Dental🦷🦷


< DRAFT+ >

Part of 🔗medical ...

Revisions:
    ###
    20220129
    20220614 overview →D+
    20221130 ping (after cleaning my lower teeth w titanium toothpick...)


Table of Contents
1 ***
1.1 DIY/101— Basic Terms
1.2 [!!**] TREAT/DIY– Abscess
1.3 [s!!**←] INPUT— Move in from @@MEDICAL
1.4 [k→] LOG— D 2022/01 dental experience
1.5 101/MAINTAIN— Brush teeth properly
1.6 TREAT/PAIN— Apply COLD not HOT to toothache!
1.7 [!] TREAT/PRO— General med care: STAY AND PAY or MOVE
1.8 BAD— Dental infection → granuloma → brain infection complication
1.9 [!!**] TERMS— (similar terms confusion)
1.10 DIY/TREAT— Essential oils!
1.11 [s!!] ###— WHAT WE DID (with "root canal" infection) 
1.12 DENTIST/DANGER— Antipain injection: Y or N?
1.13 BAD/DIAGNOSTICS— Abscess: What are the types?
1.14 RND— Frenum & Frenectomy
1.15 BAD/ENDO— Root canal on upper #5 is tough :(
1.16 PRO/ENDO/DIAGNOSTICS– Endodontics
1.17 Endodontics: Canal classification
1.18 Delaying endodontics (is really bad)
1.19 Endodontics: cleanup→filling→crown
1.20 DIY/TREAT— Abscess
1.21 TREAT/PRO— Abscess drainage (incision)
1.22 [!!**>D] Dental heath → general full body health (ARTHRITIS!)
1.23 angina pectoris → phantom tooth pain!
1.24 [!!!*] Which toothpaste?
1.25 [!!**] Oil pulling (with coconut oil)
1.26 [!!**] Dental hygienist
1.27 [!!**] Product: Tantum Verde
1.28 POLEMICS— When to use antibiotics?
1.29 [r!!] Vitamins & oral health (lack → conditions/symptoms)
1.30 [!!] Fistula vs Abscess
1.31 Oroantral fistula
1.32 [!!!**$] Sensory feedback patient→dentist / different types of pain
1.33 Apicoectomy: saving a tooth?
1.34 Invisalign
1.35 DIAGNOSTIC— Percussion & palpation tests
1.36 101— Sharing toothbrushes (don't)
1.37 [r!!] MAINTAIN— Desinfect brushes
1.38 [!] DIAGNOSTICS— DIAGNOdent™ Pen
1.39 DIY– Dental vitality test
1.40 [!!**] DIY— Test filling seal
1.41 CONCEPTUAL— Iatrogenic trauma / Iatrogenesis
1.42 BAD– Bleeding gums
1.43 [!!!*] BAD/MEDICAL— Whole-body effect of dental inflammations
1.44 TREAT— Nonsurgical management of periapical lesions
1.45 DIY/TREAT— Alum/Galun
1.46 TOOLS— Dental Explorer
1.47 [!!**] BUY/TREAT— Calcium hydroxide & triple antibiotic paste (TAP)
1.48 BAD/WTF— Crepitus → gas gangrene?!
1.49 [!!*] DIAGNOSTICS— Chance to do analysis of bacteria?
1.50 FOOD— Fuck sugar
1.51 [!!] BUY/REGULAR— Tooth cleaning twigs
1.52 [!] TREAT/MAINTAIN/REGULAR— Dental sealants
1.53 [k→] BUY/MAINTAIN/TOOL— Water cleaner
1.54 [!!] BUY/MAINTAIN– Interdental toothbrush
1.55 [!!**] BUY/MAINTAIN/TREAT– Mouthwash
1.56 [!] DIAGNOSTICS– Laser cavity detection exam
1.57 [!!**] DIY— Self-cleaning plaque ?!



