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Dr. Udayan Guptha

Dentist, Delhi

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Dr. Udayan Guptha Dentist, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Udayan Guptha
Dr. Udayan Guptha is a trusted Dentist in New Delhi, Delhi. You can consult Dr. Udayan Guptha at Surgical Center Of Dental Excellence in New Delhi, Delhi. Book an appointment online with Dr. Udayan Guptha and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 32 years of experience on Lybrate.com. You can find Dentists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Surgical Center Of Dental Excellence

B-4/39, FF, Safdarjang Enclave, New Delhi, DelhiDelhi Get Directions
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My Dad Ganesh Mal Chowdhury age: 57, consuming pain (Betel) with jada (Masala) from the age of 15. Now from last few days he is suffering from wound in mouth. He can not able to take any food cause any food feel him irritated in mouth. Please advice me any medicine can help him.

BDS
Dentist, Gurgaon
My Dad Ganesh Mal Chowdhury age: 57, consuming pain (Betel) with jada (Masala) from the age of 15. Now from last few ...
Medical Care The treatment of patients with oral submucous fibrosis depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient. Most patients with oral submucous fibrosis present with moderate-to-severe disease. Moderate-to-severe oral submucous fibrosis is irreversible. Medical treatment is symptomatic and predominantly aimed at improving mouth movements. Treatment strategies are described below. [4] The role of these treatments is still evolving. The US Food and Drug Administration has not yet approved these drugs for the treatment of oral submucous fibrosis. Steroids In patients with moderate oral submucous fibrosis, weekly submucosal intralesional injections or topical application of steroids may help prevent further damage. Placental extracts The rationale for using placental extract in patients with oral submucous fibrosis derives from its proposed anti-inflammatory effect, [58] hence, preventing or inhibiting mucosal damage. Cessation of areca nut chewing and submucosal administration of aqueous extract of healthy human placental extract (Placentrex) has shown marked improvement of the condition. [45] Hyaluronidase The use of topical hyaluronidase has been shown to improve symptoms more quickly than steroids alone. Hyaluronidase can also be added to intralesional steroid preparations. The combination of steroids and topical hyaluronidase shows better long-term results than either agent used alone. [59] IFN-gamma This plays a role in the treatment of patients with oral submucous fibrosis because of its immunoregulatory effect. IFN-gamma is a known antifibrotic cytokine. IFN-gamma, through its effect of altering collagen synthesis, appears to be a key factor to the treatment of patients with oral submucous fibrosis, and intralesional injections of the cytokine may have a significant therapeutic effect on oral submucous fibrosis. [60] Lycopene Newer studies highlight the benefit of this oral nutritional supplement at a daily dose of 16 mg. Mouth opening in 2 treatment arms (40 patients total) was statistically improved in patients with oral submucous fibrosis. This effect was slightly enhanced with the injection of intralesional betamethasone (two 1-mL ampules of 4 mg each) twice weekly, but the onset of effect was slightly delayed. [61] Pentoxifylline In a pilot study, 14 test subjects with advanced oral submucous fibrosis given pentoxifylline at 400 mg 3 times daily were compared to 15 age- and sex-matched diseased control subjects. Statistical improvement was noted in all measures of objective (mouth opening, tongue protrusion, and relief from fibrotic bands) and subjective (intolerance to spices, burning sensation of mouth, tinnitus, difficulty in swallowing, and difficulty in speech) symptoms over a 7-month period. [62] Further studies are needed, but this could be used in conjunction with other therapies. Surgical Care Surgical treatment is indicated in patients with severe trismus and/or biopsy results revealing dysplastic or neoplastic changes. Surgical modalities that have been used include the following: Simple excision of the fibrous bands: Excision can result in contracture of the tissue and exacerbation of the condition. Split-thickness skin grafting following bilateral temporalis myotomy or coronoidectomy: Trismus associated with oral submucous fibrosis may be due to changes in the temporalis tendon secondary to oral submucous fibrosis; therefore, skin grafts may relieve symptoms. [33] Nasolabial flaps and lingual pedicle flaps: Surgery to create flaps is performed only in patients with oral submucous fibrosis in whom the tongue is not involved. [63] KTP-532 laser: Use of a KTP-532 laser release procedure was found to increase mouth opening range in 9 patients over a 12-month follow-up period in one study. [64] ErCr: YSGG laser fibrotomy, performed under a local anesthesia: This may be a useful adjunct in managing oral submucous fibrosis. [65] Consult an ear, nose, and throat specialist for evaluation of dysplasia and close follow-up monitoring for the development of oral cancer. Consult a plastic surgeon for patients with severe trismus, in whom reconstructive surgery may be possible. Dietary focus should be on reducing exposure to the risk factors, especially the use of betel quid, and correcting any nutritional deficiencies, such as iron and vitamin B complex deficiencies. [3] Physical therapy using muscle-stretching exercises for the mouth may be helpful in preventing further limitation of mouth movements. This is often combined with medical and surgical therapy. [66] Regular physical examinations, biopsy specimen analysis, and cytologic smear testing should be scheduled to detect oral dysplasia or carcinoma, especially in patients with severe oral submucous fibrosis. Patients with surface leukoplakias require close follow-up monitoring and repeat biopsies. Patients with dysplasias and carcinomas should receive routine treatment for these entities. [67] Watch for signs that indicate malignant change, which include the following: An unhealing ulcer in the lesion Lesion undergoing red changes (erythroplakia) A burning sensation in the mouth An exophytic mass A lump in the neck Difficulty in chewing, swallowing, or speaking.
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Hi. I have removed my braces few months back and I noticed when I laugh lots of gum shows in my four upper front teeth. What type of treatment for gummy smile will help me? I still wear retainer.

