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Dr. Xavier Lawrance

Dentist, Chennai

Dr. Xavier Lawrance Dentist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Xavier Lawrance
Dr. Xavier Lawrance is a renowned Dentist in Velachery, Chennai. You can visit him at Jebastins Dental Clinic in Velachery, Chennai. You can book an instant appointment online with Dr. Xavier Lawrance on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 33 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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116, 100 Feet Bypass Road, Near Metro Shoe, Opp HP Petrol Pump, ChennaiChennai Get Directions
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What Do You Do About a Severe Toothache?

M.D.S-Pedodontics and Preventive Dentistry, BDS
Dentist, Bangalore
What Do You Do About a Severe Toothache?

Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.

The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.  

Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex.  On the root surface, instead of enamel, there is a softer substance called cementum.  The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.

The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain.  This acute pulpitis causes pain in spurts and can be unbearable.

On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).

Whatever the case, the treatment would be the same:

  • Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
  • Antibiotics and pain killers would be given to control the pain
  • Once the infection subsides, root canal therapy is initiated.  Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
  • With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.

The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.

5029 people found this helpful

Some white spots in my mouth after left wisdom teeth what to do.

BDS
Dentist,
Wisdom teeth usually emerge between the ages of 18 and 25. However, for a large proportion of people, there is not enough space in the mouth to accommodate these new teeth, and without adequate space, the wisdom teeth cannot fully erupt. A partially erupted wisdom tooth often causes problems because it is surrounded by a flap of gum that cannot easily be cleaned by brushing your teeth. The whitening can be sign of inflammation. Have warm water gargles and get it checked with the dentist.
1 person found this helpful
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BDS, Diploma in Hospital Administration, Diploma in Pharmacy
Dentist, Delhi
What is Dental Malpractice?
Dental Malpractice occurs when the treatment provided by dental health care professionals falls below the acceptable standard of care causing serious personal injuries. such type of malpractice are:
Failure to inform the patient of all available treatment options and the associated risks and benefits related to each
Failure to refer to a specialist
Negligence in failing to properly diagnose oral cancer or periodontal (gum) disease
Causing nerve damage by improperly placing dental implants
Damaging the Lingual nerve or Inferior Alveolar nerve while administering anesthesia or when removing wisdom teeth or molars
Incorrect use of dental anesthesia resulting in complication or even death
Improper procedures which result in injury and damage
Malalignment of teeth or bite malocclusion resulting from substandard dental procedures
Failed dental procedures
Faulty root canals, crowns, implants, veneers, or dental bridges resulting in injury and infections to the jaw, face and gums
Tooth loss due to faulty restorations
Injury to the temporomandibular joint (TMJ) after orthodontic treatment or restorative dentistry procedures
Failure to perform a complete and thorough oral exam
Not properly administering antibiotics prior to a dental surgical procedure
Failing to diagnose or control an infection
Use of faulty materials or products
Medication error
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Dear doctor. I have a 3 years old kid (boy) he have a tooth decay problem .all of the teeth is damage and crown of all the teeth had finished and remain teeth become black. Many doctor told me permanent teeth will damage if I will not treat my kid teeth and doctor suggest me treatment through anesthesia but I am very afraid and worry about my kid please suggest me the genuine guidance which is suitable to my child.

BDS
Dentist, Raipur
Dear doctor. I have a 3 years old kid (boy) he have a tooth decay problem .all of the teeth is damage and crown of al...
Hello. 3 years old is very young for treatment and they don't cooperate so we perform treatment under general anaesthesia which is very rare. We usually do it when the kid has severe problems. As of now I would suggest you to keep your child's oral hygiene proper. Stop giving him sweets chocolates sticky food. Brush his teeth in the night as well on regular basis. If he complains of pain visit a dentist for x-ray so that it can be decided what can be done. Root canal treatment can be done if required, this will cease the infection. For any further query please message me privately. Thanks.
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I am having teeth gum problem. Maximum gum has become black visible when fold the lips for brushing. While brushing they give pain & maximum times they bleed. What to do in this case? I do not smoke & drink.

