Hypersensitivity and cold

When temperatures fall, the days are shorter and our habits change, the meals are stronger, the stews are spoon-like, we eat hotter, and the snacks are sweeter and chocolate is plentiful, especially in children’s snacks.

Some people experience tooth pain simply by sucking in ambient air through their mouth, others by drinking (cold or hot) and some by drinking certain foods.

Hypersensitivity attacks any person; however, teeth whose gums are retracted (gingival recessions) are more vulnerable and teeth or teeth with large fillings or reconstructions are also prone to present greater discomfort.

Is there any way to avoid it?

The best is undoubtedly preventive, it is important not to have cavities, brush your teeth well three or four times a day, use dental floss and ultimately, take care of the integrity of the dental tissues and support them from an early age.

Visiting the dentist twice a year and applying fluoride in the growing age are good practices.

Avoid drinking drinks, broths or soups too hot; cold drinks also subject the teeth to thermal changes not very favorable, acids such as lemon, vinegar, tangerines, oranges, etc. They may be responsible for making your situation worse.

To brush your teeth with lukewarm water and to use a dentifrice rich in fluorine, potassium nitrate, potassium citrate or strontium chloride among other elements can be very useful, in the pharmacy you will find one that will help you to alleviate the discomfort.

In more serious cases, your dentist can put more durable varnishes or coatings that are sometimes necessary if the discomfort persists.

Orthodontics and oral hygiene, is your responsibility…

We all know that oral hygiene throughout life is a constant duty, teeth and gums will suffer deterioration naturally by the simple fact that the time passes as we are serving years and therefore using our chewing device several times a day if at any time you are a carrier of orthodontic appliances, the care must be greater, the orthodontic appliances are not causing cavities, however if the patient does not learn to remove the bacterial plaque that adheres to the brackets and the arches , with total security, that patient will have decalcifications, cavities and / or gingivitis.

There are times in which carries activity is greater, for example in childhood and adolescence, the youngest are big consumers of sweets, candies, chocolate cookies, industrial pastries and cereals with high sugar content, as well as ice creams and cakes .

At early ages, when parents should insist on good oral care, it is not enough to send the child to brush after eating, children teach by example, when they are young you have to use the fact of brushing your teeth as a more reason for family play.

Taking a weekly check of the oral hygiene of our children is a good method to calibrate the quality and frequency of brushing, in some children it will be necessary to establish a program of incentivized points, so that it receives a small prize every 7/10 days, provided that I have done well.

Using the plaque revealing tablet once a week for two months is a good way to get your brushing technique better and be able to understand the areas of your teeth and gums that are harder to keep clean.

Remember that the cause-effect relationship for good and bad, is very useful to teach our children all kinds of good habits, including taking care of their mouth.

Skeletal Class III, the eternal dilemma of treating it or not and with what devices.

Today we present the evolution of a skeletal class III case with mandibular deviation, slight asymmetry of it to the left. In the diagnosis we found that the deviation of the mandible could be functional due to maxillary compression and the patient is considered “bad grower” because his jaw has a body greater than normal for his age and sex (mandibular hyperplasia).

The protocol in unilateral cross bites is functional or not, is to proceed at an early age to correct the compression and if possible, the mandibular deviation, warning the parents that it can be a genetic deviation that, due to growth, can be presented again.

In cases of class III due to mandibular hyperplasia, it is also indicated to alter as little as possible the natural compensations that develop as the child grows. In many cases the case is more stable and both the deviation and excessive mandibular growth are more discreet if the position is respected that are naturally taking the teeth in jaws whose size is not compatible. A conservative treatment and respecting the biology is therefore sufficient in many cases to obtain a reasonably balanced result, it is indicated, once the maxillary compression has been corrected, to monitor the development of the dentition by means of annual visits to make control photographs and try to avoid occlusal interferences during tooth replacement.

In short, it is about monitoring bone growth and tooth replacement, trying not to alter them as much as possible. In many cases the inferior crowding is inevitable, it is important that the orthodontist or his parents do not fall into the temptation to correct it before the age of 21, since it is part of the natural compensations of class III, not to alter the compensatory occlusion is important so that the jaw stays as stable as possible.

It is advisable to review around 18 years if the wisdom teeth have space to erupt, if there is not enough space it is recommended that they be removed to avoid a bigger crowding, many professionals do not agree with this statement, in my experience, most of the patients without space who refuse to do so at the opportune moment, with the passage of time, crowding is inevitable.

In this case, the middle line remained centered at the end of the expansion and with the growth it deviated slightly again, its occlusion, even being class III molar, is acceptable and its facial aspect is very pleasant.

Class III patients with mandibular hyperplasia, who are kept under observation for so many years, can be treated once they are 21 years old and most of them are resolved with orthodontic treatment of camouflage, only a few become surgical. Orthopedics with chin rest is totally inadvisable.