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

Everybody desires to possess a beautiful smile but poor lifestyle and dietary habits tend to damage the natural white hue of your teeth and add a yellowish tinge to it. Yellowish and dull teeth are among the major factors that cause embarrassment and affect the quality of your beautiful smile.

The following are some foods that tend to damage your teeth:

1. Potato chips- potato chips are high in starch content and have the tendency to get stuck in your teeth. Floss thoroughly after eating potato chips to ensure effective removal of the food particles that get stuck in your teeth to lessen the risk of plaque build-up in it.

2. Sticky food- food which is sticky in nature often has the tendency to stick on to your teeth for longer than most other foods. Most dried fruits also fall under the category of sticky foods that can damage your teeth to a great extent. Rinse and floss on a regular basis after eating these foods to ensure protection of your teeth against damage.

3. Wine- according to studies, wine has positive effect on your health when consumed moderately; however, it is also responsible for damaging your oral health. If you intake a glass of wine at night on a regular basis, it increases the risk of damaging your tooth enamel and leads to its discoloration. Wine can also affect the calcium content of your teeth, cause bad breath and may result in the imbalance of your mouth's ph level. It is advisable to drink small sips of wine without swishing it for a long time.

4. Coffee and black tea- black tea and caffeinated coffee tend to dry your mouth. Frequent consumption of tea and coffee tend to stain your teeth and it is responsible for the discoloration of your teeth. Make it a point to drink plenty of water to minimize the risk of teeth staining.

5. Carbonated drinks- most carbonated drinks, including diet soda and soft drinks are acidic in composition and therefore, harmful for the health of your teeth. Caffeinated beverages tend to dry out the mouth, therefore, ensure to drink adequate water to balance out the negative impact of the caffeine.

6. Sports drinks- most energy drinks and sports drinks are high in sugar content and thus, have the tendency to damage your oral hygiene; ultimately affecting the appearance of your teeth. Replace your sports drinks with fresh natural juice to lessen the risk of teeth damage.

Foods That Are Ruining Your Perfect Smile

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!

An immune system disorder distinguished by dry mouth and dry eyes is known as Sjogren s Syndrome. It can also cause dryness in places that require moisture, such as throat, nose and skin. Sjogren s syndrome is often linked to other diseases such as rheumatoid arthritis and lupus (disease in which the immune system destroys its own tissues and causes inflammations). Sjogren s syndrome normally affects people over the age of 40, and it mostly affects women.

Symptoms 
Sjogren s syndrome has mainly two symptoms, and they include:

Dry eyes: You feel like there is sand in your eyes as it burns and itches
Dry mouth: You have difficulty speaking or swallowing
Sometimes, you might experience other symptoms as well, such as:

Joint pain, stiffness and swelling
Inflamed salivary glands
Dry skin or skin rashes
Vaginal dryness
Continuous dry coughs
Sustained fatigue
Causes
The exact cause of Sjogren s syndrome is not known, but research strongly suggests that the autoimmune disease could be caused by genetic factors; especially if the illness has been found in more than one member of the family. Also, families with members suffering from type I diabetes, lupus and autoimmune thyroid disease can cause one or more members of the family to develop Sjogren s syndrome.

Complications
The complications of Sjogren s syndrome include:

Dental cavities: Saliva protects the teeth from harmful bacteria that cause cavities. Since your mouth is dry, you become more susceptible to develop cavities.
Yeast infections: Oral thrush, an oral yeast infection, is likely to develop if you have Sjogren s syndrome.
Vision problems: Dry eyes can cause corneal ulcers, sensitivity and blurred vision.
Problems in the lungs, liver or kidneys: Inflammations can lead to bronchitis or pneumonia in your lungs; may cause cirrhosis or hepatitis C in your liver; and may lead to kidney malfunctions.
Lymphoma: Some people with Sjogren s syndrome might develop lymphoma, or lymph node cancer.
Peripheral neuropathy: Another complication of this illness is peripheral neuropathy, which is a tingling, burning and numbness sensation felt in your feet and hands.