BDS
Dentist, Rewa
I am having teeth gum problem. Maximum gum has become black visible when fold the lips for brushing. While brushing t...
Black gums are a result of hyperpigmentation that can be done at a clinic and reason for bleeding gums is probaby any deposits around your teeth you need to get that cleaned know as oral prophylaxis.
1 person found this helpful
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I took tobacco since last 20. Years , so my teeth got dark brown. Now what should I do to became natural white teeth.

BDS
Dentist, Delhi
I took tobacco since last 20. Years , so my teeth got dark brown. Now what should I do to became natural white teeth.
Chances of getting your teeth completely white are less. But you will improve the shades of teeth. 1. Quit the habit 2. Get your teeth professionally cleaned 3. Bleaching can be done (depending upon your requirement)
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I have tooth pain and I have consumed about 10 combiflam tablets in the last 2 days will iy cause any health problem.

BDS
Dentist, Delhi
I have tooth pain and I have consumed about 10 combiflam tablets in the last 2 days will iy cause any health problem.
Only pain killer wil not help have antibiotics fr two days and go to a dentist immediately and get that toith treated may be you have a decay without treatment you wil not get relief and unnecesarly you wil be having medicines.
1 person found this helpful
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I am having a tooth decay problem and need a root canal. How much time does it to recover with which I am having?

BDS
Dentist, Delhi
I am having a tooth decay problem and need a root canal. How much time does it to recover with which I am having?
Root canal treatment can be done in single sitting and 3-4 sittings depending upon severity of pain & infection. 3-4 sittings are at a gap of 1-2 days.
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B.D.S
Dentist, Jaipur
Taking a large no. Of medications often leads to a dry mouth. Increase your fluid intake or ask your dentist about an artifical saliva product or chew sugarless gum after a meal to keep your mouth moist.
32 people found this helpful

Reversing Gum Diseases

pg diploma in clinical research and pharmacovigilance, BDS, Advanced Aesthetics
Dentist, Ludhiana
Reversing Gum Diseases
Gingivitis is a mild form of gum disease which occurs because of the inflammation of the gums. It can easily be reversed with daily brushing and flossing and getting dental cleaning done regularly.
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How to make teeth white?

Advanced Aesthetics, BDS
Dentist,
How to make teeth white?
Hi, there are various method / products available to whiten teeth. The most effective is in-office whitening done by a dental professional. It's usually a one hour procedure in which whitening gel will apply to the teeth and activate by whitening light for 10 to 15 minutes. 2 or 3 such sessions may required.
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I'm Chandu. My age is 23. My problem is extra new teeth coming at lower back side. But it is cut the gums. No pain but bad smell coming.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
I'm Chandu. My age is 23. My problem is extra new teeth coming at lower back side. But it is cut the gums. No pain bu...
Hello, from the above description it seems that your wisdom tooth is erupting. You can do salt water rinses. Visit a dentist and get it checked get an X-ray done if required get it removed.
3 people found this helpful
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I have got severe tooth pain probably due to bacterial infection. Please prescribe the medicine.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I have got severe tooth pain probably due to bacterial infection. Please prescribe the medicine.
The type of treatment you have for toothache will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.
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I am 20 years old male and I am having severe toothache for last 1 week.

BDS (GOLD MEDALIST)
Dentist,
I am 20 years old male and I am having severe toothache for last 1 week.
You have cavity with pulp infection. You may need to go for rct. Get an x-ray done to know about the extent of the cavity. For temporary relief from pain you can take ketorol dt 2 tabs dissolved in half cup of water. Or ibuprofen after meal.
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MDS Endodontist, BDS
Dentist, Delhi
Drying up of the mouth after taking a large no. of medicines is quite common. We suggest increasing your fluid intake or using an artifical saliva generating product or chewing a sugarless gum after a meal which help in keeping your mouth moist.
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I am a 32 years old female and have toothache for last 4 weeks. What should I do?

