Doctor in Sri Ram Dental Clinic
Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Root Canal Treatment
Management of Dental Hygiene
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
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1) If your crown is alive, crown cutting done for fpd or caping, it may cause mild pain for 7 to 10 days.
2) It may cause thermal sensation for some days
3) It may cause mild irritation.
4) It may feel bulging or heaviness. (specially is case of fpd).
Treatment:- Generally these problems are auto cure in approx 10 days and there are no need of treatment. If it causes more pain, pain killers should be prescribed. Salt water gargle provide relief to patient in this case. These problems will be auto cure in 7 to 10 days.
Brushing seems like such an easy thing to do right? Then why do so many people do it so infrequently or ineffectively? I’ve had teenager (and occasionally adults) who even admit that they haven’t brushed their teeth in a week! Please don’t be this person! I’m going to go through some easy tips to make brushing more effective and help you reduce your risk of cavities, gum disease, and bad breath. Improving your oral hygiene is easy and doesn’t take much time at all! The biggest thing you’ve got to do is make a habit of it. A habit takes about 21 days of practice before it is ingrained. After it is a habit, it won’t feel difficult or like it is a chore and it’ll make a huge difference in your oral health.
Tip #1: Brush twice a day for 2 minutes each time with a fluoride toothpaste. Most people like to do this first thing in morning to get rid of morning breath and then right before bed. If you only can pick one, brush before bed. Your saliva production decreases at night and if you’ve got sugar or acid on your teeth, they’re more susceptible to attack. Two minutes is also important. You want enough time to fully remove all the build-up on your teeth (which take longer than you think) and allow the fluoride to be taken up into your tooth. The fluoride can’t be taken up effectively until you’ve cleaned all that mess off your teeth. If you want to be really thorough buy some plaque disclosing solution and use it before you brush your teeth. This will stain all the plaque on your teeth and will let you know when you’ve gotten it all off.
Tip #2: Don’t hold your toothbrush with the bristles at a 90 degree angle to your teeth. You want to hold it at a 45 degree angle to your teeth with the bristles pointing towards your gums and do quick vibrating or circular motion all around your mouth. This helps clean the plaque away from the area by the gums which is generally the hardest spot to keep clean. Another good way to brush is to place your tongue at a 45 degree angle to your gums and sweep the toothbrush down along the side of the tooth. The fancy name for this is the “modified bass method”. It works great if you spend a lot of time doing it but most people can’t pull this off consistently.
Tip #3: Don’t rinse your mouth out with water or mouthwash after brushing. Just spit out the toothpaste. This allows the ingredients in the toothpaste to continue working.
Tip #4: Always brush your tongue or use a tongue scraper. Your tongue is covered in taste buds that give food and bacteria a great place to hide. If you notice your tongue is a different color (like white, brown, or black) you’ve got a lot of work to do! Your tongue should be a nice pink color with no coating on the top of it. A lot of people have bad breath because they don’t do this.
Tip #5: Don’t brush right after drinking something acidic like soda or orange juice. The acid temporarily makes your enamel softer and you can actually brush some of it off if you brush immediately. Instead wait a minimum of 30 minutes and I’d probably recommend waiting even longer than that if you’re able to.
Tip #6: Consider investing in an electric toothbrush. They do a phenomenal job getting your teeth clean in a much shorter period of time than a manual toothbrush. The best types of electric toothbrushes are the ones with round heads that rotate and oscillate around. All you have to do is place it on the different surfaces of your teeth for a short period of time and it does all the work for you. No brushing or special technique needed. If you have poor dexterity in your hands (such as in children or the elderly) this becomes even more important. I think every kid should have a cheap electric toothbrush (cheap because they inevitably end up thrown off the counter, or in the toilet!). I’ve seen them for as little as $5 at places like Walmart.
For some reason everyone hates doing this even though it is so fast and easy. I have so many patients who will go to the gym every single day for an hour but can’t spare the extra half a minute to floss their teeth. I can guarantee you that flossing for 30 seconds a day has a much bigger overall health impact than 30 seconds at the gym. I can personally floss my teeth in 10-20 seconds. You can too with a little practice. Here are some tips on how to floss effectively and motivate you to keep doing it.
Tip #1: Make it a habit! Just like with brushing you need some time to make this a habit. Again, force yourself to do it at the same time each day for 21 days straight. After that it gets easy. Do it every night before going to bed. You’ll thank yourself when it is time to go to the dentist and when your teeth aren’t falling out at age 50 or 60.
Tip #2: Use a floss that is easy to use for you. Those flosses that shred and are a pain are why people hate flossing. The best floss is the one that you will use! My patients ask me all the time what I recommend. I always tell them that I don’t care what they use as long as they are using something!
