Dr. Rajesh

You can apply "mucopain" ointment. This will provide relief as it is a mild anesthetic agent. Also please continue taking b complex capsule or can take folvite tablet. Also increase water intake.

Include fibres in your diet to overcome oral as well as gastric problems.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

There are 4 pillar for good health. First is healthy nutritious diet- include all colors in your diet. Second is exercise. Do some sort of physical exercise at least 20-30 min daily. It could be walking, cycling, jogging, swimming, skipping, yoga etc. Third is adequate rest. Sleeping as per urr individual requirement which may be 6-10 hours a day. Meditation provide excellent relaxation and many other benefits. Fourth is a positive mental attitude. A positive expectancy and outlook towards life. All the best. Work on all four and I am sure you will regain your appetite.

Nahi usually first few days thoda taklif hoga... Badme thik rehta he... Incase jyada ho to ap mujhe consult kar sakte he.

Chewing a sugarless gum after your meal for around 20 minutes freshens your breath and also make the leftover food particles cling to it.

Cause of discoloration ? Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics. Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with whitening (bleaching) procedures and / or artificial enamel filling. Advance procedures can be done with laser. Use Snowdent tooth paste for whitening until then. Apply SNOWDENT paste on the teeth. Wait for 10 to 15 min .Then brush your teeth with the same paste. Applying it overnight for better results. DENTAL TIPS: - Visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

Hi, that unbearable feeling in your teeth could be because of cavity in your teeth or sensitivity. You need to go for professional check up to get the exact cause and solution for your problem.

The treatment of the OKC remains controversial. Treatments are generally classified as conservative and aggressive. Conservative treatment generally includes simple enucleation, with or without curettage, using spoon curettes of marsupialization. Aggressive treatment generally includes peripheral ostectomy, chemical curettage with carnoy's solution and resection. Some surgeons believe that the cyst can be properly treated with enucleation if the lesion is removed intact. However, complete removal of the OKC can be difficult because of the thin, friable epithelial lining, limited surgical access, skill and experience of the surgeon, cortical perforation, and the desire to preserve adjacent vital structures. The goals of treatment should involve eliminating the potential for recurrence while also minimizing the surgical morbidity. There is no consensus on adequacy of appropriate treatment of this lesion. Recurrence occurs due to the following reasons. The first reason involves incomplete removal of the original cyst's lining. Secondly, it involves growth of a new OKC from small satellite cysts of odontogenic epithelial rests left behind by the surgical treatment. The third reason involves the development of an unrelated OKC in an adjacent region of the jaws, which is interpreted as a recurrence. Marx and stern believe that the two most common reasons for recurrence are incomplete cyst removal and new primary cyst formation. The majority of cases of recurrence occur within the first 5 years after treatment. Because of the problematic nature of these cysts, many attempts have been made to reduce the high recurrence rate by improved surgical techniques. Bramley recommends the use of radical surgery with resection and bone transplantation. Decompression or marsupialization seem to be more conservative options in the treatment of OKC. Marsupialization was first described by Partsch in 1882 for the treatment of cystic lesions. This technique is based on the externalization of the cyst through the creation of a surgical window in the buccal mucosa and in the cystic wall. Their borders are then sutured to create an open cavity that communicates with the oral cavity. This procedure relieves pressure from the cystic fluid, allowing reduction of the cystic space and facilitating bone apposition to the cystic walls. Currently, treatment involving careful and aggressive enucleation with close follow-up has been advocated for the OKC. John and James described the use of enucleation in conjunction with a chemical cauterizing agent and excision of overlying mucosa as a means of reducing recurrence. Because the lining of the OKC is characteristically thin and friable, removal of the cysts in one piece may be difficult. Great care must therefore be taken to ensure complete removal of the cyst lining, without leaving behind remnants attached to the adjacent bone or soft tissue. The high recurrence rate associated with OKCs is a result of satellite cysts confined to the fibrous walls of the OKCs. It should be emphasized that if the fibrous capsule is completely removed, no satellite cysts will be retained to serve as a nidus for recurrence. In view of the possible recurrence of the cysts from basal cell proliferation and because of the fragility of the cyst wall and the presence of satellite cysts, the osseous walls of the defect are abraded with coarse surgical or acrylic burs to ensure that residual peripheral cystic tissue is removed. Enucleation is not always easy because the lining may be extremely thin and friable, and access in the depths of the mandible may be limited. Multilocular cysts with bony trabeculae present special problems, in as much as it is difficult to remove the lining in one piece. Enucleation with excision of the soft tissue overlying the OKCs has been proposed in an attempt to reduce the incidence of recurrence. A number of authors advocated the use of tanning with carnoy's solution (absolute alcohol, chloroform, glacial acetic acid, and ferric chloride) before enucleation of the cysts. This procedure is often followed by excision of the overlying mucosa in continuity with the lesion.

Tongue has rough surface, numerous cryptolyphatic units; in simple language it's surface is just like a road with numerous pot holes, it has tendency towards holding particles of food materials and other saliva derived stuff, which decomposes with time if not cleaned and cause foul smell also. You just need to maintain good oral hygiene for it, brush your tongue twice just like you brush your teeth twice. You must use good tongue cleaner twice- morning post breakfast And in the night pre sleeping, rinse after every meal. Happy Smiles. Regards