Dr. Vaibhav Munjal

Mr. Lybrate-user, it will be best if you get this stone removed. You may have to consult the local oral surgeon for the same. But this stone can become a source of external infection if you don't get it removed at the earliest.

--even before your baby starts teething, run a clean, damp washcloth over the gums to clear away harmful bacteria.
-- massage the gum pads of your infants during teething, as it will help the smooth eruption of the teeth without irritation.(as massaging will increase the blood flow in the area).
--once your baby gets teeth, brush them with an infant toothbrush. Use water and a tiny bit of fluoride toothpaste (about the size of a grain of rice). You can use fluoride or non fluoride toothpaste (mind it keep the size of toothpaste about the size of rice grain because you still want to minimize any toothpaste that is swallowed.)
--around age 2, your child should learn to spit while brushing. Avoid giving your child water to swish and spit because this might make swallowing toothpaste more likely.
--kids ages 3 and up should use only a pea-sized amount of fluoride toothpaste.
--always supervise kids younger than 6 while brushing, as they are more likely to swallow toothpaste.

Get the cavity filled as early as possible, otherwise you may get inflammation and infection in pulp and pain. Consult the dentist for x-ray to decide whether you need filling or rct. Brush twice regularly. Rinse after every meal.

kindly get the wisdom extracted after getting it checked by dentist and as per situation in mouth ,dentist will advise medications for the same...or else if infection is really severe you might be advised for extraction...

Since the gingival enlargement is one of the side effects of nifedipine. There are chances of recurrence. You can ask your physician to change nifedipine with any other antihypertensive drugs if possible.

Bad breath is due to accumulation of plaque on teeth, decay teeth, dry mouth, smoking, tobacco chewing, consumption of caffeinated or aerated beverages, oilly n spicy food, sore throat, bad digestion. Go for scaling and polishing of teeth. Use mouthwash twice daily after brushing. Maintain proper oral hygiene. Increase your water intake.

Go to your dentist as early as possible and get it corrected, till you get appointment from your orthodontist. Coz it may lead to severe injury to your tongue again making keeping your braces difficult for you, which may delay your treatment.

Get scaling polishing done by a dentist you may use the power brush but don't b over jealous in brushing soft brush is the best.

Bad breath can be reduced or prevented if you: - practice good oral hygiene. - brush twice a day with fluoride toothpaste to remove food debris and plaque. - don't forget to brush the tongue, too. - replace your toothbrush every 2 to 3 months or after an illness. - use floss or an interdental cleaner to remove food particles and plaque between teeth once a day. - see your dentist regularly -- at least twice a year. He or she will conduct an oral exam and professional teeth cleaning and will be able to detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor. - drink lots of water. This will keep your mouth moist. - chewing gum (preferably sugarless) stimulates the production of saliva, which helps wash away food particles and bacteria.

PLS GET IT FILLED AS SOON AS U CAN. DONT DELAY COS DELAYING LEADS TO THE PROGRESSION OF DENTAL CARIES AND PAIN AND ULTIMATELY WE WILL HAVE TO DO THE ROOT CANAL TREATMENT.COST INCREASES TIME INCREASES.SO GET IT FILLED TODAY ITSELF THANX TC

Hi, there are various reasons for bleeding / swollen gums like poor oral hygiene, vitamin deficiency, physical injury to gums, hormonal changes, medications etc. You have to visit dentist for professional cleaning and check-up to know the exact cause and solution of your problem.

Hello, bad breath could be because of various reasons like cold, acidity, fasting, not drinking enough water, not eating for long intervals, pungent food, etc. For acidity you can do baking soda in water rinses. Drink plenty of water. Rinse after every meal.

Insufficient history.Pain or sensation?pain is wat is continuous and sensation is sharp shooting.Which fruits u not able to eat.Help us to guide u properly

To prevent offensive breath coming from the mouth, a person should brush twice a day daily and brush after taking every meal is so necessary.
A person should gargle properly with a good quality of mouth freshener.
Always soft toothbrush should be used to clean the teeth.
Garlic, onion, much spicy things, stale food, etc. Should not be taken in the diet.
A person should check up his teeth by a dentist time to time.

Hello, please get the x ray done to reveal the cause. Get dental cleaning done it may be due to deep calculus. Thank you.

Use the tentum mouth wash 3 time in day as well as you can use the following medicine and gel tab -b complex 15 one in day dentogel apply over the ulcer 3time in day

In addition to brushing and flossing, rinsing your mouth with an antibacterial rinse can help prevent decay and gum problems. Chewing sugar-free gum after a meal can also protect by increasing saliva flow, which naturally washes bacteria away and neutralizes acid.

A major cause of tooth sensitivity is root exposure. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need cleaning along with desensitizing procedures and / or artificial enamel filling and / or root canal treatment. Advance procedures can be done with laser too. You may consult me in person. Until then apply a desensitizing paste (sensodyne tooth paste) on the teeth. Wait for 10 to 15 min until you brush your teeth with the same paste. Applying it overnight will be better. Advance procedures can be done with laser.. 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.

Munching foods like apples, pears, carrots or celery after brushing can help in preventing discoloration as they trigger tooth-bathing saliva which helps in keeping the teeth whiter.