Tip #3: “Only floss the teeth you want to keep”. Periodontal disease (bone loss around your teeth) is the number one reason why people lose teeth. I’ve never seen someone who flosses regularly develop periodontal disease (unless there was some rare underlying medical condition).
Tip #4: If you are terrible at flossing or can’t get into it, try purchasing a Waterpik and use that instead. A waterpik has a small wand with a tip that shoots a stream of water that can be used to clean between your teeth. It is just as effective as floss and can making cleaning around bridges or braces much easier than traditional floss. Want really good breath afterwards? Fill it up with mouthwash instead of water and you’ll kill two birds with one stone.
Tip #5: If you’ve got big spaces between your teeth, try using soft piks instead of floss. There are a lot of variations and sizes with these but they all look basically the same. They look similar to little tiny christmas trees or pipe cleaners. You can find these next to the floss in most stores or you can usually find them in bulk online for better prices. They are small enough to fit in between the small spaces between your teeth but large enough that they clean the spaces really well! I’ve got a lot of older patients who do great keeping their teeth clean and use these exclusively.
Tip #1: Mouthwash cannot replacing brushing or flossing, ever! Listerine made this claim a while back, got sued for making false claims, and it was upheld in court! Always make brushing and flossing a priority before using mouthwash. It does work well in addition to doing these things.
Tip #2: Don’t use mouthwash immediately after brushing. This removes the ingredients from the toothpaste that are helping to protect your teeth. Wait at least 30 minutes. For most people they should brush their teeth in the morning, use mouthwash after lunch, and then brush and floss right before bed.
Tip #3: Figure out what mouthwash is correct for your situation. You can find mouthwashes that are better for breath control, dry mouth, reducing cavities, or a combination of all of them.
You can’t go a day without seeing a new article about which diet is the best for losing weight, staying healthy, building muscle, or being environmentally responsible. There always seems to be some new trend that everyone is trying out. It can be hard enough to sort out which one is right for you before you even start asking the question I’m always thinking…
“What will it do to your teeth??”
I know. I know. It’s probably not the first question that comes to most people’s minds. I think it is a really important one though. A healthy set of teeth is important for eating and chewing as well as overall health. Many people are starting to realize that your mouth is a window into the health of the rest of your body. A great diet should be healthy for your teeth as well as for the rest of your body. Figuring out that part… Not so easy, but I’ve got you covered!
I’m going to go through all the major diets out there, and rank them according to how tooth friendly they are (This doesn’t take into account if the diet is effective for anything else… just how “safe” it is for your teeth). These rankings are my subjective ratings on the diets based on how I think the average person would use the diet.
One last piece of advice before we get into the rankings….
Almost any diet can be made “teeth healthy” if you understand and follow the basic rules about how to eat for healthy teeth. The problem is that people don’t usually understand how the process works, what foods can actually cause cavities, and how to avoid it.
Diets with a Tooth Score of 0-2 will be very challenging to follow as is and not develop cavities long term.
Diets with a Tooth Score of 3 can be made teeth healthy if you watch what and how you’re eating.
Diets with a Tooth Score of 4-5 will typically be quite teeth healthy without much modification.
This diet recommends six meals a day, each meal containing at least two of it’s twelve superfoods (Almonds/Other Nuts, Beans, Spinach/Green Veggies, Dairy, Instant Oatmeal, Eggs, Turkey/Lean Meats, Peanut Butter, Olive Oil, Whole Grain Breads and Cereals, Whey Protein Powder, and Berries. Smoothies are a highly recommended way to get many of these meals in.
Pros: It recommends limiting refined carbohydrates and sugar.
Cons: It keeps you eating all throughout the day. Whole grain breads and cereals can still cause cavities. Sipping on smoothies, especially if they are berry heavy, is a good way to get cavities.
Tooth Score: 2/5. The constant eating is the biggest risk factor with this diet.
This diet is a relatively complicated one to follow! Here are the basic rules… 1) Eat as much fresh food as possible 2) Avoid processed foods and sugars 3) Get 40-50% of your calories from carbs, 30% from fat, and 20-30% from protein 4) Eat whole grains 5) Eat pasta in moderation 6) Avoid high fructose 7) Reduce your intake of saturated fats 8) Eat more vegetable based protein than animal based protein other than fish 9) Eat fruits and vegetables from the entire color spectrum and 10) Drink water
Pros: It recommends you limit most refined carbohydrates, sugar, and high fructose corn syrup. These are the biggest contributors to tooth decay.
Cons: It can be complicated to follow and know if you’re doing right.
Tooth Score: 4/5. It cuts out the vast majority of foods that are known to cause cavities.
