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Dr. Pramila

Dentist, Chennai

300 at clinic
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Dr. Pramila Dentist, Chennai
300 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Pramila
Dr. Pramila is a trusted Dentist in Arumbakkam, Chennai. You can consult Dr. Pramila at Raj's advanced dental and implant centre in Arumbakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Pramila on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 40 years of experience on Lybrate.com. You can find Dentists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Raj's advanced dental and implant centre

#22, New No 4, Jaganatha Nagar Extention, Arumbakkam. Landmark: Opp. Ambal School, ChennaiChennai Get Directions
300 at clinic
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BDS (GOLD MEDALIST)
Dentist, Jamshedpur
When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.

Dear sir. Always some blood have to come from my teeth and smell also so kindly advise me please.

MDS Prosthodontics, MDS Endodontist
Dentist, Ahmedabad
Dear sir.
Always some blood have to come from my teeth and smell also so kindly advise me please.
You have periodontal problem, visit your dentist. According to your history I think you need scaling. It's painless treatment and it will solve your problem.
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Hi Prosthodontist or implantologist what is difference? dentist if 8 years experience may not be implantologist. Is it?

BDS
Dentist, Jaunpur
Hi Prosthodontist or implantologist what is difference? dentist if 8 years experience may not be implantologist. Is it?
Prosthodontis :- you can take them as expert in artificial teeth (just in lay man language) Implant :- its a surgical placement of artificial teeth, as its surgery many other branch also doing it like oral surgeon, periodontists sometimes, even BDS after doing some short courses are doing implant.
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My baby is 20 months , she has layer deposit on teeth, what should I do, can I go for brushing.

BDS
Dentist, Ahmedabad
My baby is 20 months , she has layer deposit on teeth, what should I do, can I go for brushing.
Definately. You should start brushing your baby's teeth. Do it without toothpaste until she learns to spitt. There are lot many types of soft bristle tooth brushes available in the market. Also make this habit of cleaning the tongue also.
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I am having Tongue wound/blister in tongue both side for more than 6 month. No improvement after taken treatment with dental doctor by sharp edge grinding. Esr, uric acid, b12, aes all are normal. Taken becosules and hexigel. What to do plz?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I am having Tongue wound/blister in tongue both side for more than 6 month. No improvement after taken treatment with...
Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need t. Rebagen 10, morning one tab & one at night for 5 days, along with c. Becosules 5 cap, for five days in the morning after meals. Hexigel ointment on the area of ulcer. Rinse your mouth thoroughly with a mouth wash. 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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MDS - Orthodontics
Dentist, Faridabad
Taking a good meal before going for the RCT is a good idea as the process can take as long as 3 hours in some cases.

Mere muh se 3 month se bad smell aa rahi hai. Doctor ke pass check up ke liye gaya to unhone kaha pet me kharabi hone se bad smell aa raha hai. Kya ye vajah ho sakati hai? Please muje bataiye bad smell jane ke liye muje kya karna chahiye.

