Hello I chew pan pan masala all day now I am having space between tooth and now my gums become very weak when ever I take non veg it food lodgement now please suggest me something. What I can do and let me know if there is any best toothpaste or manjan.

Rakshana DeviDentist2yrs exp

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hello lybrate user.. I advice you to do scaling once then follow up after three months and then continue once a year.. try to stop chewing pan masala gradually.. brush your teeth thrice a day, because you will have stains of pan.. use dental floss. use mouth wash.. the stains and weaker gingiva will gradually subside and get better... the space between tooth is due to the calculus deposits.. regarding food lodgement, I advice you to take an orthopantamogram ...because of dental caries, food lodgement occurs.. thank you..  

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Hi, firstly I will recommend you to stop the pan masala chewing habbit as per your treatment is concerned you need to get an x-ray called opg so that we know the extent of damage or bone loss which has taken place. Your treatment has to be planned according to the x-ray and clinical view for which you have to visit a dentist.  

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Dr. Mushahid HasanDentist5yrs exp

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One of the most important thing is that you have to quit the habit of chewing pan masala visit a dental clinic get your scaling done and learn brushing techniques. It will help you maintaing good oral hygiene.  

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Dr. AbiDentist14yrs exp

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Reason for space between teeth is due to , gum inflammation and that is due to not maintaining oral hygiene practices, and not stopping eating pan masala Remember this OSMF is reversible in nature but the promise is that you completely stop religiously the cause factor that is - paan chewing, tobacco, smoking, betel nut, areca nut, tamul, bidi, supari, and such products. But if you are not able to put two fingers in your mouth and hard to take spicy then the condition is serious this is oral submucosa fibrosis, a precancerous condition this is reversible but the condition is strictly following the below-mentioned medication and stopping what it lead to osmf toabbaco chewing, paan chewing, betel nut, arecanut, smoking and other such habits. First of all start brushing at night the food you eat or if you drink milk, soda before going to bed and you do not brush, its welcoming cavity, plaque, in your mouth and as time pass by you will fill loose gums, lot of cavity, bleeding gums, bad breadth and much more. Also do you floss? If not then start to floss, its difficult initially but it is going to save you from lot of cavities and gum disease. Also 1.correct brushing technique, soft zigzag brush, brush at night 2.flossing daily 3. Use of mouthwash like chlorohexidine, hydrogen peroxide, or betadine or salt water rinses 4.use of interdental brushes 5. apply Gum paints like stolin. Metrohex plus gel by following oral hygiene practices you can reduce or even stop the gum inflammation and future cavities completely. 

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