The Atkins diet is one of the most popular low carb diets out there. It has you cut out almost all starchy and sugary carb foods including candy, cookies, chips, potatoes, pasta, bread, and sugary drinks.
Pros: It cuts out almost all carbs and sugars which are the biggest contributors to tooth decay.
Cons: None for your teeth.
Tooth Score: 5/5. By cutting out almost all carbs (except those you get from vegetables) you reduce your risk for cavities drastically.
BIGGEST LOSER DIET
The Biggest Loser Diet, popularized by the reality television show, focuses on small portions of food eaten in 5-6 meals throughout the day. It emphasizes weight loss which is achieved by eating fewer calories. The recommended foods for this diet include lean proteins such as turkey or chicken, low fat dairy, whole grains, fruits, vegetables, beans and nuts.
Pros: It cuts out refined carbohydrates.
Cons: You are eating more frequently and still have a good number of sugars and carbs in your diet from grains and fruits.
Tooth Score: 2/5. The combination of eating frequently and carbs isn’t usually a good one for your teeth. Limiting how often you eat grains and fruits will help lessen the impact on your teeth.
The DASH diet was originally created as a diet to help keep blood pressure in check. It has since been rated by several publications as one of the best overall diets to follow. It recommends eating the following servings of food each day (on a 2000 calorie diet): 7-8 servings of whole grains, 4-5 servings of fruit, 4-5 servings of vegetables, 2-3 servings of low fat or non-fat dairy, 2 or less servings of lean meats, fish, or poultry, 4-5 servings per week of nuts, seeds, and legumes, and limited consumption of fats and sweets. It also recommends keeping sodium intake very low
Pros: Great for your overall health
Cons: It has a large proportion of your food coming from grain and grain products as well as fruits. All of these can contribute to cavities if eaten too frequently.
Tooth Score: 3/5. To make this diet more teeth healthy, limit grain products, fruits, and any sugary items to your specific mealtimes and don’t snack on them throughout the day.
FAST DIET (5:2)
The fast diet (the most popular of which is the 5:2 variety) is a diet in which you eat normally 5 days out of the week and the other two days you eat a very small number of calories (usually around 500 calories). The goal of this diet is to lose weight. It says you can pretty much eat what you want on your non-fast days. The major goal is calorie reduction.
Pros: One of the easier ones to follow.
Cons: There aren’t any recommendations about cutting out refined carbs and sugar.
Tooth Score: 1/5 if your 5 regular days are like the typical western diet (high in refined carbs, sugars, and sweet drinks). If you eat more healthy foods on your regular days this could be a reasonable diet for your teeth.
The Fertility Diet as the name suggests was created to help people get pregnant. Many cases of infertility are related to the woman not ovulating which this diet can help with. The rules include avoiding trans fats, using unsaturated vegetable oils, eating vegetable proteins instead of animal proteins, eating slow carbs such as whole grains, vegetables, and fruits, drinking whole milk, eating iron containing plants, and staying hydrated while avoiding sugary drinks.
Pros: It recommends avoiding refined carbohydrates and extra sugars.
Cons: It is recommended that some women gain weight on the diet to get to a more healthy BMI for fertility. It is easy to eat the wrong foods in order to do this (such as ice cream or too many carbs).
Tooth Score: 4/5. Overall a good diet as long as you watch how often you’re consuming carbs and fruits.
FLAT BELLY DIET
The Flat Belly Diet claims you can lose up to 15 lbs in a month with their system. For the first four days of the diet you can only eat 1200 calories and avoid all salt, processed foods, carbs, and gassy foods such as broccoli, onions, and beans. After the first four days you shoot for 1600 calories a day, eating a small meal/snack every four hours and sticking to a Mediterranean style diet. You also have to drink 2 liters of water a day that has been mixed with ginger root, cucumber, lemon, and mint leaves.
Pros: After the first four days, it sticks to a Mediterranean style diet, which is pretty tooth safe.
Cons: The water concoction isn’t great for your teeth (regular water would be much better) and eating all throughout the day is associated with a higher rate of developing cavities.
Tooth Score: 2/5. If you drink plain water instead of their “sassy water” and avoid most processed carbs and sugars, it’ll be much safer for your teeth.
The Flexitarian diet aims to have you add five new food groups to your diet without putting specific restrictions on what else you can eat: Plant proteins such as tofu, beans, nuts, eggs, or seeds, fruits and vegetables, whole grains, dairy, and sugar and spice. It also aims to reduce the calories you eat each day.
Pros: Relatively easy to follow.
Cons: Easy to justify eating too many carbs and sugar.
Tooth score: 2/5. While much healthier than the standard diet, it still allows a lot of cavity creating foods, which if eaten too frequently will definitely cause tooth decay.