BDS
Dentist, Gurgaon
Mere muh se 3 month se bad smell aa rahi hai. Doctor ke pass check up ke liye gaya to unhone kaha pet me kharabi hone...
Four Common Bad Breath Causes There are many underlying causes of halitosis, but four of them are very common. Dry mouth: Xerostomia, the medical term for dry mouth, provides a perfect environment for anaerobic bacteria reproduction. Long periods of speaking, smoking, drinking alcohol, and snoring are a few common underlying causes. Most people experience foul breath in the morning due to lack of saliva production while they sleep. For healthy individuals, food odors are temporary and normal salivary flow will eliminate them within several minutes. However, those who suffer from dry mouth and lack of saliva find that even minor food odors may lead to long-term issues. Foods: Halitosis can be exacerbated by certain foods such as onions and garlic because they contain smelly sulfur compounds, while dairy, meat, and fish contain dense proteins which are used as a food source by the anaerobic, sulfur-producing bacteria. Refined and processed sugars also provide a food source for bacteria. Coffee and juices can contribute to this problem because they are acidic and provide these bacteria with an ideal breeding environment. Poor dental hygiene: Inadequate oral care causes bacterial buildup on the teeth and gums. Teeth cannot shed their surfaces the way skin can, so microorganisms can easily attach to the teeth and remain there for extended periods. If they are not continuously removed by adequate brushing, these bacteria develop into something called biofilm, commonly known as dental plaque. When plaque is allowed to accumulate near the gumline, it will harden and begin destroying teeth and gum tissues due to intense bacterial activity. This leads to gum disease such as gingivitis and periodontitis, which enable proteins from bleeding gums and diseased oral tissue to fuel odor-causing bacteria. Tooth decay and poorly fitting or dirty dentures can also contribute to this problem. Illness and disease: According to studies, an estimated 10% of all halitosis cases are caused by certain illnesses. Individuals who suffer from diabetes, lung disease, kidney disease, cancer, liver disease, respiratory tract infections, or metabolic disorders often experience chronic foul breath due to dry mouth. Sinusitis, pneumonia, bronchitis, postnasal drip, and polyps affect the airways and may also contribute to the problem. Other common illnesses associated with bad breath include nasal odor and tonsil stones, yeast infections of the mouth, and gum disease. Certain drugs such as antidepressants, high blood pressure medications, and antihistamines can factor into dry mouth because they reduce saliva production. Please Note: Halitosis is rarely associated with life-threatening diseases. However, it is important that you consult your doctor or dentist as soon as you notice consistent white spots on the tonsils and sores in the mouth with or without a fever. Sometimes bad breath is triggered by severe health conditions such as throat or mouth cancers, human immunodeficiency virus (HIV) infection, digestive system disorders, or diabetes – and further, can indicate dehydration or zinc deficiency. Taking proper care of your teeth and visiting the dentist at least twice a year are the easiest ways to avoid these issues. Halitosis Symptoms Offensive breath tells us that something is out of balance. In fact, anthropologists have reported that once humans started to kiss each other, the ability to smell one another's breath became a very important way to test a partner's compatibility. If the other person didn't pass the smell test, they were not able to get to the next step towards securing a mate. Halitosis is a medical condition that lowers self-esteem and affects everyday life and personal relationships. People with chronic or recurring bad breath often lose their self-confidence. It can be difficult to know if you have this problem, because it is often challenging to pick up on one's own scent. Furthermore, family members and colleagues may not feel comfortable telling you. One of the best ways to find out if you have foul breath is to lick the inside of your wrist, wait five seconds, and then take a whiff. Most symptoms of halitosis depend on the underlying cause. The most common symptoms include postnasal drip, a bitter metallic taste, a white coating on the tongue, and thick saliva. Many individuals who have foul breath associated with dry mouth can experience difficulty speaking or swallowing, a burning sensation in the mouth, or dry eyes. Fever, sore throat, persistent cough, and swollen lymph nodes in the neck indicate respiratory tract infections, which can also be a contributing factor. Getting a Proper Diagnosis The best way to truly identify the source of chronic halitosis is to visit a dentist or doctor for a professional diagnosis. When you are ready to tackle this situation, be sure to be open and honest with the healthcare professional performing the examination. It is important for him or her to understand all the health problems you are experiencing in order to determine the underlying cause and recommend appropriate treatment. The Halimeter (also known as a portable sulfide gas monitor) is the most commonly used clinical diagnostic instrument utilized in this field. It measures the concentration of hydrogen sulfide in parts per billion (ppb) in mouth air. The Halimeter uses a patented electrochemical voltammetric sensor, which has provided reproducible results to clinicians for the past 20 years. Getting Proper Treatment For more than a century, pharmaceutical companies attempted to alleviate halitosis by using mouthwash that contained alcohol. This is the exact opposite of what should be done because alcohol is a drying agent. Clinicians have learned a good deal in the ensuing years, and in most cases, this condition can be successfully treated. Like the symptoms, treatment depends on the underlying cause. It is important to keep in mind that you cannot eliminate the bacteria from the tongue that cause bad breath. Consequently, scraping or brushing the tongue is a temporary remedy at best, and is typically frustrating for those who believe tongue scraping or tongue brushing is a permanent solution. The bacteria that cause this are part of your normal oral flora and are essential to breaking down proteins, a key step in normal digestion. A much simpler and clinically-proven method to treat bad breath is to interrupt the bacteria's chemical production of odors by introducing oxygenating compounds to your oral environment. Oxygen is the natural enemy of the bacteria that cause this problem because they are anaerobes and cannot function in the presence of oxygen. In general, a dentist will recommend mouthwashes and toothpastes that contain oxygenating agents such as chlorine dioxide or sodium chlorite to neutralize volatile sulfur compounds and help control odor causing bacteria found in the mouth. If you are experiencing mouth dryness, your dentist will recommend a saliva substitute to moisten the mouth throughout the day. Some effective, natural ingredients to look for in oral care products are zinc gluconate, aloe vera, green tea, tea tree oil, xylitol, CoQ10, glycyrrhizic acid and oral probiotics like K12 and M18. Six Bad Breath Home Remedies The practice of a few, simple, self-care techniques can help to minimize halitosis. There are several things you can do at home. Advanced oral care products: Use oral care products such as mouthwashes and toothpastes that have been shown to be effective in fighting bad breath. Proper oral care: Brush and floss your teeth at least twice a day. Be sure to get a toothbrush with soft bristles (as to not damage tooth enamel or gums) and also use fluoride toothpaste. Brushing and flossing helps to remove any food and plaque which can be used as a fuel source by the anaerobic, sulfur-producing bacteria that are at the root of this problem. Stimulate your salivary flow: Prevent dry mouth with chewing gum, lozenges, or mints that are sugar free. Look for Xylitol, a non-sucrose sweetener, which in recent years has been shown to have anti-cavity properties. Eat fibrous fruits and vegetables: One of the best ways to remove bacteria in the mouth is to eat an apple a day. It helps moisten the mouth, too. Take a dietary supplement: Vitamin C, Vitamin D, Vitamin E, and Vitamin B are effective at helping your body eliminate excess mucus and toxins naturally. Brush your teeth occasionally with baking soda: The bacteria that cause bad breath thrive in an acidic oral environment. Brushing your teeth with baking soda helps neutralize excess acids found in the oral cavity. 12 Easy Ways to Prevent Bad Breath Please remember, preventing halitosis is always easier than treating it. By developing the right habits, you can effectively help prevent it. Eat foods rich in fiber: High fiber foods help prevent halitosis. Avoid eating heavily processed foods that contain refined carbohydrates such as cookies, cakes, sweets and ice cream. Use mouthwash: Some mouthwashes or oral rinses are effective at preventing bad breath. However, you should never use alcohol based mouthwashes because the alcohol makes the mouth very dry, which will actually make the problem worse. Drink green and black teas: They contain polyphenols that help eliminate sulfur compounds and reduce oral bacteria. Avoid drying medication: Try not to take antidepressants, diuretics, pain relievers, and antihistamines unless it is absolutely medically necessary. These drugs inhibit saliva flow and can cause chronic dry mouth. Avoid products with sodium lauryl sulfate or alcohol: Do not use any oral hygiene products that contain sodium lauryl sulfate or alcohol because the alcohol makes the mouth very dry, one of the most common causes of bad breath. Clean your mouth after eating meat, fish or dairy products: Practicing consistent and thorough oral hygiene is an effective prevention tool. Stop smoking: Studies have shown that smokers are at higher risk of developing periodontal disease and dry mouth. Furthermore, people who smoke may also engage in other habits that promote this condition such as dieting, drinking alcohol, and suffering from chronic anxiety conditions that require exacerbating prescription medications. Breathe through your nose instead of your mouth: Try to address any snoring or sleep apnea issues that could be affecting your breath and causing dry mouth. Drink water: Keep your mouth moist by drinking plenty of water. Clean your dentures at least once a day: Practice the same, proper oral care that you would with your original teeth. Eliminate dairy products from your diet: Lactose intolerance can be an underlying cause of halitosis. Use an oral probiotic like S. Salivarius K12 and M18: Use probiotics to balance the oral cavity and prevent an overgrowth of the odor-causing bacteria involved in halitosis.
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Their is bleeding in my teeth and very bad smell from mouth please tell me which toothpaste should I use and what else should I do.

