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Dr. Thomas

Dentist, Bangalore

300 at clinic
Dr. Thomas Dentist, Bangalore
300 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Thomas is one of the best Dentists in Whitefield, Bangalore. You can consult Dr. Thomas at Smile zone Dental Speciality Center in Whitefield, Bangalore. Book an appointment online with Dr. Thomas on Lybrate.com.

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#275, 2nd Floor, Whitefield Main Road, Whitefield. Landmark: Opp. Herbs & Fibres Restaurant, Beside Vijaya BankBangalore Get Directions
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Can HIV Be Diagnosed Through Oral Manifestation?

M.D.S, Post-Graduate Certificate in Oral Implantology (PGCOI) , B.D.S
Dentist, Hyderabad
Can HIV Be Diagnosed Through Oral Manifestation?

HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.

  1. Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
  2. Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
  3. Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
  4. Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
  5. Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
  6. Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.

Diagnosing HIV with Western Blot Test-

It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2925 people found this helpful

I am suffering from dry mouth and bitterness and not interested to take dinner since a fortnight. Please advise me for cure.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am suffering from dry mouth and bitterness and not interested to take dinner since a fortnight. Please advise me fo...
•An altered taste may result from dehydration, glossitis, a dry mouth, allergies, salivary glands infections, lack of zinc and vitamin B12, and polyps in the nose. •Others include breathing through the mouth, inflamed upper airways, and autoimmune diseases like Sjogren's syndrome and Bell's palsy. •Some injuries and traumas that cause a bitter taste include head, nerve, mouth and nose injuries, and biting your tongue. •Dental appliances such as braces, any surgery on your ear, nose, teeth or throat, and radiation therapy on your neck or head cause a bitter taste in mouth. •Gargle with water. Brush your teeth, tongue, roof of your mouth, and gums using toothpaste. Rinse your mouth with mouthwash. Drink liquids, chew sugar-free gum or mints, or suck on sour candies. Use plastic utensils if you have taste alteration when eating.
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MDS - Periodontics, Certified Implantologist, BDS
Dentist, Chandigarh
Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado. 
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I am addicted to raw tobacco like gutkha khan for several years. Teeth and gums are very much effected. Wat can be the worst outcome as I don't drink or smoke much. Is a big reason to worry. Wat are the remedies.

MDS
Dentist, Sangli
I am addicted to raw tobacco like gutkha khan for several years. Teeth and gums are very much effected. Wat can be th...
You need to worry, because all these habits have direct correlation to oral and throat cancer. You can get counselling to quit tobacco. Also use nicotine chewing gum for replacement.
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I can't open my mouth fully while eating or chewing the food. Earlier I was chewing gutkha but now since 6 months I am not chewing gutkha, but still I am having the problem and have pain in both the side jaws.

BDS
Dentist, Vadodara
I can't open my mouth fully while eating or chewing the food. Earlier I was chewing gutkha but now since 6 months I a...
You are suffering from submucous fibrosis. You will need to take steroids to reduce the fibrous lesions and start some mouth exercise to improve your mouth opening.
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I am a 21 years old boy I have some problems in my chest and morning when I am brushing at that time blood is coming in my mouth please tell me what is this how I control?

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
I am a 21 years old boy I have some problems in my chest and morning when I am brushing at that time blood is coming ...
Bleeding gums is due to gum infection. You should show a dentist to undergo scaling and gums treatment procedure.
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I am suffering from mouth ulcer from my childhood. What can I do? please give me any suggestion which are beneficial for me.

BDS
Dentist, Navi Mumbai
I am suffering from mouth ulcer from my childhood. What can I do? please give me any suggestion which are beneficial ...
Check your acidity conditions of teeth any sharp cutting edges of tooth your balance diet intake increase the no. Of times water intake means the interval between it should be small like 15 to30 min.
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Applying baking soda can whiten your teeth

BDS
Dentist, Cuttack
Applying baking soda can whiten your teeth
Brushing baking soda on your teeth twice a month can remove the stains of coffee or red wine and give you your pearly white teeth back.
194 people found this helpful

Sir, I hv gaps between my front upper teeth. I want to go for crowns. Bt I heard that crowns will cause tooth decay. What I should do?

