission. ⑤ The working end and handpiece should be sterilized after the instrument is used. ⑥ Remaining tartar is removed with a manual scaler. Precautions for ultrasonic scaling: ① It is contraindicated for patients with pacemakers. For hepatitis, tuberculosis and other infectious diseases should not be used, so as not to contaminate the air with pathogenic bacteria with the spray. ② cleaning before letting the patient with a weak antibacterial solution such as hydrogen peroxide rinse, and in the cleaning area coated with 1% tincture of iodine. ③ scaling machine handpiece and work head strictly disinfected to avoid cross-infection, with 2% tincture of iodine to scrub the head of the scaling machine twice, natural drying or 1 minute, with 75% alcohol deiodination, can also be used to scrub the head of the scaling machine 2 minutes 2% glutaraldehyde cotton balls. [Scaling precautions] 1, scaling should be asked before the systemic condition, such as cardiovascular disease, diabetes, etc.. If the condition is stable, oral antibiotics should be taken before and after the scaling operation for 3 d. Those who are suspected of having blood system diseases should check the blood routine, platelet count and coagulation time. 2, with active infectious diseases, such as hepatitis B surface antigen positive, tuberculosis patients should not use ultrasonic dental machine cleaning (available hand instruments). Patients with electronic devices in the body, such as pacemakers, etc., should not use ultrasonic dental cleaning. 3.Part of the patients may have cold discomfort and root exposure after scaling, which should be explained to the patients, and dentin desensitizer can be used if necessary. 4. If bleeding is found during the cleaning process, the cleaning should be suspended immediately, and the cause should be sought and treated symptomatically. 5, sandblasting and polishing shall not be used as routine treatment, mainly used for thick pigment accumulation. Sandblasting is prohibited for those who have erosion, ulceration and other lesions of the oral mucosa. 6, prohibit the use of ordinary ultrasonic working head to deal with the implant surface. What is the principle of ultrasonic scaling? The principle of ultrasonic scaling (sandblasting) is to use special sandblasting powder (with sodium bicarbonate powder as the main ingredient), through the sandblasting handpiece head to the tooth surface to remove plaque and pigmentation. This method is especially suitable for cleaning plaque and pigmented spots in the intervals that are not easily reached by the ultrasonic scaler, and the cleaning efficiency of the tooth surface pigmentation is much higher than that of the ultrasonic scaler. Ultrasonic scaling principle of the most important function is to polish the surface of the teeth: at the end of ultrasonic scaling or manual scaling, the patient’s tongue will generally feel the surface of the teeth rough and uneven; sandblasting scaling surface rough and uneven feeling is gone. Sandblasting not only polishes the outside of the teeth, but also the surfaces between the teeth. The polished surface of the teeth is less likely to have plaque and coloring attached. The principle of ultrasonic scaling adopts the scientific method of scaling and brushing the teeth Food debris is mainly deposited in the crevices of the teeth, and when you brush the teeth horizontally, the bristles can’t get into the crevices of the teeth, so how can you remove the food debris in the crevices of the teeth? The correct method of brushing teeth should be along the teeth vertical brush method, this brush method can be bristles into the teeth, so the effect of clear teeth. Specific brush method is roughly: the toothbrush will be placed on the junction of the teeth and the dental bed, so that the bristles and teeth at an angle of 45 degrees, and then rotate the brush head, brush along the gap between the teeth, brush the upper teeth from the top downward brush, brush the teeth, from the bottom upward brush. Let’s take a look at the dangers of tartar Dental calculus may cause heart disease: brushing twice a day, morning and evening, rinsing after meals, so the teeth must be clean? Dr. Lee’s answer is no, she said, although brushing every day, but due to brushing methods and other issues, many people even after brushing the teeth still can not do a thorough cleaning of the teeth. Due to the teeth are not thoroughly cleaned, easy to cause dental calculus. The average person will be more or less some dental calculus, and the tongue side of the lower teeth, is the most likely to form dental calculus. Once the calculus is formed, it is more difficult to clean. Not only does calculus cause damage to the gums and alveolar bone, but the bacterial bacterial protein in plaque can cause venous blood clotting if it enters the capillaries of inflamed gums and periodontal tissues, which can even trigger heart disease in slightly older people. It is best to have your teeth cleaned once every six months: if brushing and rinsing do not give your teeth a thorough cleaning, you will have to go to the dentist for help. Currently, scaling is a very effective way to thoroughly clean your teeth and is a routine treatment. In the West, scaling is a very common thing, is “another way of brushing”, through regular cleaning, not only can completely remove calculus, plaque and their inability to clean to the part, such as deep oral crevices, so that the periodontal tissues to maintain the health of the teeth, while scaling is also an effective means of treatment of bleeding gums. It is easy to find small imperceptible dental diseases, such as more hidden caries, so as to achieve the purpose of early detection and early treatment. At present, there are two kinds of formal scaling, one is the ordinary ultrasonic scaling, using ultrasonic vibration to smash the plaque, calculus, pigment on the surface of the teeth, and at the same time with atomized water flow to rinse away the debris, so the general scaling will not cause damage to the teeth; another kind of sandblasting scaling is for the surface of the teeth pigment is more and those who often smoke, using high-pressure sandblasting to thoroughly clean the teeth. The interval cycle of scaling should not be too short or too long, too frequent damage to the teeth. Easily born calculus or tobacco stains, tea stains in the mouth of the general 3 to 6 months for a dental scaling, the best half a year for regular people scaling. Some people dental scaling to beware: thorough cleaning of the teeth is a good thing, however, the teeth are not everyone can wash, some people, it is best to be careful scaling, for example, mouth ulcers and gingival inflammation of people, is not acceptable sandblasting scaling. In addition, suffering from a variety of bleeding disorders, such as thrombocytopenia patients, leukemia patients, must carefully choose the time of scaling, can be taken in advance to promote coagulation drugs, control the rate of coagulation, so as to avoid bleeding more than scaling; in acute hepatitis, tuberculosis and other acute infectious diseases in the active period of the patient, should wait until the control of acute infectious diseases and then scaling to avoid the condition of the disease infected other people; oral cavity, localized inflammation of the hard and soft tissues In the acute stage of the patient, should also wait until after the acute stage and then scaling; pregnant women (especially pre-pregnancy) is best not to scaling. After scaling, there may be oral pain, toothache and other symptoms, which is mainly due to the exposure of tooth roots. Therefore, after scaling, in the short term should avoid contact with too cold, too hot food, insist on brushing and flossing after each meal to clean the teeth, available every few hours to rinse with warm salt water, so that the teeth have an adaptation process, the symptoms will be alleviated. Teeth cleaning three major misunderstandings: 1, eating gum can clean teeth. In fact, chewing gum can only temporarily change the mouth breath, its cleaning effect is actually not big, chewing gum does not solve plaque. Therefore, cleaning teeth should still be based on brushing. 2, as long as the teeth are brushed, the teeth are clean. Brushing can naturally make the teeth become cleaner, but many places in the mouth are not reached by brushing, in addition, some people brush their teeth in a less scientific way, which is very likely to form dental calculus. Check whether the teeth brush a simple and effective method, before brushing the teeth with the tongue should be rough and uneven, and after brushing the teeth and then lick the teeth with the tongue, it should be smooth. 3, the stickers can replace the cold light whitening. Dental stickers can make teeth whiter, but because the stickers simply use drugs, their whitening effect is not outstanding. If you want to make the teeth whitening effect more prominent, it is best to go to the regular hospital to receive cold light whitening.