Dr. Bandari Dheeraj

I think you might have fairly advanced gum disease. You need to consult a dentist for more definitive recommendations regarding treatment options.

What's in Your Mouth?
To understand what happens when your teeth decay, it's helpful to know what's in your mouth naturally. Here are a few of the elements:

Saliva ? Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria.

Plaque ? Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there's enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease.

Calculus ? If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard.

Bacteria ? We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth.

How Your Teeth Decay
The bacteria in your mouth need food to live and multiply. When you eat sugary foods, or even starches such as rice, the bacteria use them as food, too. The bacteria then produce acids that can dissolve tooth enamel (outer layer of the tooth).

It's not just candy and ice cream we're talking about. All carbohydrate foods eventually break down into simple sugars. Some of this process begins in the mouth.

Foods that break down into simple sugars in the mouth are called fermentable carbohydrates. These include the obvious sugary foods, such as cookies, cakes, soft drinks and candy. But they also include pretzels, crackers, bananas, potato chips and breakfast cereals.

Bacteria in your mouth turn the sugars in these foods into acids. These acids begin to dissolve the mineral crystals in teeth. The more times you eat each day, the more times your teeth are exposed to an acid attack.

This attack can lead to tooth decay, also known as dental caries or cavities. First, the acid begins to dissolve calcium and phosphate crystals inside a tooth. A white spot may appear on the enamel in this weakened area. But the loss of minerals develops beneath the surface of the enamel. The surface may still be smooth.

At this stage, the tooth can be repaired with the help of fluoride, proteins and minerals (calcium and phosphate) in the saliva. The saliva also helps reduce the acid levels from bacteria that attack the tooth.

Once the decay breaks through the enamel to cause a cavity, the damage is permanent. A dentist must clean out the decay and fill the cavity. Left untreated, the decay will get worse. It can destroy a tooth all the way through the enamel, through the inside dentin layer and down to the pulp or nerve of the tooth. That's why it is important to treat caries at a very early stage, when the process can be reversed.

Types of Decay
Young children can get a type of decay called baby bottle tooth decay or early childhood caries. It destroys enamel quickly. This type of decay is common in children who are put to sleep with a bottle of milk or juice. The bottle exposes the teeth constantly to carbohydrates through the night. Bacteria can grow rapidly and produce acid that decays teeth.

Decay can become worse if the parent does not clean the child's teeth. It can eat through enamel and leave a large cavity in a matter of months.

In older adults, the exposed roots of teeth can develop cavities. This is called root caries. Older adults are more likely to have receding gums caused by years of hard brushing or periodontal disease. They also are more likely to have dry mouth (xerostomia). The decrease in saliva results in less protection of the teeth. This increases the risk of decay. Many common medicines can cause dry mouth. Be sure to ask the doctor or pharmacist if any of your medicines cause dry mouth.

Decay can form beneath fillings or other tooth repairs, such as crowns. Sometimes bacteria and bits of food can slip between the tooth and a filling or crown. This can happen if the filling cracks or pulls away from the tooth, leaving a gap.

Preventing Cavities
Do you or your family members get cavities often? Dental research has found out that certain factors can affect your risk of tooth decay. These factors include:

The current number of decayed or filled teeth
Your fluoride exposure, including fluoride in drinking water, toothpaste and rinses, and fluoride treatments in the dental office
Parents or siblings with dental decay
How well you take care of your teeth
The amount of saliva and the balance of minerals, enzymes and buffering agents it contains
How often and what types of foods you eat (especially fermentable carbohydrates)
Ask your dentist about the best ways to reduce your risks and limit dental decay.

To prevent your teeth from decaying, you can do three things:

Strengthen your teeth's defenses with fluoride, sealants and agents that contain calcium and phosphate ions.
Have your dentist or dental hygienist place sealants on your back teeth.
Reduce the number of bacteria in your mouth.
Fluoride penetrates into teeth. It strengthens them by replacing minerals that acid has removed. The benefits of fluoride to teeth were first discovered in the 1930s. Dentists started to notice that people who drank water that naturally contained fluoride had less tooth decay. In 1945, communities started to add fluoride to water supplies. Adding fluoride to water systems has been the most successful cavity prevention method to date.

In the early 1960s, fluoride also began to be added to toothpaste. This also had a major impact on cavity prevention. Now almost all toothpastes contain fluoride. Everyone should brush with a fluoride toothpaste every day. Dental offices sometimes recommend higher levels of fluoride in toothpastes, gels and mouth rinses for both children and adults.

Sealants are protective coatings placed over the tops of the back teeth ? molars. They block bacteria and acids from sticking in the tiny grooves on the chewing surfaces of these teeth. Sealants can be placed in adults and children. Children can have sealants placed on their permanent molars once they come in, around age 6. Sometimes they are also used on primary (baby) molars. Dentists can put sealants on molars with signs of early decay, as long as the decay hasn't broken through the enamel.

You can never get rid of all the bacteria in your mouth. But you can take steps to control and disrupt the bacteria so they don't attack your teeth:

Brush twice a day.
Floss daily.
Reduce the number of times each day that you consume fermentable carbohydrates.
Some mouthwashes reduce bacteria in your mouth. This can help prevent decay. Chewing sugarless gums, especially those with xylitol, can help reduce the number of bacteria that cause cavities and increase the flow of saliva.

