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What is the ayurvedic and naturopathic way for disinfection of the mouth instead of using chemical gargling?
Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible, functionally and structurally.
The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage, the adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth.
In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.
Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.
Types of implants:
- Three common types include: Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
- Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
- Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.
The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.
However, if managed well, even these patients can have implants after a detailed assessment by the dental team.
Sir, My Father is 60 years old. His 3 Nos. Of Tooths have lost. He want to implant / fix the new one. What is the procedure and What will be the cost. I stay in Jamshedpur.
I am suffering with mouth ulcers approximately every 2 to 3 months, mostly if body heated I suffering a lot. What should I do?
I have this huge gap between my two front teeth. My friend told me to go for braces but I've heard they aren't for the gap but fot the distorted teeth. Also they're expensive. Is there any other cheap way to get it done!
I have a good set of teeth. But my gums have some swelling, sometimes bleeding occurred from gums. What to do.
मेरे मसूड़े दांतों से पीछे हट रहे हैं कुछ समाधान बताएं बहुत ज्यादा तंग हो चुका हूँ कुछ उपचार बताएं और खाँसी के साथ बलगम में खून आता है कुछ उपाय बताए धन्यवाद
Hi, I am 42 yrs old, male and I have a pain in my left gum (mouth) for last 1 months. What should I do?
I have lost two major teeth due to tooth decay how normal biting can be established and dental implant are safe or not.
Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.
The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.
When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:
- Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
- Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
- Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.