Canker sores are also known as aphthous sores and are the most common type of mouth ulcers. They mostly occur on the inside of the lips or cheek and are mostly whitish or yellowish in color. The sores are mostly surrounded by inflamed, reddish soft tissue. Canker sores commonly appear between the age of 10 and 20 years. They mpe ay create a tingling sensation in the mouth that makes eating, talking or swallowing difficult. In some cases, canker sores may cause general malaise and headache.

Reasons behind canker sores

Any kind of viral infection
Unhygienic brushing habits, such as not cleaning the mouth often or well enough.
Hormonal fluctuations, especially during the menstrual cycle
Inadequate rest and sleep
Low immunity
Stress
Food allergy
Deficiency of certain vitamins or minerals
Some kind of mouth injury
Ill-fitted dental appliances such as braces or dentures.
Acidic or spicy food.
Types of canker sores and symptoms
Canker sores are mainly of two types

Simple canker sores: These may occur twice or thrice in a year and can heal without treatment within a span of 3 to 4 weeks.
Complex canker sores: These sores generally appear in the elderly, mostly in those who have a history of frequent sores. These may be accompanied by swelling of lymph nodes, very painful sores, high fever, headache, fatigue and general illness. Inflammation and infection of the ulcers may also occur if not diagnosed and treated on time.
Ways canker sores can be treated

Antimicrobial mouth wash to rinse the mouth
Antibiotic mouthwashes or oral pills
Corticosteroid ointments can be applied on the affected area to reduce the inflammation and promote rapid healing.
Drinking milk, consuming yoghurt or ice cream is known to provide relief.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Canker Sores - Ways They Can Be Treated!

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

Why it's more important to brush your teeth in the night than in the morning

Most people wake up every morning and stumble to wash their teeth first thing. Do you believe that brushing your teeth in the morning is sufficient to keep your mouth healthy?

While it is important to brush your teeth in the morning for good oral hygiene, what goes on in your mouth all night is even more important. Brushing your teeth once a day is barely enough to maintain perfect oral hygiene. By brushing twice a day you can make the difference.

Do you know why it can be important to brush at night since you are only about to sleep?

Here are a few things that brushing before bed does.

1. Reduces acid build up

Everyone has acid being constantly produced in their mouths. The saliva secreted contains calcium which neutralizes the acid being built up. At night the saliva secretion slows down which allows the acids to get accumulated. The acids keep corroding the teeth all night. When you brush your teeth, the fluoride present in the toothpaste stimulates saliva secretion. So by brushing before bed you ensure that the saliva secretion does not fall drastically. In the process you prevent your teeth from getting corroded.

2. Reduce bacterial multiplication

The saliva in our mouth not only neutralizes the acid it reduces bacteria from multiplying as well. During the reduced saliva production, as you sleep, the bacteria in your mouth multiply manifold and attack your teeth and gums. This is why keeping your saliva secretion regular by brushing before bed is of utmost importance.

3. Reduce the decay of food particles

After you have your dinner just rinsing your mouth is not enough. Tiny food particles that get stuck in your teeth rot overnight. It is best to go to bed with a clean mouth rather than a mouth with tiny decaying food particles.

No matter how much of a task it might seem like, brushing at night is as important, if not more important, than brushing in the morning.

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

Is it More Important to Brush Your Teeth in the Night Than in the Morning?

Myofascial pain syndrome refers to a chronic condition that affects a person s musculoskeletal system. With this disorder, pressure on the sensitive points (known as trigger points) in the muscle induces pain in various parts of the body.

Myofascial pain syndrome mostly affects people in the age group 40-60 years.

What causes myofascial pain?

Typically, myofascial pain syndrome occurs because of repetitive muscle contraction or overuse, or due to an injury. Sensitive areas of the tight muscle fibres can develop following an injury/trauma, and ultimately lead to pain and strain throughout the muscle.

Symptoms to watch out for-

Common signs and symptoms of myofascial pain syndrome include-

  Severe pain in localized muscle areas
  Pain that worsens when you stretch or strain the affected muscle
  Muscle pain that persists for longer than usual, or worsens with time
  Painful, tender knots in the muscles that lead to severe pain when pressed
  Weakness and stiffness in the muscles
  Inflexibility or a reduced range of motion

Although muscle pain is temporary in most cases, and usually subside on its own, you should visit a doctor immediately if the pain becomes intense and severe. Otherwise, the symptoms of myofascial pain syndrome can aggravate and impede your daily routine.

What is the treatment for myofascial pain syndrome?

Treatment for myofascial pain syndrome include a range of pain management options such as the following-

  Medications
Your doctor will likely prescribe medications that include anticonvulsants, analgesics, and over-the-counter Non-steroidal Anti-inflammatory Drugs (NSAIDs). These work as painkillers and help relieve pain and reduce muscle spasms.

