Often regarded as less painful and much milder than more serious diseases like periodontal disease, Gingivitis involves the inflammation, redness, irritation and swelling of your gums. People who suffer from Gingivitis are normally unaware of it because of its mild nature, but it might turn out to be serious in some cases and can lead to periodontitis and tooth loss. 


Signs and symptoms
Since Gingivitis is seldom harmful, people who suffer from it are, in most cases, hardly aware of having it. Nevertheless, here are a few signs and symptoms which may indicate that you have Gingivitis:
1. Tender, puffy gums
2. Gums easily bleed whenever you brush or floss your teeth
3. Swollen gums
4. Change in color from a healthy pink to a dusky red
5. Receding gums
6. Bad breath


Causes
Gingivitis is most commonly caused by bad oral hygiene and maintenance. Bad oral hygiene usually supports the formation of plaque and tartar. Because plaque forms and re-forms quickly, it requires daily removal. If you don't give your teeth the attention it needs, plaque can further result in the formation of tartar, which is a heavier and denser substance than plaque and acts as a protective barrier for bacteria. It is even more difficult to remove it and you may require dental cleaning.


Treatment
The main aim of treatment is to reverse the symptoms of Gingivitis and to prevent further development of the disease into more serious dental issues and diseases.
Professional treatment of Gingivitis includes:
1. Initial evaluation and assessment
2. Thorough cleaning with the help of professional dental tools and instruments
3. Instructions on effective flossing and brushing techniques at home
4. Regular cleaning and professional checkups
5. Fixing of crowns and other dental restorations to help prevent the growth of plaque and tartar 


Symptoms and Treatment of Gingivitis

The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventative than remedial measure. Some of the reasons for wisdom tooth removal are listed below-
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Cysts: Impacted teeth can develop fluid-filled cysts which can cause severe and even permanent damage to the jaw bone, adjacent teeth and nerves. Dentigerous cysts are the most common type.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age. 


Wisdom Teeth - When To Get Them Removed

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?

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

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!

A quite serious bacterial infection, diphtheria is caused by the Corynebacterium diphtheria. It usually tends to affect the throat and the mouth of an affected person, although there are other varieties which can infect your skin as well. However, the most common cases of diphtheria affect the throat and the mouth. 

Symptoms of diphtheria in general
It may take up to five days for symptoms to show up when you are infected with the disease. Some of the symptoms would be:

You neck would swell up due to swelling in the lymph nodes, especially in the neck
Your throat and tonsils will develop a thick grayish membrane 
Your throat may become sore and hoarse
You may face difficulty in breathing, depending on the size of the membrane and the resultant inflammation
You may have difficulty swallowing as well
These are the primary symptoms which will affect your throat in general. Some of the other symptoms that may show up are:

Fever
Nasal discharge
Malaise or a general feeling of discomfort 
Chills
The parts of your body, which are affected the most tend to be your throat, tongue and the neck. The pain tends to persist for quite some time as you recover.

Causes of diphtheria 
Diphtheria is usually spread by the following methods

Airborne droplets: This is possibly the most common method of contracting the disease. This usually happens when a person is infected with diphtheria coughs or sneezes around you. The airborne droplets then travel from one person to another, transmitting the infection. This is particularly the case in crowded area such as public transport and public spaces.
Touching personal items which may be infected: Touching used towels, paper tissues or drinking from an unwashed glass may cause an infection as well. These tend to happen mostly in an indoor setting such as offices and houses. Even toys, door and equipment handles can cause transmission of this virus. 
If you are showing any of these symptoms, it is prudent to go visit your doctor immediately as diphtheria, if left untreated, may also result in serious complications.

Diphtheria - How it Affects Your Throat and Tongue?

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