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

The tooth may look a tiny structure, but is a very complicated one. Structurally, it has very high concentrations of minerals and vitamins, all essential for optimal dental health. Reduced or increased amounts of these substances can lead to obvious defects in the teeth, which may impair aesthetics and sometimes even the functioning of the tooth.
While calcium is one mineral that would immediately come to mind, there are a lot of other vitamins and minerals too which play a significant role both in tooth formation and in optimal dental health. Listed below are some of these, along with their role in dental health.

Vitamins:

Vitamin a: often associated with vision, vitamin a is essential for production of good amount of saliva which maintains healthy mucous membranes. Reduced saliva increases predisposition to decay and gum disease and also increases bad breath.

Vitamin d: needless to say, with the strength of the jaw bones, a good amount of calcium is required to boost bone mineral density.

Vitamin c: the gums have connective tissue fibers which help bind the tooth to the jaw bone. For good strength of the connective tissue, vitamin c is important. Therefore, vitamin c deficiency can lead to tooth mobility and even tooth loss in severe cases.

Vitamin b complex: there are too many people who would have popped a multivitamin to ward off mouth sores. Niacin and riboflavin especially are essential for optimal mucosal health and reduce inflammation.

Vitamin k: this has multiple roles to play. It helps in improving the body's healing process, blocks substances that break down bone, promotes bone strength, and reduces bleeding disorders.

Minerals: there is a long list of minerals that are essential for optimal dental health, as below:
Calcium: from strong enamel to jaw bone, calcium is extremely important for the tooth to be fully formed. Calcium deficiency can result in hypoplastic teeth that are more prone for chipping and decay.

Potassium: needed to improve bone mineral density. It also works in conjunction with magnesium and prevents from the blood turning too acidic. Acidic blood can suck out calcium from teeth and bones.

Fluoride: proven to be the anti-decay magic medicine, fluoride reduces the incidence of tooth decay. Fluoride gels are applied for children to promote remineralization of enamel which may have initial caries.

Phosphorus: provides support to calcium and potassium in bone formation.

Iron: required for keeping red blood cell count at a good level and fighting infections.

Iodine: this trace mineral is required for absorption of calcium and potassium that is essential for tooth formation.

Zinc: naturally found in saliva, it fights against plaque formation and subsequent infections.

For optimal dental function, ensure your diet has these essential nutrients.

The Best Vitamins & Minerals For Your Teeth

Hyperdontia is a peculiar and quite rare dental problem which involves the growth of excess number of teeth. It can appear during birth and last till the primary teeth fall out to be replaced by the permanent set of teeth, or appear with the rise of the permanent teeth. If a person shows a tendency to grow more than 20 temporary teeth or more than 32 permanent teeth, he or she suffers from hyperdontia. 

Where do the additional teeth occur?
The additional teeth or supernumerary teeth can appear anywhere inside the mouth or dental arch, but the most common ones are called wisdom teeth and they grow as anterior molars after a certain age. Extra teeth in new born infants are called natal teeth. Occurrence of more than 4-6 supernumerary teeth is rare, although there have been known cases of more than 30 supernumerary teeth. 

Why does hyperdontia occur?
1. Hyperdontia often occurs in association with a few select disorders like cleidocranial dysplasia, Ehler - Danlos syndrome, Gardner syndrome, and cleft lip and palate. 
2. Although the exact cause of hyperdontia has not yet been discovered, some studies have shown that it might be a result of over activity of dental lamina during the phase of tooth development in infancy. 
3. It could also possibly be due to genetic or environmental factors. 

What problems does it pose and how can hyperdontia be corrected?
1. The existence of extra teeth often causes problems in speaking.
2. It may also cause deformation in the mouth region, and impediments in a lot of other functional activities like eating. 
3. In rare cases, the extra tooth/teeth may be agents of tumors or cysts. 
4. Therefore, treatment must be swiftly undertaken so as to remove the extra teeth and prevent rise of further teeth in the same spot. 
5. Sometimes, hyperdontia also leads to overcrowding and misshapen rows of teeth; this can also be corrected with extensive procedures.

All About Hyperdontia

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

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!

Facial Palsy is a paralysis of facial muscles. The weakness of facial muscles is also known as Facial Palsy. It may be caused by temporary or permanent damage to facial nerves. There are different facial nerves for different sides of the face. When nerve bundles on one side are affected, muscles on that side of the face become weak. 

Since different nerves are involved, cerebral palsy may affect different parts of the face such as lower part, left side, right side, etc. There are medicines for Facial Palsy. However, there is no standard treatment approach in modern medicine for treating Facial Palsy. However, Ayurveda can help in treating these patients.

Ayurvedic Interpretation of Facial Palsy:

In Ayurveda, Facial Palsy is referred to as Ardita, and it is defined as a disability in facial expressions and communication. The source of the disease is facial nerve paralysis, which precipitates motor and sensory impairment on the affected side of the face. According to Ayurveda, this disease can affect people of all ages. 

Ayurveda targets the dosha responsible for this disease. According to Ayurveda, the dosha responsible for this problem is known as Vata. It is thought that the face or the relevant side of the face is afflicted by Vata, which needs to be rectified.

Factors Responsible for Facial Palsy:

According to Ayurveda, there are some factors which may precipitate Facial Palsy in the long term. These include:

Speaking loudly.

Chewing hard stuff.

Laughing, sneezing or yawning excessively.

Putting heavy load on head.

Sudden change of direction of head or neck.

Having uncomfortable posture during sleep.

Using too high or too low pillows.

Anemia.

Injuries.

Excessive sleeping during the day.

Excessive use of tongue scrapers.

Excessive rubbing of the ears, eyes, and nose.

Consuming excess of alcohol.

Symptoms of Facial Palsy According to Ayurveda:

Preliminary symptoms of Facial Palsy, as mentioned in different Ayurvedic books, include: 

Blurred vision.

Loss of sense of touch on facial skin.

Pain.

Neck stiffness.

Jaw stiffness.

Distortion of the affected side.

Tremors of the head.

Shaking of teeth.

Incomplete closure of affected eyelids.

Distortion of nose.

Slurred speech.

Hoarseness in voice.

Impairment of hearing loss and smell sensation.

Pain in the ear on the affected side.

Trouble chewing and swallowing.

Sneeze getting suppressed.

Severe pain in the neck, chin, teeth, on the affected side.

Ayurvedic Treatment of Facial Palsy:

Ayurveda depends on the following to treat the problem.

Oil massages on the head.

Applications of oil to the ears and eyes.

In the case of any burning sensation, therapeutic bloodletting may also be conducted.

Medicated oil in nostrils

Oral drugs include Akaangavira Rasa, Sameera Pannaga, Ashwagandha Churna, Ashwagandharishta, etc.

Exercise including balloon breathing exercise

Conclusion:

A study published in the European Journal of Pharmaceutical and Medical Research has come up with astounding results for the efficacy of Ayurveda on Facial Palsy. This indicates that in the absence of any standard therapy, Ayurveda can offer an excellent remedy against Facial Palsy. However, it is always recommended to consult an Ayurvedic physician before opting any ayurvedic remedies or purchasing any ayurvedic medicines. Any treatment depends upon the condition of the individual. This is why one should always consult a doctor before going for any treatment.

Facial Palsy - Causes, Symptoms & Ayurvedic Treatment For It!

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