Lybrate.com has a number of highly qualified Dentists in India. You will find Dentists with more than 28 years of experience on Lybrate.com. You can find Dentists online in Agra and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Tetracycline Stains
Artificial Teeth Treatment
Braces Treatment for Adults and Teens
Ceramic Braces Treatment
Teeth Scaling & Polishing
Dental Extractions Procedure
Orthosis Fitting Procedure
Fixed Partial Denture Procedure
Flexible Partial Dentures Procedure
Acrylic Dentures Procedure
Gap Closing (Dental) Treatment
Submit a review for Dr. Nikhil PanditYour feedback matters!
HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.
- Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
- Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
- Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
- Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
- Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
- Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.
Diagnosing HIV with Western Blot Test-
It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My teeth hurt when I have something cold a bit more than usual. Sometimes when I brush I can see blood. What might be the problem?
Sir, in my inside mouth there is some white dots in both side I want to know it is cancer are any. It is for 25yrs plse answer.
If you thought dental health could take a backseat amidst other demanding health problems, you surely haven’t experienced the unbearable pain of tooth cavities. Problems pertaining to your teeth could be many. From open nerve endings to weak and brittle teeth, anything could plague you. To take proper care of your teeth, you should visit your dentist frequently.
A few basic ways to maintain healthy teeth
- Pay heed to the kind of toothbrush you use: The kind of toothbrush you use plays a key role in discerning the health of your teeth. Many tend to use toothbrushes with hard bristles for brushing; this causes the enamel of your teeth to wear away. As a result, the dentine shows and a person reveals yellowish teeth every time he or she smiles. To soften the bristles of your toothbrush, you could wash it in lukewarm water prior to brushing.
- Certain food items should be strictly avoided: Junk food or packaged food is not just harmful for your overall health, but also for your teeth. Any food rich in starches or sugars can have acidic effects on your teeth enamel. Acids can corrode the enamel of your teeth. Hence, one should remember to consume food items that contain little amounts of sugar and starch. The reason why everybody around prohibited you from having too many chocolates as a child can be realized in the aforementioned point.
- Brushing and flossing routine: It is absolutely essential to brush your teeth twice daily. Flossing is what makes brushing effective. Many people are not aware of the right way to floss. Flossing should be done in a way so as to get rid of plaque that tends to settle down in between your teeth or right underneath your gums. The floss should be curved in the shape of a C for proper cleaning. Deposition of food particles when left to rot inside your mouth can cause graver problems other than bad breath.
- Give up your addiction: Smoking can kill the well-being of your teeth. It reduces the amount of blood circulated into a person’s mouth thus, making him or her more prone to the risk of oral cancers. Your chances of contracting periodontal diseases also increase when you smoke. So, healthy teeth and smoking can never go hand in hand.
- Never eat too many snacks: Eating in between meals or binge eating generally causes a lot of harm to your dental health. The more number of snacks a person intakes, the more is the concentration of sugar on his or her teeth. Care should be taken to eat four complete meals a day and less of snacks which are rich in sugar or carbohydrates. If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
I am 32 years, i am suffering from OSMF (oral submuscous Fibrosis) from last 4/5 year. What should i do?
Hi doctor, My husband is child smoker from past 15 years. Nowadays his teeth are getting brown colour day by day. No idea whether he is using any pan or not. Can you please suggest some remedies to remove Brown colour marks teeth and some suggestions to reduce smoking. Regards Lekha.
Recently I heard about dental sealants. What are dental sealants, who should get them, and how long do they last?
Hi it's goal Sagar, My mouth is smelling bad when I talk to any one. Pls suggest me any help ful solution to leave it problem.
On my down lip. I scratched my down lip with teeth some months ago now it becomes faded color. It is looking like cigarette smoker lips. It really embarrassing please suggest any gels to regain my lip color I showed to doctor he said no problem it will go don't lick with your tongue always on lip. Please suggest me any gels Tell me where that gels available.
I have continous sensation in my front teeth. Also my wisdom teeth are coming out. Because of this I am having headache. I am a working woman & hence cant go to the doctor frequently. Kindly suggest as it is getting worse with each passing day.
There are a lot of ways that tooth enamel (hardest substance in the body) can wear off – decay and erosion being the most common. While decay is an infectious process with bacteria playing a significant role, erosion is nowhere associated with bacteria. The tooth gets ‘eroded’ in small amounts with the various food substances that you eat. These include the sodas that wash down the burgers and pizzas, the various sports drinks that are used to boost performance, the lime and oranges that are constantly sucked, and other acidic and sugary foods.
It does not mean you should not have an occasional soda or a sports drink or a citrus fruit. It is the constant and overuse of these that is damaging. The oral pH goes to a very acidic level (below 5.5) with these which then leads to demineralization of the enamel. The environment that is usually produced by the bacteria is caused by the acidic and sugary foods.
In some cases, acids could come from an internal source too. People with gastroesophageal reflux disease may have the acid coming from the esophagus, which also can lead to erosion.
However, there is nothing to be disheartened about as the lost enamel can be replaced to restore both tooth function and appearance. The most commonly affected teeth are the inner surfaces of the upper incisors and the biting surfaces of the lower molars. The result is tooth sensitivity, darker teeth, and increased chances of tooth decay and fracture.
Repair Mechanisms: Treating erosion has two components to it – to repair the lost tooth structure and to prevent further damage. The second is equally or rather more important than the first one.
Restorations: In mild cases of erosion, the lost tooth structure can be rebuilt with composite resins or glass ionomer cement which usually restores lost tooth structure to its earlier version. Usually done in one sitting, it should not take more than an hour. The results would last longer if further erosion is prevented.
Crowns: In cases where a lot of tooth structure has been lost and the remaining enamel weakened, a new crown will need to be done. This offers protection against further decay and also restores esthetics and function quite effectively.
Avoid overuse of acidic, sugary drinks like sports drinks and aerated beverages.
Avoid sucking on oranges as they prolong the effect of the citric acid on the tooth.
Include toothpaste and rinse with fluoride.
Improve dairy intake, thereby providing sufficient calcium.
Follow oral hygiene habits including brushing, flossing, and regular dental visits.
Lost tooth structure unfortunately cannot be regained; however, further loss can be prevented.
If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.