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Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.
Hi doctor, I not take my food properly in all days. Because of work stress. So in my tongue ill with wounds. What I want to do?
Fluoride strengthens tooth enamel, which helps to prevent tooth decay. When acids from sugary or acidic foods attack the enamel, fluoride creates a wall of defense against erosion.
It is especially important for adolescents to have an ample amount of fluoride in their diet. Adolescents' teeth are still developing and need the extra protection to grow stronger enamel. Adolescents also tend to favor sugary snacks and drinks such as candy and soda. Fluoride in their diet helps protect adolescents against such overindulgence. To help provide enough fluoride for their children, parents need to know some important facts about the mineral.
Where do I find fluoride?
Since eggs and milk contain fluoride, you should include plenty of those foods in your teens' meals. If you live in an area served by a public water supply, check to see if your municipality adds fluoride to its water.
You can also purchase fluoride-containing mouthwash and toothpaste for your kids to use. Even if they don't remember to brush as often as they should, the fluoride in their mouthwash and toothpaste can help stave off tooth decay.
If your kids need a little extra help fighting tooth decay, your children's dentist may prescribe extra-strength fluoride products for them to use. Be sure to take them for a regular teeth cleaning twice a year. Most dentists include a topical fluoride application as part of the procedure for patients from six to sixteen.
How do I keep my kids from getting too much fluoride?
Although the right amount of fluoride is essential to oral health, too much fluoride can cause adverse effects. Keep a close eye on your kids' teeth. If you notice staining, pitting, or a lacy appearance, your child may be getting too much fluoride. Make an appointment with your dentist to have them checked for a condition called" fluorosis"
If children ingest large amounts of fluoride, they may develop diarrhea, nausea, abdominal pain, and vomiting. For this reason, keep fluoride products out of the reach of young children. Teach your older children the importance of not swallowing their toothpaste or mouthwash, regardless of how good it tastes.
For more information about the best ways to use fluoride to maximize oral health for you and your children, contact your child's dentist. If it's been a while since your children had a teeth cleaning and dental checkup, make an appointment with their dentist today.