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Patient Review Highlights
the symptoms of throat cancer were severe and unmanageable, as I was suffering from cancer, but my doctor Shelly Gupta was able to handle it. Never once that I felt that she is getting impatient, rathe she has always responded to my each and every doubt with immense patience. I remember, I read an article of Shelly Gupta in the paper and made contact. the atmosphere in the dr Gupta Dental Clinic is always so positive and full of life. I owe him him a big thanks for making me fine again. By chance, I approached Shelly Gupta for second opinion and thank god, i did because, she treated me without any surgery and all.
she is very patient with all her patients. Shelly Gupta has so much knowledge that for every small issue, my family takes her reference. I feel strange that I am suffering from blister. the dr Gupta Dental Clinic is designed in such a manner that all requirements of patients are taken care of. the dr Gupta Dental Clinic was equipped with various facilities. her treatment suited me the best and now I am fine.
I was shocked when i got to know that I needed gum treatment. The staff was very attentive to my needs. Our family physician personally recommended this Dr.Shelly Gupta. It's been more than a year now, and I am totally satisfied. The dr Gupta Dental Clinic is decorated very nicely and doesn't look like a hospital. The guidance Shelly Gupta gave me has helped me immensely with my situation.
All of sudden I developed this tooth pain and didn't know what to do. Atlast I chose to consult Dr Shelly. She is quite knowledgeable dentist and has a great experience. She is not just friendly, but also is very motivating. She gave me root canal treatment which helped me laot. I owe her a big thank for the treatment. She is realy a sweet doctor.
Due to smoking, the condition of my teeths degraded. I consulted Dr Shelly who is a well knowledgeable dentist in New Delhi. With the help of her treatment, i have improved a lot. I owe her a big thank for the treatment he offered. She is really a sweet doctor. And I appreciate the way she treats her patients.
I thank Dr Shelly for the root canal treatment he provided. I must say that the Dr Gupta's Dental clinic has all the amenities which patient requires. He is a well knowledgeable and experienced dentist and I am quite benefitted with his root canal treatment.
dr Shelly Gupta is really a god send person for me. He healed my problem of Anorexia.I am so thankful to her as she has given me the best advice and I am now finally able to get back to my normal self.she can be consulted at dr Gupta Dental Clinic in Delhi.
I thank Dr Shelly for the root canal treatment he provided. I must say that the Gupta Dental clinic has all the amenities which patient requires. She is a well knowledgeable and experienced dentist and I am quite benefitted with her root canal treatment.
dr Shelly Gupta diagnosed the problem of my anal Fissure very quickly and helped me calm down, then I went for tests. She was very professional about her approach and advice. I consulted her at dr Gupta Dental Clinic in Delhi.
In the recent years, dental problems have been on a mercurial rise. Lack of proper knowledge and awareness (especially in the rural areas) makes the situation even worse. Dental problems can affect anyone, irrespective of their age and sex. Proper measures should be taken to deal with the problem effectively. People should be educated and made aware of the importance of practicing a good oral hygiene and dental care. In this regard, the Dental Public Health Education becomes very important.
As the name suggests, the dental public health work towards educating the people (in rural as well as urban areas) about oral and dental hygiene. It comes up with various campaigns, health camps and awareness programs (mostly government funded) to help people take care of their and their loved one's dental health. The aim of the dental public health work is to reach out to and, in the process, extend help to a wider mass.
In some of the campaigns, the dentists reach out to the children (in schools and colleges) and explain them the importance of a good dental health and the healthy dental practices they need to follow. Few of the initiatives and awareness programs have indeed been of great help to people.
The Dental Public health workers and specialists work on the competencies as directed by the Indian Dental Association, some of which are being mentioned below:
- Organizing and managing oral health campaigns and programs.
- Extensive research to deal with oral health problems of the public.
- Communicate with people regarding the various dental and oral health problems
- Measure the status of oral health through effective surveillance systems.