  Dry-needling
Dry-needling is a quicker way of getting rid of myofascial pain symptoms. The doctor inactivates the trigger points by directly inserting a needle into it. He/she will then slowly move the needle around and poke it inside and out. The initial process can be a little painful, but it certainly helps manage the pain in your muscles. Alternatively, acupuncture needles can be used for the same procedure since they are small and are less painful.

  Local injections
Local injections, also known as trigger point injections, are similar to dry-needling. The only difference is that local injections involve injecting a solution (saline/steroid/or a local anaesthetic) into the trigger points. The method yield similar results as does dry-needling.

  Therapy
Different types of therapies can be used to ease the pain associated with this chronic pain disorder.

Ultrasound therapy where sound waves are transmitted into the muscle tissues through a sound-conducting gel applied on the skin. The sound waves heat up and relax the muscles, thereby improving blood circulation and removing the scar tissues. Ultrasound therapy is also effective in reducing muscle stiffness and increasing one s mobility.
Massage therapy also is very effective in treating myofascial pain syndrome. The therapist usually uses his/her fingers or some sort of equipment to induce pressure on the various trigger points. When performed, this procedure may first aggravate the muscle pain and then release muscle tension.
Apart from these, the doctor may prescribe regular exercising or physiotherapy treatment for patients suffering from chronic muscle pain.

Myofascial pain syndrome can be managed well using the techniques mentioned above. In addition, it is very important that you stick to some sort of physical activity. Talk to your doctor and incorporate these pain management techniques to live a pain-free healthy life.

Myofascial Pain - Causes, Symptoms & Treatment Of It!

Wisdom teeth are known to be the final molars to grow out and they complete the set of permanent teeth. They generally start to erupt during the late teens or in the beginning of twenties. 

In case of some people, there is a possibility that the wisdom teeth may never erupt, while others may even grow four and more wisdom teeth. 

Do all wisdom teeth create dental problems?
No, if a wisdom tooth has completely erupted through the gum and tissue, without actually harming the teeth next to it, it does not require to be extracted. But, this is only if the individual is able to clean and brush it thoroughly. The wisdom teeth should be properly examined and dental care is necessary to prevent any complications. 

When do wisdom teeth need extraction?
Proper oral care of the teeth will keep them healthy and clean. But there may arise a situation, in which the removal of the wisdom teeth is quite necessary:

1. In certain cases, the wisdom tooth may erupt at a weird angle, compromising the teeth next to it. This may make it difficult to clean the teeth thoroughly, thus resulting in the onset of bacterial growth and periodontal disease. In this case, the wisdom teeth should be removed as soon as possible. 

2. While the wisdom teeth grows out, it may happen that there is not enough space for it to grow properly. As a result the adjacent teeth may face pressure due to crowded teeth, leading to headaches, toothaches and jaw pain. It is best that the wisdom teeth is extracted in this situation.

3. In case a wisdom tooth develops a cavity, it should be extracted. 

4. An impacted wisdom tooth, that is, if it has only partially grown out of the tissue, should also be extracted before it can cause serious complications.

All About Wisdom Teeth

Hyperdontia is an oral condition where people may have an overcrowding of teeth in their mouths due to the growth of extra teeth which are known as supernumerary teeth, in dental terms. This problem may hit people of any gender, background and medical history. This is caused when an extra tooth bud is found in the tissue from which the teeth typically grow. The most common cases are those that affect children who are already suffering from Down's Syndrome.

This article will tell you all about coping with and correcting the issue.

1. Problems Experienced: Let us first understand the various problems that a patient may experience. To begin with, there may difficulty when it comes to eating and chewing as too many teeth will make this task cumbersome. Also, this condition may prevent the normal teeth eruption process. Further, these teeth may fuse with the permanent teeth in the mouth of the patient. And finally, all this can also lead to the formation of a cyst or tumour.

2. Check Ups and Diagnosis: In order to treat this problem, the dentist will first of all conduct a thorough check up of the mouth of the patient and try to find the exact cause of the ailment. This will also be done with the help of lab tests based on blood samples as well as a dental X-ray. Further, the most important thing that the dentist will try to check is whether or not the supernumerary teeth are affecting the growth of the permanent teeth, in any way. 

3. Tooth Extraction: Once the dentist has had a look at the problem, he or she will be in a better position to take a call regarding whether or not the supernumerary teeth need to be removed. In most cases, these teeth will not be removed unless the said tooth is loose, which in turn can present the risk of choking by passing into the lungs. If tooth extraction has been decided upon, then the orthodontist or the dentist will do so by administering local anaesthesia first. Depending on the severity of the condition, the tooth may have to be cut and removed in pieces while the doctor has to ensure that there is enough space left for the permanent teeth to grow and find a place for themselves. 

4. Alignment: After the process of extraction is done, the dentist has to ensure that there is proper alignment of the teeth with the help of proper orthodontic methods for the remaining teeth to grow in a proper manner. Endodontic treatment will be used for fused treat in order to work on the tooth pulp and tissue in the surrounding area.

How to Correct Severe Hyperdontia?

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