Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

2 Biggest dental mistakes that Indians make!

Your dental health chiefly depends on the way you care for your teeth and gums. Most Indians consider maintaining oral health a very simple thing, and end up committing quite a few dental blunders as a result. As a result, a whopping 95% of the population in India suffers from gum disease! (Source: National Oral Health Programme)

Read on to find which of these dental mistakes you are making and how to avoid them.

1. Not flossing your teeth
Flossing plays a significant role in getting rid of sticky bacteria or plaque from your teeth. The acid generated by dental plaque is the chief cause behind oral cavities, gum irritation and various other gum diseases. Flossing is essential for cleaning the space between your teeth and in turn eliminating most of the bacteria present in your mouth. This is the very reason it should not be ignored.However in India, well over 70% of the population does not floss.

2. Not regularly visiting the dentist
Most Indians have the habit of not visiting the dentist at regular intervals due to laziness, a forgetful nature or fear. Quite a few hold the common belief that if they aren’t experiencing a toothache, they don’t need to visit the dentist at all. Only 2% of Indians visit the dentist.  This often puts you in greater risks of developing a gum disease, which may require painful and costly treatment in the future. So, make it a priority to visit the dentist at least once every year to ensure better dental health.

If you would like to consult with me privately, please click on 'Consult'.

2 Biggest Dental Mistakes that Indians Make!

The tooth may look a tiny structure, but is a very complicated one. Structurally, it has very high concentrations of minerals and vitamins, all essential for optimal dental health. Reduced or increased amounts of these substances can lead to obvious defects in the teeth, which may impair aesthetics and sometimes even the functioning of the tooth.
While calcium is one mineral that would immediately come to mind, there are a lot of other vitamins and minerals too which play a significant role both in tooth formation and in optimal dental health. Listed below are some of these, along with their role in dental health.

Vitamins:

Vitamin a: often associated with vision, vitamin a is essential for production of good amount of saliva which maintains healthy mucous membranes. Reduced saliva increases predisposition to decay and gum disease and also increases bad breath.

Vitamin d: needless to say, with the strength of the jaw bones, a good amount of calcium is required to boost bone mineral density.

Vitamin c: the gums have connective tissue fibers which help bind the tooth to the jaw bone. For good strength of the connective tissue, vitamin c is important. Therefore, vitamin c deficiency can lead to tooth mobility and even tooth loss in severe cases.

Vitamin b complex: there are too many people who would have popped a multivitamin to ward off mouth sores. Niacin and riboflavin especially are essential for optimal mucosal health and reduce inflammation.

Vitamin k: this has multiple roles to play. It helps in improving the body's healing process, blocks substances that break down bone, promotes bone strength, and reduces bleeding disorders.

Minerals: there is a long list of minerals that are essential for optimal dental health, as below:
Calcium: from strong enamel to jaw bone, calcium is extremely important for the tooth to be fully formed. Calcium deficiency can result in hypoplastic teeth that are more prone for chipping and decay.

Potassium: needed to improve bone mineral density. It also works in conjunction with magnesium and prevents from the blood turning too acidic. Acidic blood can suck out calcium from teeth and bones.

Fluoride: proven to be the anti-decay magic medicine, fluoride reduces the incidence of tooth decay. Fluoride gels are applied for children to promote remineralization of enamel which may have initial caries.

Phosphorus: provides support to calcium and potassium in bone formation.

Iron: required for keeping red blood cell count at a good level and fighting infections.

Iodine: this trace mineral is required for absorption of calcium and potassium that is essential for tooth formation.

Zinc: naturally found in saliva, it fights against plaque formation and subsequent infections.

For optimal dental function, ensure your diet has these essential nutrients.

The Best Vitamins & Minerals For Your Teeth

Mouthwash has become an essential ingredient of one's oral hygiene kit. Though not a substitute for flossing or brushing, it offers additional oral protection. Due to a host of ingredients, such as alcohol,
Chlorhexidine, cetylpyridinium chloride, menthol, methyl salicylate, fluoride, antibacterial enzymes, hydrogen peroxide, essential oils, zinc chloride and other herbs and "natural" ingredients mouthwash has a number of benefits.

Alcohol is the basic ingredient in all of them. While fluoride protects against decay, chlorhexidine protects against gum diseases. Hydrogen peroxide produces a mild bleaching effect. Herbs and essential oils produce a freshening effect.

Benefits of using a mouthwash

1. Reduces formation of tartar and plaque.
2. Protects from oral problems like gingivitis and periodontal disease, especially if it contains cetylpyridinium or essential oils. Chlorhexidine is also effective in protecting plaque formation and gingivitis.
3. Kills bacteria in the mouth and prevents cavities or decay, especially if it contains fluoride.
4. Mouthwash, to some extent, covers up bad breath due to oral hygiene or oral disease and produces a fresher breath.
5. Certain mouthwashes containing cetylpyridinium chloride and zinc chloride produce a better breath freshening effect.
6. Helps manage dry mouth, especially if containing biotene.

