Articles on mouth

Open Your Mouth to the Right Dentist

Dr. Bhupesh Gupta, Dentist
The biggest fear, is the fear of the unknown. And your mouth is too precious to be treated in that fear and that too by some unknown hands. An alarming rise in dental problems has seen an exponential growth of dentists and dental practices. Traditionally  we have been choosing our doctors on the basis of reference, qualifications and experience.  Lately internet reviews, advertisements and convenience have also started influencing our choice.  I believe the following considerations should be paramount in a patient's mind while choosing a dentist or a dental practice   MAIN DENTIST  of the practice should be accessible at all times. Today's  age of advanced medical science and technology frequently requires performance of dental treatments by specialists or experts. It is always a good feeling if your main dentist is part of the procedure or is close to you if some other specialist is treating. He knows your history, has worked on your mouth before, understands your fears and reactions and above all must have established a good rapport with you by now. Never feels nice to walk into a practice only to find new faces. GO FOR AT-LEAST 3 CONSULTATIONS especially if your dentist is advising an extraction of a tooth. Multiple consultations will prove inexpensive in the long run as it may  give you contrasting views of different doctors and enough time to make your decision.APPOINTMENT based dentistry should be the norm of every practice. You should not be made to wait anxiously in the waiting room for prolonged periods. Nowadays dental treatments are predictable , both in results and time taken to perform . Your dentist should be able to plan properly .STERILIZATION is an important but often overlooked aspect of dental care. Do not shy away from asking about the sterilization protocol of the clinic .YOUR DENTIST should be able to explain the reason for a particular dental problem , various treatment options available, cost and sittings for the procedures . GOOD DENTAL PRACTICES  besides treating the problem, also focus on educating about the reasons for the problem and preventing the same in the future.YOUR DENTAL RECORDS are your property and should be made available to you by your dentist, during or after the treatment.TRUST YOUR DENTIST who , as any good doctor will try to give you the best treatment.

Mouth Is the Mirror of the Body

Dr. Sivaram Gopalakrishnan, Dentist
PERIODONTITIS: It is a serious gum infection. The periodontium are the tissues around a tooth, tissues that support the tooth. Microorganisms, such as bacteria, stick to the surface of the tooth and multiply.  REASON FOR PERIODONTITIS: Bacterial plaque, a sticky, colorless membrane that develops over the surface of teeth, is the most common cause of periodontal disease. Brushing teeth gets rid of plaque, but it soon builds up; within a day or so.If it is not removed, within two or three days it hardens into tartar. Tartar is much harder to remove than plaque. Another name for tartar is calculus. Getting rid of tartar requires a professional - you cannot do it yourself. Plaque can gradually and progressively damage teeth and surrounding tissue. At first, the patient may develop gingivitis - inflammation of the gum around the base of the teeth. Persistent gingivitis can result in pockets developing between the teeth and gums. These pockets fill up with bacteria. Bacterial toxins and our immune system's response to infection start destroying the bone and connective tissue that hold teeth in place. Eventually the teeth start becoming loose, and can even fall out. Risk factors:▪ Smoking▪ Hormonal changes in females - puberty, pregnancy, and the menopause are moments in life when a female's hormones undergo changes. Such changes raise the risk of developing gum diseases.▪ Diabetes & Obesity▪ AIDS - people with AIDS have more gum diseases▪ Genetics - some people are more genetically susceptible to gum diseases. SIDE EFFECTS ▪ Inflamed (swollen) gums, gum swelling recurs▪ Gums are bright red, sometimes purple▪ Gums hurt when touched▪ Gums recede, making teeth look longer▪ Extra spaces appear between the teeth▪ Pus may appear between the teeth and gums▪ Bleeding when brushing teeth▪ Bleeding when flossing▪ Metallic taste in the mouth▪ Halitosis (bad breath)▪ Loose teeth The most common complication from periodontitis is the loss of teeth. However, patients with periodontitis are also at a higher risk of having respiratory problems, stroke, coronary artery disease, and low birth weight babies. Pregnant women with bacterial infections that cause moderate-to-severe periodontal disease have a higher risk of having a premature baby. Periodontitis can make it harder for patients with diabetes to control blood sugar. PERIODONTITIS IS THE REASON FOR HEART DISEASE: Untreated periodontitis will eventually result in tooth loss, and may increase the risk of stroke, heart attack and other health problems.  TREATMENT:In dentistry, periodontics deals with the prevention, diagnosis and treatment of diseases involving the gums and structures which support teeth. Initial treatment It is important to remove plaque and calculus (tartar) to restore periodontal health. The healthcare professional will use clean (non-surgically) below the gumline. This procedure is called scaling and debridement. Sometimes an ultrasonic device may be used. In the past Root Planing was used (the cemental layer was removed, as well as calculus). Medications▪ Prescription antimicrobial mouth-rinse Advanced periodontitis If good oral hygiene and non-surgical treatments are not enough, the following surgical interventions may be required:▪ Flap surgery - the healthcare professional performs flap surgery to remove calculus in deep pockets, or to reduce the pocket so that keeping it clean is easier. ▪ Bone and tissue grafts - this procedure helps regenerate bone or gum tissue that has been destroyed. With bone grafting, new natural or synthetic bone is placed where bone was lost, promoting bone growth. ▪ In a procedure called guided tissue regeneration, a small piece of mesh-like material is inserted between the gum tissue and bone. This stops the gum from growing into bone space, giving the bone and connective tissue a chance to regrow.▪  ▪ The dentist may also use special proteins (growth factors) that help the body regrow bone naturally. ▪ The dental professional may suggest a soft tissue graft - tissue taken from another part of the mouth, or synthetic material is used to cover exposed tooth roots.It is not possible to predict how successful these procedures are - each case is different. Treatment results also depend on how advanced the disease is, how well the patient adheres to a good oral hygiene program, as well as other factors, such as smoking status. PREVENTION It is mandatory, to have a professional oral prophylaxis procedure by a specialist once in 6 months.Healthy habits and good oral hygiene are critical in preventing gum disease. Regular and effective tooth brushing and mouth washing, however, are effective only above and slightly below the gum line. Once periodontal disease develops, more intensive treatments are needed.

