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Dr. Akshay Sur

Dentist, Delhi

Dr. Akshay Sur Dentist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Akshay Sur
Dr. Akshay Sur is an experienced Dentist in Vasant Vihar, Delhi. You can visit him at Dr. Sur's Dental Care in Vasant Vihar, Delhi. Book an appointment online with Dr. Akshay Sur and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 41 years of experience on Lybrate.com. You can find Dentists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I'm suffering from severe tooth ache. When seen in mirror I got a hole at the middle of the tooth .wisdom teeth to be exact.

MDS ORAL MEDICINE AND RADIOLOGY
Dentist, Bangalore
I'm suffering from severe tooth ache. When seen in mirror I got a hole at the middle of the tooth .wisdom teeth to be...
Thanks for your query. The pain in the tooth can be because of the tooth infection. Nothing to be panic, consult a dentist and get the tooth removed. Take care.
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BDS
Dentist, Motihari
What's in Your Mouth?
To understand what happens when your teeth decay, it's helpful to know what's in your mouth naturally. Here are a few of the elements:

Saliva ? Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria.

Plaque ? Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there's enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease.

Calculus ? If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard.

Bacteria ? We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth.

How Your Teeth Decay
The bacteria in your mouth need food to live and multiply. When you eat sugary foods, or even starches such as rice, the bacteria use them as food, too. The bacteria then produce acids that can dissolve tooth enamel (outer layer of the tooth).

It's not just candy and ice cream we're talking about. All carbohydrate foods eventually break down into simple sugars. Some of this process begins in the mouth.

Foods that break down into simple sugars in the mouth are called fermentable carbohydrates. These include the obvious sugary foods, such as cookies, cakes, soft drinks and candy. But they also include pretzels, crackers, bananas, potato chips and breakfast cereals.

Bacteria in your mouth turn the sugars in these foods into acids. These acids begin to dissolve the mineral crystals in teeth. The more times you eat each day, the more times your teeth are exposed to an acid attack.

This attack can lead to tooth decay, also known as dental caries or cavities. First, the acid begins to dissolve calcium and phosphate crystals inside a tooth. A white spot may appear on the enamel in this weakened area. But the loss of minerals develops beneath the surface of the enamel. The surface may still be smooth.

At this stage, the tooth can be repaired with the help of fluoride, proteins and minerals (calcium and phosphate) in the saliva. The saliva also helps reduce the acid levels from bacteria that attack the tooth.

Once the decay breaks through the enamel to cause a cavity, the damage is permanent. A dentist must clean out the decay and fill the cavity. Left untreated, the decay will get worse. It can destroy a tooth all the way through the enamel, through the inside dentin layer and down to the pulp or nerve of the tooth. That's why it is important to treat caries at a very early stage, when the process can be reversed.

Types of Decay
Young children can get a type of decay called baby bottle tooth decay or early childhood caries. It destroys enamel quickly. This type of decay is common in children who are put to sleep with a bottle of milk or juice. The bottle exposes the teeth constantly to carbohydrates through the night. Bacteria can grow rapidly and produce acid that decays teeth.

Decay can become worse if the parent does not clean the child's teeth. It can eat through enamel and leave a large cavity in a matter of months.

In older adults, the exposed roots of teeth can develop cavities. This is called root caries. Older adults are more likely to have receding gums caused by years of hard brushing or periodontal disease. They also are more likely to have dry mouth (xerostomia). The decrease in saliva results in less protection of the teeth. This increases the risk of decay. Many common medicines can cause dry mouth. Be sure to ask the doctor or pharmacist if any of your medicines cause dry mouth.

Decay can form beneath fillings or other tooth repairs, such as crowns. Sometimes bacteria and bits of food can slip between the tooth and a filling or crown. This can happen if the filling cracks or pulls away from the tooth, leaving a gap.

Preventing Cavities
Do you or your family members get cavities often? Dental research has found out that certain factors can affect your risk of tooth decay. These factors include:

The current number of decayed or filled teeth
Your fluoride exposure, including fluoride in drinking water, toothpaste and rinses, and fluoride treatments in the dental office
Parents or siblings with dental decay
How well you take care of your teeth
The amount of saliva and the balance of minerals, enzymes and buffering agents it contains
How often and what types of foods you eat (especially fermentable carbohydrates)
Ask your dentist about the best ways to reduce your risks and limit dental decay.

