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Dr. Sheetal Khangwal

Dentist, Gurgaon

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Dr. Sheetal Khangwal Dentist, Gurgaon
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sheetal Khangwal
Dr. Sheetal Khangwal is an experienced Dentist in Sector-14, Gurgaon. He is currently practising at Dr. Garima's Dental Care Centre in Sector-14, Gurgaon. You can book an instant appointment online with Dr. Sheetal Khangwal on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 30 years of experience on Lybrate.com. You can find Dentists online in Gurgaon 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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English
Hindi

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Dr. Garima's Dental Care Centre

C-47, Basement, Old DLF Colony, Gurgaon Sector 14. Landmark: Near Sector 14 Market, GurgaonGurgaon 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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I have sensvity in my teeth. When I eat something my teeth are paining What I do ?

Advanced Aesthetics, BDS
Dentist, Mumbai
I have sensvity in my teeth. When I eat something my teeth are paining What I do ?
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.
3 people found this helpful
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My gums near the wisdom tooth is swollen and also I'm having sore throat and it pains a lot. I find difficulty in swallowing. The lower chin to the right is also swollen which I think is 'tonsil' Also there's a pain in my right ear. So please suggest me something. Are all these pain related to each other? I stay at Marathahalli, Bangalore. please require your help and support. I'm in deep pain and unable to eat anything.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
My gums near the wisdom tooth is swollen and also I'm having sore throat and it pains a lot. I find difficulty in swa...
Hello, you can do warm salt water rinses at home. This will give you relief. You need to visit the dentist for an x-ray of that tooth. If required, you need to go for removal of the wisdom tooth under antibiotic coverage.
10 people found this helpful
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How to control saliva formation in empty mouth during singing? It disturbs me during singing as I have to stop in the middle to clear my throat.

BDS, MDS
Dentist, Gorakhpur
It seems you have excess saliva production (sialorrhea) .If so, you can take any one of these medications to reduce the flow. Scopolamine, glycopyrolate or botulinum toxin. You have to choose smartly as these medications can harm you after prolonged use and also compromise your oral hygiene. So it will be good to get a second opinion from a physician before starting medications. Hope it will help. THANK YOU.
3 people found this helpful
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BDS, PGDFO
Dentist, Gadchiroli
Drinking a cup of tea everyday helps in keeping the gums and teeth healthy as it contains high amounts of flouride and flavonoids which prevent harmful bacteria from sticking to the teeth.

Soft drinks, cordials and fruit juices should be consumed in a limited quantity

MDS - Periodontics
Dentist, Thane
Soft drinks, cordials and fruit juices should be consumed in a limited quantity
Soft drinks, cordials and fruit juices should be consumed in a limited quantity because they are acidic in nature. Acidic food or drinks often soften the tooth material which leads to the dissolution of minerals into the tooth enamel, resulting in cavities (holes).
126 people found this helpful

I am only 20 year old I have a payeria whats best toothpaste and treatment curesness for me?

MFDS RCPS (Glasgow), MDS - Oral & Maxillofacial Surgery, BDS
Dentist, Delhi
I am only 20 year old I have a payeria whats best toothpaste and treatment curesness for me?
Hi lybrate-user Developing "pyorrhoea" at 19 years is not a very good sign for the future well being of your teeth. It suggests at least some degree of negligence and carelessness on your part. Also, gum disease arising at such an early age might be more aggressive in its overall natural progression. I suggest that you consult with a professional dental surgeon or a periodontist at the earliest to allow institution of appropriate therapy as early as possible during the course of the disease, so as to minimize permanent damage.
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I had an extraction of a sleeping molar in lower half and in the same area of upper half a tooth impression has been occurred on the cheek it pained for two days and now it's not paining and the impression is also slowly disappearing is there anything I need to worry about the upper jaw.

BDS
Dentist, Mohali
I had an extraction of a sleeping molar in lower half and in the same area of upper half a tooth impression has been ...
Nothing to worry about it will fade away on its own However if you have not been prescribed any gel for local application you can use this one Metrogyl DG gel - apply on affected area 2-3 times everyday.
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Is it fine to take ibuprofen for two weeks for tooth pain? I can go to hospital only after two weeks. Please reply.

Certified Implantologist, BDS
Dentist, Mumbai
Is it fine to take ibuprofen for two weeks for tooth pain? I can go to hospital only after two weeks. Please reply.
It's actually not advisable at all.moreover ibuprofen is contraindicated in people who have asthma (just in case u have asthma) Better prioritise your health dear..
2 people found this helpful
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Hi I am 26 years old. I am facing problem with teeth pain sensitivity and hair fall, can you please let me know what should I do and please let me know the if require medicine name also.

BDS
Dentist, Hyderabad
Hi I am 26 years old. I am facing problem with teeth pain sensitivity and hair fall, can you please let me know what ...
Tooth sensitive and hair fall are two different problems. Tooth sensitive can be treated by desensitise paste
10 people found this helpful
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