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Orthodontics happens to be the first specialty in dentistry. It deals with prevention, interception & correction of malocclusion (improper bite). Common problems like spacing between teeth, crowding of teeth due to lack of space, protrusion of teeth, un-aesthetic smile etc. Can be easily corrected by timely orthodontic intervention.
A malocclusion can result either due to abnormal position of the teeth or lack of harmony between upper & lower jaws. The best person to treat problems of such nature is an orthodontist. An orthodontist undergoes three years of rigorous training during his postgraduate program wherein he treats hundreds of patients having malocclusion of varying severity. After successful completion of the course he is awarded with the degree of mds orthodontics.
However as a consequence of lack of awareness, a lot of patients still do not seek the advice of an orthodontist for their problem. As a result such patient do not get the desired treatment outcome which predisposes their dentition for relapse after treatment. In addition such patients may also experience harmful effects on their occlusion (chewing efficiency) and may develop tmj (temporomandibular joint) related disorders in the long run. It is recommended that an orthodontic specialist be consulted before undergoing treatment of such nature.
I am 29 years old, I just want to know how to avoid bad breath its very embarrassing, when people go away from me when I speak, I do brush thoroughly every morning sometime there will be bleeding and also I cannot eat sweets n deserts because of sensitivity. 2 years before I visited to dentist he removed my last right side tooth of the mouth saying its all damaged also he said remove left side last tooth as well but then I stopped him because it was very painful and I am scared of other tooth will get disturbed and he also cleaned all my teeth after that he said now there will not be bleeding and also no bad breath but it was not so effective. Please advice some helpful tips to avoid bad breath. Thanks.
In My front upper two teeth, one is normal length but other one a bit length more than first one. Is there any treatment to bring these two teeth to same length. Tell how much it will cost?
Hi sir I am troubling for two month for mouth problem In my teeth there was bleeding in gems When I am sleeping in night after that morning when I am wakeuping my mouth was hading. Very bad smell please help to stop this all.
He has some dental problems. His 2 teeth contains yellow plague. How could he get rid of it? Please help me.
Dental problems can be very painful and take the smile off your face completely. Those who have experienced sensitivity would vouch for it. It just will not allow you to enjoy the hot coffee or a favourite sweet or a cold smoothie. The pain that shoots down the tooth after any of these would leave the person shuddering.
The tooth has 3 layers, from the outside in these are the enamel, the dentin and the pulp. The outermost enamel is mineralized and the hardest structure in the body. The next layer, dentin, has fine tubules and when the enamel is worn off exposing the dentin, sensitivity sets in. The enamel is thinner in some portions of the tooth like the neck and the roots, therefore sensitivity onset is quicker in these areas.
Some of the common reasons for sensitivity are listed below:
- Tooth decay: As caries progresses from enamel to dentin, sensitivity sets in, especially to hot and cold foods.
- Wear and tear: Excessive brushing of teeth can lead to wearing of teeth, especially near the neck areas, leading to loss of enamel and resulting in sensitivity.
- Dental damage: Chipped or broken tooth can lead to sensitivity.
- Gingival disease: This leads to loss of gum cover over the tooth, leading to exposure of dentin and therefore sensitivity.
- Bruxism: Clenching of teeth, common in people with high levels of stress, can lead to enamel wearing and subsequent sensitivity.
- Dental treatment: Some dental procedures like scaling, crowns, root planing, and some fillings can cause transient sensitivity.
- Highly acidic food items: Citrus fruits, tomatoes, tea, etc. can lead to tooth sensitivity.
- Bleaching agents: Most tooth whitening agents result in sensitive teeth.
- Excessive use of mouthwash: The mouth rinses contain high amount of alcohol which can also lead to tooth sensitivity.
Management: As with all health conditions, the first step in management is to identify the problem. Whether it is dental decay or recent dental treatment, food habits or tooth whitening agents, the cause needs to be identified and then treatment begun accordingly.
- For lost enamel, be it decay or damage, the tooth again needs to be restored to its original form to cover the dentinal tubules and reduce sensitivity.
- For habits, be it food related or bruxism, in addition to treating the tooth, the habit per se needs to be addressed to prevent recurrence.
- For associated dental products like whitening agents or mouth rinses, talk to a dentist to switch to a less harmful product.
- De-sensitizing pastes are also available that can be used on a regular basis to reduce the problem.
Tooth sensitivity is annoying but there are ways to manage it effectively.
A chipped or knocked out tooth can be a very painful condition. Tooth injuries are most often caused during a sports activity or when you take a nasty fall. And such accidents can hamper your general well-being, your ability to enjoy food, your appearance and your precious smile.
Different types of tooth injuries:
- A minor chip: A minor tooth fracture usually involves chipping of the enamel only
- A major chip: A deeper fracture can involve chipping of both the enamel and the dentin of a tooth
- A serious fracture that exposes the nerve and blood vessels in the centre of the teeth
- A fully displaced teeth: Here the tooth is forced upward, downward or to the side
- A knocked off teeth: One that lands in your hand or shatters in the ground after impact
- Trauma injuries: A more serious accident that involves head, neck and facial trauma
- Wear and tear: Cavities or chewing and biting on hard objects like pencils, ice cubes, or hard chocolates can also lead to tooth injury
- Fighting the fight: When 'I'll break your teeth' ceases to be an empty threat
How are tooth fractures treated?
Treatment depends on the extent of your fractures. A knocked out teeth can be re-implanted in many cases. A permanent tooth that is re-implanted within 30 minutes has the highest chance of success. Here's what you can do to save your tooth:
- Collect your broken tooth: Carefully collect the tooth fragments to not cause any additional damage which may prevent re-implantation. Avoid touching the root part of the tooth. Wash it gently in lukewarm water and keep it in a small bowl of milk. Avoid scrubbing or scraping to remove dirt.
- Reinsert your teeth if possible: Once you rinse your teeth, try to reinsert your teeth in the cavity. This may be a painful exercise, so proceed only if you think you can bear through it. You can store it between your cheek and gum to prevent drying or in a bowl of whole milk.
- Take care of yourself: If there is bleeding, give your mouth a good rinse to clear off the blood that is blocking the view. Identify the source of bleeding and press in with a sterile gauze or cloth.
- Give yourself a treat: This is a great way to get your mind off the pain and works wonders for children. Treat yourself with an ice lolly/ frozen pop to ease out the pain. If there is any cut on your gums or lips, another equally tasty home remedy is to cover it with sugar which will temporarily stop the bleeding and the sweetness will help you to forget the pain for the time being.
- Go to a dentist: Even if it is a minor chip, it is always advisable to see a dentist, as the cut may be sharp and can eventually end up hurting your tongue.
Your teeth need to last your lifetime, so take good care of them, especially when faced with an injury.