To prevent your teeth from decaying, you can do three things:

Strengthen your teeth's defenses with fluoride, sealants and agents that contain calcium and phosphate ions.
Have your dentist or dental hygienist place sealants on your back teeth.
Reduce the number of bacteria in your mouth.
Fluoride penetrates into teeth. It strengthens them by replacing minerals that acid has removed. The benefits of fluoride to teeth were first discovered in the 1930s. Dentists started to notice that people who drank water that naturally contained fluoride had less tooth decay. In 1945, communities started to add fluoride to water supplies. Adding fluoride to water systems has been the most successful cavity prevention method to date.

In the early 1960s, fluoride also began to be added to toothpaste. This also had a major impact on cavity prevention. Now almost all toothpastes contain fluoride. Everyone should brush with a fluoride toothpaste every day. Dental offices sometimes recommend higher levels of fluoride in toothpastes, gels and mouth rinses for both children and adults.

Sealants are protective coatings placed over the tops of the back teeth ? molars. They block bacteria and acids from sticking in the tiny grooves on the chewing surfaces of these teeth. Sealants can be placed in adults and children. Children can have sealants placed on their permanent molars once they come in, around age 6. Sometimes they are also used on primary (baby) molars. Dentists can put sealants on molars with signs of early decay, as long as the decay hasn't broken through the enamel.

You can never get rid of all the bacteria in your mouth. But you can take steps to control and disrupt the bacteria so they don't attack your teeth:

Brush twice a day.
Floss daily.
Reduce the number of times each day that you consume fermentable carbohydrates.
Some mouthwashes reduce bacteria in your mouth. This can help prevent decay. Chewing sugarless gums, especially those with xylitol, can help reduce the number of bacteria that cause cavities and increase the flow of saliva.

Most importantly, visit your dentist regularly. Then the dentist can find any decay early, when it can be treated and reversed.
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Hello Dr. I am dental student. My mom is suffering from lupus. She had taken treatment but also what should I do now for her better relif ? So please suggest mi and help !

MDS, BDS
Dentist, Chennai
Hello Dr. I am dental student. My mom is suffering from lupus. She had taken treatment but also what should I do now ...
Hi make sure tat your mother is out of stress and start having nutritious food and try to control having medicine cos the main reason could be immune is compromised cos of having medicine for various other reasons.
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My question is to an eminent Dentist; I have recently approched a dentist for filling one of my teeth which broken a bit and as it is no pain or sensitivity. He suggested a refill and I sat for it. But while working on it almost 75% of the teeth came out and he compleated the procedure. Now let know whether this teeth last long or required a replanting?

Certified Implantologist, BDS
Dentist, Jaipur
It all happened bcz of poor judgement prior to treatment and now if you saying 75 percent tooth is gone then it should have been restored with 'post and core buildup' followed by crown...If your dentist has put fiber post and restored with good composite followed by crown then you are safe...otherwise it won't last very long...
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My front teeth r cross i. E. Overlap each other I want to put braces How do I send pictures in this for better understanding of d condition Pls advice.

oral implantology, BDS
Dentist, Jaipur
My front teeth r cross i. E. Overlap each other
I want to put braces
How do I send pictures in this for better unders...
either you can try for private consultation on lybrate. or take contact number for further information
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I have pain in lower gum. What should I do?

Post Graduate Certificate In Endodontics (P.G.C.E), BDS
Dentist,
I have pain in lower gum. What should I do?
Dear for gum pain you can use sensoform gum paint or tan-x gum paint. Apply over the affected area twice daily. Its better to see a dentist.
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I am suffering from pain of wisdom teeth. Please help me.

BDS
Dentist,
if your wisdom tooth is trying to erupt in a crooked position the only remedy to that is getting the wisdom tooth removed. Till you can visit your dentist for proper treatment of the same you can take a over the counter pain killer like paracetamol (if you are not allergic to it) and do some warm saline rinses.
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Please suggest me some toothpaste which is good for cavity. And m using Colgate Pro- relief.

M.D.S, Post-Graduate Certificate in Oral Implantology (PGCOI) , B.D.S
Dentist, Hyderabad
Please suggest me some toothpaste which is good for cavity.
And m using Colgate Pro- relief.
for cavities pastes do not help but avoidance of food [rice particle to chocolate] helps, but does not cure. U require fillings to RCTs depending on the severity / depth opf the cavity.
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Hav a heavy tooth pain any medicine fr it to cure immediately whr he cnt eat any thng?