What's in Your Mouth?
To understand what happens when your teeth decay, it's helpful to know what's in your mouth naturally. Here are a few of the elements:

Saliva ? Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria.

Plaque ? Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there's enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease.

Calculus ? If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard.

Bacteria ? We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth.

How Your Teeth Decay
The bacteria in your mouth need food to live and multiply. When you eat sugary foods, or even starches such as rice, the bacteria use them as food, too. The bacteria then produce acids that can dissolve tooth enamel (outer layer of the tooth).

It's not just candy and ice cream we're talking about. All carbohydrate foods eventually break down into simple sugars. Some of this process begins in the mouth.

Foods that break down into simple sugars in the mouth are called fermentable carbohydrates. These include the obvious sugary foods, such as cookies, cakes, soft drinks and candy. But they also include pretzels, crackers, bananas, potato chips and breakfast cereals.

Bacteria in your mouth turn the sugars in these foods into acids. These acids begin to dissolve the mineral crystals in teeth. The more times you eat each day, the more times your teeth are exposed to an acid attack.

This attack can lead to tooth decay, also known as dental caries or cavities. First, the acid begins to dissolve calcium and phosphate crystals inside a tooth. A white spot may appear on the enamel in this weakened area. But the loss of minerals develops beneath the surface of the enamel. The surface may still be smooth.

At this stage, the tooth can be repaired with the help of fluoride, proteins and minerals (calcium and phosphate) in the saliva. The saliva also helps reduce the acid levels from bacteria that attack the tooth.

Once the decay breaks through the enamel to cause a cavity, the damage is permanent. A dentist must clean out the decay and fill the cavity. Left untreated, the decay will get worse. It can destroy a tooth all the way through the enamel, through the inside dentin layer and down to the pulp or nerve of the tooth. That's why it is important to treat caries at a very early stage, when the process can be reversed.

Types of Decay
Young children can get a type of decay called baby bottle tooth decay or early childhood caries. It destroys enamel quickly. This type of decay is common in children who are put to sleep with a bottle of milk or juice. The bottle exposes the teeth constantly to carbohydrates through the night. Bacteria can grow rapidly and produce acid that decays teeth.

Decay can become worse if the parent does not clean the child's teeth. It can eat through enamel and leave a large cavity in a matter of months.

In older adults, the exposed roots of teeth can develop cavities. This is called root caries. Older adults are more likely to have receding gums caused by years of hard brushing or periodontal disease. They also are more likely to have dry mouth (xerostomia). The decrease in saliva results in less protection of the teeth. This increases the risk of decay. Many common medicines can cause dry mouth. Be sure to ask the doctor or pharmacist if any of your medicines cause dry mouth.

Decay can form beneath fillings or other tooth repairs, such as crowns. Sometimes bacteria and bits of food can slip between the tooth and a filling or crown. This can happen if the filling cracks or pulls away from the tooth, leaving a gap.

Preventing Cavities
Do you or your family members get cavities often? Dental research has found out that certain factors can affect your risk of tooth decay. These factors include:

The current number of decayed or filled teeth
Your fluoride exposure, including fluoride in drinking water, toothpaste and rinses, and fluoride treatments in the dental office
Parents or siblings with dental decay
How well you take care of your teeth
The amount of saliva and the balance of minerals, enzymes and buffering agents it contains
How often and what types of foods you eat (especially fermentable carbohydrates)
Ask your dentist about the best ways to reduce your risks and limit dental decay.

To prevent your teeth from decaying, you can do three things:

Strengthen your teeth's defenses with fluoride, sealants and agents that contain calcium and phosphate ions.
Have your dentist or dental hygienist place sealants on your back teeth.
Reduce the number of bacteria in your mouth.
Fluoride penetrates into teeth. It strengthens them by replacing minerals that acid has removed. The benefits of fluoride to teeth were first discovered in the 1930s. Dentists started to notice that people who drank water that naturally contained fluoride had less tooth decay. In 1945, communities started to add fluoride to water supplies. Adding fluoride to water systems has been the most successful cavity prevention method to date.

In the early 1960s, fluoride also began to be added to toothpaste. This also had a major impact on cavity prevention. Now almost all toothpastes contain fluoride. Everyone should brush with a fluoride toothpaste every day. Dental offices sometimes recommend higher levels of fluoride in toothpastes, gels and mouth rinses for both children and adults.

Sealants are protective coatings placed over the tops of the back teeth ? molars. They block bacteria and acids from sticking in the tiny grooves on the chewing surfaces of these teeth. Sealants can be placed in adults and children. Children can have sealants placed on their permanent molars once they come in, around age 6. Sometimes they are also used on primary (baby) molars. Dentists can put sealants on molars with signs of early decay, as long as the decay hasn't broken through the enamel.

You can never get rid of all the bacteria in your mouth. But you can take steps to control and disrupt the bacteria so they don't attack your teeth:

Brush twice a day.
Floss daily.
Reduce the number of times each day that you consume fermentable carbohydrates.
Some mouthwashes reduce bacteria in your mouth. This can help prevent decay. Chewing sugarless gums, especially those with xylitol, can help reduce the number of bacteria that cause cavities and increase the flow of saliva.

Most importantly, visit your dentist regularly. Then the dentist can find any decay early, when it can be treated and reversed.