GLYCEMIC INDEX DIET
The Glycemic Index Diet attempts to get you to only eat foods that have a low glycemic index (eg. that don’t spike your blood sugar quickly such as refined carbohydrates, sugars, crackers, etc).
Pros: Many of the foods that have a high glycemic index are also cavity causing. Cutting them out will help.
Cons: Some of the moderate to low glycemic index foods can still cause cavities (such as fruits, pasta, or ice cream).
Tooth score 3/5. If you watch how often you eat those additional cavity causing foods, you can lessen the impact on your teeth.
Intermittent fasting is a pretty broad term that spans everything from the 5:2 fast diet to one meal a day to a whole variety of other diets. The one thing that binds them all together is the emphasis on extended periods of not eating / minimal eating.
Pros: Extended fast periods are good and safe for your teeth.
Cons: No guidance on what types of foods to eat.
Tooth score: 4/5. One of the biggest factors in developing cavities is the frequency with which you eat sugars and carbohydrates that cavity causing bacteria feed on. Intermittent fasting makes it so that you don’t eat them frequently, even if you do eat them.
JENNY CRAIG DIET
Many people love the Jenny Craig Diet because they make it easy. They send you pre-packaged meals and provide you with the meal plans so that you can stay on track. Portion size control is the biggest thing that they do for you.
Pros: By having pre-set meals and snacks you are able to avoid constant snacking throughout the day.
Cons: There are still a lot of refined carbohydrates and sugars in their meals, snacks, and desserts.
Tooth Score: 3/5.
MAYO CLINIC DIET
The Mayo Clinic Diet focuses on eating according to their Healthy Food Pyramid which emphasizes eating a lot of fruits, vegetables, and in lesser amounts, “smart” carbohydrates such as whole grains. For the initial portion of the diet, they also recommend cutting out artificial sweeteners, alcohol, and all sugary items but are added back after losing the weight you’d like to lose.
Pros: It recommends cutting out refined carbohydrates and eat “smart ” carbohydrates such as you’ll find in whole grains, fruits, and vegetables.
Cons: Carbohydrates (with a picture of pasta) are still high on their list of foods to eat.
Tooth Score: 3/5
The Mediterranean Diet basically has four different categories of foods to eat… Eat regularly, Eat in Moderation, Eat Rarely, and Don’t Eat. Eat regularly includes fruits, vegetables, whole grain breads and pasta, nuts, beans, fish, and healthy oils such as olive oil. Eat in moderation includes eggs, dairy, and poultry. Eat rarely includes red meat. Don’t eat includes refined carbohydrates, processed foods, processed meats, and sugars.
Pros: It cuts out refined carbohydrates.
Cons: It still has a heavy emphasis on carbohydrates and fruits which can both cause cavities if eaten frequently.
Tooth Score: 3/5
MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay (quite a mouthful!). The goal of the diet is to reduce your risk for developing Alzheimer’s disease. Studies have shown that it is effective in doing this if followed well. The foods it recommends eating are a combination of the Mediterranean and DASH diets, specifically the ones that are good for brain health. These include green leafy vegetables, other vegetables, berries, nuts, whole grains, fish, and poultry.
Pros: It cuts out refined carbohydrates.
Cons: Like the two diets it is based on, a large proportion of calories still come from carbohydrates and fruits. This can cause cavities if eaten too frequently.
Tooth Score: 3/5.
The Nutrisystem diet is similar to the Jenny Craig Diet in that you select from pre-packaged meals that are shipped to your house. It focuses on portion control and eating many small meals throughout the day. The meals shoot for 50% of your calories from carbohydrates, 25% from protein, and 25% from fat.
Pros: You have some flexibility in what meals you get.
Cons: A lot of meals have sugar or a lot of carbohydrates in them and it also recommends you eat frequently throughout the day.
Tooth Score: 2/5. Too many carbohydrates too often can lead to cavities.
In the Ornish diet foods are broken up into five categories, Group 1 being the most healthy all the way to Group 5 which is the least healthy. Group 1 includes fruits, vegetables, beans, non-fat dairy, and whole grains. Group 2 includes avacados, nuts, seeds, and various oils such as canola or olive. Group 3 includes seafood and reduced fat dairy products. Group 4 includes poultry, whole fat dairy products, cookies, and cakes. Group 5 includes red meat, butter, fried foods, and other highly processed foods. The goal is to eat primarily from groups 1 and 2, occasionally from group 3, and infrequently from groups 4 and 5.
Pros: It cuts out most refined carbohydrates.
Cons: Depending on how you implement the diet you can end up with a lot of carb heavy meals.
Tooth Score 3/5
The goal of the Paleo diet is to eat like early humans used to eat. This can be quite variable so there are a good number of variations on this diet. Most practitioners of the Paleo diet recommend getting the vast majority of your calories from fruits, vegetables, nuts, and meat. Beans, sugars, and most carbohydrates, even whole grain, are a big no-no.