- Address individual (as well as population) oral health issues effectively.
- Promote and protect public oral health through public health regulations, policy, and legislation.
The Dental public health is thus, a non-clinical speciality, whereby trained and experienced workers works effortlessly to improve the oral health of communities rather than individuals. It is a broader term that touches upon the different aspects of dental and oral health (causes, symptoms, treatment, prevention, and precaution).
Advantages of the Dental Public Health Education:
The dental public health education and workforce are indeed a blessing that comes with a lot of oral health benefits:
- The dental public health (DPH) has helped create awareness, thereby lowering the incidences of tooth decay and plaque formation greatly.
- It has brought about a remarkable improvement in the overall health of the people.
- The DPH has successfully held campaigns and oral health camps in areas that have been left unattended and neglected for long.
- Campaigns organized in schools help children and their families to practice healthy oral hygiene.
- The action is at a community level so that maximum people can benefit from the programs and campaigns. If you wish to discuss about any specific problem, you can consult a Dentist.
A dental implant is a titanium post which mimics the root of the tooth and it’s surgically positioned into your jawbone beneath the gum line. After the implant is positioned, your dentist mounts replacement teeth or a bridge to replace a tooth or teeth that have fallen off, into that area.
Implants are a very useful new way to replace teeth that have been lost due to ageing, gum disease or trauma.
The options which were earlier available to replace missing teeth were an ordinary bridge which was attached to teeth on either side of the space left by the missing tooth.
- A big advantage of implants is that no adjacent teeth need to be chipped or ground down to hold your new replacement tooth or teeth in place.
- Dental implants allow you to speak without the worry that teeth might slip. It gives you improved speech.
- An implant also is better for maintaining dental health as it does not have to be anchored to other teeth, like bridges.
- Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
- Implants also don’t come loose as dentures can.
Because implants fuse to the jawbone, they provide stable support for artificial teeth. This means dentures and bridges mounted to implants don’t slip or shift in your mouth. This helps you eat and speak normally.
This secure fit also makes the dentures and bridges mounted over implants feel more natural than bridges or dentures.
Some people can’t get ordinary bridges and dentures because of sore spots, poor ridges or gagging and for them, implants are a heaven send.
Should you get implants?
You can only get implants if you must have healthy gums and adequate bone to support the implant. If your bone is too thin or soft you may have to get a bone graft first.
You should also be committed to keeping your implants healthy. For this, you should be committed to meticulous oral hygiene and regular dental visits as these will ensure the long-term success of your dental implants.
Two types of implants are considered safe by the American Dental Association. They are:
- Endosteal implants —These are surgically implanted directly into your jawbone. This is followed by a second surgery to connect a post to the original implant after the surrounding gum tissue has healed. And finally, an artificial tooth or teeth is attached to the post. This can be done individually or grouped on a bridge or denture.
- Subperiosteal implants — These consist of a metal frame that is fitted onto your jawbone. After the gums heal, the frame automatically becomes fixed to the jawbone. After these artificial teeth are mounted onto the posts, which are attached to the frame, and left to protrude through the gums just like with endosteal implants.
- Implants are very natural but they are expensive than other dentures or bridges, the other methods of teeth replacement. If you wish to discuss about any specific problem, you can ask a free question.
We know that diabetes can harm your eyes, nerves, kidneys, heart and other important systems in your body. But did you know it can also cause dental and gum problems in your mouth?
The link between diabetes and oral problems is real, though lesser known. Diabetics are at a higher risk for periodontal or gum disease which is an infection of the gum and bone that hold your teeth in place.
Research also shows that alternatively, periodontal disease may also make it hard for you to control your blood glucose.
If your diabetes is not under control, you are more likely to develop problems in your mouth like-
- Dry mouth, a condition that happens when you do not have enough saliva—the fluid that keeps your mouth wet. It is a common symptom of undetected diabetes and can also cause mouth soreness, ulcers, infections, and tooth decay.