***

[!!**] TREAT/DIY– Abscess

https://slo-tech.com/forum/t407406
(SLO) drenaža
-----------

* žajbelj

* gengigel
"""
Gengigel v obliki gela. Glede na izkusnje raztopine zmanjka dosti hitreje kot gela. Mimogrede: Gengigel pomaga tudi pri zdravljenju oz. blazenju razjed ustne sluznice.
"""

* chlumsky

* krizantema



[s!!**←] INPUT— Move in from @@MEDICAL

###



[k→] LOG— D 2022/01 dental experience

XXX🔗d-dental



101/MAINTAIN— Brush teeth properly

https://www.youtube.com/watch?v=BapR9J86ZZw
* Do not rinse?!
* get a soft brush

https://www.youtube.com/watch?v=6mhRTDBNQ-M
* common mistakes:
    do no't brush radial!?
* do the 45*, don't scrub, just wiggle a bit
* start at the last tooth (back of it)
* don't forget 3rd time on the inside, concentrate on the gum


--------------------

"""
Če imaš zobni kamen, pomeni, da si ne znaš pravilno zob čistiti in tega bi te lahko naučil zobni higienik.
Treba je seči s ščetko pod zob in gor vleči, ne kar na sredi začeti. Pa poleg nitke uporabljati še medzobne ščetke, pa čopasto ščetko za težje dosegljive kotičke, večina zobozdravnikov se s takšnimi nasveti ne ukvarja. 
"""



TREAT/PAIN— Apply COLD not HOT to toothache!

https://www.silbermandentalgroup.com/blog/apply-heat-or-cold-to-toothache/

(!) BUT:
    If you're on antibioitics
    apply HOT to the spot, to support capillary delivery there.



[!] TREAT/PRO— General med care: STAY AND PAY or MOVE

always consider this...
i should've taken the 30€ bus and be done with it in Slovenia
not spend 500€ in Belgium !!!



BAD— Dental infection → granuloma → brain infection complication

https://jcda.ca/article/d9



[!!**] TERMS— (similar terms confusion)


* necrotic tooth


* granuloma == periapical inflamation == periapical paradontittis
(SLO)
"""Strokovno se bolezen imenuje kronično periapikalno vnetje oz. periapikalni parodontitis. Pogosto boste zasledili tudi zapis granolom ali ognojek na vršičku zobne korenine [...] V nekaterih primerih se iz granuloma razvija cista, ki je videti kot majhen balonček na dlesni ob prizadetem zobu. Iz ciste občasno priteče gnojna tekočina.
"""
https://en.wikipedia.org/wiki/Periapical_granuloma


* periapical lesions


* periapical cyst
https://www.sciencedirect.com/topics/medicine-and-dentistry/periapical-cyst
https://en.wikipedia.org/wiki/Periapical_cyst
"""
Commonly known as a dental cyst, the periapical cyst is the most common odontogenic cyst.  It may develop rapidly from a periapical granuloma, as a consequence of untreated chronic periapical periodontitis.[1]
"""


* abscess


* periodontal


* periodontic abscess


* ###



DIY/TREAT— Essential oils!

🔗essential-oils

SELECTED (2022/07)

* Drops of Ravintsara on a cotton swab (straight, no carrier oil!)

* TEA TREE
"""
For good oral hygiene, for canker sores, gum disease or tooth abscess:
        dilute 3 dr essentialoil in a teaspoon of honey, mix it in a glass of water and rinse the mouth.
"""



[s!!] ###— WHAT WE DID (with "root canal" infection) 
[!!] SPLIT

————————————————————

    * salt mouth washes
        """
  • Mix 1 teaspoon of salt in a cup of warm water
        Saltwater has a cleansing effect that battles bacterial infections. If a wisdom tooth has pericoronitis or another type of abscess, a saltwater rinse can help clean the infected area until the source is treated. 
        Dissolve a small amount of salt in warm water and swish for 30 seconds one to two times per day.
  • You can also mix equal amounts of salt and pepper with a few drops of water to form a paste. Apply this paste on the affected tooth and allow it to sit for a few minutes. Follow this remedy 2 or 3 times daily until the pain is gone.
        """


