Dr. Munish Kaushik

Hi lybrate-user. Looks like your oral cavity is in bad shape every toothache can be relieved with proper treatment. Gum swelling can be relieved by cleaning which will also make your teeth cleaner and whiter. After the basic treatment you can also go for bleaching and cosmetic treatment to restore your smile.

I think you might be developing a condition called Oral Submucous Fibrosis (OSMF). This is considered a precursor stage to frank Oral Cancer. Please quit your tobacco as well as alcohol (if present) habits, immediately and completely. Do not use supaari or eat paan either. Avoid spicy foods. As for the reduced mouth opening, do start active and aggressive physiotherapy which would need to be continued lifelong. For additional treatment, please see an Oral & Maxillofacial Surgeon.

You had said you are taking gutka for 20 yrs, you have not specified are you worried of any signs and symptoms arising out of that gutka chewing or you want to get rid of that habit, my suggestion to you is quit gutka but it will take you to be mentally strong coz you can have withdrawal symptoms quitting it suddenly. As you said you can open your mouth wide, yes that is good but you need to get yourself thoroughly examined by a dental surgeon to be absolutely sure there is not anything to worry about. Always remember prevention is better than cure, first take a call that you need to quit gutka as soon as possible and visit your dental surgeon for a complete check up.

Chipping of teeth is not a normal thing sometimes pulp dead tooth chipped off sometimes carious tooth do so sometimes rct treated tooth without cap can chipped off whatever is your condition do vist a dentist he can identify reason then cure it.

In certain cases it may possible to treat crowding with laminates that is without braces. It needs clinical evaluation. Also now we have options of invisible braces.

I think your suffering from gingivitis. Maintain oral hygiene. Brush atlst 3 times a day. Rinse your mouth well after every food you take. At night brush with baking soda and wash your mouth with lemon water. Rinse your mouth twice with water mixed with clauve oil. Have a healthy food habit. Do not take or chew tobacco. And visit to your dentist. U need proper homeopathic treatment to cure this problem.

Dear lybrate-userfor fluoride stains the treatment is scaling and polishing and bleaching as required.

Reasons a) use of tea / coffee b) improper brushing c) long use of beverages tretmen a) cleaning of teeth b) cement filling in areas wid black spots c) visit your dentist every six month.

We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

Hi lybrate-user, the black spots in you tongue are due to excess pigmentation and it should not bother you in any way. But if you are aesthetically displeased with those there are minor surgical procedures to remove them, but no home remedies would help it.

See. You have to stop smoking thats the reason. After you stop smoking brush your teeth twice and do warm saline rinses for 7 days. Then use mouthwash occasionally. If you are not able to quit smoking on your on then do visit govt. Hospital to stop smoking. Go and start living healthy life.

Ask you doctor for a complete dental treatment plan instead of just treating what hurts and follow it to avoid repeated visits.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need replacement of teeth by bridge conservatively or implants through surgical procedures. You may consult me too

The psychodynamic explanation of the dentist–patient relationship
From a psychodynamic viewpoint dental healthcare is a 2-person endeavour. It is the dentist working with the patient and the patient being able to accept (use) the work (treatment) offered and provided by the dentist. It acknowledges that there is a uniqueness in the interaction for both dentist and patient while accepting the potential for inequalities within the interaction. Nevertheless it requires the health professional to remain flexible, to be able, as the need arises, to make adjustments in treatment plans thereby maximising status equality while minimising the potential for disruptions within the relationship. Benefits exist for the dental health professional when the equality between themselves and their patients is maintained. These include improved time and behavioural management skills, increased awareness of their patients' concerns and anxieties, the ability to readjust treatment plans and to provide patient-centred care

I will suggest you to apply braces through a orthodontist and Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly

Good afternoon , A dental visit to a Dental Specialist - Oral Medicine, Diagnosis and Dental Radiologist - is need of the hour so that you can be examined and your problem sorted out. Please visit one in your city.

We need more investigations (full mouth x-ray) to decide upon treatment. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

Warm saline rinses and gentle brushing with a soft brush for maximum of 3-4 mins. Get professional cleaning done.

once in a month visit ur dentist n brush ur teeth twice a day n use mouthwash ndental floss n scrap ur tongue