- Another problem diabetes can cause is a fungal infection called thrush or candidiasis because diabetes usually causes the glucose levels in your saliva to increase. And this encourages the fungus causing thrush to grow in your mouth, leading to painful white patches.
- When diabetes is not controlled, high glucose levels in your saliva also help harmful bacteria grow in your mouth. These bacteria combine with food particles to form a soft, sticky film called plaque which causes tooth decay. Plaque also comes from eating sugary and starchy foods.
- And some types of plaque cause tooth decay or cavities and other types of plaque cause gum disease and bad breath.
- Diabetics have a higher incidence of Gingivitis which causes unhealthy, red, inflamed gums. You need regular flossing as well as cleaning at the dentists to prevent it.
What can you do?
- You must keep your blood glucose under control to prevent mouth problems. Diabetics with poor blood glucose control get gum disease more often and more severely than diabetics whose blood sugar is under control.
- If you have diabetes, you should brush and floss every day and follow this up with regular dental check-ups.
- Call your dentist when you notice a problem in your mouth. Keep observing and checking your mouth regularly for any problems. Don’t ignore minor stuff like gum bleeding during brushing and flossing. And also notice dryness, soreness, white patches, or a bad taste in the mouth. All of these are big enough reasons to visit your dentist.
- Tell your dentist if your dentures suddenly don’t fit right or if your gums are sore.
Also, take care to quit smoking. Smoking makes gum disease worse and causes dry mouth which aggravates oral problems.
Needless to add, good blood glucose control is your best defence against the oral complications of diabetes like gum disease. If you wish to discuss any specific problem, you can consult a dentist.
Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible - functionally and structurally.
The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage. The adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth. In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.
Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.
Types of implants: Three common types include:
- Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
- Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
- Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.
Contraindications: The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.
However, if managed well, even these patients can have implants after a detailed assessment by the dental team. If you wish to discuss about any specific problem, you can consult a Dentist.
If your diabetes is not under control, you are more likely to develop problems in your mouth. The good news is you can keep your teeth and gums healthy. By controlling your blood glucose, brushing and flossing every day, and visiting a dentist regularly, you can help prevent serious problems in your mouth.
The Symptoms of Untreated Diabetes
The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.
If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:
- You may have less saliva, causing your mouth to feel dry. (Dry mouth is also caused by certain medications.)
- Because saliva protects your teeth, you’re also at a higher risk of cavities.
- Gums may become inflamed and bleed often (gingivitis).
- You may have problems tasting food.
- You may experience delayed wound healing.
- You may be susceptible to infections inside of your mouth.
- For children with diabetes, teeth may erupt at an age earlier than is typical.
Diabetes is a chronic, systemic disease and affects all parts of the body. While its effect on the nerves, eyes, kidneys, and skin is more common, their oral effects are less known. However, diabetes will vouch how they lost tooth and have dry mouth after their sugars went out of control.
- Oral Symptoms in Diabetics: There is a strong correlation between oral health and poorly controlled blood sugars. Some of the common oral indications of diabetes are as follows.
- Dry Mouth: There is less amount of saliva, which brings with it a whole lot of symptoms including soreness of the mucosa, ulcers, increased chances of infection, gum inflammation and tooth decay.
- Thrush: The saliva has higher sugar levels and attracts fungus (Candida in particular) which thrives in this dry, sugary environment. This produces a burning sensation in the mouth.
- Periodontal Disease: The gums get severely infected with gingival recession, where the gum line recedes exposing more of the tooth (tooth length seems to have increased). There is “pocket” formation, or space between the tooth and the gum which hosts a variety of bacteria. The periodontal ligament loses its strength to hold the tooth in place, and thereby teeth become mobile. If not worked upon in time, there could be multiple teeth lost.
Why People with Diabetes Are More Prone to Gum Disease
All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.
Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.