    * dental kit to clean the hole


    * Dentist filled hole with temporary filling (20220110)


    * drinking sage tea is suggested by D's dentist friend
        * """
        Sage is a natural pain reliever and very effective in providing instant relief from wisdom tooth pain. This herb has antibiotic and anti-inflammatory properties that can help cure toothaches as well as gingivitis, mouth sores and bleeding gums.
        * Mix 2 teaspoons of dried, crushed sage and 1 teaspoon of salt in a small glass.
        * Pour whisky or vodka in the glass.
        * Allow it to sit for 5 minutes.
        * Swish the mixture around your mouth for a few minutes, then spit it out.
        * Repeat with the remaining solution.
        """
            → https://indianapolisoralsurgery.com/best-home-remedies-to-get-rid-of-wisdom-tooth-pain/
        * "A tea made from two tablespoons of dried or fresh sage is said to provide relief with swishing. The bagged sage can also be placed on the cheek over the aching area."
            → https://www.rdhmag.com/career-profession/compensation/article/16409428/ancient-remedies-some-healing-secrets-for-dental-pain-have-withstood-the-test-of-time


    * Ibuprofen 600 for pain (is onlything that will help and is free to get without prescription)

More:
    * https://www.rdhmag.com/career-profession/compensation/article/16409428/ancient-remedies-some-healing-secrets-for-dental-pain-have-withstood-the-test-of-time




DENTIST/DANGER— Antipain injection: Y or N?

https://pubmed.ncbi.nlm.nih.gov/16884649/
(fear of nerve damage)


———————————— (moved to D, post-Gent procedure)



BAD/DIAGNOSTICS— Abscess: What are the types?

"""
There are two main types of oral abscesses– periapical, and periodontal abscesses.
  • Periapical abscess (tooth abscess). These abscesses occur within the tooth, and are usually caused by untreated dental cavities, an injured or broken tooth, and in some cases they are even caused by prior dental work.
  • Periodontal abscess (gum abscess). If food becomes trapped between the gum and tooth, bacteria can build up underneath the gum and in the bone. This can cause an abscess on the gums.
"""
https://westrydedental.com.au/the-silent-danger-of-untreated-dental-infections/



RND— Frenum & Frenectomy
"""
Frenectomy refers to the procedure that removes the connective tissue (called the frenum) at either the top or the bottom of the mouth, specifically under the tongue or the upper gums. Frenectomies are usually performed in children who are experiencing certain speech, eating, or orthodontic problems.
"""
https://www.healthline.com/health/dental-and-oral-health/frenum#what-to-expect

https://littlesmilesofdelaware.com/blog/benefits-frenectomy



PRO/ENDO/DIAGNOSTICS– Endodontics

https://www.dentaleconomics.com/science-tech/oral-medicine-anesthetics-and-the-oral-systemic-connection/article/16389983/how-to-avoid-your-worst-endodontic-disaster
(good checklist)
-----------------------------
"""
Following the initial discussion, we take an X-ray or X-rays of the suspected tooth. Taking two X-rays of the same tooth, with one X-ray angled (in excess of 15 degrees), assists with an accurate diagnosis. The angled X-ray will often show unusual anatomy that may be missed in the standard radiograph
[...]
The second angled X-ray is one of the keys to avoiding an endodontic "disaster." Always look for ligaments when evaluating X-rays. This is critical to remember. By tracing these ligament spaces, you can diagnose multiple roots, figure eight canals, bifurcated roots, or teeth with strange anatomy
"""


