Articles on tooth fracture

Not All Fractures Are the Same!!

Dr. N Srinivas, Dentist
When tooth gets chipped or fractured,the first consideration must be whether the pulp- the vital, living portion of the tooth has been damaged. If a fracture is sensitive, painful, or uncomfortable,it may be because the pulp is exposed. Ultimately, the condition of the pulp and the amount of remaining tooth structure will determine the choice of treatment.What kind of fracture do you have?Minor fracture: Minor fractures,such as small chips off the biting edges of the teeth,are usually simple to repair. If the chipped tooth is of sufficient length, it may be cosmetically contoured. Often,the neighbouring teeth are also contoured so that no one tooth stands out from the rest. Or, an acid-etch bonding technique may be used to 'fill out' the defect. Crowning should be avoided in case of minor fracture whenever possible. Remember that it is always best-at least initially-to try simple therapies that preserve the colour, shape, and health of the tooth.Porcelain crown fracture: A porcelain crown fracture may also occur. Keep an eye on your metal bonded crowns to see if dark outlines appear at the gum line. If a dark outline gradually appears, you may have a fracture of the crown or shrinkage of the gum tissue. If a fracture has occurred, the loss of porcelain at the gum line may weaken the remaining restoration,making it susceptible to additional damage. Eventually the entire crown may have to be replaced.Serious fracture: Serious fracture,which is often caused by accidents, are best treated with the least amount of additional stress possible. Your dentist may choose to bond some teeth and crown others,especially when time is needed to determine if the nerves in the teeth can be saved. If you have a fracture see your dentist as soon as possible if you aren't experiencing any pain. Often, the only sign of pulpal damage is tooth discoloration. In such cases,the damaged nerve is replaced with a root canal filling.Vertical root fracture: Tooth removal is only choice left.

Classical Dinner Fork Deformity of Colles' Fracture of Wrist

Dr. Anshu S.R Sachdev, Orthopedist
Wrist fracture is a medical term used to describe a broken wrist bone. Wrist is composed of 8 small carpal bones and lower ends of the two forearm bones – Radius & Ulna. The fracture may occur in any of the 10 bones that make up the wrist. While some fractures can be severe, most fractures are tiny in nature. The fractures, which are severe, tend to render the bone unstable and a cure for this condition might require a surgery. Open fractures occur when the broken bone spike juts out through the skin. This might lead to an infection in the wounded region.Causes of wrist fracture The most basic cause of a wrist fracture is injury. Any fall on your outstretched hand (FOOSH) and you might have to nurse a fractured wrist. This type of fracture is common among sportsmen. People suffering from osteoporosis have a high risk of getting a wrist fracture.Traumatic accidents might also cause severe wrist fractures. Repetitive use of wrists leads to inflammation of the tendons present in the wrists (tendonitis). Symptoms of wrist fractureA wrist fracture has symptoms that can be extremely painful. The pain escalates whenever you try to move your wrist or flex it, even if you are just flexing your fingers. Sometimes your hand or arm may even become extremely numb when you fracture the wrist. The muscles in the area become tender and swell up. It is almost impossible to move the wrist after it gets fractured. The fracture causes the wrist or rather the hand to appear deformed. The most common deformity being a Dinner fork deformity (Colles’ Fracture.) The area around the fracture may experience bruising and a fractured wrist also affects the blood flow in the area. You might even injure your ligaments, tendons, muscles or nerves. To confirm and check the level of severity, you are generally asked to get an X-Ray done. In order to get a more detailed look at the fracture, you might have to undergo CT or MRI scans as well. Usually in order to treat a fracture, you will have to wear a splint or a cast and move your hand as least as possible. But keep moving your fingers otherwise they might get stiff.Most cases of wrist fractures recover well with a very good return to function.