MDS
Dentist, Kota
Sir, I hv gaps between my front upper teeth.
I want to go for crowns.
Bt I heard that crowns will cause tooth decay.
...
Crown will not lead to any type of tooth decay. You can go ahead for crowns without hesitation. There are other alternate also like orthodontic treatment, composite or ceramic veneers. But which is best for you I need to know the position of teeth and proper evaluation of space available.
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Hi sir. I've got some yellow shades on my tooth. My parents also had that thing. Can you suggest me some natural or herbal cures.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hi sir. I've got some yellow shades on my tooth. My parents also had that thing. Can you suggest me some natural or h...
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. Home bleach for the teeth here is home remedy for brighter teeth--- mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid affecting enamel. If you are using just water you can leave it on for up to 3 minutes. For faster result you can go for teeth bleaching from dentist. 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.
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I use gul manjan heavily and now suffering from bp. I want to leave it but can't. Also my teeth has blackened. Kindly guide home remedies. Dentist scaling I did in april this year.

BDS
Dentist, Jaipur
I use gul manjan heavily and now suffering from bp. I want to leave it but can't. Also my teeth has blackened. Kindly...
Hello, Using manjan doesn't help you to clean teeth. It may harm the structure or surface of teeth. Change your toothpaste and use toothbrush with that. Visit dentist again who can give you Better treatment plan. May be bleaching can help. Regards
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How to Brush Your Teeth

PGDRH, BDS
Dentist, Jaipur
How to Brush Your Teeth
1
Use a good toothbrush. Choose a toothbrush with soft nylon bristles. This must effectively remove plaque and debris from your teeth, without irritating the gums or eroding tooth enamel like hard bristled brushes can do when used with sideways action. The toothbrush should also fit comfortably in your hand, and have a head small enough to easily reach all of your teeth, especially the ones at the back. If you have difficulty fitting the toothbrush into your mouth, it is probably too big.[3]
Electric toothbrushes are a great choice if you are a lazy brusher and think that the electric toothbrush might encourage you to spend more time on your teeth. However, you can do just as good of a job with a manual toothbrush -- it's all in the technique.
You should definitely avoid toothbrushes with" natural" bristles made from animal hair as these can harbor bacteria.

2
Replace your toothbrush regularly. The bristles will wear out over time, losing their flexibility and effectiveness. You should get a new one every 3 to 4 months, or as soon as the bristles start to splay out and lose their shape. Visual inspection of the toothbrush is more important than the actual timeline. You can also buy toothbrushes nowadays whose handles will change color when its time to get a new one.
Research has found that thousands of microbes call toothbrush bristles and handles" home" and can cause infections.
Always rinse your brush after using it, and store it upright and uncovered so that it can dry before your next use. Otherwise bacteria will grow.
3
Use a fluoride toothpaste. It not only helps remove plaque, it also helps strengthen tooth enamel.[6] however, it's important to note that fluoride toothpaste is not to be swallowed, as ingesting too much can have serious health consequences. It should not be used for children under the age of 3.
You can get toothpastes to target a wide variety of dental and gum problems, including cavities, tartar, sensitive teeth and gums, gingivitis and stained teeth. Opt for the one that suits your best or ask your dentist or hygienist for advice.
4
Use dental floss. Flossing your teeth is just as important as brushing, as it removes built up plaque, bacteria and food particles that get trapped between the teeth and which soft floppy toothbrush bristles can't reach even when used with up/down natural motion. You should always floss before brushing your teeth so that any food or bacteria that comes loose during flossing doesn't remain in your mouth.
Remember to floss gently. Don't" snap" the floss between the teeth as this can irritate sensitive gums. Ease it down gently, following the curve of each tooth.
If you find dental floss awkward to use or you have braces, look for dental picks instead. These are small wooden or plastic sticks which you can insert between teeth, achieving the same results as flossing if spaces are large enough.
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Do whitening toothpaste whiten teeth More than regular toothpaste? What should I do?