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884138/
"""
Deriving a correct endodontic diagnosis related to the status of pulp tissue is important in guiding endodontic treatment planning. Determining whether the pulp tissue is vital (i.e., blood circulation), or non-vital (i.e., necrotic), is a key step in diagnosis because the options for treatment differ. Renewed emphasis on the validity of practical procedures to differentiate between these two pulp states is needed because recent research suggests that preserving pulp vitality may be more attainable than previously thought (1, 2).
Studies examining diagnostic test validity are scarce, and usually examine selected samples and a small number of subjects. A recent systematic review concluded that there was insufficient evidence to determine the diagnostic accuracy of symptoms, signs and diagnostic tests (e.g. pulp vitality tests and pain provocation) to determine the pulp status and condition in teeth affected by deep caries, trauma or other types of injury (3). Cold testing, defined as the responsiveness of pulpal sensory nerves to cold stimulus, has showed fairly high sensitivity (usually >75%), with variable specificity (12–98%)(4–10). 
"""



Endodontics: Canal classification

https://onlinelibrary.wiley.com/doi/full/10.1111/iej.12685
topology, i guess



Endodontics: cleanup→filling→crown

"""
Perform a root canal. This can help eliminate the infection and save your tooth. To do this, your dentist drills down into your tooth, removes the diseased central tissue (pulp) and drains the abscess. He or she then fills and seals the tooth's pulp chamber and root canals. The tooth may be capped with a crown to make it stronger, especially if this is a back tooth. If you care for your restored tooth properly, it can last a lifetime.
"""

https://en.wikipedia.org/wiki/Endodontic_files_and_reamers


TREAT/PRO— Abscess drainage (incision)

https://omamontclair.com/aftercare-drainage
good post-op
###

https://www.mayoclinic.org/diseases-conditions/tooth-abscess/diagnosis-treatment/drc-20350907
antibiotics: amoxicillin (12h x 5 days)

_________________________
(SLO)
"""
Trakec se imenuje - drenažni trak, ki je namočen v razkužilo imenovano Chlumsky. Nič antibiotikov.
______
SOLUTIO CHLUMSKY
Synonymum: Solutio phenoli camphorata
Camphora racemica [SL] 30,0 g
Phenolum [SL] 15,0 g
Ethanolum 96 % [SL] 5,0 g 
"""

full instructions
https://www.msdmanuals.com/professional/dental-disorders/how-to-do-dental-procedures/how-to-drain-a-tooth-abscess
"""
For an abscess near the infraorbital or mental nerve, place the incision so as to avoid injury to these structures, and dissect carefully.
"""
(!) damn


________________ Q

how do you know when to stop dental drainage?
when does the swelling stop?



[!!**>D] Dental heath → general full body health (ARTHRITIS!)

(SLO)
(non-doctor)
"""
En specialist mi je rekel, da ne pozna primera rakavega bolnika, ki ne bi imel vsaj enega mrtvega zoba v ustih, skratka, spremembe v zobni votlini nakazujejo tudi splošno stanje organizma, zato je treba biti nanje pozoren.
"""

__________ with arthritis

"""
Ten years later, Spanish researchers reported similar findings. They found that people with severe periodontal disease also had severe rheumatoid arthritis. Patients with the most plaque, bleeding and gum tissue breakdown had worse RA by all measures, including disease activity and inflammatory markers.
"""

https://www.healthcentral.com/slideshow/link-between-dental-health-and-rheumatoid-arthritis



angina pectoris → phantom tooth pain!

https://pubmed.ncbi.nlm.nih.gov/10823033/
"""
Pain referred to the orofacial structures can sometimes be a diagnostic challenge for the clinician. In some instances, a patient may complain of tooth pain that is completely unrelated to any dental source. This poses a diagnostic and therapeutic problem for the dentist. Cardiac pain most commonly radiates to the left arm, shoulder, neck, and face. In rare instances, angina pectoris may present as dental pain. When this occurs, an improper diagnosis frequently leads to unnecessary dental treatment or, more significantly, a delay of proper treatment. This delay may result in the patient experiencing an acute myocardial infarction. It is the dentist's responsibility to establish a proper diagnosis so that the treatment will be directed toward the source of pain and not to the site of pain. This article reviews the literature concerning referred pain of cardiac origin and presents a case report of toothache of cardiac origin.    
"""




[!!!*] Which toothpaste?