Importance of Brushing With Tooth Paste

Dr. Pankaj Rao, Dentist
Brushing with toothpaste is important for several reasons. First and foremost, a toothpaste and a correct brushing action work to remove plaque, a sticky, harmful film of bacteria that grows on your teeth that cause cavities, gum disease, and eventual tooth loss if not controlled. Second, toothpaste contains fluoride, which makes the entire tooth structure more resistant to decay and promotes remineralization, which aids in repairing early decay before the damage can even be seen. Third, special ingredients in toothpaste help to clean and polish the teeth and remove stains over time. Fourth, toothpaste help freshen breath and leave your mouth with a clean feeling.What type of toothpaste should I use? As long as your toothpaste contains fluoride, the brand you buy really does not matter, neither does whether or not it is in the paste, gel or even powder form or containing a certain flavor. All fluoride toothpaste work effectively to fight plaque and cavities and clean and polish tooth enamel. Your toothpaste brand should bear the ADA (American Dental Association) seal of approval on the container, which means that adequate evidence of safety and efficacy have been demonstrated in controlled, clinical trials.If your teeth are hypersensitive to hot or cold, consider trying a toothpaste designed for sensitive teeth. These "desensitizing" toothpaste, which contains strontium chloride or potassium nitrate, protect exposed dentin by blocking the tubes in the teeth that are connected to nerves. Desensitizing pastes must be used for at least one month before any therapeutic effects are felt.Toothpaste containing baking soda and/or hydrogen peroxide (which are both good cleansing agents) give the teeth and mouth a clean, fresh, pleasant feeling that can offer an incentive to brush more, but fluoride is the true active ingredient at work protecting your teeth. Some prefer a tartar-control toothpaste containing pyrophosphates to prevent the build-up of soft calculus (tartar) deposits on their teeth. New pastes offer advanced whitening formulas aimed at safely removing stains to make teeth brighter and shinier, although they can't nearly match the effectiveness of a professional bleaching formula administered or prescribed by a dentist.How much should I use?Contrary to what toothpaste commercials show, the amount of paste or gel needed on your brush for effective cleaning does not have to be a heaping amount. Simply squeeze a pea-sized dab of paste on the top half of your brush. If you brush correctly, holding the toothbrush at a 45-degree angle and brush inside, outside and between your teeth, the paste should foam enough to cover all of your teeth. Children under age 6, however, should be given a very small, baby pea-sized dab of toothpaste on their brush. Is brushing with toothpaste enough to fight cavities and gum disease?No. Although brushing thoroughly after each meal helps, flossing your teeth every day to remove plaque and food particles between teeth and at the gumline is just as important. Studies show that plaque will regrow on teeth that are completely clean within three to four hours of brushing.

3 Ways of Replacing a Missing Tooth

Dr. Anil Vaidyan, Dentist
Dentistry has evolved with rapid strides in this age of technological advancement. It is now possible to fabricate a tooth for a person in America by a dentist in India, and such kind of procedures are done regularly across the world.Teeth replacement has never been easier than ever before with the advancements in dentistry. It has become almost painless and comfortable for the patient. And one should not wait for the complications of non- replacement of a tooth to arise to look for a dentist.Here are the 3 ways by which a missing tooth can be replaced:ImplantsDental ImplantImplants are root-shaped structures placed into the bone. After the bone around the implant stabilises, tooth is built by taking support from the implant.Why are implants superior?They can be placed without taking support from other teeth. They can be used to fabricate teeth in areas where several teeth are missing.The implant success rates are as high as 98%, and generally lasts for a long time.They are technologically very advanced systems.Negatives of implants:On the downside, they can be very costly, depending on several factors.Crown and BridgeCrown and BridgeNow if you are a kind of person who want to avoid the surgery involved in implant placement, you could opt for crown and bridge for missing teeth replacement.A crown and bridge is fabricated by placing crowns over the teeth adjacent to the missing area and a bridge is made to connect those crowns.Advantages of Crown and Bridge:It is easier and faster to fabricate.No surgery needed.One of the oldest and time-tested methods for replacement of teeth and comparatively cheaper.Disadvantages of Crown and Bridge:The teeth shaped for crowns are at increased risk of decay and fracture.Removable DenturesComplete DenturesNow if you don't like surgery or don't want your teeth to be cut for placing crowns, then we have the removable -teeth -options like:Cast partial Dentures -  are removable dentures made of thin metal framework and teeth attached onto them to resemble our natural teeth. These are made when only several teeth are absent.Complete Dentures - is made in situations where teeth are totally absent. They also need to be removed daily for maintenance. Complete dentures can also be supported by implants or even natural teeth.These removable dentures might be difficult to maintain since they require removal and cleaning daily, and might not feel like your natural teeth. But sometimes they might be the only best option. So these are the 3 ways by which your teeth could be replaced, and hope this would help you in making an informed decision.