Certified Implantologist, BDS
Dentist, Jaipur
I am a 32 years old female and have toothache for last 4 weeks. What should I do?
Hi. It could b due to cavity formation. A xray is required to advice further. Get xray done and send it to me and would revel everything regarding your problem.
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Some doctor says my teeth was suffering from pyria? Can scaling is better for my teeth otherwise please you give me suggestion for being my healthy teeth?

BDS
Dentist, Howrah
Some doctor says my teeth was suffering from pyria? Can scaling is better for my teeth otherwise please you give me s...
Brush your tooth twice in a day, properly. Wash after eating food. Atleast once in a year visit dentist for scaling treatment & for regular check-up. & for pyria you have to take short course of medicine along with Scaling.
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Cavities

BDS
Dentist, Mumbai
Cavities
Cavities, or tooth decay, is the destruction of your tooth enamel, the hard, outer layer of your teeth. It can be a problem for children, teens and adults. Plaque, a sticky film of bacteria, constantly forms on your teeth. When you eat or drink foods containing sugars, the bacteria in plaque produce acids that attack tooth enamel. The stickiness of the plaque keeps these acids in contact with your teeth and over time the enamel can break down. This is when cavities can form. A cavity is a little hole in your tooth.

Cavities are more common among children, but changes that occur with aging make cavities an adult problem, too. Recession of the gums away from the teeth, combined with an increased incidence of gum disease, can expose tooth roots to plaque. Tooth roots are covered with cementum, a softer tissue than enamel. They are susceptible to decay and are more sensitive to touch and to hot and cold. It’s common for people over age 50 to have tooth-root decay.

Decay around the edges, or a margin, of fillings is also common for older adults. Because many older adults lacked benefits of fluoride and modern preventive dental care when they were growing up, they often have a number of dental fillings. Over the years, these fillings may weaken and tend to fracture and leak around the edges. Bacteria accumulate in these tiny crevices causing acid to build up which leads to decay.

You can help prevent tooth decay by following these tips:

Brush twice a day with a fluoride toothpaste.
Clean between your teeth daily with floss or interdental cleaner.
Eat nutritious and balanced meals and limit snacking.
Check with your dentist about the use of supplemental fluoride, which strengthens your teeth, and about use of dental sealants (a plastic protective coating) applied to the chewing surfaces of the back teeth (where decay often starts) to protect them from decay.
Visit your dentist regularly for professional cleanings and oral examination.
21 people found this helpful

My daughter was complaing of dry mouth, since I am diabetic I did her test from home glucometer after 2 hour dinner it came 153, next day fasting 115, Next day v went to clinic doc all test, thyoride, normal , fasting 105, GTT 2 hours 292, hbA1c 6.4, ketones nil & he asked for test gad antibodies to rule out type one , her weight is 55 kg, height 5.3 what should v do ?

Certified Implantologist, Advanced Aesthetics, BDS
Dentist, Kolkata
Dry mouth can be very difficult to handle at times and it can lead to very nagging problems all through. As per the history it seems she has a tendency towards hyperglycemia already. Taking utmost care is mandatory for such patients. Regarding dry mouth It may be suggested to visit a dentist evry 6 months, keep the oral hygiene proper always. Although the dentist should clinically examine and suggest the needful but as of now you can use Dry Mouth Gel by GC to get away with the discomfort as of now. Hope this serves the purpose as of now but visit a dentist ASAP. Thanks. :-)
1 person found this helpful
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What is root canal treatment?

Post-Graduate Certificate in Oral Implantology (PGCOI), MDS - Periodontics
Dentist,
Root canal treatment is the removal of the tooth's pulp, a small, thread-like tissue in the center of the tooth. Once the damaged, diseased or dead pulp is removed, the remaining space is cleaned, shaped and filled. This procedure seals off the root canal. Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment saves many teeth that would otherwise be lost. The most common causes of pulp damage or death are: A cracked tooth A deep cavity An injury to a tooth, such as a severe knock to the tooth, either recent or in the past. Once the pulp is infected or dead, if left untreated, pus can build up at the root tip in the jawbone, forming an abscess. An abscess can destroy the bone surrounding the tooth and cause pain
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