Dr. S.V.Vinayagam

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 procedures (bleaching or laser) and / or artificial enamel filling. You may consult me in person too. 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.

The prognosis of advanced tongue cancer is quite poor. If need be a nasogastric tube can be inserted through nose for feeding or a PEG tube which is Inserted into stomach endoscopically. His nutrition and energy should improve with the tube feeds. Do check his electrolytes (sodium and potassium) as they may be deranged due to decreased food intake. I hope that the tumor is inoperable or metastatic hence we are not offering curative resection which gives about 50% survival. Also the life may be prolonged in locally advanced cancers of tongue by using chemotherapy or chemoradiation. Also immunotherapy with nivolumab is an option for those who can afford it (2Lac / month) which has shown to have good responses. For those who cannot afford it, metronomic chemotherapy is a good option. I hope I was able to solve your queries. Feel free to contact me if you want to discuss further or share the reports.

Any chemical free toothpaste is advisable, brush twice in a day, brushing the teeth to increase circulation.

Gum infection in diabetics patients is common. To reduce it, first control your blood sugar levels. Brush twice a day with soft bristle brush n use a mouthwash. Do salt water gargle twice daily. Massage your gums with gumex gum paint.

Bleeding is due to inflammation in your gums caused due to poor oral hygiene. Medicines will not help you solve your problem. You need to have a clean up done and follow instructions given by your dentist to maintain your oral hygiene.

- use a soft toothbrush -- and brush properly! brush your teeth for at least two minutes twice a day and after meals. Hard brushing can further damage the soft tissues of your mouth. - floss at least once a day and be sure to floss beyond the gum line to remove more plaque. - control bleeding by applying pressure to the area with a cold compress. - rinse with salt water or hydrogen peroxide to keep the area clean. Avoid mouthwashes that contain alcohol, which can dry out your mouth. - stay away from smoking and other tobacco products, which can aggravate bleeding gums. - eat a balanced diet and limit snacking between meals. Carbohydrates and sugars feed dental plaque. - try an oral irrigation device, commonly known as a" water pick, to clear debris from around the gum line. - have your dentures aligned as needed. - you may need deep cleaning along with surgical curettage or gum strengthening procedure. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser.

Ulcers generally take 1-2 weeks to heal completely. Recurrent ulcers can be due to local mouth conditions such as rough teeth surface or rough mouth appliances or dentures n cheek bites. It can also b due to general nutrtional deficiency, digestion prob, work pressure n stressful lifestyle etc. Certain bacterial n viral infections also cause ulcers. Treatment: start on multivitamin tabs which includes vit c n iron supplements if your hb% levels r low. Apply dologel oral ointment on ulcers thrice daily. Avoid spicy n oily food, alcohol, tea n coffee. Drink plenty of water n hv fibrous n citrous foods. Visit dentist to rule out oral factors responsible for ulcers.

For maintaining the health of your gums, try massaging eucalyptus or peppermint oil in a circular motion throughout the mouth, as it increases blood activation and keeps your gums healthy and safe.

They could b because of ur stomoch prob look after ur stomoch take fibrous diet add two bananas to ur diet drink plenty of water take cap zevit a day

Brushing technique is very important aspect for the cleaning of teeth. 6- Cavity Having cavities is not a serious problem at all. Cavities which are not too deep can be excavated and be restored by a dental cement. Cavities that are very deep can be cured by root canal treatment followed by crown ( cap ). For better prevention of cavities , 1- Follow proper brushing technique. 2- Brush twice a day 3-clean your teeth immediately every time after you eat food or liquids. - Do forcefull gargles after every meal. 4- Undergo scaling ( cleaning of teeth) at the interval of every 5-6 months. 5- Visit dentist for regular oral cavity check up every 4 months for the early diagnosis and prevention of dental diseases. Jay Swaminarayan.