Why Replace a Missing Tooth?

Dr. Akshay Rathod, Dentist
Most adults can expect to have 32 teeth. The four third molars, or “wisdom” teeth, are often extracted because they do not grow into the mouth well or there is not enough room for them to remain in proper alignment. It is very unusual to have wisdom teeth replaced. But the other 28 teeth are needed.Extraction is basically removing a decayed or broken tooth which cannot be saved. Removal of teeth is gradually not the first option for a lot of dental issues. However, a large number of dental infections and other causes end in extraction. The front teeth, because of their visibility, are more likely to be replaced by patients for the sole purpose of aesthetics/looks. The back teeth are often neglected and not replaced since they are not visible, though they play a higher role in terms of chewing, food digestion and function. In many patients, reasons for impaired bite and crooked tooth are traced back to failure to replace a removed tooth. A few people consider removal of teeth as their first option in order to get rid of the pain, but what they do not realize is the after-effects of extraction.When you lose a tooth, the efficiency decreases and function suffers. When you lose a tooth, you lose some ability to chew food properly. This may mean that you either place more stress on the other teeth in order to chew all the food you eat, or you do not chew well enough and what is swallowed is not quite ready to be digested. This can lead to digestive difficulty. You might have to eliminate certain favorite foods because you cannot chew them thoroughly.Let us look at the some of the issues as a result of not replacing a missing tooth:1. Reduced chewing/digestive efficiency (Indigestion): The back teeth play a significant role in chewing the food and contributing to the initial stage of digestion. The salivary enzymes play a significant role in digestion when the food is chewed and missing back teeth tends to make people swallow food faster without chewing properly than if good amount of chewing were to happen. Studies show that loss of each posterior tooth (molars especially) reduces tooth efficiency by 10%.2. Malocclusion (Improper alignment of teeth): A malocclusion happens due to the empty space created, into which 3 teeth are trying to move. The tooth before and after the empty space tend to slowly tilt towards the empty space in between. Also, the opposing upper or lower tooth supra erupts into this space. Each tooth plays a critical role in maintaining the adjacent and opposing tooth in place, which is lost when a tooth is not replaced after removal. As the teeth keep encroaching in the empty space, chewing efficacy reduces leading to lesser usage of that side, eventually making that side unusable.3. Bone loss: The tooth also is essential for maintaining healthy bone, and if not replaced, it can lead to accelerated loss of alveolar bone. Good bone support is very essential for construction of dentures and/or placement of implants (fixed replacement of missing teeth), especially in old age, when complete dentures which are almost always removable need to be done and when implants are not possible due to increased bone loss. This is true especially in the lower teeth, where denture retention is a big challenge.4. Extra pressure on other teeth: Not replacing a tooth puts additional pressure on the remaining teeth, leading to accelerated bone loss and wearing off of the enamel. The remaining teeth are loaded with extra work since one/few of the teeth are missing. The excess work load eventually reduces the life of the remaining teeth.5. Aesthetics: Removal of teeth makes you look older as there will b sinking in of the face when back teeth are not replaced, leading to a puckering. In case of extraction of canines, the supporting pillar of the face is lost and the face starts sagging. There is loss of self-image and self-esteem and a feeling that you are getting old. Once you start losing teeth, you can actually start to look old.So, the next time, think twice before extracting a tooth. In cases where tooth loss is inevitable, ensure you plan how to replace it in the earliest possible time period. The more replacement of missing tooth is delayed, the more difficult it is to replace it later and the more expensive it will turn out for the patient. Fixed dentures or removable dentures can be the options, depending on age, food habits, finances, etc. Implants also could be another option, which is the new-age solution for replacing teeth. A detailed discussion with your dentist regarding replacement, before removal of a tooth will help you plan better.

