Dr. Rajeev Kumar

Dear lybrateuser, - He should immediately stop having tobacco as it is harmful & can cause such lesions in the oral cavity - consult a doctor for the actual cause & treatment.

Vist a dental surgeon and get scaling and polishing done. Clean your teeth properly and use listerin mouthwash regularly.

Hi White patches sometimes are not good that too with oral submucous fibrosis. Topical steroids will help with rich antioxidants .These can be best judged by a Dentist. So go for a detailed check up. Also any etiological factor like tobaco smoking alcohol beetle nut sharp tooth etc should be corrected.

Quit habits strictly. Seems like you have oral submucous fibrosis (osmf). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of osmf. Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day.

You should just quit chewing tobacco. Meet an ENT specialist and let that person examine you thoroughly to rule out any extensive damage and to treat whatever harm has already being inflicted. Chewing tobacco is really harmful especially because it is known to cause oral cancer and oral submucous fibrosis (SMF). Since it is an oral habit there are many substitutes that can be used to replace the oral stimulation. Of course, since it is a stimulant you cannot get the same effect and that is worth the loss to give up this very addictive habit. A dense fibrous tissue is deposited in the submucosal layer of the soft palate and cheek, causing disabling symptoms like trismus. It contains betel nuts, tobacco, lime, catechu and permitted spices and flavors. The first four substances damage the sensitive mucosa, causing constant irritation and micro trauma to the mucosa. Chemicals present act as a toxin. The phenol in the betel nut, with its caustic burning effect, destroys the mucosa, causing oral ulcers. The betel nut also contains tannins, which act as astringents, precipitating protein and damaging the mucosa. Altogether, this substance is known to be physiologically addictive. You can use replacements like nicotine chewing gum (if you want the stimulant effect, especially in the beginning) or ordinary chewing gum, hard candy and any other orally satiating substance, especially when the urge is very strong. You would have got conditioned to the habit to different times of the day and different situations. You must particularly avoid those occasions and occupy yourself with something else attractive. You should get regular exercise, eat healthily, and get a good night’s rest every day. Visit a dentist and clean up your teeth and gums to wipe out all the reminders and damages of the habit. You may also get a thorough oral check up and treatment for any damages incurred.

restored #d tooth

Use painkiller when you have pain also use warm saline gargle thrice in day after 20 min of meal and blow air in your mouth 5 min in morning and also in evening.

Drinking water after having tea is good for blood circulation. But drink cold water immediately on hot tea causes teeth sensitivity problems and you should avoid that. Wait for 2 5 minutes and then drink water. Or drink water earlier than having tea.

Dear lybrate-user, bad breathe emplies to poor gum health, bleeding gum etc. Use a antiplaque m/wash and tooth brushing twice a day will minimize your problem surely.

There are some causes which is responsible for gum receding disease,,, like preodontal disease where bacterial infection infect the teeth,gum and the bone supporting the teeth,, aggressive brushing also can cause,, insufficient dental care like insufficient brushing,floss etc and also use antibacterial mouth wash causes plaque to form stone like material,,some hormonal changes,,tobacco chewing,, grinding and clenching teeth also can cause this,,,,well if it is mild in nature then deep cleaning or scaling can be effective with proper antibiotics,,if it's severe in nature then u need surgical help like open flap scaling and root planning,, regeneration,,soft tissue grafting