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Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Root Canal Treatment
Management of Dental Hygiene
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
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My teeth are becoming yellowish though I brush twice daily. What should I do to stop this yellowing?
Avoid chewy candy in your diet as they tend to stick to your enamel for a longer time localizing the sugars there.
Any food in moderation is good. So even an occasional candy is good for your teeth!
Dr Jayanthi N
I am suffering from dental problem. Blood comes out generally when i wake up in morning also teeths are very sensitive towards cold or hot water.also a dirty mark have been created on my front lower teeth. Please suggest me to be cured. Thanks.
When do kids start losing their baby teeth?
Children will lose their first tooth around age 6. They’ll continue to lose 3–4 teeth per year until they have lost all 20 of their baby teeth by about age 12.
Which teeth fall out first?
Baby teeth usually fall out in the order they came in. The front bottom teeth are often the first to go. The last teeth to fall out are usually the big molars in the back of the mouth.
Does losing a tooth hurt?
Losing a tooth shouldn’t hurt very much. If it is very painful, it probably means that your child is trying to pull a tooth that’s not quite ready to come out. If the pain gets bad, you can put an over-the-counter, pain-relieving gel on the gum surrounding the tooth. Make sure it’s for children, and don’t use it too much or too often.
Should I pull a loose tooth?
The short answer is no. It can tear the gum tissue around the tooth and cause injury. Allow your child to gently wiggle their tooth. But tell them they should let a tooth fall out on its own.
What happens if my child swallows their tooth?
Nothing, really. Accidentally swallowing a tooth isn’t a big deal. It will simply pass through the body.
Will there be a lot of blood when my child loses their tooth?
There shouldn’t be very much blood at all. When there is a lot of blood, it is usually caused by forcing a tooth out before it is ready. To stop bleeding, have your child bite down on gauze, cotton ball or a clean cloth until the bleeding slows.
When do permanent teeth start to grow in?
Usually it takes a few weeks for the permanent tooth to begin to poke through. It will take a few months more for the tooth to fully grow in.
What to do when i see a permanent tooth erupting before the baby tooth has fallen out?
You need to visit your dentist and get a examination done for your child. In some cases it may be advisable to remove the baby tooth to make way for the permanent one.
Oral cancer (OC) occurs when DNA mutations develop in the cells lining the lips and the mouth cavity. It commonly affects the tongue, floor of mouth, buccal mucosa, lips, palate, gum etc all. Mostly, oral cancers are squamous cell carcinomas that begin in the squamous cells lining the lips and the inside of mouth.
Type: of oral cancer are as enumerated below -
Gender: affects the male populace predominantly. But, it can affect both male and female. It’s the commonest cancer in India currently, and accounts for a significant percentage of the total cancer mortality.
Etiology: consumption of “khaini” (tobacco & lime mix), betel nut, areca nut, slaked lime, chronic irritation due to irregular teeth, smoking, alcohol consumption, oral infection with Herpes Simplex Virus (HSV) / Human Papilloma virus (HPV), nutritional deficiencies, chronic infections & poor dental/ oral hygiene are the common risk factors that can trigger oral carcinogenesis. It is noteworthy that the local effects of tobacco and alcohol are both dose-dependent and synergistic.
Features: the various presentations (of signs & symptoms) of Oral cancer are as given below –
Cheek cancer - hard and painless thickening, with an ulcer sometimes that does not heal for weeks together.
Lip cancer - white patch on the inner lining of the lip on which a hard mass slowly develops.
Palate cancer- persistent sore on the hard palate that may ulcerate.
Tongue cancer - ulcer on the side of the tongue that bleeds occasionally and does not heal.
Screening: is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose oral cancer at an early stage which is potentially curable. Visual screening by healthcare personnel including dentists, general practitioners, oncologists, surgeons etc all is crucial to detect not only early asymptomatic oral cancers but also the oral pre-cancerous lesions including oral submucous fibrosis (OSMF), oral leukoplakia, erythroplakia et al which carry a high risk of malignant transformation to in-situ and invasive cancers.
Diagnosis: a complete physical exam of the local parts basis the features mentioned above arouses suspicion that prompts diagnosis -
Biopsy (punch or removal of mass of tissue (excision) for cytology) clinches the diagnosis of oral cancer. Should there be a neck mass that arises suspicion of a regional metastatic disease, a fine needle biopsy (FNB) can be attempted.
Initial staging workup includes CT, MRI scans etc all. PET CT scan though frequently employed, is not usually used for the initial workup.
A triple endoscopy that includes laryngoscopy, esophagoscopy and bronchoscopy can help definitive staging of the disease. Biopsies obtained during this procedure help confirm the primary diagnosis, define the extent to which the primary site disease has spread, and identify additional pre-malignant lesions and metastasis, if any.
Treatment / Prognosis: preventive measures, earlier diagnosis and right early treatment is key for better prognostication and efficient/ effective therapeutic management of oral cancer. Conventional treatment includes surgery, radiotherapy, chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical endpoints and facilitate recovery as would be feasible contextually. As seen with other cancers, the site, stage, histopathological grading etc all determine the treatment outlook. The number of micronucleated oral mucosal cells can be a useful biomarker for predicting course of oral pre-cancerous lesions and prognosis thereof.
Prevention: rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. Especially, abstaining from use of tobacco/ products, alcohol, regularly maintaining oral health and hygiene and daily intake of fresh seasonal fruits and vegetables can help prevent a vast majority of oral cancers. Also, timely screening/ detection of the pre-cancerous lesions of the oral cavity and prompt treatment thereof is crucial to preventing a malignant transformation of the same. If you wish to discuss about any specific problem, you can ask a free question.