Do's & Dont's After Tooth Removal

Dr. Swasti Jain, Dentist
1. TO CONTROL BLEEDINGBite firmly on the gauze for 45 minutes to an hour.Applying pressure over an extended period is the key.Don't keep changing the gauze, and don't chew on it. Just put it in place and close down, for the full 45 minutes to an hour.The blood clot that forms in the tooth's empty socket is an important part of the healing process, so be careful not to do anything that will dislodge or disrupt it.Avoid vigorous rinsing or spitting. - These activities may dislodge the clot.Don't disturb your extraction site. - Don't touch or poke at it with your finger. Don't explore it with your tongue.Don't consume hot liquids and foods. - Hot items, especially liquids like soup, tea, and coffee, tend to dissolve blood clots.You should avoid smoking or using a straw (these activities create suction). Also, don't blow your nose. And if you need to sneeze, sneeze with your mouth open. (See below for more details.)It's best to avoid strenuous work or exercise. 2. SWELLINGIt's common and normal for some degree of swelling to occur after having a tooth pulled. The amount that ultimately forms is typically proportional to the extent of the surgery that has taken place. That means:After very simple extractions you may notice very little, possibly none.With more involved cases (longer, more difficult extractions or the removal of several teeth) you may notice a pronounced enlargement, possibly involving a large portion of your face.Generally speaking, the amount of swelling that forms can be minimized via the application of ice packs on the outside of your face over the area where your surgery was performed, starting immediately upon the completion of your procedure.3. AVOID SMOKINGPeople who smoke tend to experience a higher level of complications with extraction site healing. That means if you can avoid smoking for the first 24 hours (and preferably 48 hours and longer) after having your tooth pulled, it will be to your benefit.4. AVOID BLOWING NOSEThat's because doing so can create a pressure difference between your mouth (via the recesses of your extracted tooth's socket) and your sinuses that might be great enough to disrupt what in some cases may be just a paper-thin layer of bone separating the two.5. EATING Take soft and cold diet for first 24 hrs.Try chewing from the other side of the extraction site.6. NUMBNESSAfter your tooth has been pulled, some portion of your mouth will still be numb, possibly for some hours. Besides just the area immediately surrounding your extraction site, this will likely include some aspect of your lips, cheeks or tongue too.This sensory loss can result in accidents. As examples ...You might unknowingly bite your lip or tongue while chewing, possibly even repeatedly.You might not be able to test hot (temperature) foods and beverages adequately, which could result in burns.

Fed Up of Tooth Discoloration?

Dr. Akanksha S.D, Oral Medicine and Radiology
What makes tooth loose its color?*Tobacco use*Drinking tea,coffee,cold drinks *Red wine                                                                                   *Plaque/Tartar deposits*Tooth Trauma*Cavities6 Home remedies to naturally whiten your teeth...*Brush after drinking or eating-Most food does not stain teeth, but if you are a coffee drinker or if you smoke, you can pretty much count on having discoloured teeth from staining. If this is the case then having your teeth cleaned every three months may be in order, besides trying some of the natural remedies listed here.*Coconut oil pullingSimply put a spoonful of coconut oil in your mouth & swishing it between your teeth for 5 to 20 minutes. Or adding a few drops to your toothbrush and brushing with it can be helpful. You can also add the coconut oil to a corner of a clean wash cloth and rub it on.  Also, coconut oil has antimicrobial properties so it’s great for your gums as well.                                             *Apple cider vinegarIt makes sense that apple cider vinegar would eventually work as a mouth gum cleaner & remove stubborn stains on the teeth, especially from coffee and nicotine. It has been proven that it does work as a natural teeth whitener but you have to be consistent and it takes at least a month of continuous usage to see results. *Lemon & Orange peelThere have been reports that lemon or orange peels will also help you in  whitening your teeth. Guess you don’t know until you try.  Here again, these food products are very healthy & good for your stomach but the acid content might eventually wear away the enamel or the teeth.*Baking soda & hydrogen peroxideThis works great as a natural teeth whitener. Many people confirm to the fact that it does make their teeth look whiter *StrawberriesSimply mash up about two three strawberries and rub this yummy mixture all over your teeth. Finally, you can always go to your dentist for Oral Prophylaxis to get instant results!

