Dr. Umesh Hoskeri

Hello! bad smell from mouth could be because of deposits on your teeth or food lodged between your teeth. Brush your teeth twice daily, floss regularly and rinse after every meal. If it still persists, visit your doctor to get scaling and polishing done.

You can shape the teeth by trimming it or by giving crown. The best option is to put veneers and crowns.

Apply dologel or mucopain ointment on ullcers with clean fingertip or cotton 3 times in a day. And take b complexx capsules one time in a day for 7 days.

Medical Care The treatment of patients with oral submucous fibrosis depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient. Most patients with oral submucous fibrosis present with moderate-to-severe disease. Moderate-to-severe oral submucous fibrosis is irreversible. Medical treatment is symptomatic and predominantly aimed at improving mouth movements. Treatment strategies are described below. [4] The role of these treatments is still evolving. The US Food and Drug Administration has not yet approved these drugs for the treatment of oral submucous fibrosis. Steroids In patients with moderate oral submucous fibrosis, weekly submucosal intralesional injections or topical application of steroids may help prevent further damage. Placental extracts The rationale for using placental extract in patients with oral submucous fibrosis derives from its proposed anti-inflammatory effect, [58] hence, preventing or inhibiting mucosal damage. Cessation of areca nut chewing and submucosal administration of aqueous extract of healthy human placental extract (Placentrex) has shown marked improvement of the condition. [45] Hyaluronidase The use of topical hyaluronidase has been shown to improve symptoms more quickly than steroids alone. Hyaluronidase can also be added to intralesional steroid preparations. The combination of steroids and topical hyaluronidase shows better long-term results than either agent used alone. [59] IFN-gamma This plays a role in the treatment of patients with oral submucous fibrosis because of its immunoregulatory effect. IFN-gamma is a known antifibrotic cytokine. IFN-gamma, through its effect of altering collagen synthesis, appears to be a key factor to the treatment of patients with oral submucous fibrosis, and intralesional injections of the cytokine may have a significant therapeutic effect on oral submucous fibrosis. [60] Lycopene Newer studies highlight the benefit of this oral nutritional supplement at a daily dose of 16 mg. Mouth opening in 2 treatment arms (40 patients total) was statistically improved in patients with oral submucous fibrosis. This effect was slightly enhanced with the injection of intralesional betamethasone (two 1-mL ampules of 4 mg each) twice weekly, but the onset of effect was slightly delayed. [61] Pentoxifylline In a pilot study, 14 test subjects with advanced oral submucous fibrosis given pentoxifylline at 400 mg 3 times daily were compared to 15 age- and sex-matched diseased control subjects. Statistical improvement was noted in all measures of objective (mouth opening, tongue protrusion, and relief from fibrotic bands) and subjective (intolerance to spices, burning sensation of mouth, tinnitus, difficulty in swallowing, and difficulty in speech) symptoms over a 7-month period. [62] Further studies are needed, but this could be used in conjunction with other therapies. Surgical Care Surgical treatment is indicated in patients with severe trismus and/or biopsy results revealing dysplastic or neoplastic changes. Surgical modalities that have been used include the following: Simple excision of the fibrous bands: Excision can result in contracture of the tissue and exacerbation of the condition. Split-thickness skin grafting following bilateral temporalis myotomy or coronoidectomy: Trismus associated with oral submucous fibrosis may be due to changes in the temporalis tendon secondary to oral submucous fibrosis; therefore, skin grafts may relieve symptoms. [33] Nasolabial flaps and lingual pedicle flaps: Surgery to create flaps is performed only in patients with oral submucous fibrosis in whom the tongue is not involved. [63] KTP-532 laser: Use of a KTP-532 laser release procedure was found to increase mouth opening range in 9 patients over a 12-month follow-up period in one study. [64] ErCr: YSGG laser fibrotomy, performed under a local anesthesia: This may be a useful adjunct in managing oral submucous fibrosis. [65]Consultations Consult an ear, nose, and throat specialist for evaluation of dysplasia and close follow-up monitoring for the development of oral cancer. Consult a plastic surgeon for patients with severe trismus, in whom reconstructive surgery may be possible. Dietary focus should be on reducing exposure to the risk factors, especially the use of betel quid, and correcting any nutritional deficiencies, such as iron and vitamin B complex deficiencies. [3] Activity Physical therapy using muscle-stretching exercises for the mouth may be helpful in preventing further limitation of mouth movements. This is often combined with medical and surgical therapy. [66] Long-Term Monitoring Regular physical examinations, biopsy specimen analysis, and cytologic smear testing should be scheduled to detect oral dysplasia or carcinoma, especially in patients with severe oral submucous fibrosis. Patients with surface leukoplakias require close follow-up monitoring and repeat biopsies. Patients with dysplasias and carcinomas should receive routine treatment for these entities. [67] Watch for signs that indicate malignant change, which include the following: An unhealing ulcer in the lesion Lesion undergoing red changes (erythroplakia) A burning sensation in the mouth An exophytic mass A lump in the neck Difficulty in chewing, swallowing, or speaking.

please don't go for cheap treatment... go for a standard treatment...root canal of a tooth is done "once in a lifetime". so go to a dentist that will charge genuinely and provide a standard treatment....so that you can enjoy a set of painless teeth for a lifetime...

Hello Take your wife to the nearest dental clinic and they will treat this condition nicely. The bones around the tooth are losing. The poor oral hygiene is the main cause of tooth paining and loosening. This can be fixed. Regards

RCT is done depending on the infection, the number of sitting depends. Basically 4 sittings and even 1sitting can also be achieved. Yes, you can go to work and just inform your dentist and he will alter according to your convinience. Before RCT an injection is given to eliminate the pain. After procedure also there will be no sensation say for 3 hrs depending upon the dosage. And no restrictions for food. Thank you.

Hello lybrate-user, sensitivity is sharp, shooting type of sensation in teeth on contact of extremely cold or hot food which usually lasts for a few seconds and disappears completely after that and re-occurs again on such stimulus. Treatment plan for sensitive teeth goes as follows: 1. You can use any commercially available desensitizing toothpastes such as colgate sensitive or sensodyne as first line of treatment. If it reduces your sensitivity substantially you can continue brushing with toothpaste in long run to avoid further sensitivity. 2. If you don't get any relief from desensitizing toothpastes it indicates a more severe problem which will need further treatment like layering/coating the damaged tooth surface or filling of the tooth if there is big cavity or root canal treatment in extreme cases getting proper treatment leads to permanent relief in sensitivity problem.

hello if you are using power form or ayurvedic to clean your teeth. your teeth become more yellowish with time because powder is more abrasive it will wear outermost layer of tooth enamel. and tooth become more yellowish due to exposure of inner layer dentin which is more yellowish. So avoid vigorous brushing. bleaching can be done. Which can improve your tooth shade

I will suggest you to use colgate sensitive toothpaste and avoid any stain causing food items and take tablet Caldikind plus once a day for ten days.