Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

pain when eating or drinking hot or cold food and drink
pain when biting or chewing
a loose tooth
As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

pain when biting or chewing returning
swelling of the gum near the affected tooth
pus oozing from the affected tooth
facial swelling
the tooth becoming a darker colour
It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics   medication to treat bacterial infections   aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

removing the bacteria from the root canal system (root canal treatment)
removing the tooth (extraction)
At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment.

Root Canal Procedure For Infected Tooth Nerve!

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

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

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

4 Foods That Strengthen Your Child’s Teeth

Kids have a mind of their own when it comes to food. The unhealthier it is, the more they tend to like it. Most taste driven or sweet foods are harmful for your child’s oral hygiene. However not all foods that your children like to eat are as bad for their oral health, some even help strengthen their teeth.

Here are 4 foods that your children can have for healthy teeth and gums.

1) Sugarless Gum - It helps loosen plaque and increase the number of natural antibodies in the mouth. It also keeps the gums hydrated. While too much of anything is not good, these gums are good once in a while.

2)  Crispy Vegetables  - These might not be popular with children but can be made yummy with interesting dips to go with them. Raw carrots, celery, cauliflower, and green beans are chewing foods which clean the child's teeth and gums.

3) Natural Sugar - Sugar from milk, yoghurt and cheese are rich in vitamin D, phosphate and calcium. When consumed, they raise the pH level of the mouth which lowers the level of acids, hence reducing risk of tooth decay.

4) Vitamin C Rich Foods - Fruits like oranges, kiwis, strawberries, papayas and limes help kill bacteria that can cause gingivitis. They also aid a good supply of collagen in the child's gums. However, parents need to remember that one can eat citrus foods only after thirty minutes from brushing their teeth. This is because the citric acid in these foods can weaken the tooth enamel temporarily.


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4 Foods That Strengthen Your Child’s Teeth

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!

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