Painless Solution for Missing Tooth

Dr. Swasti Jain, Dentist
WHAT IS A CROWN? A crown, often called as a cap, is an artificial hollow cover resembling a natural tooth crown that restores a decayed or damaged tooth to its normal shape and size. It is fabricated out of metal or ceramic material by special procedure in a dental lab.WHERE CAN CROWNS BE PLACED? All the teeth that have had root canal treatments done should be covered with crowns to prevent their breakage as they have lost their natural hydrating mechanism and tend to be brittle.Teeth that have been restored more than half by filling material should be crowned.Tooth with bad aesthetics can be reshaped with crown to improve the aesthetics.Damage to the tooth structure because of wear and tear can be restored with crown.Fractured tooth can be restored with crown.Teeth with wide spaces between them resulting in food lodgment or unpleasant appearance can be crowned.BridgesA fixed bridge can replace one or more missing teeth. It consists of one or more artificial solid teeth suspended to crowns that are placed on two or more supporting teeth. Fixed bridge helps to restore normal function and proper position of your bite. A fixed bridge is made of various metals, porcelain, or a combination of the two.WHERE IS IT INDICATED? 1) If one or more teeth are missing, it can be replaced with fixed bridge. 2) If the jaw has generalized space in between the teeth, the fixed bridge can fill the gaps. 3) Can be placed over implants to make implant supported partial or full mouth bridge.WHAT ARE THE LIMITATIONS OF A BRIDGE? 1) If the teeth which are going to support the bridge are not stable, bridge should be avoided. 2) If number of missing teeth is more than number of present teeth, the fixed bridge can't be given.WHAT ARE THE ADVANTAGES OF A BRIDGE?1) This is a fixed partial denture and patient does not need to remove it once fixed.2) If maintained properly, stays for a longer period.3) Less expensive as compared to dental implants.4) Do not require any surgery.VARIOUS TYPES OF CROWNS/BRIDGESThere are various types of crowns/bridges which include: 1) All metal .2) Porcelain fused to metal (tooth coloured)3) All porcelain (metal free )4) Zirconium based (metal free)5) Precious metal

Remember Osteoporosis Today, Besides Fractures Low Calcium Causes Heart Failure.

Dr. Neelam Nath Bhatia, General Physician
Calcium and fat soluble Vitamin D are important for healthy bones to regenerate.Wear and tear is more in women during reproductive years due to extra demands of lactation and pregnancy with a growing up baby taking up resources from mother.A Recent Study has suggested that extra intake of oral tablets of calcium can be Dangerous for the heart.Another study has suggested that 'weak' bones are related to more incidences of a Heart Failure !Decide for yourself about How to keep both Bones and Heart Healthy.Eat a Calcium rich food and Dairy products minus fats are Still the rich source of calcium which can be digested with advancing age.Fresh Oxygen is as Important for bone and heart health. Keep walking regularly in a place with fresh plants with clean leaves. No need to inhale dusty air due to plants in a nearby park having dusty leaves all around.Seasonal Fruits and Vegetables are good sources of calcium. Remember that Calcium is a mineral and one needs a good supply of inherent enzymes to digest the Calcium well.Vitamin D is manufactured by our liver and it is called Sunshine Vitamin as Sun helps to produce this vitamin.  Sun Exposure should be uninterrupted for at least half an hour, and I suggest to women to Expose their backs to sun ,it gives exposure to larger area and 'saves' the face from getting tanned !Vitamin K , another fat soluble vitamin is present in good fats like pure ghee or butter and nuts.Vitamin K helps Better Absorption of Vitamin D.Besides these 2 essential vitamins for bones , calcium as a mineral ,helped by Zinc and Magnesium.Normally around Menopause time , presumption is that every woman is prone to fractures besides having a weak heart. Calcium along with Vitamin D are given as a routine supplements.Can we do without supplements ? If No Supplements are given--There is risk of Fractures to bones and Risk of a Heart Failure,specially if woman is also having high BP , Diabetes and has a strong family history of Heart AttacksIf supplements are given , calcium can get Deposited within blood vessels.Follow the middle path.Depend more on food and less on supplements but do take a low dose if bones are found to be weak on testing .No Need to take a Weekly Dose of 60,000 I U but one can have around 500 IU of Vitamin D per day.Low Dose of Vitamin D supplement may be safe if taken along with fat soluble Vitamin K through good fats.Regarding Calcium supplements ,do take but only If Tests Reveal Weak Bones.