BDS
Dentist,
Do whitening toothpaste whiten teeth More than regular toothpaste? What should I do?
There is no any scientific proof regarding this. White tooth or yellow tooth. Leave it. The tooth must be healthy, free of tartar, plaque. And cavity.
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My teeh are yellowish, why so, and in my lower jaw inner side get tartar like reddish deposition which were gets cleaned two times, I never use smoke or tabbacoo. Please suggest me.

BDS
Dentist, Navi Mumbai
My teeh are yellowish, why so, and in my lower jaw inner side get tartar like reddish deposition which were gets clea...
If you are doing cleaning frequently but still your teeth are yellow, it means they are reflecting the color of dentine (inner layer). It can be due loss of enamel (outer most covering of tooth) or thick dentine. About your second problem i. E. Tartar deposition. You may more calcium in your saliva because of which tartar deposition is more faster than the other people. For that thing you can use any anti-tartar tooth paste. E. G. X-tar.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Patients with an identifiable cause of bad breath e.g., periodontal (gum) disease, gingivitis, postnasal drip, systemic illness can be treated for these conditions.
Many cases of bad breath may be readily alleviated by:
Proper dental care and oral hygiene, including daily flossing.
Gentle cleaning of the posterior portion of the dorsum of tongue (e.g., with a plastic tongue cleaner).
Rinsing and deep gargling with an effective mouthwash (in order to get the liquid as far back as possible without swallowing it, one can extend the tongue while gargling). This is most effective when done at bedtime.
Eating fibrous foods (a healthy breakfast is recommended).
Chewing gum briefly (5 minutes is often sufficient) if the mouth is dry, or after meals, especially with high protein intake. Sugar-free gum is preferable.
Sufficient water intake.
Decreasing alcohol and coffee intake.
28 people found this helpful

What is the permanent fix to get rid of bad breath. I have tried various things like cleaning the teeth, floss, regular brushing twice but still the problem persists. Anything that can prevent it completly. What do I need to apply to my gums?

BDS
Dentist, Bangalore
Drink lots of water and fluids like juices, tender coconut, buttermilk etc.., Have a balanced diet, lots of greens in ur food.. You definitely need a professional cleaning with polishing( if u havnt got it done till nw).. After cleaning, massage ur gums regularly.. Get a proper brushing technique instructions from ur dentist..
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MDS - Periodontics
Dentist, Thane
Always rinse your tooth brush thoroughly after brushing and allow it to air-dry before using it again.
1 person found this helpful

My middle teeth in upper jaw are not very straight. Especially middle 2 teeth. One tooth inclined or leaned behind the other tooth because of that other tooth come outside. I feel shame whenever I smile .can I replace the 2 teeth by synthetic teeth? If both the tooth come outside means braces would be better option but in my case one leaned and other come outside so suggest me better treatment?

BDS
Dentist,
My middle teeth in upper jaw are not very straight. Especially middle 2 teeth. One tooth inclined or leaned behind th...
Dear lybrate-user. The answer to your ques lies in the past experience you may have got in your childhood. The main reason for malalligned teeth is the over retention of your primary teeth or a trauma in your childhood causing a damage to your permanent tooth buds. Or maye be your canine i.e. your third tooth (canine) may be impacted causing a retention of duckling stage of your teeth developement. There no need to worry cause there is atreatment for each of the conditions I mentioned but you have to go for a clinical examination to a dentist before any prior advice can be given.
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My two front teeth's are very big. Can I reduce it's size by any treatment? If yes what are the treatments?(I had braces on teeth .but that treatment is over. Now the large size of teeth's is the issue)

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
My two front teeth's are very big. Can I reduce it's size by any treatment? If yes what are the treatments?(I had bra...
Yes it can be corrected by doing intentional rct than FCC(cover) on it . still without seeing clinically cant suggest proper treatment plan.So go for proper consultation and diagnosis than go accordingly.
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When we brushed then from some of teeth some bleeding is start for a min. We clean our teeth but still same. So please suggest for this problem?

BDS
Dentist, Alappuzha
When we brushed then from some of teeth some bleeding is start for a min. We clean our teeth but still same. So pleas...
Bleeding from gums is a sign of inflammation of gums, also known as gingivitis. * calculus and plaque deposits on teeth should be removed by scaling * proper oral hygiene is to be maintained * regular flossing and use of mouthwash is recommended.
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