BDS
Dentist, Gurgaon
Hi. I have removed my braces few months back and I noticed when I laugh lots of gum shows in my four upper front teet...
there are various flap procedures done ... to correct gummy smile .. we would have to assess your smile ..only then we can suggest anything to you..
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One of my braces came off. It's the only metal that is supporting it. Is it okay if I wait for a month to fix it because I've my exams going on right now and it'd finish only after a month?

BDS
Dentist, Gurgaon
One of my braces came off. It's the only metal that is supporting it. Is it okay if I wait for a month to fix it beca...
Better to visit dentist and just get it fixed. It would hardly take 15 minutes for the dentist to fix the braces.
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I am facing drooling problem since 4-5 years. Every nite I sleep, I have some amount of saliva in my mouth and some getting out of my mouth and on bedsheets. What is the solution for it? I tried sleeping on my back but I don't fall asleep if I sleep on my back. Suggest some other solution. Thanks.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
I am facing drooling problem since 4-5 years.
Every nite I sleep, I have some amount of saliva in my mouth and some g...
Either you have nasal blockage or it's just a habit ask your nears to wake you up if your sleeping with your mouth open.
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Whenever I eat meat, it stuck in between teeth and cause pain. Looking for permanent solution instead of doing floss, gargles, medicines or toothpicks.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Whenever I eat meat, it stuck in between teeth and cause pain. Looking for permanent solution instead of doing floss,...
Hello, you need to visit a dentist and get a checkup done. Get your scaling and polishing done. If there is a cavity in between your teeth, get it filled.
10 people found this helpful
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I'm getting my last teeth and not able to eat, it has stopped coming out and beside it was swelling when I pressed it lite yellow color saliva ki coming please suggest me something to get cured.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I'm getting my last teeth and not able to eat, it has stopped coming out and beside it was swelling when I pressed it...
If the pericoronitis is limited to the tooth (for example, if the pain and swelling has not spread), treat it by rinsing your mouth with warm salt water. You should also make sure that the gum flap has no food trapped under it. If your tooth, jaw, and cheek are swollen and painful, see your dentist right away.
1 person found this helpful
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My father have problem in her mouth. He can not eat spicy things because he is so irritated by his mouth.

BHMS
Homeopath, Bangalore
As you haven't explained clearly of what is extact problem, as there's irritation from spicy foods I think its mouth uclers or redness in mouth, just take homoeopathic medicine borax 200 4pills 4 times 4 days. It ll give relief n give him lots of water n lime juice 3 times in a week n try giving him few cumin seeds to chew for 15 mins. It ll reduce the ulcers or redness.
4 people found this helpful
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Sir, I am suffering from sensitivity in my teeth. Please suggest me what should I use?

Advanced Aesthetics, BDS
Dentist, Mumbai
Sir, I am suffering from sensitivity in my teeth. Please suggest me what should I use?
Hi, Teeth have a protective layer called enamel with age the enamel wears off and become thin which causes to become teeth sensitive to cold and hot. You need to get a professional check up done to know the exact cause and solution of your problem. Regards
1 person found this helpful
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Hi. I am having pain for almost 5 days at my lower back gums as wisdom tooth is coming out. It hurts a lot. Please suggest.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi. I am having pain for almost 5 days at my lower back gums as wisdom tooth is coming out. It hurts a lot. Please su...
You may take homoeopathic medicine Mag Carb 30 tds for 3-4 days... It is advisable to take any medicine with proper consultation..
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How can I make my teeth white and what is best paste to use it in my teeth calcium slowly reducing suggest me for that also.

BDS, MDS
Dentist, Gorakhpur
How can I make my teeth white and what is best paste to use it in my teeth calcium slowly reducing suggest me for tha...
A professional dental cleaning and polishing will reveal your teeth's true colors. After that if you wish to whiten it, you can choose chemical or laser bleaching. There is this myth that toothpaste will whiten or make your teeth stronger. It can be achieved slowly by careful brushing and dental advice time to time.
1 person found this helpful
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