BAD?
"""
Se nasvet: izogibajte se zobnih past, ki vsebujejo:
    * natrijev lavrilsulfat (angl. sodium lauryl sulphate, SLS) in/ali
    * natrijev dodecilsulfat (angl. sodium dodecylsulphate, SDS).
    Spojini sta mocna detergenta, ki mocno drazita ustno sluznico, povzrocata razjede in pospesujeta parodontozne spremembe. Zobne paste brez teh spojin obstajajo, vendar je dejansko potrebno pred vsakim nakupom preveriti sestavo, kajti tudi znotraj iste znamke obstajajo verzije z in brez teh spojin.
"""
source: https://pubmed.ncbi.nlm.nih.gov/26961607/



[!!**] Oil pulling (with coconut oil)

after washing teeth in the morning
"""
Čim dlje, tem boljše. 20 min je zadosti. Opraviš med gledanjem serije, filma, ... Ni potrebno zjutraj, lahko večer. :) 
"""

https://pubmed.ncbi.nlm.nih.gov/21911944/
"""
Effect of oil pulling on halitosis and microorganisms causing halitosis: a randomized controlled pilot trial        
"""

https://www.healthline.com/health/dental-and-oral-health/how-to-get-rid-of-cavities#home-treatments
"""
Oil pulling is an ancient practice that involves swishing around an oil, like sesame or coconut, in your mouth for about 20 minutes, then spitting it out. Claims that oil pulling “removes toxins” from the body aren’t backed up by evidence. But a small, triple-blind, placebo-controlled clinical trial showed that oil pulling with sesame oil reduces plaque, gingivitis, and the number of bacteria in the mouth just as effectively as chlorhexidine mouthwash. Larger studies are needed to confirm these effects.
"""

_______________________

https://www.ringana.com/produkt/fresh-tooth-oil/?lang=en
#tobuy



[!!**] Dental hygienist

###


[!!**] Product: Tantum Verde



Oroantral fistula

https://www.sciencedirect.com/science/article/pii/S2090506812001066
"""
An oroantral fistula (OAF) is a pathological abnormal communication between the oral cavity and the maxillary sinus which may arise as a result of failure of primary healing of an OAF, dental infections, osteomyelitis, radiation therapy, trauma, or iatrogenic complications.27 Dec 2018
"""

https://en.wikipedia.org/wiki/Oroantral_fistula

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377926/



[!!!**$] Sensory feedback patient→dentist / different types of pain

I've seen lots of misunderstanding around this

types of "ouch"
1) automatic reaction, you touched something
    → "okay, you need to endure this"
2) normal discomfort
    (hitting with rock tools on teeth)
    → i'm looking for pain, different from just discomfort!
    → you're feeling pain, or is it just annoying?
3) that really hurts, i don't think it's okay
    A) "endure it"
    B) ok sorry, let me know
4) that's the spot! go there! you got it! you didn't get enough of it!
    → go there with me! "ahaa, okay, yes we've got it!"
    → let me point to it!
    https://boards.straightdope.com/t/why-does-it-feel-good-to-hurt-your-gums-and-teeth/458473



Apicoectomy: saving a tooth?
(SLO) apikotomija

https://www.youtube.com/watch?v=2sE5IoP4DWg

https://www.tillmansmiles.com/blog/2014/07/03/alternatives-to-tooth-extraction/
"""
An apicoectomy, or root-end resection, which is occasionally needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure can also be performed to save a tooth. In this microsurgical procedure, the dentist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may be placed to seal the end of the root canal and few stitches or sutures are placed to help the tissue heal. Over a period of months, the bone heals around the end of the root. Local anesthetics make the procedure comfortable, and most patients return to their normal activities the next day. Postsurgical discomfort is generally mild.
"""

https://www.endosa.com/when-you-might-need-an-apicoectomy/

(SLO)
https://www.ezobozdravnik.si/apikotomija/

"""
»Apikotomija je uspešna v 80 % primerov. Vzroki za neuspeh so običajno težaven dostop in slaba preglednost operiranega področja, ki onemogočata popolno odstranitev vzroka vnetja. To je pogosteje v primeru apikotomije kočnikov, zato je uspešnost posega na teh zobeh precej manjša. Kadar poseg ne uspe, ima tudi ponovni poseg le malo možnosti za uspeh, predvsem v primeru, ko je bil že prvič poseg izveden po vseh strokovnih merilih. Takrat je treba razmisliti o ekstrakciji zoba,« zaključi Benjamin Ravnihar.
"""
https://www.abczdravja.si/nos-usta-usesa/apikotomija/
Options not good for molars? :/



