Unlike other teeth which erupt at specific period of time, the wisdom teeth, in normal adults, erupt anytime from late teenage years to adulthood. The refined food habits in the recent times have reduced the need for a third molar. Also, our jaw sizes have reduced with evolution, and oftentimes, there is less space for these to erupt completely, causing their impaction. The chances of infection developing within the tooth and in the surrounding tissues is very high, requiring removal. Before you go ahead with removal, know the following four things.

Get a buddy: In addition to the effects of anesthesia, there also would be moderate pain and discomfort, depending on how traumatic the extraction was. It is always best to have someone accompany you for the visit. This also helps you reach home safely without having to drive.
Numb tongue and lips: The wisdom tooth removal is done under a local anesthesia where the entire quadrant is numbed before the procedure. Therefore, the chances of chewing on the tongue and the lip are quite high. Be careful to consciously avoid this as there are a lot of people who do not feel pain, but continue to chew on the tongue or lip and end up with injuries.
Pain Management: Once the effect of anesthesia wears off, the pain will slowly set in, and will depend on how traumatic the extraction was. It is always advisable to take a pain killer before the anesthetic effect wears off, usually 30 to 40 minutes after the extraction process is over.
Diet: For the first couple of days, stay on a completely soft diet with nothing spicy, hard, or hot to eat. One of the best things to have after an extraction is an ice cream, which can be continued for a couple of days after the extraction. Yogurt, smoothies, milkshakes, mashed vegetables and well-cooked rice are all good food choices.
Smoking: If you have had an extraction, avoid smoking for at least a week. The negative pressure created during smoking can dislodge the clot that is formed in the tooth socket. This can lead to a complication called dry socket, which can be very painful. Avoid smoking at all costs, especially with wisdom tooth extractions.
Postoperative follow-up: Based on the complexity of the extraction, a postoperative follow-up would be required. Be prompt in following up with your dentist for suture removal, check on socket healing and postoperative irrigation of the surgical site. Resume routine oral hygiene practices as recommended by the doctor.
Wisdom tooth removal requires a little extra caution as compared to a normal extraction, the ideal thing to do is to follow your dentist s advice.

Extraction of Wisdom Tooth - Things To Remember!

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

Teeth stains are a major inconvenience as a well as harmful for your teeth. Teeth stains can occur due to consuming certain foods and drinks. It can also be caused due to unhealthy lifestyle choices, such as not brushing teeth or flossing. Here a few tips to how to prevent teeth stains. Read on more to find out all about them.

1. Practicing healthy habits: It is a good idea to brush, or use a mouthwash after a having a meal. Keep in mind that the foods and drinks mentioned below can stain your teeth more than others. Coffee or tea, soda, red and white wine, grape or cranberry juice, blueberries, beets, soya sauce and tomato sauce cause teeth stains so while consuming them keep in mind to always brush floss or wash your mouth after consuming these.

2. Drinking with a straw: Drinking with a straw keeps away the stains from your mouth as the liquid doesn't go near the visible front surfaces of the teeth.

3. Brush, floss and rinse with an antibacterial mouthwash: By brushing, flossing and rinsing with a mouthwash on a regular basis you reduce the growth of the bacteria called plaque. Plaque is sticky in nature and promotes the formation of teeth stains. By eradicating plaque you also prevent teeth stains.

4. Get your teeth professionally cleaned:Make sure to visit a dentist at least twice a year. Even while maintaining your teeth by regular brushing, flossing and mouthwash, getting your teeth professionally cleaned is beneficial and can help you guard against teeth stains.

5. Using teeth whitening kits: At-home teeth whitening kits are available in local drugstores, which help in preventing teeth stains. They usually cause slight discomfort, which goes away in a few days' time.

6. Professional tooth whitening: You can also get your teeth whitened by your dentist. In this procedure, the dentist applies a bleaching agent to your teeth after applying a rubber shield on your gums. This procedure usually takes a single or in some instances multiple visits to perform.

6 Tips to Prevent Teeth Stains

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!

Why it's more important to brush your teeth in the night than in the morning

Most people wake up every morning and stumble to wash their teeth first thing. Do you believe that brushing your teeth in the morning is sufficient to keep your mouth healthy?

While it is important to brush your teeth in the morning for good oral hygiene, what goes on in your mouth all night is even more important. Brushing your teeth once a day is barely enough to maintain perfect oral hygiene. By brushing twice a day you can make the difference.

Do you know why it can be important to brush at night since you are only about to sleep?

Here are a few things that brushing before bed does.

1. Reduces acid build up

Everyone has acid being constantly produced in their mouths. The saliva secreted contains calcium which neutralizes the acid being built up. At night the saliva secretion slows down which allows the acids to get accumulated. The acids keep corroding the teeth all night. When you brush your teeth, the fluoride present in the toothpaste stimulates saliva secretion. So by brushing before bed you ensure that the saliva secretion does not fall drastically. In the process you prevent your teeth from getting corroded.

2. Reduce bacterial multiplication

The saliva in our mouth not only neutralizes the acid it reduces bacteria from multiplying as well. During the reduced saliva production, as you sleep, the bacteria in your mouth multiply manifold and attack your teeth and gums. This is why keeping your saliva secretion regular by brushing before bed is of utmost importance.

3. Reduce the decay of food particles

After you have your dinner just rinsing your mouth is not enough. Tiny food particles that get stuck in your teeth rot overnight. It is best to go to bed with a clean mouth rather than a mouth with tiny decaying food particles.

No matter how much of a task it might seem like, brushing at night is as important, if not more important, than brushing in the morning.

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

Is it More Important to Brush Your Teeth in the Night Than in the Morning?

Did you know that peppermint leaves can reduce toothache?
A toothache can have at its heart one or more causes, whether its tooth decay, tooth fracture or infected gums. Among the different kinds of remedies that you can employ to relieve yourself of toothache, peppermint leaves is one of the most effective ways in providing temporary respite. Possessing anti-inflammatory properties, you can use peppermint leaves in the following ways to cure that painful toothache:

1. Chew some fresh peppermint leaves to experience its cooling sensation and bring down the soreness.

2. You could lessen the swelling by holding dried peppermint leaves against the aching tooth.

3. Even having peppermint tea can provide you with respite from the pain. 
For this, take 1 cup of warm water into which you add 1 teaspoon of peppermint leaves. Let it steep for about 20 minutes before allowing the tea to cool down. Take a small sip of the tea, and gargle it in your mouth before throwing it out. Repeat as needed.

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

Did you know that peppermint leaves can reduce toothache?

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