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Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.
The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.
When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:
- Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
- Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
- Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.
Your teeth are the most underappreciated part of your body. If you don’t give them proper care, there is a very good chance that you will develop severe dental problems, the most common being tooth decay. Tooth decay is caused when the bacteria that are present in your mouth churn out more acid than is necessary, gradually eroding the teeth. The acids bore a hole in the tooth, causing cavity.
You might be suffering from tooth decay if you experience:
- Teeth discoloration
- Tooth infection
- Tooth loss
Causes of tooth decay
Tooth decay occurs when the bacteria that reside in your mouth start producing excessive acids which eventually erode the tooth.
How does it happen?
Your teeth have three protective layers: an outer layer called enamel, middle layer called dentin and an inner layer called pulp. The bacteria in the mouth along with acid and broken down food particles attack the tooth and erode it layer by layer. Tooth decay worsens as each layer is eroded.
Here are some common causes behind tooth decay:
- Poor oral hygiene i.e. not brushing or flossing your teeth regularly
- Eating foods that help bacteria grow, such as sugary foods and foods rich in carbohydrates
- Dry mouth refers to very little saliva in your mouth. Saliva helps countering the effects of the acids
How to prevent tooth decay
Most cases of tooth decay can be prevented by a healthy oral hygiene regime and having a balanced diet. Here are some steps you can take to prevent tooth decay:
- Regularly brush your teeth. Brush your teeth after each meal and especially before you go to sleep. Using a fluoride-rich toothpaste will help keep tooth decay at bay.
- The space between your teeth is where food particles get lodged. Keep them clean by flossing regularly.
- Make balanced diet a part of your life. Avoid food high on sugar or carbohydrates. Also, avoid eating too much sticky food, as it is more likely to cling to your teeth than anything else.
- Mouthwash regularly using a solution rich in fluoride. Fluoride has antiseptic properties that help kill the bacteria,
- Lastly, visit your dentist regularly for checkups
Tooth decay is one of the most common lifestyle-based problems. The right combination of dental hygiene and a balanced diet goes a long way in preventing it. If you wish to discuss about any specific problem, you can consult a dentist.
Doctor actually. I'm having stripes at mine tongue. From 4 -5 weeks .something like ulcer but it is white colored only at side of the tongue and at the end of the tongue I have stripes. Which is like.(Foda and funsi). What does this indicate? And what should I do for this. I'm very scared doctor please reply me.
I'm 62 yrs young man. Having no sugar, no bp .Now a days whole day drowsiness, loud snoring, bad breath, very bad smell from mouth.Please do help
Mam/sir I am suffering from enamel bleeding and enamel degeneration can you please help me my age is 25 male.
I feel granules in my mouth,stiffness in jaws,burning sensation inside of both cheeks,feeling irritation on outside of left cheek. Earlier I have shown to dentist for oral cancer but they told that it is a fat pad no oral cancer. I am confused. I still feels the problems in mouth
My teeth are in pale yellow( I neither smoke nor drink or even take pan). Can you suggest me any treatment to get them back to white ?
I am 25 years male and am suffering with gum bleeding every time I eat. how to overcome this? Please help me.
Hello Dr. I have pain in my mouth as my wisdom teeth started to come I am 20 years of old and I am facing pain from last 5-6 days so is there any problem so that I need to meet a doctor.
Tooth lost to either decay or gum disease leaves a dent in many areas - facial appearance, chewing, facial structure support, etc. Fixed dentures were a good substitute, however, with one major disadvantage. They required removal of natural tooth structure from adjacent healthy teeth. The next big search was to find ways to avoid this, and the result is the dental implant.
The tooth has a visible part called the crown and an invisible part called the root which is hidden in the jaw bone. While the fixed denture replaces only the crown, the implant replaces both the crown and the root.
How implants are done: Once a tooth is lost and the bone is healed to the desired extent, a biocompatible titanium post that is screwed into the bone. This material has the unique property of osseointegration - it fuses to the bone, which is almost like a natural tooth in its socket. This complete fusion may take about 2 to 6 months depending on overall health. After it gets absorbed well into the bone, a crown that matches the adjacent teeth is fixed on it. Implants can also be used for replacing multiple teeth or for overdentures.
There are certain reasons why implants work so well, listed below are some:
- The material: Titanium is biocompatible and does not cause any adverse reaction in the body. It fuses to the bone completely and is not just put in place to fill the gap. That ensures that the support provided for the new crown or bridge is as good as the original tooth with a root embedded in the jaw bone
- Post-implant care: Required, but not to the extent required by dentures. There is very minimal difference between caring for an implant and caring for an implant
- Function: As the implant is completely fused and embedded in the bone, it functions as good as a natural tooth in terms of chewing efficiency and pressure that can be applied on it. This is not the case with dentures
- Gum health: Bridges have an adverse effect on the gums with a constant mild pressure exerted on them. Implants do not do that and therefore are more friendly on the gums
- Bone health: While bridges affect the alveolar bone health by allowing them to continue to degenerate, implants occupy the space in the bone and do not allow further degeneration. This is probably the most important advantage of implants.
- Aesthetics: Needless to say, the look of a well-done implant far surpasses that of the dentures.
Check with your dentist if you are an ideal candidate for implant, and if yes, it surely is worth the investment.