Types of Mouthwash

1. Cosmetic
2. Therapeutic

The cosmetic one is usually for freshening up the breath and is not regulated by the FDA. The therapeutic ones contain active ingredients aimed at addressing one of the issues like plaque formation, bad breath, dry mouth, or decay. They kill bacteria, reduce plaque, fight gingivitis, and control decay. They are not a substitute for brushing or flossing but supplement these two very well. These are approved by FDA and are proven in terms of safety and efficacy. Rinses with zinc chloride are effective against bad breath, those with fluoride are useful in people who are cavity-prone, and chlorhexidine helps prevent gum disease.

Choosing a mouthwash: This depends on the oral health condition, and it is always advisable that the dentist prescribes the right rinse for you.

When and how to use mouthwash: When you are done with your brushing and flossing, rinse your mouth with a capful of the mouthwash liquid. Swish it around your mouth for about 30 seconds and spit it out. Avoid brushing, drinking water, or rinsing your mouth after using a mouthwash for about 15 to 20 minutes. This will give sufficient time for the active ingredients in the mouthwash (especially if it is a therapeutic one) to act in the mouth. Brushing after mouthwash removes all the effect of the rinse.

Mouthwash: All You Need to Know About it

The smile is the first thing we notice about a person, and more than anything else, it reveals the teeth first. We all yearn for that set of perfectly aligned teeth that are pearly white in color. However, this is not a reality in all people.

Due to various reasons, the teeth are not always bright and white. In some cases, the high fluoride content in the water can lead to fluorosis, which causes irregular patches on the teeth. Chewing tobacco and smoking are another reason for teeth discoloration, ranging from yellow to brown to black. The most inevitable of all reasons is ageing, where they naturally change to a darker shade of yellow. However, dental technology has also improved to come up with various solutions, so that the dream for that set of pearly whites can be made a reality.

Bleaching is by far the most commonly used method for teeth whitening. The tooth has an outer layer called enamel, a next layer called dentin, and a final inner layer called the pulp. The enamel contains organic particles that give the tooth its color, and the bleach material attacks these organic particles and thereby removes the stains.

It is always advisable to use tooth bleaching under the supervision of a dentist. A thorough examination and diagnosis is required before deciding on one of the two modes of bleaching.
1. In-office bleaching: This involves use of whitening gels that are not available over the counter. The gel is applied on the discolored portions of the teeth to leave a whiter tooth behind after the stipulated time.
2. Home bleaching: In cases where more regular application is desired, the patient is given a kit which has customized trays and the whitening gel. The patient is educated on a schedule including how and when to apply the gel and instructions for this application.

In addition, for minor discolorations, there are other options as below:
1. Whitening strips: These strips are similar to adhesive bandage and contain the bleaching agent. They are applied onto the tooth and left for usually about 30 minutes to take effect.
2. Brush-on whitening: These gels are applied directly on the tooth and left for a while or overnight if required.
3. Whitening chewing gum: For the chewing gum lovers, this could be an option. These chewing gums are similar to any chewing gum but include bleaching agents.

Side effects: Sensitivity and gum irritation are the two common side effects of bleaching. This could be either from the chemical or the trays that are used. The need to repeat the treatment again is another shortcoming. Repeated visits to the dentist may be needed once or twice a year to maintain the pearly white smile!

Bleaching for Extra White Teeth

Prevent mouth ulcers naturally

Ulcers are painful sores on the lips, tongue, gums or the insides of the cheeks. These are common and usually happen due to bowel diseases, hormonal imbalances and stress. While there are medicines and ointments available to cure sores, you can cure the ulcers naturally also. 

Rinse with baking soda - baking soda or salt can be used to rinse the mouth. Mix a few pinches of either in a glass of warm water. Now swish the water around the inside of your mouth and spit it out. Do this about three times in a day.
Orange juice - orange juice has vitamin c and as ulcers sometimes occur due to lack of this vitamin, drinking the juice can prove to be helpful. 
Oral hygiene - prefer using toothbrushes with soft bristles. Also ensure that you brush your teeth after every meal to keep any food out of your mouth.
Avoid spices - avoid eating spicy, acidic and hot foods.
Extremely hot beverages - tea and coffee should be avoided. Yogurt and buttermilk, on the other hand, are highly beneficial.
Have onions - raw onion contains sulphur which is good for health of inside your mouth.
Consume amla - make a paste of indian gooseberry (amla) and apply it over the ulcer. This provides quick relief and healing.
Avoid meat - animal protein increases the acidity in the body. So, avoid fish and meat.
Gargle - use fresh coconut water to gargle with about three to four times a day. This cleanses the mouth and eases the pain.

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How To Prevent Mouth Ulcers Naturally

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