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Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.
The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.
When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:
- Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
- Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
- Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.
I am 20 years old I take brush twice in a day but my teeth color is yeiiow please tell the reason doctor.
I am 24 year. Old girl and I am suffering from bleeding gums all time even m having yellow teeth with some hard black stuff between my gumline and teeth. Please suggest me the proper treatment.
I would like to implant 3 teeth at bottom front row. What will be cost and address/es of doctors where I could go and consult?
Hi, I am udayan. I live in kolkata. How can I make my teeth white. Also I have a gum problem. Which toothpaste is best for me.
1. Visit your dentist regularly.
Because diabetics are at a much higher risk of gum disease than the average patient, you should never miss a dental appointment. In fact, you should schedule regular checkups two to four times a year. With professional cleanings and regular examinations, common mouth conditions, such as ulcers, dry mouth, and infections can be controlled. To prevent bouts of low blood sugar, it may be a good idea to eat before you see your dentist. It is also crucial that you inform him or her of any oral problems you may be having -- no matter how minor they may seem.
2. Follow a strict oral hygiene regimen.
All diabetics should and really must brush and floss daily, preferably after every meal. This will help remove the plaque that can cause gum disease, thereby lowering your risk for mouth ulcers and infections. It is recommended that you complete your oral hygiene routine at least three times a day. Because your risk of oral infection is elevated, it is important to avoid aggressive brushing that can cause cuts and sores. You may even want to use a soft-bristled brush or an electric model for a safer, more comfortable brushing experience.
3. Control your blood sugar.
As we mentioned, sugar stimulates plaque growth, which causes tooth decay and gum disease. Because diabetics have more glucose (sugar) in their blood, they also tend to have a lot more plaque on their teeth. But if you can keep your blood sugar low, you can reduce your risk of periodontal disease.
4. Don't smoke.
In a perfect world, nobody would smoke -- especially people with diabetes. The unhealthy activity causes a laundry list of serious complications, including oral infections and periodontal diseases. According to dental professionals, smoking can more than double your risk of cavities and infections.
5. Clean your dentures.
If you have diabetes and you wear false teeth, you are more prone to developing oral thrush -- a fungal infection of the mouth. Typically caused by denture irritation or wear, thrush can be prevented with regular cleaning. It is also recommended that you remove your dentures in between meals to give any irritated tissue the opportunity to heal. Your dentist might also advise you to limit your sugar intake when your mouth is bothered or raw.