Pro: It cuts out most carbohydrates except for what you get from fruits and vegetables.
Cons: It’s unclear if this diet is actually healthy for the rest of your body (even though it is pretty good for your teeth)
Tooth Score: 5/5
SLIM FAST DIET
You eat Slim Fast products as meal replacements. These primarily include shakes, meals bars, and snack bars. You also fix one 500 calorie meal a day. The primary goal of this diet is to lose weight, not to be a long term diet plan.
Pro: It is an easy diet to follow, if not very exciting.
Cons: Most of the products have sugar or carbs in them.
Tooth Score 1/5.
SLOW CARB DIET
The Slow Carb Diet was popularized by Tim Ferris in his book, “The Four Hour Body”. Tim Ferris differentiates between “fast carbs” and “slow carbs”. Fast carbs are things like sugar and refined carbohydrates (such as white flour) that break down quickly into sugars. He specifically says to avoid anything white and starchy as well as fruits. Slow carbs are things like whole grains and vegetables that your body breaks down much more slowly. You basically cut out all “fast carbs” from your diet 6 out of the 7 days of the week. The 7th day is a cheat day and you can eat whatever you want. You also shouldn’t drink any calories so no sugary drinks allowed.
Pros: The diet really cuts out the vast majority of foods that cause cavities.
Cons: Most people go crazy on the cheat day, but it shouldn’t be too much of problem if eat the right things on the other days.
Tooth Score: 4/5
SMOOTHIE OR JUICING DIET
Several documentaries have extolled the virtues of a smoothie or juicing only diet for some period of time in order to lose weight. The most popular of these is “Fat, Sick, and Nearly Dead”. The basic idea is that you only make fruit and vegetable smoothies or juice for whatever period of time you need in order to lose your required amount of weight.
Pros: None that I can think of.
Cons: Drinks with sugar (such as almost every smoothie or juice) are terrible for your teeth, especially if you consume them frequently.
Tooth Score: 0/5. This is a dangerous one for your teeth.
SOUTH BEACH DIET
The South Beach Diet is another low carb / right carb diet. It breaks up the diet into three separate phases. Phase 1 is the most restrictive and cuts out all carbohydrates except those with a very low glycemic index such as such as vegetables. This phase is very tooth friendly and intended to help you lose a lot of weight. Phase 2 lets you re-introduce some of those carbs back into your diet. It recommends only whole grains, fruits, whole wheat pasta, and sweet potatoes. This is moderately tooth friendly. Phase 3 is when you are at a stable weight and are just maintaining. It recommends you make good food choices based on your experiences in the first two phases. You can go back to phase 1 and 2 if you need to lose more weight.
Pros: Cuts out refined carbohydrates for the most part.
Cons: Once you’re at a stable weight, it is far less restrictive and you might start choosing foods that are bad for your teeth again.
Tooth Score 3/5. Depending on what phase you’re in, it can be either good or bad for your teeth.
STANDARD WESTERN DIET
This isn’t so much a “diet” as it is the typical way many people eat today. It started in the United States and has since spread to most other parts of the world. There is a heavy emphasis on refined carbohydrates, meats, and sugary drinks. Fruits and vegetables are usually an afterthought. It is responsible for the skyrocketing rates of obesity, cancer, diabetes, heart disease, and many other diseases. As expected it is terrible for your teeth too.
Tooth Score: 0/5
The TLC diet aims to lower your bad cholesterol levels and be heart healthy. It does this by reducing saturated fats in your diet. On this diet you’ll want to avoid most saturated fats including butter, whole fat dairy, and fatty meats. It also increases the amount of soluble fiber you consume. The recommended foods include fruits, vegetables, fish, skin off lean meats, bread, pasta, and other whole grains.
Pros: It is rated as a good diet for your heart.
Cons: There are a lot of recommended carbs in this diet. If you’re eating fruits, bread, and pasta too frequently you’ll likely develop cavities.
Tooth Score: 2/5
TRADITIONAL ASIAN DIET
This one spans a good variety of different diets prevalent in the area of Asia. Most of them are low fat and include large amounts of rice, vegetables, fruit, and fish. Red meat is very limited.
Pros: It is typically considered a pretty healthy diet.
Cons: Rice, fruit, and noodles can definitely cause cavities, especially if combined with any added sugars.
Tooth Score: 2/5
A vegan diet aims to cut out all animals products. That means no butter, eggs, dairy, cheese, meats, or fish. Most people on a vegan diet eat large amounts of fruits, vegetables, nuts, beans, pasta, and bread.