Treatment
Sjogren s syndrome is either treated with drugs, or with surgery. Doctors may prescribe drugs to increase the production of saliva and to treat inflammations. Alternatively, surgery is done to either seal the tear ducts or insert silicon or collagen plugs to close the ducts temporarily.

Dry Mouth and Eyes - Complications Associated With It!

Gingivitis is a disorder, which is characterized by inflammation, swelling and irritation in the gums. Usually, the symptoms of this disorder are mild, so you might not pay much heed to them. However, if left untreated, this condition can result in other serious disorders, such as teeth loss and periodontitis. The primary cause of gingivitis is an improper oral hygiene.

The symptoms of gingivitis are:

    Red gums that bleed easily
    Swelling in the gums
    Tender gums that are receding
    You may have bad breath
    You may bleed from your gums during brushing and flossing

Causes: The most common cause of this disorder is bad oral hygiene, which facilitates the formation of plaque on your teeth. If the foods you eat contain excess sugar, the bacteria in your mouth may interact with them to produce acid (plaque) if you don't manage to maintain good oral habits. If not removed, the plaque can turn into tartar; plaque can be difficult to get rid of as tartar.

Treatment: The treatment for gingivitis usually begins with an initial evaluation and a professional cleaning to get rid of the tartar. You should use proper brushing and flossing techniques to prevent the recurrence of plaque. You should also follow up with the dentist on a regular basis for check-ups.

Scaling is the procedure by which the plaque from the teeth is removed. If the sources of problems are misaligned teeth and poorly fitted dentures, then these need to be fixed. There are certain home remedies for gingivitis such as:

    Use toothbrush that has soft bristles
    Visit a dentist for regular oral check- ups, it is very essential for the upkeep of sound oral health
    Regular flossing can help
    Use a non-alcoholic mouthwash which can help in removal of cavities and plaque to a certain extent, though not majorly
    Use fluoride based toothpaste to brush your teeth at least twice a day
    Clean your teeth regularly, avoid eating foods laden with sugar and eat plenty of vegetables

Gingivitis and Its Causes and Symptoms

Basics That Beat Bad Breath

Bad breath is embarrassing. It inconveniences you and everyone around you. It affects your life in more ways than you might be aware of. It is crucial that you give due care to your oral health well in time to save difficult procedures and unbearable decay in time. Here are a few ways how you can do that:

1. Brushing Twice: This is the first and the most important. The reasons of odour in the mouth are mainly gum disease, tooth decay, and cavities. You should brush your teeth twice, once right after you wake up and just before you go to bed.

2. Tongue Cleaning and Flossing: It’s not just brushing, you need to clean your tongue too. This is the area where harmful bacteria are present. To avoid odour and mouth diseases, ensure that you have a tongue cleaner and that you clean your tongue every time you brush your teeth. Also remove the in-betweens of the teeth with a flossing thread. It ensures complete deposit free oral hygiene.

3. No to Mints: Avoid using mints and gums to disguise the odour in your breath. They are temporary disguises and do more harm than good. They have sugar which stays back in your mouth and spoils your oral health, drastically. If you have to choose ones which are free of sugar.

4. Drink Ample Water: If your mouth is dry, it is a bad sign. Saliva has the important enzymes which help kill bacteria. If your mouth is dry, bacteria are increasing. So, drink water. Ensure you drink at least eight glasses of water in a day.

5. Rinse After Every Meal: Always wash the insides of your mouth well, after eating anything, esp. chocolates and other sugary foods. A good swirl with water inside your mouth will get rid of the food lodged in corners.

6. Pick The Right Fruits: Certain fruits and vegetables are very good for oral health. Juicy and crunchy Vitamin C rich fruits like bell peppers, broccoli, berries and apple have a cleansing effect on your teeth.

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

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6 Effective Basics That Beat BAD Breath

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