Dentist, Gurgaon
Hav a heavy tooth pain any medicine fr it to cure immediately whr he cnt eat any thng?
antibiotics and pain killers will work but you should visit a dentist soon as you need to have root canal treatment done for it
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I am a 20 years male. I have a toothache for about 2 months or more. So how can I make it correct.

DGOI, Aesthetic , M.Sc - Master of Oral Implantology (MOI), MDS - Orthodontics & Dentofacial Orthopaedics, BDS
Dentist, Bangalore
I am a 20 years male. I have a toothache for about 2 months or more. So how can I make it correct.
Hi lybrate-user well you need to visit your dentist to exactly diagnose and treat your problem. Painkillers wud not help as the cause of the problem has to be known and treated. Don't ignore and suffer more. Visit your dentist at the earliest god bless and good luck
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I am a 32 years old professional. I have bad breath since last year. When I take medicines, there is no problem. Soon I stop the tablets, the problem appears again. Please help.

Advanced Aesthetics, BDS
Dentist, Mumbai
Hi, there are various reasons of bad breath, like impurities in blood, inefficient digestive system, dry mouth (lack of saliva production), gum disease, cavities, plaque and tartar formation around teeth and gums, kind of diet, improper brushing / cleaning of mouth etc. I would advise you to get a thorough physical and dental examination to rule out the cause of bad breath and to solve it permanently. Regards
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My mouth does not open because I am smoking a cigarette. Please advise.

PhD (Psychology), MSc Psychology, MS
Psychologist,
My mouth does not open because I am smoking a cigarette. Please advise.
Dear, Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you?re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse abuse?no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn't easy. But it?s a necessary step on the road to treatment and recovery. You should be under supervision of a psychiatrist / psychologist who may follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Take care.
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Gingivitis

BDS
Dentist, Jaipur
Gingivitis

Gingivitis is a mild form of gum disease which occurs because of the inflammation of the gums. It can easily be reversed with daily brushing and flossing and getting dental cleaning done regularly.

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I have frequently mouth ulcer problem. Its so painfull please suggest any medicine for it.

Advanced Aesthetics, BDS
Dentist, Mumbai
Hi, there are various reasons for mouth ulcers it could be because of spicy food, medications, bad digestion, eating hard food etc. You can go for professional check up to get the exact cause and solution for the same.
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I get frequently mouth ulcers. What should i do?

BDS
Dentist,
I get frequently mouth ulcers. What should i do?
There are so many causes of mouth ulcers like- -stress or tissue injury is thought to be the cause of simple mouth ulcers. -certain foods, including citrus or acidic fruits and vegetables (such as lemons, oranges, pineapples, apples, figs, tomatoes and strawberries), can trigger a mouth ulcer. -sometimes a sharp tooth surface also trigger mouth ulcers. -some cases of complex mouth ulcers are caused by an underlying health condition, such as an impaired immune system; nutritional problems, such as vitamin b-12, zinc, folic acid, or iron deficiency and gastrointestinal tract disease, such as coeliac disease and crohn's disease. -when you first quit smoking, you may develop more mouth ulcers than normal, but this is temporary. Usually ulcer heals by itself only within 1 week. You can take'becosule capsule' once in a day for 1 week for faster recovery. Temporarily you can apply mucopain gel over ulcer for relief.
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How to whiten teeth any home remedy and suggest good toothpaste for whiten teeth.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
How to whiten teeth any home remedy and suggest good toothpaste for whiten teeth.
For whiten the teeth you have to go for bleaching and not any paste is available for whiten the teeth.
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What precautions to be taken with zirconia capping of upper central incisors ?

BDS
Dentist,
It doesn't require so much care if it is fixed properly. U just need to take care that don't bite so hard with that teeth.
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I am 30 years old male am suffering from mouth ulcers for last 3 weeks what should I do?

Master of Clinical Dentistry, Bachelor of Dental Surgery
Dentist, Mumbai
I am 30 years old male am suffering from mouth ulcers for last 3 weeks what should I do?
Mouth ulcers have multiple causes including trauma, stress, diet, acidity and vitamin deficiencies. Visit a dentist to know the cause and remedy of the ulcers.
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I am 22 years old male, I have breathing problem, what should I do to get good breath.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
I am 22 years old male, I have breathing problem, what should I do to get good breath.
Get your teeth clean by the dentist. You can use the tongue cleaner and also the clohex mouth wash 3 times in day. Also make a habits to brush twice in day You are welcome to consult for more details.
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