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Root Canal Treatment
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Treatment of Root Canal Treatment (RCT)
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Teeth Cleaning (Scaling) Procedure
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HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.
- Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
- Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
- Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
- Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
- Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
- Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.
Diagnosing HIV with Western Blot Test-
It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
What are dental implant? How safe they are? What is the advantage of an implant?
Whenever, there is a missing tooth, earlier the treatment was to replace it with a plastic denture or with a fixed bridge. A denture requires ugly wires to hold it in place and for the bridge process, cutting the neighbouring healthy teeth is required, in order to provide support to it.
Both had limitations with respect to the number of teeth that could be replaced.
A Dental implant is nothing, but a screw made of pure Titanium and is fixed in the jaw bone. They are a 100% safe, provided the surgery is well planned and executed keeping the patient's overall medical health in mind and with specific attention given to the amount of remaining bone in the jaw.
Implants can be used to replace a single tooth or many missing teeth. Even if you have no teeth remaining, implants can be used to support a complete denture, thus making them secure and firm in fit.
The entire procedure is relatively painless as it is done under local anaesthesia and within 3 to 6 months with some additional measurements, your dentist will be able to fabricate custom-made teeth for you that allow you to chew and talk just like before!
Keep in mind that along with regular check up, good maintenance on your part as a patient with good hygiene habits, your implants could last for many years. In our practice we have replaced single teeth, multiple missing teeth and entirely missing sets including those with complete dentures (learn more about Regular Care for Dentures) for patients from the age of 30 to 85! There is no reason for you not to get a satisfactory result with dental implants!