Pros: A well done vegan diet (heavy on the vegetables, fruits, beans, and nuts can be really healthy).
Cons: It is easy to load up on carbs or sweets while on this diet since you have so many other restrictions.
Tooth Score: 2/5. I recently had a patient who had 15 cavities while eating a vegan diet. She was snacking on potato chips all day which led to the cavities. I’ve seen the same thing with fresh fruit heavy diets. You can make it more teeth healthy by eating more whole grains, limiting the frequency with which you have them (don’t snack on them!), and avoiding added sugars.
The vegetarian diet cuts out all meat products but other animal products such as dairy and eggs are OK for most people. There are a couple of different variations that allow different items. Most people eat a large amount of vegetables, fruits, cheese, nuts, beans, pasta, and bread.
Pros: A well done vegetarian diet can be really healthy.
Cons: As with the vegan diet it is easy to load up on way too many carbs and sugars.
Tooth Score: 2/5. To make this one more teeth healthy avoid eating carbs and extra sugars except at meal times.
The Volumetrics Diet is different than many of the other diets I’ve featured on here. Instead of focusing on food groups or calories, it recommends simply eating high volume, low calorie foods to keep you full without eating excess calories. Examples of these high volume, low calorie foods include fruits, vegetables, low fat dairy, whole grains, and lean meat.
Pros: It recommends cutting out refined carbohydrates.
Cons: You can still develop cavities if you are eating a lot of the fruits and grains too frequently.
Tooth Score: 3/5
WEIGHT WATCHERS DIET
Weight Watchers works by using a SmartPoints system. You have a set number of points you can use each day. Foods that are healthy cost very few points while calorie heavy, non-nutritious foods cost a lot of points. No food is banned in this diet. The SmartPoints system aims to get you to eat low calorie and fillings foods such as fruits, vegetables, whole grains, and lean vegetables.
Pros: Most of their “good” foods are pretty healthy for your teeth.
Cons: You can eat small amounts of the “bad” foods on this diet and if you are doing it frequently throughout the day they can still cause cavities.
Tooth Score: 2/5
This diet ends up being a relatively low carbohydrate diet. It allows you 3 meals a day a two snacks. Each meal is supposed to be 30% protein, 30% fat, and 40% non-starchy/non-sugary carbohydrates. High sugar fruits and vegetables are discouraged as well as bad fats like red meat and egg yolks. Most meals end up being about 1/4 lean meat, 2/3 good fruits and vegetables, and the rest good fats such as avocados, etc.
Pros: It cuts out most foods that cause cavities.
Cons: Not many from the perspective of your teeth.
Tooth Score: 5/5
When one hears the word lasers, the first thing that comes to mind is Star Wars. If only dentistry was as exciting as Star Wars! So now that we all agree on that, let’s see how lasers are changing dentistry and what we have to look forward to in the future. It’s actually some pretty cool stuff, even if you would probably rather be watching Star Wars.
There are several different types of lasers currently in use in dental clinics today.
Soft Tissue Lasers (Diode):
This is the typical laser you’ll see in a general dental clinic and is also the least expensive costing 1-4 lakh INR. It is only used for cutting soft tissue (ex. gum tissue). This type of laser doesn’t actually use the laser tip to cut tissue. It has a glass fiber than transmits the laser pulse which is charred and then heated up by the laser pulses. It is this heated glass tip that actually does the cutting. It isn’t as efficient in cutting tissue as say a scalpel would be but it makes up for that in the fact that there is little to no bleeding afterwards and the tissue heals beautifully. There are a couple of good applications for this type of laser:
- Frenectomies (for example with tongue ties or a frenum between your top front teeth that contributes to the teeth wanting to spread apart)
- Removing a small amount of gum tissue around a tooth before taking an impression for a crown
- Stopping bleeding
- Reduction in symptoms for cold sores and ulcers
- Crown lengthening procedures for exposing tooth structure for crowns
- Teeth Whitening procedures
Combined Hard and Soft Tissue Lasers (Carbon Dioxide, Neodymium Yttrium Aluminum Garnet aka Nd: YAG, and Er:YAG):
These types of lasers are the more cutting edge side of lasers in dentistry. They have the ability to cut both hard and soft tissue as well as some restorative materials. They can cut teeth, bone, and tissue. Each type has a slightly different application and usefulness. These lasers are also currently very expensive costing upwards of 35 lakh INR in some cases. This has limited their adoption significantly. One of the biggest benefits to these types of lasers is that the amount of anesthetic needed to numb a tooth is much more limited and in some cases not needed at all due to laser pulses effects on the nerve. Some current procedures that are performed with these types of lasers include:
- Frenectomies – as explained above
- Gingivectomies – Excess gum tissue is removed for a better esthetic look
- Laser assisted new attachment protocol (LANAP) – Periodontist’s often perform this procedure in which the laser is used to clean the pockets around teeth and in many cases it can help to regrow bone around teeth, which was previously impossible
- Biopsies – Suspicious areas can be easily removed with a laser for evaluation by a pathologist.
