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Sir I want to know what is charge of one route canal dadh in mouth? And after route canal, is it guaranteed for clear dadh in mouth? Thank you
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.
Hello doctors, mere mummy ki age 55 hai. August me onke daant me dard tha. Onhone apni Ek daant nikalva diya. Lakin oske baad dard SE ya kisi doosri vajah SE onke neck par ek gaanth ho gai. Baad me Dr. Ko dikhaya to onhone ultrasound karne ko bola. Lakin ultrasound me bhi kuch clear nahi hua. Phir baad me fnac test hua. Test hone se pehle koi dikkat nahi thi. Lakin fnac ke baad khaana khane me dikkat ho rahi hai. Lakin fnac test me bhi clear nahi hua. Doctor NE bola ki report me symptoms to cancer ke lag rahe hain or pas bhi lag rahi hai. Lakin abhi kuch nahi kah sakte. Dobara test karne ke liye bola hai. Kuch suggest kare. ASAP.
Ia 42 years female am having severe toothache, already night 1 dolokind plus taken, now i am having severe pa shall I take one more painkiller now?
If I need root. Canal treatment. But I want to extract the tooth is it painful than root canal. Any help abt it pls.
I am 18 years old female I accidentally bit my mouth and it turned into painful ulcer frm 1 week ive used bcmplx and riboflavin and zytee but its of no use its paining like hell please sujest me some medication asap thank u
I had yellow teeth. I brush twice a day since 3-4 years. It helped whiten my upper teeth but my lower teeth are still a bit yellow at some places. Can you suggest a solution.
In morning, I get little thick jelly like saliva in my mouth. What is the cause? Do I need to worry?
I have gingivitis I got scaling done and have been using gum paint for a month now but my gums still bleed.
I am 16 years old and from few days whenever I eat sweets like chocolates, I always found my tongue bitter and even after drinking after it becomes more bitter taste. Is this indication for something or its normal?
Avoid Tobacco,this will be a big favor to your teeth. One, it will save you from oral cancer and periodontal complications. Two, it will save you from the countless ill effects caused by the agents used to mask the smell of tobacco. For example, if you smoke a cigarette, you may use candies, tea or coffee to mask the smoky breath and odor. This doubles the amount of damage caused.
I have ulcers in throat since 5 days and im facing problems in talking, swallowing swelling is also there. Ulcers are 15-20 in number. It is very painful What can I do?
Hello Sir, I am unable to attach image, my problem is, during last few months I have small not so large white layer in inside mouth cheek .It attached to inside mouth wall. When I scrape by figure or by tongue it detached and stick to finger. And I feel low energy through out day and fatigued. Can you help me please.
Kids have a mind of their own when it comes to food. The unhealthier it is, the more they tend to like it. Most taste driven or sweet foods are harmful for your child’s oral hygiene. However not all foods that your children like to eat are as bad for their oral health, some even help strengthen their teeth.
Here are 4 foods that your children can have for healthy teeth and gums.
1) Sugarless Gum - It helps loosen plaque and increase the number of natural antibodies in the mouth. It also keeps the gums hydrated. While too much of anything is not good, these gums are good once in a while.
2) Crispy Vegetables - These might not be popular with children but can be made yummy with interesting dips to go with them. Raw carrots, celery, cauliflower, and green beans are chewing foods which clean the child's teeth and gums.
3) Natural Sugar - Sugar from milk, yoghurt and cheese are rich in vitamin D, phosphate and calcium. When consumed, they raise the pH level of the mouth which lowers the level of acids, hence reducing risk of tooth decay.
4) Vitamin C Rich Foods - Fruits like oranges, kiwis, strawberries, papayas and limes help kill bacteria that can cause gingivitis. They also aid a good supply of collagen in the child's gums. However, parents need to remember that one can eat citrus foods only after thirty minutes from brushing their teeth. This is because the citric acid in these foods can weaken the tooth enamel temporarily.
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I am 18 year old and I have done my rct treatment and capping has been done so what should I do not eat?
This is examination time. And we get loads of enquiries from parents that doc my child is suffering from toothache
A simple solution can do wonders
Make sure your child brushes at night and this should be followed by lukewarm water rinses.