Healthy Mouth Helps in Healthy Aging

Dr. Suhrab Singh, Dentist
As dental specialist we know how important oral health is to our overall health and wellness especially in older individuals, still a lot of people are ignorant about it, risking their individual overall well being .Research has shown time and again that gum disease leads to an increased risk of coronary heart disease, aneurysms and other health problems. Common chronic diseases such as diabetes, elevated blood pressure, depression, heart disease, Parkinson’s and malnutrition and sometimes the medications that are used to treat them also impair oral health.Today, an estimated 70 percent of adults above 65 years of age and older have some of their natural teeth remaining, compared with 54 percent in 1990s.  As the Indian population grows by a projected 1.2 percent per year, the fastest-growing age group will be those 80 years or older.Working with other members of the health care team — social workers, psychologists, podiatrists, nutritionists and geriatricians — our dentists and dental hygienists can help older patients maintain health and quality of life.Challenges of ageingPreserving oral health can get more difficult as we age for many reasons, including:Ignorance towards importance of dental health careMedications that lead to dry mouth and promote dental decayLoss of mobility, making it difficult to get to a dental officeCognitive impairment, such as dementia or Alzheimer’s diseaseBeing institutionalised or homeboundPoor family support in old ageFinancial restrains Poor oral hygiene and lack of dental care can lead to pain, infection, bad breath, difficulty eating, social isolation and a loss of dignity.Older adults, their families, caregivers and the health care professionals who serve them can all benefit from learning about ways to preserve oral health and reduce the risk of problems.Throughout life but especially as we age, oral health problems arise.  Sometimes, they can be eased with simple interventions.Dry mouth:  Biotin productsDexterity issues:  Battery-powered or electric toothbrushSensitive gums:  Sensitivity toothpasteProtection against cavities and root decay:  Use a fluoridated mouth rinseFor those who can’t swallow:  Oral care swabs or lollipops.