- Crown lengthening surgery – Bone is removed around a tooth to allow more space for a crown to be fitted to a tooth.
- Preparation of teeth for cavities – These lasers can be used to remove decay and prepare teeth for fillings. It actually cuts the decayed area more readily due to the increased water content of those areas. It can’t cut amalgam or porcelain but does cut tooth structure and composite filling material.
As you must have gauged by now, the lasers find a versatile use in the realm of dentistry. They truly adhere to the "No Cut, No Stitch, No Blood" protocol, thus alleviating the fear of the patient. Next time you visit your dentist, just sneak around and ask for the lasers, if any and their utilities in dentistry. Good and upcoming dental clinics keep their technological standards at par with the international community by incorporating dental lasers in their practices. Give it a shot, at least once!
Hi my upper two teeth has gap between them how can you close it .How much charge for that space filling takes.
I am having jaw lock problem frequently. I have not taken any medicine yet. Please prescribe a medicine, if possible. Thank you.
Does having teeth pain while drinking water having that sensations of feeling like sudden current or blood coming from teeth are anything related to std?
I am 29 years old and today I found my tooth broke by its own, when I felt it with my tongue and pressed hard with tongue it further broke from roots, it was blackish in color, am worried, why n how it happened at this age though I brush my teeth daily.
My last tooth is inclined and pushing the adjacent tooth. My dentist has suggested me to get the last tooth removed as I will damage the other tooth. Does removing the last tooth will weaken the grip of other teeth? Kindly advise.
Most people are understandably concerned when they start to have sensitivity, biting discomfort, or other unusual symptoms. Quickly your mind can jump to the worst case scenario and all of a sudden you’re thinking “I might need a root canal? Oh no!”.
Let’s go over what your dentist looks for and what you can look for to know whether you need a root canal.
Sensitivity to hot or cold can be the first sign that something is going wrong with your tooth… or it can be nothing at all.
When you’re ok…
If something hot or cold hits your tooth and you have a quick, painful sensation that goes away in a couple of seconds, this is fairly normal.
When you need a root canal…
If that same hot or cold hits your tooth and it continues to hurt for 15-20 seconds or even minutes, the nerve is likely in the process of dying and you’ll need a root canal.
Tooth pain comes in a variety of ways. There can be aching, shooting, throbbing, stabbing, electrical, burning, tingling, constant, dull, or severe pains. You can have a combination of these.
When you’re ok…
A dull ache or occasional minor sharp pains aren’t terribly unusual. These can be the sign that you have a cavity, bit on something wrong, or are having sinus problems. As long as it doesn’t become severe, these don’t usually signal the need for a root canal.
When you need a root canal…
Constant severe pain that comes on all by itself or after a stimulus of some sort is not normal. This almost always indicates that you need a root canal. Pain that is strong enough to wake you up at night is a great indicator of this as well. Most of the time, this type of pain comes presents as a throbbing severe pain. Most people say it feels like the tooth throbs along with your heartbeat.
Swelling is usually the sign of infection. Figuring out whether it is related to your tooth or not is the big trick in knowing whether you need a root canal.
When you’re ok…
A number of things other than an abscessed tooth can show up as swelling of the gums, lips, or cheek. The most common are related to gum disease of some sort. Gum disease is a chronic, long term infection of the gums around your teeth. Occasionally this infection can get out of control and cause some significant swelling. Other less likely things that can cause swelling include mucoceles, fibromas, other growths, or trauma.
When you need a root canal…
Swelling that is associated with an infection of your tooth (an abscessed tooth) means you most definitely need a root canal. The nerve inside the tooth has died and all this tissue inside has now become infected. The tooth acts as a constant source of infection that affects the bone and other tissues around your tooth. A root canal removes all this infected tissue and allows your body to heal.
If your tooth is abscessed you’ll usually have pain when you touch the tooth or bite with it. The swelling typically occurs next to or around the tooth but can also move further away so that it looks like it is coming from somewhere else.
Biting pain is another one of those tricky ones. Biting pain can be related to an infection, trauma, a failing filling, or a cracked tooth.
When you’re ok…
A failing filling or cracked tooth don’t always mean you need a root canal. You may just need a new filling or crown instead. Cracked teeth are more likely to need a root canal in the future though.
Some people also have trauma to teeth as a result of an accident or from grinding and clenching their teeth. This can lead to pain, especially when biting. If you’ve had recent trauma give the tooth some time to settle down before jumping to the conclusion you need a root canal. If you’re a grinder consider investing in a night guard to reduce the force on your teeth.
