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

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!

Clove is a commonly known spice, which is native to the Asian cuisine. They are dried flower buds of a tree from the family of Myrtaceae. These buds are known to be harvested originally in Maluku Islands in Indonesia. The cloves are aromatic and is known to lend a sweet and earthy flavor to food. Historically, cloves have been used both for culinary and medicinal uses. As a culinary spice, clove is used in meat dishes, curries, drinks and marinades. It is widely used in Indian, Chinese, African and South Asian cuisine.

Cloves have amazing medicinal properties. The bud has been widely recognized as a wonder bud packed with health benefits. In India, cloves are an important element of Ayurvedic medicine. It s warm and soothing properties are beneficial for treating digestive tract problems. Clove oil is used in aromatherapy and can also be used as an ant repellent, due to its strong smell.

Clove oil is extracted from cloves and contains a chemical compound called Eugenol. This compound not only lends aroma to the spice, but also possesses analgesic, antibacterial, antiseptic and anesthetic properties. It is for this reason, clove oil is used extensively in dentistry as an anodyne (A pain reliever). Its antiseptic and antibacterial properties are beneficial in treating infections and its anesthetic qualities are extremely helpful in relieving pain.

In painful teeth conditions like an abscessed tooth, infections, gum disease or even cavities, toothache can range from mild to sharp shooting and almost unbearable pain. The patient suffering from such conditions is usually put on antibiotics, thus, it is wise to recommend using Ayurvedic clove oil or Eugenol oil as it is commonly known for its pain relief properties. Eugenol helps in providing relief from pain by arresting the nerve tissues, causing a local anesthetic effect. However, it is strongly advised to use clove oil only under the guidance of a dentist.

Since Clove oil can alter blood sugar levels and is warm in nature and is not recommended for patients suffering from diabetes or bleeding disorders. Caution must be exercised as overuse of clove oil can cause nerve damage. If using at home, it is better to mix 2 to 3 drops of the clove oil along with half a teaspoon of olive oil and then apply the mixture to the painful area. The oil can also be applied using a cotton ball on the painful tooth with the help of tweezers; however, it is important that one should not keep the oil for more than 10 seconds on the affected area. It is also important not to swallow any oil as it can be harmful for your health. Drinking clove tea or chewing a clove till it releases its oil is much safer and effective way to use it, than using a clove oil.

So, next time you have a toothache, do not suffer. Try this medicinal gift, but stay safe.

Clove and its Benefits in Relieving Tooth Pain

Manual Toothbrush vs. Electric Toothbrush

In a world where every little thing is being automated, why must the activity of brushing your teeth be left behind? Well unless scientists come up with a technique that entirely renders brushing your teeth unnecessary, the only thing we can rely on as of today is easing the activity. And that has been done by bringing in the electronic toothbrushes in the market.

The manual toothbrush was invented in the 1930s. Several upgrades and updates were added to the toothbrush, and in the 1990s, the electronic toothbrush was introduced. Is it better than the manual toothbrush, or is the vintage route more beneficial, let's take a look:

Cost: Electronic toothbrushes cost significantly more than manual toothbrushes. A manual toothbrush could cost on an average Rs. 30-Rs.40, whereas an electronic toothbrush costs close to Rs.400-Rs.500.

Features: Unless you have a set timer in front of you, the time you take to brush your teeth manually solely depends on you. Electronic toothbrushes come with a built in timer which you can set at 2 minutes or more (2 minutes being the appropriate time considered for effective cleaning of teeth). This built-in timer saves you from relying on your guesswork and effectively helps you clean your teeth according to the recommended timings.

Convenience: Manual toothbrushes are convenient to carry while traveling. They have negligible weight and can fit into any travel pouch easily. Electronic toothbrushes, on the other hand, are heavy in weight and need a battery charger to be carried along, which makes them a pain to carry around.

Effort: Electronic toothbrushes significantly reduce your effort put into the activity. All you need to do is tilt your toothbrush to a 45-degree angle, and let the toothbrush do all the work. Whereas, manual toothbrushes, require you to carefully use proper brushing techniques to get the best results and thus require more effort.

Options: Manual toothbrushes come with a huge variety of bristles, heads, colors etc. For sensitive gums, one can pick a toothbrush with soft bristles; for kids, one can pick a toothbrush with a smaller head to fit into their mouths. Electronic toothbrushes, as of today do not come in a variety of sizes or bristle types. Thus, the choice and utility are restricted.

And the most important factor-

Oral health maintenance: Electronic toothbrushes are known to give better results in comparison to manual toothbrushes when it comes to removing plaque and gingivitis. Also in the case of children when you cannot ensure whether they are brushing their teeth properly, electronic toothbrushes come to the rescue.

Though electronic toothbrushes give better results with lesser effort, manual toothbrushes have their own conveniences, too.



Toothbrush Vs. Electric Toothbrush - What's a Better Pick?

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!

Who doesn t love the smell and the freshness of a mouthwash splashing across their oral cavities?

Many agree that the first thing that comes to their mind when they want to eliminate bad breath is to use a good mouth wash. Moreover, mouthwash has moved over to other realms and are now actively fighting gum and tooth problems along with their elder cousin, a toothpaste. However, there exists some scepticism that prolonged usage of mouthwash may not be good for your health. Let us look at some definitions in detail.

Can mouthwash reduce bad breath?
Yes, a mouthwash can temporarily restrict bad breath, but it is never a permanent solution. A good oral hygiene comes from regular brushing and flossing practice and these are still the best ways to curb bad breath from its root. Mouth rinses are used for a variety of reasons: to freshen up breath, to help prevent or control tooth decay, and to reduce plaque

Is it necessary to use mouthwash?
A mouthwash is not mandatory to give a good oral health. An effective routine of brushing and flossing your teeth is enough to take care of good oral hygiene. Mouthwash is like an add-on to your oral care regime and is definitely not an alternative for brushing and flossing.

Advantages of using a mouthwash
A mouthwash can easily go into places between your teeth and gums and can help remove food particles that might have missed when you brushed. It can be used to kill bad odour of your mouth temporarily and can freshen up your breath. In some cases, a mouthwash may be recommended to treat infection, reduce inflammation and relieve pain

Disadvantages of using a Mouthwash
Most of the mouthwash contain a high amount of alcohol content in them and their prolonged usage is not safe for your mouth. In some cases, alcohol causes sensitivity to the root surface of your teeth and this may lead to adverse effect on the senses of your teeth. Mouthwash is strictly meant for spitting and accidental consumption may not be good for your health. They actually contain products that can be very harmful if taken in large amounts. It is generally not advised for children and even adults can limit their usage to twice a day. Always check with your dentist before you take up and use a mouth wash. It is also best if you can opt for a homemade mouthwash that has natural ingredients in them for taking care of your bad breath.

Mouthwash - Should You Really Use Them?

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