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Dr. Megha

Dentist, Bangalore

200 at clinic
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Dr. Megha Dentist, Bangalore
200 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Megha
Dr. Megha is a popular Dentist in St. Johns Road, Bangalore. You can consult Dr. Megha at Smilekraft Multispeciality Dental Clinics. in St. Johns Road, Bangalore. Book an appointment online with Dr. Megha on Lybrate.com.

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Smilekraft Multispeciality Dental Clinics.

#51, St. Johns Road,Landmark: 500 mts from Commercial St. / M G Road -Brigade Road junction , Shivajinagar ShivanchettyBangalore Get Directions
200 at clinic
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I am suffering from submandibular gland stone in left side of neck. After done usg it seems that size of stone is been 14 mm x 11 mm. So what can I do .please suggest.

BDS
Dentist, Gurgaon
I am suffering from submandibular gland stone in left side of neck. After done usg it seems that size of stone is bee...
Medical Care Management of submandibular sialadenitis and sialadenosis involves a wide range of approaches, from conservative medical management to more aggressive surgical intervention. One management scheme is as follows: Acute sialadenitis Medical management - Hydration, antibiotics (oral versus parenteral), warm compresses and massage, sialogogues Surgical management - Consideration of incision and drainage versus excision of the gland in cases refractory to antibiotics, incision and drainage with abscess formation, gland excision in cases of recurrent acute sialadenitis Salivary calculi Medical management - Hydration, compression and massage, antibiotics for the infected gland Surgical management - Duct cannulation with stone removal, gland excision in recurrent case Sjögren disease Medical management - Hydration, dental hygiene, rheumatology and dental referral Surgical management - Gland excision not usually needed unless recurrent acute sialadenitis Sialadenosis Medical management - Treatment of underlying cause Surgical management - Not indicated A prospective study by Choi et al indicated that following salivary stimulation therapy, patients with radioactive iodine (RAI)-induced sialadenitis may undergo a subjective reduction in symptoms but will not experience significant improvement in salivary gland function. The study involved 61 patients who were diagnosed with chronic RAI-induced sialadenitis following thyroidectomy and RAI treatment. After salivary stimulation with pilocarpine, significant improvement was seen in the patients’ subjective symptom scores; however, salivary flow rates and salivary gland scintigraphy parameters, as measured in the parotid and submandibular glands, were not significantly different from their prestimulation values. [8] Medical management of submandibular sialadenitis and sialadenosis centers on eliminating the causative factor. Acute sialadenitis In cases of acute sialadenitis, adequate hydration should be ensured and electrolyte imbalances corrected. Patients are most often treated on an outpatient basis, with the administration of a single dose of parenteral antibiotics in an emergency department, followed by oral antibiotics for a period of 7-10 days. Clindamycin (900 mg IV q8h or 300 mg PO q8h) is an excellent choice and provides good coverage against typical organisms. Patients who exhibit significant morbidity, are significantly dehydrated, or are septic should be admitted to hospital. In this latter group of patients, CT scanning of the area should be performed. If a large abscess is noted, incision and drainage should be considered. Small abscesses typically respond to conservative methods. In cases refractory to antibiotics, viral and atypical bacterial causes should be considered. Sialolithiasis Patients with sialolithiasis should be initially treated with hydration, warm compresses, and gland massage. Antibiotics are indicated in patients exhibiting infection. Sjögren disease In those patients with Sjögren disease, hydration and prevention of complications should be undertaken. Dental hygiene should be strictly maintained in order to prevent carries, and dental and rheumatology consults should be sought. Gland excision is rarely indicated. Sialadenosis: Sialadenosis should be managed expectantly. Treatment should be directed towards managing the underlying problem and achieving homeostasis. Gland excision is not indicated. Surgical Care Acute sialadenitis Patients who exhibit significant morbidity, are significantly dehydrated, or are septic should be admitted to hospital. In this latter group of patients, CT scanning of the area should be performed. If a large abscess is noted, incision and drainage should be considered. Small abscesses typically respond to conservative methods. In patients with recurrent acute attacks, gland excision during a period of quiescence should be considered. Serial CT scanning is often useful. Endoscopic management of sialadenitis frequently obviates the need for gland removal. Results follow a learning curve. [9] Chronic sialadenitis A retrospective study described sialendoscopy as a safe and effective means of treating children with recurrent or chronic sialadenitis. Semensohn et al examined the medical records of 12 pediatric patients who underwent diagnostic and therapeutic sialendoscopy for recurrent parotitis (nine patients) or chronic submandibular sialadenitis (three patients). During follow-up, which averaged 16.5 months, only one patient needed additional surgery (salvage parotidectomy), due to repeated recurrences. [10] Sialolithiasis In patients with calculi in proximity of the opening of the Wharton duct, the duct can be cannulated, dilated, and the stone removed via a transoral approach. Patients with deep intraparenchymal stones or multiple stones should have their glands excised on an elective basis. Ultrasonic lithotripsy is rarely effective and is not offered at the authors' institution. A study by Kopeć et al indicated that sialendoscopy and sialendoscopy-assisted surgery are effective treatments for lithiasis of the submandibular glands. The study found that of 175 patients with submandibular gland stones, complete stone removal was achieved in 149 of them, through either sialendoscopy alone (82 patients) or sialendoscopy with surgery (67 patients). The procedures were also effective in the treatment of lithiasis of the parotid glands. [11] Similarly, a prospective study by Aubin-Pouliot et al indicated that sialendoscopy-assisted salivary duct surgery is an effective treatment for chronic obstructive sialadenitis, especially that caused by sialolithiasis. In the study’s 40 patients (54 glands), the overall mean score on the Chronic Obstructive Sialadenitis Symptoms (COSS) questionnaire improved by 22.6 points, falling from 36.1 preoperatively to 13.5 at 3 months postoperatively. For submandibular gland patients specifically, the mean score fell from 38.1 preoperatively to 10.3, while for parotid gland patients the mean score fell from 32.6 to 19.0. The investigators found the greatest COSS score improvement in patients whose condition was caused by sialolithiasis, as opposed to those with radioactive iodine– or inflammatory-related sialolithiasis.
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I am a male of 21 and I got continues wounds in my mouth. repeatedly. What should I do ?

