Dr. Poonam Sharma

Even it is a private dental clinic, you can still ask for all your x rays and records from them, it is your right to have access to all your history. So I would suggest you get all your past history from them, and let me help you with proper diagnosis. Cbct is mainly used for dental implant, orthodontics treatment. It can be used for root canal treatment, but most of the time, a simple x ray is sufficient for good diagnosis. I would suggest that first you demand all your documentation from them, they cannot refuse to give you that.

A major cause of tooth sensitivity is root exposure. Kindly consult a dentist in person for further suggestion. We need more investigations (full mouth x-ray) to decide upon treatment. You may need cleaning along with desensitizing procedures and / or artificial enamel filling. Advance procedures can be done with laser too. You may consult me in person. Until then apply a desensitizing paste (sensodyne tooth paste) on the teeth. Wait for 10 to 15 min until you brush your teeth with the same paste. Applying it overnight will be better. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months.

Bad breath can be due to dental causes, respiratory problems, gastric problems also. Visit a dentist and rule out your dental issues.

Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.

Mouth breathing habit can be treated by a habit breaking appliance. You can get it fabricated for yourself by a dentist near you. Mouth breathing must have caused little damage resulting in briwn sputum. Consult a physician for the needful.

At times it happens that your fixed cap comes out while chewing something but not to worry, you need to preserve that cap and book an appointment to your dentist for the same. Your dentist which check for any problem in the tooth or cap and vl cement the same cap if possible.

Kindly consult an Oral & maxillofacial surgeon in person for further suggestion. We need more investigations (full mouth x-ray, TMJ open & closed mouth) & clinical examination to decide upon treatment. Until then have soft diet. Replace posterior teeth if they are missing. Advise mouth opening exercise & side to side movement for the jaw muscles or the use of anti-inflammatory medicines and painkillers. For people who grind their teeth or clench their jaw, a bite-appliance may be made which corrects the way in which the jaw works and reduces the stresses and loads on it. This can be disposed of when normal function is restored. As oral & maxillo-facial surgeon, may be required to perform surgery on the TMJ.

Dear lybrate user wait for atleast one month. Let the injury due to tooth extraction may heal. Once extraction site is properly healed and there is no pain then only go for fixed tooth prosthesis.

Sunken jaws bone are actually not possible. You may had loose muscle mass from your face. You can gain muscle mass by inc protien diet. You will gain it back unless you had a injury and refered alteration.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use gum paint for 2 to 3 weeks. Advance procedures can be done with laser. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

Hi, for bad smell from mouth you should take Nux vomica 200, 5 drops , daily at night. Mix 10 drops of Zingiber Q in 1 glass of warm water and do gargles once daily. Chew fennel seed after having your meals. For dental problem consult a Dentist. Thank you. Revert me after 10 days.

Yes you can save your tooth by periodontal surgery and bone grafting you can consult good periodontist and treatment get done soon.

Hi lybrate-user sorry to know ure suffering from ulcers mouth ulcers can vary is size, shape and number. Mouth ulcers are self limiting, which means they heal naturally by themselves. The medications are only to ease the pain and burning sensation during the course of the healing. Please do not self prescribe any medications as it might at times delay the healing of the ulcer. Please visit the dentist to know exactly the type of the ulcer and its treatment. To ease the pain you cud by a topical anaesthetic gel and apply it before eating anything spicy. Try to reduce the stress, avoid long exposure to sunlight, avoid carbonated drinks and citrus fruits and juices containing citric acid, avoid lemon with food and keep urself hydrated. Please visit the dentist for exact diagnosis and treatment.

Braces can be placed again. There can be no problem as long as you properly follow instructions. If you want best thing you have to pay for it.

it can be oral submucus fibrosis for that blow air in large baloon take out air and blow again if bilateral ankylosis then only surgrical way out

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning along with surgical, gum strengthening & advancement procedure. Rinse your mouth thoroughly with a mouth wash after every meals. Use gum paint for 2 to 3 weeks. Advance procedures can be done with laser. You may consult me in person. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

There can be two types of treatment you can undergo. 1) ceramic braces which are less visible in comparison to mstal braces 2) lingual orthodontic treatment. Braces are applied on the inner portion (back) of teeth.

Get an xray done,,visit dentist asap..For the time being take a painkiller and avoid using that tooth while eating.

Gum diseases can be treated and reversed in their initial stages very easily. By getting the accumulated tartar and plaque removed by a dentist, there is a chance that they can get better without much ado. 

Visit a dentist regularly for oral health checkups.