BDS
Dentist, North Goa
Their is bleeding in my teeth and very bad smell from mouth please tell me which toothpaste should I use and what els...
Hi, it seems you have inflamed gums. Advisable to get your teeth scaled/cleaned by a dentist every 4 months. That usually reduces the problem. Get well soon.
3 people found this helpful
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How do I keep my teeth white all the time, I'm using partial denture, what should I do?

Certified Implantologist, BDS
Dentist, Chennai
How do I keep my  teeth white all the time, I'm using  partial  denture, what  should I do?
Keep changing your partial denture once a year, or go for fixed ones, and visiting dentist every six months once is recommended.
1 person found this helpful
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I am bitting my tongue frequently. Few day ago I had a tongue burn. When I am bitting I don't know, but after the moment I realize some pain.

BHMS
Homeopath, Raebareli
Dear user kindly get your blood biochemistry test done and update the reports for now take a dose of Ignatia 200 one dose you will be fine. Give a follow up after 2 days with reports.
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Hi I have 2, 3 ulcers (chala) in my mouth for 1 week I am taking one becosules capsule daily in the morning but it is not getting reduced I am drinking lot of water, lassi, etc etc Still ulcer is getting big What should I do? Should I take 2 capsules or anything else?

BDS
Dentist, Delhi
Hi I have 2, 3 ulcers (chala) in my mouth for 1 week I am taking one becosules capsule daily in the morning but it is...
Hi lybrate-user, a mouth ulcer is a painful sore inside the mouth, on the tongue, soft palate (the back portion of the roof of your mouth), or inside the cheeks. Sores in your mouth are round, white, or grey in color, with a red edge or border. The condition is usually becomes okay within 7 days. But if it persists beyond that, or if multiple ulcers keep re-appearing, medical advice must be taken. In severe mouth ulcer attacks, you may also experience fever and physical sluggishness. Taking vitamin b12 supplements along with a suitable gel for pain is the best remedy. Take care.
1 person found this helpful

My daughter is suffering from cavities and one tooth is totally damaged. Last year I consult dentist he kept cement and cap for one tooth then also the cavities eaten whole tooth and gum .I am really worried about my daughter and her age is 7 years old please help me.