Prevent Horror of Sensitive Teeth

Dr. Swasti Jain, Dentist
1. Use toothpaste for sensitive teeth.Some types of toothpastes are specially formulated to relieve and even prevent pain and discomfort caused by sensitive teeth. These toothpastes also contain active ingredients that protect sensitive teeth. As there are quite a few different products to choose from, ASK YOUR DENTIST, who can help you choose the one that’s right for you.2. Use a soft-bristled brush.Your choice of toothbrush plays an important role in preventing tooth sensitivity. Choose a brush with soft bristles to help prevent premature erosion of both tooth enamel and gums, which could be at the root of your tooth sensitivity.change tooth brush after 3 months3. Brush gently.Brushing your teeth too vigorously or too often can cause gum erosion and damage the enamel. Brush your teeth gently and follow your health care professional’s instructions carefully.4. Use dental products with fluoride.Fluoride is a mineral that can have positive effects on your dental health. Use a good fluoride toothpaste and mouthwash to strengthen the enamel of your teeth.5. Avoid grinding your teeth.Grinding your teeth can damage the enamel. If you are grinding your teeth, talk to your dentist, who may want to fit you with a mouth guard to protect your teeth while you sleep.they will help you with night gaurds to prevent damage by night grinding of teeth.6. Cut down on acidic foods and drinks.Acidic drinks and foods can damage tooth enamel, making them more sensitive. Common examples of acidic foods and drinks include soft drinks, white wine and citrus fruits.7. Practice good oral hygiene.It pretty much goes without saying, but brushing and flossing both play a crucial role in preventing ORAL DISEASES.8. See your dentist regularly.A professional cleaning, a regular exam and great advice are just some of the ways your dentist can help decrease the sensitivity of your teeth.

5 Medical Conditions That Can Harm Your Mouth

Dr. Ishwari Bhirud, Dentist
Did you know that problems in other parts of your body can have consequences for your teeth and gums? From diabetes to ulcers, these illnesses can erode teeth, cause bad breath and even turn your tongue black!Acid reflux. Dentist may be the first to notice gastro esophageal reflux disease, commonly known as acid reflux. If you have this condition, a look in your mouth will usually reveal erosion on your back teeth, the result of powerful stomach acid dissolving your enamel. If you experience reflux episodes during the day, protect your teeth by rinsing vigorously with water to reduce acid in your mouth. You may be tempted, but don’t brush your teeth right away — the bristles can damage enamel still soft from the acid. To prevent nighttime reflux, make sure not to eat two to three hours before bed, and avoid triggers like alcohol, caffeine and anything acidic.Stomach ulcers. Appearing as sores in the lining of your stomach or small intestine, ulcers are often the result of the bacterium H. pylori, which can weaken the protective coating of your stomach. Although ulcers themselves won’t hurt your oral health, the medicine used to combat them can turn your tongue black. Don’t worry — the side effect should go away once you’re through with treatment.Chronic kidney disease. If there’s something fishy about your breath, visit your doctor. Breath that smells like fish or ammonia can be a sign of kidney disease, a serious condition that is fatal if left untreated. As your kidneys lose their ability to filter waste and toxins from the blood, your breath will take on the scent of your urine.Diabetes. This widespread inflammatory disease doesn’t just affect your blood sugar. People with diabetes are more likely to have gum disease, cavities and even lose their teeth. If you’ve been diagnosed, make sure to tell  dentist, and be especially vigilant in brushing and flossing.High blood pressure. If you’re among the quarter of Indian with this dangerous condition, you might have something new to worry about. Medication to lower your blood pressure can come with the unwanted side effect of gingival enlargement, a condition in which your gums swell and start to grow over your teeth.

Why Remove Teeth When We Can Save Them

Dr. Swasti Jain, Dentist
PROBLEM V/S SOLUTIONS and tooth removal is the last one to go forCAVITY - GO FOR TOOTH COLORED FILLINGDEEP CAVITY WITH PAIN - GO FOR ROOT CANAL TREATMENTAFRAID OF RCT - GO FOR ROTARY , PAINLESS RCTFRACTURED TOOTH - GO FOR RCT + CAP/ CROWNBAD SMELL AND BLEEDING GUMS - GO FOR TEETH CLEANING AND POLISHINGYELLOW TEETH AND STAINS ON TEETH - GO FOR TEETH WHITENINGMISSING TEETH -  IMPLANTS OR FIXED CROWNS AND BRIDGESMALALIGNED TEETH - BRACESMOBILE TEETH - GET SPLINTING DONENothing can take the place of natural healthy teeth, each and every tooth is important.Saving your natural tooth should always be your first choice when dental care is needed. Nothing, not even the most advanced bridges, and implants, can truly replace your natural tooth.If your dentist recommends extracting your tooth, ask if an endodontist can help save it with a root canal. This endodontic treatment removes the injured pulp (soft inner tissue) of your tooth and fills and seals that space.Your tooth is then restored and can function just like any other tooth for the rest of your life, ensuring comfortable chewing and a natural appearance.Endodontists can often save the most severely injured teeth.Do everything possible to save your teeth before considering extraction. Nothing is as good as your natural tooth!Benefits of Your Natural ToothFrom our experience, there is no better implant than the natural tooth. Saving your natural tooth has several benefits that cannot be received from dental implants. By saving your natural tooth, you maintain the natural structure of your mouth and jaw allowing you to continue chewing normally.When you replace a tooth with an implant, sometimes the implant does not fill the space completely. Spaces between your teeth can lead to bone loss and collapse. Your teeth then move around to fill the space. This changes the overall positioning of your teeth and may lead to the collapse of the bite, a situation known as occlusion. Not only does this alter your natural appearance it also creates chewing difficulties. More treatment is required to fix these problems. Your teeth do much more than just mechanically chew food. Teeth contain nerves that communicate with the brain. These messages tell your brain how hard to chew, thereby protecting your teeth from biting too hard. Implants have no nerves and so the sensory connection with the brain is lost and this communication is not possible.SPLINTING DONE TO FIX THEM