DIAGNOSTIC— Percussion & palpation tests

finding sources of pain
percussion = end of instrument (hitting metal→tooth)
palpation = massage of gums over roots



101— Sharing toothbrushes (don't)

###



[!] DIAGNOSTICS— DIAGNOdent™ Pen

"""
Caries Detection Aid
The DIAGNOdent™ pen will show you where the decay lies. It works quickly and reliably. The laser fluorescence detector within the DIAGNOdent pen is a precise method for identifying fissure caries, proximal caries and periodontitis. 
Sub-surface caries lesions can be extremely difficult to detect using an explorer, and the DIAGNOdent™ offers a perfect adjunct to the diagnostic arsenal. It is especially useful for pit and fissure areas - even when the outer tooth surface seems to be intact. 
"""

Costs ~500€

_____________________________

could an #openhardware version be made?



DIY– Dental vitality test

A) with the machine

B) with a spray-ice block ←←



[!!**] DIY— Test filling seal

* how can you know?
* (especially for root caries, at base) how does this combine with the feeling of "good ache"?


CONCEPTUAL— Iatrogenic trauma / Iatrogenesis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6544969/
"""
Iatrogenic injury refers to tissue or organ damage that is caused by necessary medical treatment, pharmacotherapy, or the application of medical devices and has nothing to do with the primary disease [2]. The definition of iatrogenic wounds is derived from iatrogenic injury.1 Jun 2019
"""

https://en.wikipedia.org/wiki/Iatrogenesis
"""
Iatrogenesis is the causation of a disease, a harmful complication, or other ill effect by any medical activity, including diagnosis, intervention, error, or negligence.[1][2][3] First used in this sense in 1924,[1] the term was introduced to sociology in 1976 by Ivan Illich, alleging that industrialized societies impair quality of life by overmedicalizing life.[4] Iatrogenesis may thus include mental suffering via medical beliefs or a practitioner's statements.[4][5][6] Some iatrogenic events are obvious, like amputation of the wrong limb, whereas others, like drug interactions, can evade recognition. In a 2013 estimate, about 20 million negative effects from treatment had occurred globally
"""

https://www.verywellhealth.com/what-is-iatrogenic-2615180



[!!!*] BAD/MEDICAL— Whole-body effect of dental inflammations

(SLO)
via https://www.ezobozdravnik.si/granulom/
"""
Nekateri trdijo, da ima granulom lahko vpliv na organe v telesu, zato je treba predvsem v primeru srčnih bolnikov in pri bolnikih z umetnimi srčnimi zaklopkami tej bolezni nameniti posebno pozornost. Granulom je namreč vnetni proces, pri katerem se bakterijski produkti sproščajo v kri in so tako stalni vir okužbe za celo telo.
Po drugi strani je ameriško združenje endodontov  v svojem biltenu to povezavo med vnetnim procesom in boleznimi srca zavrglo. Slovensko besedilo si lahko preberete na tej povezavi.
"""
http://endodent.si/wp-content/uploads/2018/11/focalinfection1_SLO.pdf


https://www.treasuredsmilesdentistry.com/our-blog/how-can-hidden-tooth-decay-affect-your-teeth-body



TREAT— Nonsurgical management of periapical lesions

https://pubmed.ncbi.nlm.nih.gov/21217952/

"""
Various methods can be used in the nonsurgical management of periapical lesions: the conservative root canal treatment, decompression technique, active nonsurgical decompression technique, aspiration-irrigation technique, method using calcium hydroxide, Lesion Sterilization and Repair Therapy, and the Apexum procedure. Monitoring the healing of periapical lesions is essential through periodic follow-up examinations.    
"""