BDS
Dentist, Vadodara
My daughter is suffering from cavities and one tooth is totally damaged. Last year I consult dentist he kept cement a...
at this age, most of her teeth will be milky teeth. still if the decay is more, get that teeth removed to prevent damage to permanent teeth.
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Having headache for more than a week. Previously it was just toothache, now turned into severe headache. What should I do doctor?

MDS
Dentist, Kolkata
Having headache for more than a week. Previously it was just toothache, now turned into severe headache. What should ...
Consult general medicine doctor,,toothache at times causes pain in head also,,so get dental checkup done also.
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Dear sir I have pain in my teeth from 7days. I can't eat any hot and cold items. Kindly suggest what should I do.

BDS
Dentist, Saharanpur
Dear sir I have pain in my teeth from 7days. I can't eat any hot and cold items. Kindly suggest what should I do.
Get scaling done n use sensitive toothpaste. N do warm saline gargles for seven days. N den tel me the status after 7 days.
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MDS
Dentist, Nashik
Brush twice a day, keep tooth problems away: brushing twice a day removes the tiny left out food particles from the mouth and keeps it fresher and cleaner.

I have teeth pain daily. Even I used many pastes. But also I'm getting pain. What should I do.

M.Sc - Medical Bio-chemistry, BDS
Dentist, Jaipur
I have teeth pain daily. Even I used many pastes. But also I'm getting pain. What should I do.
Tooth pain may be due to carious infection leading to pulpitis (inflammation within tooth). Tooth paste is used to clean plaque and polish the tooth surface. It will never remove any bacterial infection of either tooth or gums. So consult a dentist so that exact cause of your pain can be ruled out; then further treatment can be suggested. If pain is slight in form of sensitivity then filling will be sufficient but if pain is severe then, according to the prognosis root canal treatment followed by capping or any other treatment procedure will be required.
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I have gap on my front teeth looking for a best durable treatment please help me out and suggest which treatment option would be better. Thank you.

MDS, BDS
Dentist, Karnal
I have gap on my front teeth looking for a best durable treatment please help me out and suggest which treatment opti...
There are many treatments for closing the gap in front teeth, one is with the help of braces, one is capping, other is use of concept of smile designing an material is used with lasers to fill the gap. Best treatment will be differ from differ Pt an their condition. So best is to visit a specialist doctor and get it checked.
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Dear sir/madam I'm getting white spots on same place in my mouth they are coming and going. Please provide the solution.

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
White spots on the tongue or in the mouth can be an advanced symptom of a serious medical condition or my imply something not serious. When you experience this symptoms of white spots, it is a best idea you visit your doctor. Apart from sexual transmitted diseases (chlamydia, gonorrhea, HIV, or AIDs ), there are a number of causes that can cause white spots around your mouth. These may include: Excessive dry mouth If your mouths stay dry for long periods, there are possibilities you will develop white spots or patches around your mouth or tongue. This is sometimes referred to as cotton mouth. Thrush this is a growth of yeast that has manifested itself in the mouth. These white spots can develop on the gums, cheeks, or the roof of the mouth or even the tongue. Migratory glossitis this is sometimes referred to as geographic tongue. It is a condition that presents itself as tiny, pinkish- white bumps [papillae], which are actually short, fine, hair- like projections. This condition is noncancerous, and has no risks to the affected person. Oral/ mouth cancer one of the common signs of oral cancer is white spots that cover the inner parts of the mouth and tongue. Special testing is required to ascertain if it is really oral cancer that causes you white spots in mouth. If this condition of white spots or patches in the mouth happens to you for the first time, it should not last for long- not more than two weeks. If they recarry or stay for more than two weeks, it is important to visit your doctor who will find out the cause of the white spots.
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BDS
Dentist, Bhagalpur
Kind of toothbrush to be used by adults: We recommend a brush with soft bristles which helps in removing the plaque and debris thoroughly from the mouth.
1 person found this helpful

Does Invisalign Braces is the best treatment or something which is better than this and how much time does it takes to close the gap of 3 mm.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Does Invisalign Braces is the best treatment or something which is better than this and how much time does it takes t...
It's a procedure more esthetic than any other advantage n of course costliest takes about eighteen months including retainers but with three mm gap you require braces has to b seen n than adv you may send pictures of gap to understand that better.
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