When you need a root canal…
An infected tooth means you definitely need a root canal. No way out of this one.
A cracked tooth that has developed significant pain, sensitivity, or in which the crack extends into the nerve means that it would need a root canal.
Cavities are no fun. Large cavities are even less fun, especially when you end up needing a root canal. X-rays of your tooth can show the rough extent of a cavity but don’t tell the whole story. Your dentist will only know it’s full extent once they clean it all out of the tooth.
When you’re ok…
If the cavity doesn’t extend to the nerve of the tooth once your dentist removes it, then you’re in the clear, at least for the time being. If it is really close to the nerve you may develop symptoms in the future that mean you need a root canal. Most dentists try to avoid going into the nerve space when at all possible in order to give your tooth a chance.
When you need a root canal…
If the cavity is removed and the nerve of the tooth is exposed then it will need a root canal. In very rare cases where the opening to the pulp chamber is only a pinpoint your dentist may do what is known as a pulp cap and try to let the tooth heal itself. Long term, you’ll probably still end up needing a root canal at some point.
This can be a good guide of whether you need a root canal, but it is important to know that there are many times when you could need a root canal without even knowing it. I’ve seen plenty of infected teeth or teeth with extremely large cavities in which the person had no idea there was a problem at all. The best prevention for root canals is good oral hygiene, reducing sugar and acid in your diet, and seeing your dentist consistently so they can catch things early.
One of the most common complications of having a tooth taken out is developing a dry socket. A dry socket is when the blood clot that is supposed to be in the extraction site either doesn’t form or is displaced. This exposes the bone in the area causing a severe toothache type pain. Many of my patients have told me that the dry socket pain is worse than the toothache that caused the tooth to need to be extracted! This pain can last anywhere from a week up to 5 weeks. Most dry sockets resolve in the shorter end of that range and will always resolve on their own whether you seek treatment or not. Some types of treatment will actually extend the healing time so keep that in mind.
So how do you know if you have a dry socket? Most dry sockets follow a relatively predictable pattern.
- Tooth pain from an extraction generally peaks and starts to quickly decrease within 24-48 hours after the extraction. A dry socket on the other hand usually starts 3-5 days after having a tooth taken out.
- Dry sockets have a much higher incidence after removal of impacted wisdom teeth (especially bottom wisdom teeth) as well as after difficult extractions.
- Risk factors include smoking, using straws, spitting, taking birth control medication, and the intake of hot liquids and foods in the first day or two after the extraction.
- Oftentimes you’ll see a hollow area where the tooth came out and sometimes you can see or feel the exposed bone.
- If you notice pus coming out of the area, it may be infected rather than a dry socket. This is much less likely than a dry socket but can cause similar pain and in a similar time frame. See your dentist for sure if you are concerned it may be infected.
It is important to realize that while a dry socket can be miserably painful, there are no health consequences associated with it. All treatment seeks to manage the symptoms until the area is able to heal on it’s own. Studies have been pretty inconclusive as to what treatment, if any, is best for managing dry sockets. Let’s take a look at some of the things you can do at home.
- Practice prevention. Avoid smoking for as long as you can manage after the extraction. 3 days minimum and longer is better. Don’t use straws or spit. Avoid hot foods for the first day or two after the extraction.
- Take 600-800 mg of Ibuprofen every 6 hours on the dot. If you only take it when it hurts you’ll get into a bad pain cycle that is hard to get out of. Staying ahead of the pain is important.
- Rinse any debris out of the socket. Food tends to get trapped down in there and can cause problems. The easiest way to do this is with a curved monoject syringe. Your dentist usually has these or you can sometimes get them at a pharmacy. An alternative would be a standard oral medication syringe (like you’d use to give medications to kids). As long as you reach the tip into the socket, it’ll work fine. Put some water in it and gently rinse the socket out. Don’t be forceful as this can also displace blood clots.
- DIY Dry Socket Medications – Most medication materials that dentist’s use for dry sockets have some combination of eugenol (oil of cloves) and an anesthetic such as benzocaine as well as some other minor ingredients. Oil of cloves and benzocaine are both medications you can purchase over the counter. The best thing to do is make a 50/50 mixture of these two things and dip a piece of cotton in it. Take a pair of tweezers or something similar that can hold the cotton and push the cotton into the socket. Make sure your cotton piece is big enough that when you push it into the socket you have enough sticking out the top to remove it. Leave it in for a couple of minutes and then remove. You don’t want to leave this in the socket long term as it will slow/stop healing. This combination of medications will help relieve some of the pain and you can do this several times a day.
- If all else fails, remember that the DENTIST is just a stone throw distance away!