5 Common Causes of Mouth Ulcers and Their Treatment

Dr. Mukesh K Asrani, Dentist
Do you often complain your Dentist or Physician regarding your mouth ulcers? If yes, then this article is for you. Mouth ulcers are very irritating.They cause difficulty in drinking tea, coffee, eating your meals and at times speaking. Today, let us discuss about the most common mouth ulcers called Aphthous ulcers or canker sores.Causes of Aphthous ulcersAlthough the actual cause of these ulcers is still unknown, the following are associated with them.Stress– We have seen that many students suffer from mouth ulcers during exam time. Also many adults suffer from ulcers when they are tensed for many days.Insufficient Sleep – People who do not take a good sound sleep do suffer from mouth ulcers.Stomach and Intestine diseases – People suffering from constipation or some gastrointestinal diseases also suffer from mouth ulcers.Vitamin B and Folic acid deficiency – Improper diet which is mainly due to overeating of fast foods and not having a good diet rich in green leafy vegetables often lead to deficiency of essential vitamins and minerals indirectly causing mouth ulcers.Trauma and food allergy – Injury due to tooth brushing or any hot foods and beverages can cause these ulcers. Also, some people have allergies to certain foods which often cause mouth ulcers.How to manage these ulcers ?These ulcers remain in mouth for about 7 to 10 days irrespective of any treatment. They heal by themselves. However, the following remedies will help you to heal them a bit faster.Apply honey, catechu or glycerin over  the ulcers 5 to 6 times a day.If the burning sensation over the ulcers is more, then apply any ulcer gels available in the medical stores. These are over the counter available gels and will get you relief for some hours.Reduce Stress – A 30 minute walk, exercise, meditation or yoga help to reduce stress and will boost up your immune system.Take a good night sleep.Take healthy nutritious diet.Is there any thing serious ?If these ulcers heal by themselves but recur every month or more often, then a definitive treatment is necessary. If your ulcers do not heal in 15 days, then it might be a manifestation of an underlying disease which has to be taken care of.In any of the above condition, visit your dentist or an Oral Medicine specialist at the earliest and take a definitive treatment.To conclude, do not let any disease disturb you. Always take a medical advice and kick off your disease. Stay healthy, stay blessed!

Effects on Alcohol on Teeth

Dr. Swasti Jain, Dentist
People who suffer from alcohol dependency tend to have higher plaque levels on their teeth and are THREE times as likely to suffer from permanent tooth loss.Tooth DecayAlcohol can also lead to tooth decay, gum disease and oral cancer. Alcohol stops the body’s ability to properly fight against germs and disease. Alcohol, especially heavy use, exposes your mouth to increased levels of sugars and acids found in the drink. While occasional alcohol use won’t necessarily cause problems, you should still take precautions. When these sugars combine with natural bacteria in the mouth they form an acid that can attack the hard tissues of our teeth including enamel and break them down.This is especially true when the teeth are constantly exposed to sugars and starches in alcohol without a break.Staining"The color in beverages comes from chromogens,”Chromogens attach to tooth enamel that’s been compromised by the acid in alcohol, and stain teeth. One way to bypass this is to drink alcoholic drinks with a straw.DrynessDrinks high in alcohol, like spirits, dry the mouth. Saliva keeps teeth moist and helps to remove plaque and bacteria from the tooth’s surface. Try to stay hydrated by drinking water while you drink alcohol.The truth that we produce more saliva during the day than at night gives us the belief that drinking during the day will likely speed up the deterioration of our teeth, regardless if we brush or not. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits.After drinking alcohol, it’s important to rinse your mouth with water and brush your teeth to remove any of the alcohol from between teeth and gums.So be warnedIf you are going to drink, brush and floss as soon after as possible.