DIY/TREAT— Alum/Galun
🔗medical




[!!**] BUY/TREAT— Calcium hydroxide & triple antibiotic paste (TAP)

"""
Aim: The rate of healing of periapical lesion after the antibacterial dressing with triple antibiotic paste and calcium hydroxide was assessed.
"""
https://pubmed.ncbi.nlm.nih.gov/35282591/

"""
Triple antibiotic paste (TAP) containing metronidazole, ciprofloxacin, and minocycline has been reported to be a successful regimen in controlling the root canal pathogen and in managing non-vital young permanent tooth.
"""


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3467921/
"""
The infection of the root canal system is considered to be a polymicrobial infection, consisting of both aerobic and anaerobic bacteria. Because of the complexity of the root canal infection, it is unlikely that any single antibiotic could result in effective sterilization of the canal. More likely, a combination would be needed to address the diverse flora encountered. The combination that appears to be most promising consists of metronidazole, ciprofloxacin, and minocycline.[4] Majority of bacteria in the infected root canal dentin are obligate anaerobes.
"""


"""
Triple antibiotic paste is an endodontic preparation that is ideal for treating primary teeth with a pulpotomy to avoid tooth extraction. This procedure using a mix of antibiotics minimizes instrumentation and is referred to as an endodontic regenerative procedure (ERP). The treatment technique is sometimes called Lesion Sterilization and Tissue Repair (LSTR). With LSTR, damaged tissues can be repaired through the disinfection of lesions achieved with triple antibiotic paste. This method has been demonstrated to produce a greater increase in dentin wall thickness and improved functional development of the pulp-dentin complex.
"""
https://www.woodlandhillspharmacy.com/compounds/dentistry/triple-antibiotic-paste/



BAD/WTF— Crepitus → gas gangrene?!

https://en.wikipedia.org/wiki/Crepitus
"""
Crepitus is grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. 
"""



[!!*] DIAGNOSTICS— Chance to do analysis of bacteria?



FOOD— Fuck sugar

"""
People who eat more free sugars get more cavities, with cavities increasing exponentially with increasing sugar intake. Populations with less sugar intake have fewer cavities. In one population, in Nigeria, where sugar consumption was about 2g/day, only two percent of the population, of any age, had had a cavity.[112]
"""


[!!] BUY/REGULAR— Tooth cleaning twigs

https://en.wikipedia.org/wiki/Teeth-cleaning_twig
"""
A teeth-cleaning twig (in India: datun[1]) is an oral hygiene tool made from a twig from a tree. It can help to prevent tooth decay and gum disease. 
"""

https://en.wikipedia.org/wiki/Miswak



[!] TREAT/MAINTAIN/REGULAR— Dental sealants

https://www.webmd.com/oral-health/guide/dental-sealants

<<<D:
    to mi je delala otroška zobozdravnica...

[!] are there any anti effects?
* yeah, they have BPA
"""
You should also know that sealants contain a small amount of bisphenol A (BPA), a chemical present in plastics. Many parents avoid BPA products because it has been linked to health problems in children and infants, notes Mayo Clinic. However, the American Dental Association (ADA) reports there is no evidence that exposure to BPA in a dental sealant has any adverse health effects.
"""



[k→] BUY/MAINTAIN/TOOL— Water cleaner

@@ordering



[!!] BUY/MAINTAIN– Interdental toothbrush

* different sizes: how to pick?
* ###



[!!**] BUY/MAINTAIN/TREAT– Mouthwash

* natural // clorhexidine
* daily // treatment
* ###



[!] DIAGNOSTICS– Laser cavity detection exam

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[!!**] DIY— Self-cleaning plaque ?!

Just spent 3 hours doing this yesterday...
following my #pain feel, trying to do it right

https://drop.com/buy/titanium-toothpick/talk/139968




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