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
You may take cap bnc one a day locally apply metrogyl gel ointment suck on tab bifilac twice daily drink plenty of water. Take fibrous food you may add banana to your diet at night take isabgol husk two table spoon full n try to stay tension free.
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I am 20 year old my upper teeth are slightly coming out as compared to lower teeth. Is there any way to fix this without braces ? Any home remedy or medicines or exercises ?

BDS, PG diploma In Smile Designing and Esthectics
Dentist, Thane
I am 20 year old my upper teeth are slightly coming out as compared to lower teeth. Is there any way to fix this with...
Hi lybrate-user, if its very minor correction it can be done without braces by doing a smile makeover by giving caps or laminates. But if its major correction then braces is best option.
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BDS
Dentist, Cuttack
Dietary management of Oral lichen planus

Why always water comes from mouth & feel to eat something though I already took my meal still feels incomplete & wish to eat more.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Why always water comes from mouth & feel to eat something though I already took my meal still feels incomplete & wish...
Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your saliva problems are just a result of the way you speak. Some people speak faster or slower than others, just as some people blink more often, breathe faster, or have a more rapid heartbeat. This may just be what's normal for you. Since it is negatively affecting your life, I suggest your problem can be ignored.
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I am getting gum loss day by day and my teeth is becoming week. Please advise. Thanks.

B.H.M.S
Homeopath, Lucknow
I am getting gum loss day by day and my teeth is becoming week.
Please advise.
Thanks.
Avoid hard brushing . Massage ur gums with finger. Increase vit c rich diet. Saline gargle with Luke warm water twice a day.
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teeth are leaving gums uneasiness in chewing foods, diabetic patient, unable to see clearly.

BDS
Dentist,
teeth are leaving gums uneasiness in chewing foods, diabetic patient, unable to see clearly.
Ya measure problem is diabetes you must need to control diabetes first n proper maintain oral hygiene n use mouthwash like hexide mouthwash.
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Wisdom teeth is coming in my lower jaw from 2 days it's very painful. That's why I'm suffering from ear, throat and head ache. I can't eat and talk. My mouth become large what should I do?

BDS
Dentist, Rewari
Wisdom teeth is coming in my lower jaw from 2 days it's very painful. That's why I'm suffering from ear, throat and h...
Do warm water gargles, avoid anything cold. Get X-ray done to check if the wisdom tooth is erupting normally. A small surgery to remove flap over tooth may be require if tooth erupting in normal position. If tooth is impacted surgical extraction may be required.
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I have a pain in my teeth the pain is very harmful for me and my teeth become black and my teeth is aso in danger so what should I do?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have a pain in my teeth the pain is very harmful for me and my teeth become black and my teeth is aso in danger so ...
The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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I am 25 year old and having gum bleeding since last 05 years . It bleeds when brush also. Please suggest me treatment. There is black spots also appears since one year

MDS - Periodontics, Certified Implantologist, BDS
Dentist, Chandigarh
Hello Thanks for the Query Bleeding Gums are usually because of accumulation of plaque and tartar on tooth surfaces. If It's only Gingivitis than you need to undergo Scaling and root planning(Professional teeth cleaning) If it's phyorrea you need to undergo scaling as well as flap procedure depending upon the condition. For thet same Visit a Periodontist(GumSpecalist) He can help you better in this case. And do change your brushing technique as faulty/wrong technique leads to accumulation of plaque and tartar Thank you Dr.Aman Bhatia
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