Best Food for Healthy Teeth

Dr. Swasti Jain, Dentist
When it comes to the health of your teeth, you really are what you eat. Sugary foods, such as candy and soda, contribute to tooth decay. One of the first areas to decline when your diet is less than ideal is your oral healthCarrotsLike apples, carrots are crunchy and full of fiber. Eating a handful of raw carrots at the end of the meal increases saliva production in your mouth, which reduces your risk of cavities. Along with being high in fiber, carrots are a great source of vitamin A. Top a salad with a few slices of raw carrots, or enjoy some baby carrots on their own.CeleryCelery might get a bad reputation for being bland, watery and full of those pesky strings, but like carrots and apples, it acts a bit like a toothbrush, scraping food particles and bacteria away from your teeth. It's also a good source of vitamins A and C, two antioxidants that give the health of your gums a boost. Make celery even tastier by topping it with cream cheese.CheeseIf you're one of the many people who profess a love of cheese, you now have another reason to enjoy this tasty food. It is found that eating cheese raised the pH in the subjects' mouths and lowered their risk of tooth decay. It's thought that the chewing required to eat cheese increases saliva in the mouth. Cheese also contains calcium and protein, nutrients that strengthen tooth enamel.YogurtLike cheese, yogurt is high in calcium and protein, which makes it a good pick for the strength and health of your teeth. The probiotics , or beneficial bacteria, found in yogurt also benefit your gums because the good bacteria crowd out bacteria that cause cavities. If you decide to add more yogurt to your diet, choose a plain variety with no added sugar.AlmondsAlmonds are great for your teeth because they are a good source of calcium and protein while being low in sugar. Enjoy a quarter cup of almonds with your lunch. You can also add a handful to a salad or to a stir-fry dinner.Leafy GreensLeafy greens typically find their way onto any healthy foods list. They're full of vitamins and minerals while being low in calories. Leafy greens such as kale and spinach also promote oral health. They're high in calcium, which builds your teeth's enamel.Apples Fruits, such as apples, might be sweet, but they're also high in fiber and water. The action of eating an apple produces saliva in your mouth, which rinses away bacteria and food particles. The fibrous texture of the fruit also stimulates the gums. 

Take Better Care of Your Teeth

Dr. Ashish Vaish, Dentist
Are you wanting to do better with your dental care? Have you had problems with taking care of your oral hygiene?If so, then you’ll find this guide to be useful. Follow along and you’ll figure out what you can do to be sure that any dental problem you have is taken care of.You should always try to brush your teeth at least two times a day. When you are brushing, make sure that you are taking your time. You want to ensure that you’re doing a thorough job each time that you brush. By rushing through the process, your teeth may not be getting as clean as they need to be.Brushing your teeth two times each day is great, but you may want to brush even more often. Any time that you’re consuming foods or drinks that are sugary, you must brush for a longer time and right after you consume them so that you’re protecting your tooth enamel.Did you just break your tooth? The first thing that you need to do is get in touch with your dentist. After you get in touch with them, rinse your mouth out with warm water. Then use a cold compress on the area to reduce the swelling and decrease any pain.Take care of your toothbrush. After you finish cleaning your teeth, make sure you clean your toothbrush, too. Simply wash it off with water and place it in a toothbrush holder so that it is standing up. Putting your toothbrush in a case is not advisable because bacteria is more likely to grow that way. When you buy a new toothpaste, be sure to check the label. Any toothpaste you choose should contain fluoride. Other ingredients will more than likely include abrasive agents to whiten your teeth. If you find that the toothpaste you are using is a little too harsh, try using a gentler formula.If you notice an increase in cavities, consider taking a multivitamin. Multivitamins contain many vitamins and minerals necessary for enamel production. Enamel is the outer layer that hardens your teeth and protects them. Your diet should include a variety of sources of calcium, which is the building block of healthy teeth. Whether you buy toothpaste at a drug store or a natural food store, make sure it contains fluoride. This can boost the strength of teeth to prevent breaking, getting cavities, or other issues. When your teeth are strong, they are healthy. Try your best to stop using tobacco products. Most people are not aware that smoking can cause gum disease, which leads to tooth loss in many. If you want to raise the chances of your teeth lasting much longer, try your best to get rid of your addiction to tobacco products.Now that you’ve gone over this guide, it should be easy for you to start practising good dental care. Just be sure that you reread this guide so that you know what you’re doing. Everyone needs to worry about their dental care, so take care of any dental problems you have before they get worse.