Most importantly, visit your dentist regularly. Then the dentist can find any decay early, when it can be treated and reversed.

Get your teeth cleaned professionally by scaling and polishing. maintain oral hygiene by brushing twice a day and use mouthwash regularly.

Hi you have full options 1. Fixed braces (either metal or ceramic) treatment cost ranges from 20 k to 40 k. And duration depends on your case usually 10 months to 20 months. 2. Removable plates are possible only in some cases if there is spacing in between teeth. Will be help you if you can send pics of your teeth keep smiling. Will be happy to help for free if you have any other queries

If you can send x ray would be nice black in color is non vital would req a rct a epicoectomy n than capping.

Kindly get scaling done and use gum paint twice daily for 15 days. Brush your teeth twice daily using correct brushing technique.

That's sounds like your mouth is getting dried up as you said moisture less. In summer there are chances of dryness, pls take more n more water as it requires. Further due to dryness bad breath occurs, I suggest you to brush your teeth properly in night as well before going to bed and also use'hiora' mouthwash 2times in a day. Further complete oral prophylaxis may be required by the dental professional.

Temporary loose wires can be fixed by using a pencil or the back of a spoon to gently push them back in place. Wax or a wet cotton ball can also be used if the loose wire is causing a lot of discomfort.

relapse is usually due to removable retainers. so fixed retainers are best. anyways you can go for composite.

The type of treatment you have for toothache /sensitivity/swelling will depend on the cause of the pain, so your dentist will examine your mouth and may carry out an X-ray to try to identify the problem. •If your toothache / sensitivity/swelling is caused by tooth decay, your dentist will remove the decayed area and replace it with a filling. •If your toothache / sensitivity/swelling is caused by a loose or broken filling, the filling will be taken out, any decay will be removed and a new filling put in place. •If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. •If your toothache / sensitivity/swelling can't be treated using these methods, or if your tooth is impacted (wedged between another tooth and your jaw), it may need to be removed.

Along with good dietary habits maintain your oral hygiene and reduce your stress level. You also give one hour for physical exercise or yoga.

Teeth pain may be due to various reasons like infection, sensitivity or trauma. If your teeth is decayed it is better to get it filled or treated by a dentist. If you are opting for root canal treatment do not forget to get a crown on the effected tooth. If you want to go for only medicinal treatment so let me tell you only medicine are not going to be very effective untill you get this treated by a dentist.

Go for a complete medical check up with a physician. If you think that you will find it very difficult, then admit yourself to a hospital and go for de-addiction: which normally lasts for about two weeks. Then follow that up with addiction counseling from a professional for at least three years to completely get rid of the habit. If this is also not enough, then admit yourself into a de-addiction center and stay there for at least 6 months and after that attend counseling with a professional. There are medicines that help with the drinking just to ease the initial craving, called antabuse. It has to be taken regularly and even a minor consumption of alcohol (like in cough syrups), accidentally or otherwise, will lead to reactions, sometimes requiring hospitalization. Ultimately, it is your will power and the support that you receive from the medical fraternity and your close and dear ones. You must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course look at all the genetic factors to plan a strategy not to get into what is called ‘cross addictions’ i.e. another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide y ou on several measures and precautions you will need to take to stay with your resolve. Even after the rehabilitation you must attend AA meetings and continue this support for a long time. Your family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. You cannot be treated in isolation because the family has gotten used to your drinking and have made some unhealthy adaptations to somehow cope. Your children will also have to attend meetings to work out their issues because of your habit. In fact, they are all suffering from the Adult Children Of Alcoholics Syndrome (ACOAs), which in effect means that they are genetically predisposed to alcoholism or can have cross addiction problems and they will have similar traits of the abusing alcoholic but in a milder form. There are special support groups for them all over the world. Should they touch or indulge in alcohol or any addictive substances or behaviors, they could also become full-fledged addicts themselves. Make a serious plan with the wife and children and whoever else’s support you can get and act on it fast.

get scaling and polishing of teeth done by the dental professional. start rinsing mouth with warm salt water twice a day with brushing

Brush at least twice a day. The best time to brush teeth is after meals. Choose a toothbrush with a small head for better access to back teeth. Soft bristles are kinder on your gums.

Use fluoridated toothpaste. Fluoride helps to harden tooth enamel and reduces your risk of decay.

Brush thoroughly. Tooth brushing should take between two and three minutes.

thanks

You can apply analgesic (pain-killer) dental gel (e. G. Ultigel) on ulcer, 15 minutes before meals. Also, increase water intake, reduce stress, add vitamin c and vitamin b complex to your diet, quit smoking like habit if any.

Kindly consult a dentist in person for further suggestion. We need more investigations to decide upon treatment. 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 are tubes of gels that can be applied directly on blister to relive pain or other problem. But since you are on fasting, let them cure by own with time. But if it doesn't, you must visit your local general practitioner.

You need to go for cleaning and scaling for plaque removal. Rinse mouth with chlorhexidine mouthwash. Brush regularly two times daily.

This is hypersensitivity of teeth. Start using a desensitizing tooth paste and mouthwash. Consult a dentist for check up and further treatment.