Myths and Facts about Professional tooth cleaning

On an average every other patient who comes in to see a dentist requires some degree of professional tooth cleaning. But from experience we have seen that most patients baulk at the idea. The reason being all kinds of beliefs right from 'my enamel will wear off to loosening of teeth.'

We have one answer for all the non believers.

"We ensure that we undergo scaling and polishing ourselves twice a year every year. If there were so many side effects of scaling - do you really think we would subject ourselves voluntarily ?"

Before and after scaling

So lets take a look at the myths and lets shatter them.

MYTH I: Scaling makes teeth loose

FACT I : SCALING MAY ACTUALLY HELP YOUR TEETH BE MORE STRONGLY HELD BY THE SURROUNDING GUMS AND BONE

Have you undergone an extraction or watched a tooth being removed? It requires considerable amount of leverage and force to pull out a firm tooth. Even a tooth which is relatively loose requires some degree of pressure. So do you really think that ultrasonic scaling, in which the tip is barely touching your teeth for a few seconds at a time, can cause tooth loosening?

So why do teeth feel a little loose after scaling? When tartar(calculus) accumulates around your teeth over time, it causes gum disease which in turn causes bone loss and tooth weakening. However because the tartar is so tightly stuck around your teeth- they feel firm. When we remove the stuff thats holding them together - naturally they will be loose. The tartar made them loose and then held them together ironically. So a lot of patients say - at least its holding them together so why not leave it in? The reason is - the longer the tartar is in your mouth - the disease is continuing to progress. The gum bleeding, bad breath continues. Therefore to stop the disease it is essential to remove the cause.

In fact after the gum heals a couple of weeks later - the teeth may actually feel firmer.

MYTH II:  Scaling make teeth sensitive

FACT II: SCALING MAY ACTUALLY PREVENT TEETH SENSITIVITY IN THE LONG RUN BY PREVENTING GUM RECESSION AND INFLAMMATION

Imagine you are wearing a jacket/shawl in the winter and suddenly you are asked to remove it. Wouldn't it make you cold for a few minutes at least till you adjust to the temperature? It would, wouldn't it? Now imagine your teeth wearing a jacket of tartar for weeks and months and all of a sudden you remove it. Wouldn't it take your teeth a few days at least to adjust to the new temperatures? It doesn't mean they have become sensitive - they just need time to recover.

Of course scaling done by untrained hands/outdated machinery can cause prolonged sensitivity. So choose your dentist well.

MYTH III: Scaling and polishing is a cosmetic procedure

FACT III: SCALING IS NECESSARY FOR GUM HEALTH - THEREFORE IT IS NOT MERELY COSMETIC BUT THERAPEUTIC

The cosmetic aspect of scaling ( the removal of stains to make teeth look whiter) is a pleasant side effect. Actually scaling is important for its therapeutic uses. Scaling is essential for gum health. The removal of local irritants improves gum health, increases tooth support, decreases bad breath and gum bleeding.

MYTH IV: Scaling increases gaps/spaces between teeth

FACT IV: BY PREVENTING BONE LOSS AND GUM DISEASE SCALING MAY PREVENT OPENING UP OF GAPS (caused by weakened periodontium leading to pathologic migration)

Like we said before it is not possible to physically move teeth with a scaler. Moreover enamel cannot be cut with this machine either. Therefore obviously scaling cannot cause spacing. Then why do spaces appear post scaling sometime?The gaps exist from much before - however the teeth being covered by yellowish tooth colored tartar - it appears as if there are no spaces. The moment the disease causing tartar is removed - the spaces reappear. 

MYTH V: If there is no problem/symptom one does not require scaling

FACT V: ALMOST EVERYONE REQUIRES SCALING - AT LEAST ONCE A YEAR

The unfortunate part about gum disease is that it almost never pains. There are very few symptoms (like bleeding gums/pus discharge) and often they are mild enough to be missed completely by the patient. So why wait till the disease is so severe that your teeth begin to shake? Besides what is the harm in going for a regular cleaning once every year - definitely only something better can come out of it. 

So now what do you want to believe? Rumors spread by people who know only half the story or Facts backed by scientific evidence??

Value your smile. It is worth more than most other possessions. 

Write to us for more information at Smile@aryasdentalclinic.com or visit our website http://www.aryasdentalclinic.com

Why Replace Missing Teeth?

A great many people are of the opinion that nothing needs to be done after they lose(or extract) a tooth.

We all remember Ed Helms from the Hangover with his missing front tooth. Of course most people don't ignore a missing front tooth but if it is a back tooth which does not show in their smile line - they tend to ignore it completely - sometimes for years together.

So Does it really matter if you don't replace a missing tooth?

The answer is yes. It does. You know how you throw a stone in the water and it causes a ripple? That ripple propagates and causes another one and another one - till the water all around is disturbed. Removing a tooth and then not replacing it is like setting off a similar chain reaction.


The human body hates empty space. If there is one - it will most times try to fill it up with something. In the case of a space caused by a missing tooth - the remaining teeth will move to fill it up.

So what can be the sequelae to an unreplaced missing tooth? 

1. Change in teeth position: Teeth drift, tilt and extrude. Upper teeth come down, lower teeth come up, back teeth tilt/move forward. This causes a significant change in the bite.

       (Image credit: http://www.wqgebeaudental.com/bridges/)

2. Food lodgment: Also due to uneven contacts, open spaces and tilted teeth - food lodgment increases which leads to secondary conditions like cavities and gum disease.

3. Loss of chewing ability: When you lose one tooth and don't replace it - you effectively lose TWO teeth. Because the tooth opposing the space has no tooth to bite down on - therefore it too is now rendered useless.

4. Unfair loading: Imagine a well built man carrying a sack of potatoes and all of a sudden he dumps the sack on a five year old. Aren't his knees going to buckle under the load? (thats a different matter that school children these days carry the equivalent of a sack of potatoes - but we will leave that for a separate discussion:)) Many patients lose several back teeth and for years manage with their front teeth. However front teeth are not meant for chewing. They cannot handle that kind of load. This leads to loosening or wear of these teeth and their ultimate loss.


5. Uneven loading: Think about a Horse carriage that is supposed to be drawn by two horses. If one horse is removed - all the load falls on the other in a very awkward way. If this same horse is positioned in the centre it might be able to draw the carriage better. But it is not. It is to the side and the forces on it - are off centre. It is bound to be fatigued earlier.With loss of teeth on one side - patients tend to be partial to the other leading to undue load on those teeth due to unilateral chewing.

All of the above sequelae occur over a few months to years. Most patients are not even aware that any change is occurring. And every passing year makes the situation a wee bit more difficult to correct.


With so many predictable techniques of tooth replacement available like dental implants or bridges - there is no reason why anyone should be without teeth.

Invest in your smile. Invest a little money and a little time. Like L'oreal says - "Because you are worth it" :)

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