As much as it sounds alarming, it is not. There are easy, simple ways to manage these. In fact, good overall management of diabetes will ensure the oral symptoms are also maintained under control. Following are some things to do which will help in managing diabetes in general and the oral symptoms in particular:
As soon as diabetes is diagnosed, visit a dentist to take stock of the oral health condition. Any identified problem should be treated to avoid progression.
- Keep a close watch to ensure blood sugar remains as close to normal as possible.
- Switch to a toothbrush with soft or extra-soft bristles. This will help reduce the pressure on the gums and thereby prevent gum bleeding
- After every meal, remember to brush the teeth.
- Flossing at least once a day will help remove food deposits between the teeth. Alternately, use interdental brushes.
- Rinse at least twice daily using an antiseptic mouthwash.
- Denture-wearers should always clean them daily and never go to sleep with the denture in the mouth.
- Smoking with diabetics is a strict no-no, work on quitting at the earliest.
- Visit a dentist every 3 months to ensure oral issues are identified at the earliest and treatment done with minimal intervention.
- Any dental procedure should be done only when sugar levels are under control.
Managing diabetes is a lifelong commitment, and that includes proper dental care. Your efforts will be rewarded with a lifetime of healthy teeth and gums. If you wish to discuss about any specific problem, you can consult a Dentist.
I often have severe mouth ulcers. Pl. Advise can I take tablet containing vitamin b 12 c and folic acid and iron. Is it useful.
Sir my upper teeth are dominated .so can you tell me what can I do for my teeth and if i'll go for veneering. .how much I have to pay and what are the pros and cons of veneering as am 21 years old .tell me what can I do?
I am having bad breath and bleeding guts so I want to dentist after checking and taking xray of my teeth she told pustules under my gums so it is to curtain open the gums and clean it and then only the bad breathing and gums bleeding will stop every morning my mouth bleeds and bad breathing occurs but I am feared that one surgery done by opening the gums whether it will come back to normal position so need your advice.
The last molar teeth in the mouth are called as wisdom teeth. While in some people they erupt completely into the mouth and function with no problem whatsoever, in others, they remain embedded in the bone, erupt incompletely, erupt at an angle, or are covered by bone or a flap of tissue. They are absent in many.
Of late, dentists recommend removal of wisdom teeth, more a preventive than remedial measure. Some of the reasons for wisdom tooth removal are listed below
Impaction: Often, wisdom teeth do not have enough space to erupt in their normal position. This can only be evaluated properly on an x-ray. If the x-ray shows that the tooth is unlikely to erupt because of being blocked by a root or bone, this needs to be removed.
Pericoronitis: The tooth partially erupts into the mouth but is covered by a flap of gum. This attracts food and bacteria to accumulate, leading to decay and infection, a condition called as pericoronitis. Very common in the lower wisdom teeth, it leads to severe tooth pain, painful swallowing and swelling of the lymph nodes. This is the most common cause for wisdom teeth to be removed. An x-ray will reveal the tooth to be infected and sometimes periapical abscess may also be present.
Alignment: Misaligned wisdom teeth exert a constant mild pressure on the adjacent teeth which can hamper the alignment and reverse the effects produced by braces. The bite may be altered also, thereby necessitating removal.
Adjacent Tooth Damage: If the malposed wisdom tooth is causing pocket formation or decay in the adjacent teeth, it is time to get them removed.
Recurrent Sinus Infections: With their proximity to sinuses, there could be constant pain and pressure and infection of the sinuses. This is another indication for their removal.
However, not all wisdom teeth need to be removed. If they have erupted fully, are healthy, produce a good bite, and can be cleaned easily, they do not require removal.
During the teenage years and through 20s, check with your dentist on the health of the wisdom teeth. X-rays can be taken to monitor them and for early identification of problems. If they need to be removed, it is easier to take them out when you're young. The bone surrounding the impacted tooth is less dense, and therefore easier. The ability of the body in general and the jaw bones in particular to heal is also better at a younger age.